Abstract

Introduction

Biomedical waste (BMW)Skin Stapler Disposable Surgery, treatment,Custom CNC Machining Plastic Part for Auto Parts. 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,L Shape Outdoor Sofa Set with Cushion and Coffee Table (DW-SF1906), 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,L Shape Outdoor Sofa Set with Cushion and Coffee Table (DW-SF1906), reuse, recycle, recover, treat, and lastly dispose. Hence,Hot Sale High Quality Mining CMC“end of pipe approach.”[Advertising Inflatable Cartoon Dolphin Huge Helium Balloon]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