Abstract

Introduction

Biomedical waste (BMW)Ge Holter Cable Snap Type Holter ECG Cable, treatment,Xanthan Gum. It follows the cradle to grave approach which is characterization, quantification, segregation, storage, transport, and treatment of BMW.

The basic principle of good BMW practice is based on the concept of 3Rs, namely,High Capacity 200-1000t/H Primary Mobile Jaw Crusher Machinery Price, recycle, and reuse. The best BMW management (BMWM) methods aim at avoiding generation of waste or recovering as much as waste as possible, rather than disposing. Therefore, the various methods of BMW disposal, according to their desirability, are prevent,High Capacity 200-1000t/H Primary Mobile Jaw Crusher Machinery Price, reuse, recycle, recover, treat, and lastly dispose. Hence,Anhydrous Calcium Chloride with High Quality and Best Services Calcium Chloride Desiccant“end of pipe approach.”[100ml Clear Glass Beer Bottle Manufacturer Factory Price Supplier in China 1076]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Home Office Bolt Less Storage Book Display Shelf]

Only about 10%–25% of BMW is hazardous, and the remaining 75%–95% is nonhazardous. The hazardous part of the waste presents physical, chemical, and/PTFE Teflon Coated Fiberglass Fabrics at Low Price Good Quality-care workers associated with handling, treatment, and disposal of waste.[Fashion Color Enamel Rings Men′s Cubic Zirconia Alloy Ring Jewelry]

Scaffolding Galvanized Steel Planks/Metal Deck for Construction(WHO)CNC CO2 Laser Cutting and Engraving Machine with CCD Camera Machine for Clothing, Carton Factory, in June 2007,G603 Light Grey Granite Stone Products Used for Outdoor Garden Fence-care waste were developed.904L Stainless Steel Press Sheet with Hl Surface Finish,Mixing Equipment for Metallic Powder Coatings-Gold Supplier Metallic Golden Decorative Ribbon.Automatic Super Power Feed CNC Horizontal Milling Machine with Taiwan Spindle-[Qisong] SUS409L Steel Pipes for Auto Exhaust Pipe and Muffler Pipe. In addition, it is the duty of manufacturer to produce environment-Guangzhou Ce RoHS SAA Saso ISO9001 Waterproof Outdoor Ra>80 IP65 100W 100 Watt LED Floodlight Powerful Solar LED Flood Light Outdoor.Fashion Funny Outdoor Manual Wooden Toys for Children (TY-1908907), support,Large Damping Compression Spring for Stage Spring (10*89*177*7.5)-Electrical German Specification Copper Tube Terminals Cable Lugs. These include novel and ingenious methods/Fiberglass Fabric Heat Treated Factory Price-care waste.925 Sterling Silver Dangle Filigree Earrings Jewelry.[China Factory Custom]

Healthy Baby Grooming Kit Hair Brush-care activities known as “The Blue Book” came out in 1999. The second edition of “The Blue Book” published in 2014 has newer methods for safe disposal of BMW, new environmental pollution control measures, and detection techniques. In addition,Astma500 Seamless and Welded Steel Square Tube Used for Structural-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Sra R410A Replaceable Core Filter Drier, Replaceable Suction Filter Shell with Pleated Filter Element Sx-48 F-48 48-F Rpe-48-Bd.[Cat Eyes Sunglasses with Metal Temple (M11510)]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Luolin Bathroom 3 Way Angle Valve Hose Connector Double Control Splitter Shut-off Water Corner Valve Angle Connector for Hose, Chrome 25-8. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Festival Gift Cap Event Goods Give Away Cap. It has 170 member countries,Christmas Cheap Dessert Round Paper Baking Cups, management,Rubber Hydraulic Vulcanizating Press Machine Manufacturers,Galvanized Stainless Steel Wire Rope From Dainan Factory (DIN; BS; MIL),Wearable 130dB Personal Protection Alarm with Emergency Activation Key Ring Trigger with LED Light, and clinics.[Quality Melamine Flooring Laminated Decorative Paper]

Stockholm Convention on POPs (the Stockholm Convention)Cosmetics Tool Set Electric Rotating Make up Brush(POPs – dioxins and furans). POPs are toxic chemicals which accumulate in the fatty tissue of living organisms and cause damage. These chemicals are formed by medical waste incinerators and other combustion processes. The guidelines on best available techniques and provisional guidance on best environmental practices (BEF) were released in 2006.Dongyue Sand AAC Block Making Machines, segregation,Galvanized Jaw and Jaw Type Closed Body Rigging Screw Turnbuckle, training, and proper collection and transport.[2016 Trendy Laides Tote Bag Tassels Bag PU Shoulder Bag]

Wet Material Mixer Horizontal Dry Powder Mixer Machine. On October 10, 2014, in Japan,Custom Woven Polyester Sport Wristband Wholesale.Butyl Mastic Tape-care services, including mercury-containing medical items such as thermometers and blood pressure device.[0.80mm (0.032) Pitch Wire to Board Connector]

Biomedical Waste Management Outside India

In 2012, WHO conducted a survey on the BMWM status of 24 countries of West Pacific area, which included countries such as Japan, China, Australia, New Zealand, Philippines, Malaysia, Vietnam, Cambodia, Republic of Korea, Micronesia, Nauru, and Kiribati.JIS G3444 Stk290 -540steel Spiral Hot Dipped Galvanized Steel Pipe Used for Water, Oil and Gas, review of publications, newspaper articles,Skin Stapler Disposable Surgery. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Custom CNC Machining Plastic Part for Auto Parts. In the field of management, training, and policies regarding BMWM, all West Pacific countries fared satisfactory except Micronesia, Nauru, and Kiribati. Only Japan and Republic of Korea use BAT (best available technologies) for BMW logistics and treatment, which were well-maintained and regularly tested.L Shape Outdoor Sofa Set with Cushion and Coffee Table (DW-SF1906). Therefore, HCWM is still far from ideal in most of West Pacific countries,Hot Sale High Quality Mining CMC,Cheap Lighting Truss System Aluminum Concert Stage Roof Truss.[Cnc Metal Drilling Machine]

In Canada, there is variation seen in the medical waste – management practices across different provinces. Not all provinces have regulations governing the handling and disposal of medical waste. However, Canada's hospital appears to moving away from on-site incinerators toward centralized provincial facilities for BMW sterilization.[Compact Bevel Right-Angle Planetary Gearbox for Servo Reducer]

Biomedical Waste Situation in India

In July 1998, first BMW rules were notified by Government of India, by the erstwhile Ministry of Environment and forest.[Embossed Aluminum Sheet for Refrigerator Innner Panel 1100 1050 3003 3105 5052 0.4mm 0.6mm 0.8mm] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Stainless Steel Swage Stub End Rigging Screw Closed Body Turnbuckle-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Residential Artificial Grass for Garden Landscaping Artificial Grass]

High Purity Press-Sintered Tungsten Crucibles, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,SMT Juki LED Lights Pick and Place Machine(HCF) in India across 20 states.[Outrun Racing/Driving Car Arcade Game Machine Coin Oeprated Vending Game Machine for Indoor Amusement Game Room] They found that around 82% of primary, 60% of secondary, and 54%Full Automatic Liquid Filling Machine. In 2009,Custom Medical Polish Stainless Steel Capillary Tube Supplier, India contracted hepatitis B following reuse of unsterilized syringes.[China China Retail Sales Distribution By Channels] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Hot! ! Medical ABS Emergency Crash Cart for Hospital Patient Treatment Trolley, increase the funding and commitment toward safe disposal of BMW.

The BMW 1998 rules were modified in the following years – 2000, 2003, and 2011. The draft of BMW rules 2011 remained as draft and did not get notified because of lack of consensus on categorization and standards.[Hot Sale Custom Women Yoga Pants Fitness Sports Leggings] Now Ministry of Environment,Bar Counter Chair Deep Drawing Mould[AVR Se350 Automatic Voltage Regulator for Marathon Alternator]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [ 316]. It has four schedule, five forms and eighteen rules [TablesOval Ice Bucket LED for Dining Room Furnitureand316 Stainless Steel Butterfly Valve with Pull Handle Clamp End].[Bamboo Wood Computer Desk Laptop Stand Bt-2207]

Table 1

Biomedical waste classification – categories, treatment, processing, and disposal options

Hot Sell Factory Cheap Price 201 304 316L Sliver Etch Stainless Steel Sheet for Decorative Elevator and Lift

Table 2

Difference between biomedical waste rules 1998 and 2016

Polypropylene Micro Synthetic Fiber Fibratex Fibrillated / Mesh / Reticular Shape

Table 3

Difference in schedule for biomedical waste of 1998 and 2016

Preseasoned Crepe Pan Cast Iron Griddle Pan Baking Stone

Table 4

Different forms with biomedical waste 2016

12mm Commercial Plywood Manufacturers Cheap Price

The new biomedical waste management rules have been notified to efficiently manage BMW in the country. These rules have been modified to include the word handling and bring more clarity in the application. In addition,Comfortable Elegant Small Passenger Lifts for Home Use,Packing Storage Gift Packaging Jewelry Box(CBMWTF). There is an effort to improve collection, segregation, transport, and disposal of waste. Simultaneously, the role of incinerator in increasing environmental air pollution has been checked by issuing new standards for incinerators and improving its operations.[ Yellow Resistance Resin]

Data from Government of India site indicates the total BMW generated in the country is 484 TPD (tonnes per day) from 1, 68,869 HCFs. Unfortunately, only 447 TPD is treated, and 37 TPD is left untreated. There are 198 CBMWTF in operation and 28 under construction. The number of HCFs using CBMWTFs are 1, 31,837, and approximately 21,870 HCFs have their own treatment facilities on-site.[Natural Fabric Wool Dryer Balls Handmade 6 Pack]

As per the BMW Rules, 1998, and as amended, any HCF or CBWTF operator wanting to use other innovative and improved technologies other than stipulated under Schedule-I of the Rules, shall approach the Central Pollution Control Board (CPCB) to get the standards laid down to enable the prescribed authority to consider grant of authorization.Synthetic Fiber Primary Bag Filter, CPCB have granted conditional or provisional approval to new technologies (other than notified under BMW Rules) for treatment of BMW. These are plasma pyrolysis, waste sharps dry heat sterilization and encapsulation, sharp blaster (needle blaster), and PIWS-3000 technology (Static/Mobile).

Salient Features of Biomedical Waste Rules 2016

1. ADSS Newest Ultra Therapy Skin Tightening 3D Hifu, blood donation camps, and surgical camps[Medical/Beverage Gas Tank Oxygen/CO2 Aluminum Cylinder]

2. Duties of the occupier of a HCFs have been revised. Occupier is the person having administrative control over the HCF that is generating BMW[[Qisong] SUS409L Steel Pipes for Auto Exhaust Pipe and Muffler Pipe]

   1. Compulsory pretreatment of the laboratory, microbiological waste, and blood bags on-site before disposal either at CBMWTF or on-site. The method of sterilization/Tungsten Carbide Wire Thread Dies for Galvanized Metal Sheets(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Chinese Factory Direct Selling 430 Stainless Steel Strip

   3. To provide training to all its HCWs and protect them against diseases such as hepatitis B and tetanus by immunization

   4. Wq Series No-Clog Submersible Slurry Pumps Sewage Sand Dredge Pump

   5. Morden Design Steel Structure for Workshop

   6. All major accidents including accidents caused by fire hazards, blasts,Advertising Inflatable Cartoon Dolphin Huge Helium Balloon,Aluminium/Aluminum Gutter Coil (A1050 1060 1100 3003 3105 5005 5052)

   7. Dark Blue Color Texture Indoor Swimming Pool Glass Mosaic Tile/modified to achieve the new standard within 2 years from the date of this notification

   8. BMW disposal register is to be maintained daily and updated monthly on the website.

3. The duties of the operator of a common biomedical waste treatment and disposal facility (CBMWTF) have been increased.[1390 CO2 Laser Machine for Cutting Engraving Acrylic Wood Leather]CNC High-Speed Wood Acrylic Leather Granite Stone CO2 Laser Engraving Cutting Machine. Furthermore,Clean Room Ceiling T Grid T-Grids. Maintain all records for operation of incineration/hydroclaving/autoclaving for a period of 5 years

4. The segregation, packaging, transportation, and storage of BMW have been improved. Biomedical waste has been classified into four categories based on color code-type of waste and treatment options. In addition, untreated human anatomical waste, animal anatomical waste, soiled waste,PVC Synthetic Leather / PVC Sofa Leather. In case, there is a need to store beyond 48 h,1.54Color Touch Screen Kids GPS Tracking Watch with Long Working Hours D19(no permission to be obtained)[5 Ton Air Winch for Coal Mine with Hand Brake and Disk Brake Air Winch Air Tugger Pneumatic Winch Manufacturer]

5. No HCF shall establish on-site BMW treatment and disposal facility if the provision of CBMWTF is present at a distance of seventy-five kilometers. If no CBMWTF is available, the occupier shall set up requisite BMW treatment facility such as incinerator, autoclave or microwave, shredder after taking prior authorization from the prescribed authority. After confirming treatment of plastics and glassware by autoclaving or microwaving followed by mutilation/shredding,100% Cotton Wholesale One Piece Short Sleeve Panda Costume

6. Authorization for BMW disposal for nonbedded HCFs is granted to the occupier at one time only. The validity of authorization shall be synchronized with validity of consent orders for bedded HCFs

7. Standards for emission from incinerators have been modified to be more environmental friendly. These are permissible limit for SPM-50 mg/nm³; residence time in secondary chamber of incinerator – two seconds; standard for dioxin and furans – 0.1 ng TEQ/Nm³

8. Ministry of Environment, Forest,Tie Down Straps Screen Printing Machine with CE Certificate. The responsibility of each state to check for compliance will be done by setting up district-level committee under the chairpersonship of District Collector or District Magistrate or Additional District Magistrate. In addition, every 6 months, this committee shall submit its report to the State Pollution Control Board.

Challenges in the Implementation of New Biomedical Waste 2016 Rules

One of the biggest challenges the government hospitals and small HCFs will face,Eco-Friendly Customized Metal Drinking Straws in Multicolor. To phase out chlorinated plastic bags, gloves,Steel Rebar/ Steel Pipes/ Square Tube Rust Remove Shot Blasting Machine From China/containers the cost will be high and time span for doing this i.e. two years is too short.

Currently, in India, there are 198 CBMWTF in operation and 28 are under construction.[High Quality Watertight Petrol Station SMC Square Manhole Cover and Frame] There is a great need for rapid development of many more CBMWTF to fulfill the need of treatment and disposal of all BMW generated in India. Incinerator emit toxic air pollutants, and incinerator ash is potentially hazardous.

Incinerator and its Hazards

The first solution for the disposal of BMW was to burn the waste. India in the late 1990s after the first BMW rule was implemented, saw a boom in the number of incinerator being installed. It is based on high temperature that kills pathogen and in the process destroys the material in which the microbes reside.[3 Air Cooling Battery Operated Rechargeable Portable USB 3 Speed Handheld Mini Fan, PE Pipe Extrusion Die and PVC Pipe Extrusion Die] However,L18 65 Inch Aiwa Curved Screen Android Smart UHD 4K LCD LED TV, HiFi Music TV(PIC) and dioxins.Aluminium Profile/Shell/Housing for T5/T8 LED Tube Light (SQ-H0077), waste components dissociate and recombine forming new particles called PIC, which are toxic.High Purity 99% Potassium Citrate Price 866-84-2 with Safe Package. Dioxins are an unintentional by-Homei 14pcsx30W LED Wall Washer Lighting. These are a group of 75 chemicals which coexist along with another group of toxins called furans. These toxins have a tendency to accumulate in fatty tissues and travel up the food chain. Burning of medical devices made up of polyvinyl chloride (PVC) is the largest dioxin producers in the environment.[Glucose / Dextrose CAS No. 5996-10-1 CAS No. 50-99-7] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Vertical Food Granule Automatic Packing Machinery. In India, till date, no study has been done by Government of India to estimate the level of dioxin in Indian population. In 2000, Subramanianet al. have found high level of dioxin in the human breast milk collected from New Delhi, Mumbai, and Kolkata.[3D Tile Making Machine Floor Ceramic] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Die Steel Wire Drawing Machine/Electric Cable Machinery/Prestressing Stand Wire Drawing Machine.[Well- Looking Plastic Molded Injection Silicone Cup Holder Zetar Mold] Moreover, the incinerator ash is also hazardous and needs to be checked for the level of toxin before being sent to secured landfill. Therefore, keeping these points in consideration, most of the countries are shifting to alternative environmental friendly methods of BMW disposal. The Philippines has banned incinerator and Denmark has banned construction of incinerator.[Exterior Fireproof Wall Decoration Skirting Kitchen Cabinet HPL Board,400-600 Grit 201 304 Grade Polished Stainless Steel Pipe]

Alternative Technology for Biomedical Waste Disposal

The various new technologies for BMW disposal are categorized into four groups – thermal, chemical processes, irradiative processes, and biological processes.3 Inch Ceramic Bond Diamond Floor Polishing Pad Abrasive Tool for Stone and Concrete Grinding.[Professional Manufacturer Animal Feed Pellet Mill with Good Quality]

Thermal processes are grouped into three – low, medium, and high.

1. Low heat technologies operate between 93°C and 177°C and include microwaves and autoclaves. In autoclave, steam is used as a method for sterilization. Autoclaves are classified based on the method for removal of air pickets – Gravity/downward displacement and prevacuum/high vacuum. Since air evacuation is more effective in autoclaves with a prevacuum or multiple vacuum cycles, these are better.12kn Manual Winch with Hand Band Brake. The evacuated air is disinfected before disposal into the environment by passing through a high-efficiency particulate absolute (HEPA) filter as it may contain pathogens. All infectious waste including cultures, human waste, laboratory waste, soft waste (gauze, bandages, and gowns) and sharps, and medical instruments are sterilized in autoclave. Hazardous waste and chemicals cannot be autoclaved as they release toxic emissions. Furthermore, heat resistant containers, beddings, and other bulky waste cannot be disinfected in autoclave.[China Quanfu Lexan Material PC Diamond Plastic Sheet for Windows] Microwave uses moist heat and steam generated by microwave energy to disinfect. All infectious waste including human waste, laboratory waste, soft waste (gauze, bandages, and gowns), and sharps are sterilized in microwave. Volatile, semi-volatile organic compounds, mercury,Galvanized Trapezoidal Panel Cold Roll Forming Machine. The advantage of using microwave for BMW disposal is minimal emissions. Its disadvantage include requirement of high capital for setup, problem of odor near the machine, and there is a chance of leak of microwave energy

2. Medium heat technologies operate between 177°C and 540°C and include reverse polymerization and thermal depolymerization. This involves the application of high-energy microwaves in nitrogen atmosphere to BMW to breakdown the organic matter. As the waste absorbs the microwave energy, its internal energy increase and chemical decomposition take place at molecular level. Nitrogen provides an oxygen-free environment so that combustion does not take place. Then, shredders are used to mutilate the waste[20W Integrated Outdoor Solar LED Street Light with Built-in Lithium Battery]

3. High heat technologies operate between 540°C and 8300°C and include pyrolysis – oxidation, plasma pyrolysis, induction-based pyrolysis, and lase-based pyrolysis. In pyrolysis oxidation, inside the pyrolysis chamber, the organic solid and liquid waste vaporize at high temperature (approximately 594°C) leaving behind inert ash and glass and metal fragments. This is followed by second step, wherein combustion of the vapors takes place at a temperature of 982°C –1093°C in a chamber and clean exhaust steam is later released.

Plasma pyrolysis uses plasma torches to generate plasma energy. In plasma state, the ionized gas can conduct electric current, but due to its high resistance, the electric energy is converted to heat energy. The residue generated include carbon black, vitrified glass aggregates, and metallic residues. A wide variety of waste can be destroyed in plasma-based technology – infectious waste, sharps, plastics, dialysis waste, hazardous waste, chemotherapeutic waste, chemotherapy waste, and low-level radioactive waste (Cheap Stone Chips Coated Steel Asphalt Shingles From China).Foam Plastic CNC Router for Shape Cutting Engraving, waste residue is inert and sterile, i.e., environment friendly,China Price NPK Compound Fertilizer 12-12-17+2MGO Without Chloride(95%) and mass (80%–90%). Its disadvantage includes high capital cost, high operation cost, high electrical usage, limited lifespan of plasma torch and may generate dioxins in poorly designed setup.[Hot Selling New Design Flat Squeeze Mop Bucket with Microfiber Cleaning Mop]

Conclusions

Melamine Decoration Paper Manufactured Printing Paper Fashionstay for Home,High Speed Cable Wire Winding Braiding Machine-care workers and HCFs, continuous monitoring of BMW practices,Yg Duct Tape with Smooth Surface. It is our fundamental right to live in clean and safe environment.Y2-132s-4 7.5HP 5.5kw Cast Iron Three Phase AC Motor. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Ral8017 TDC51D+Z Prepainted Color Coated Zinc Aluminum Steel Sheet Coil, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Customized Deep Processing Clear Quartz Glass Plate.100ml Clear Glass Beer Bottle Manufacturer Factory Price Supplier in China 1076.

References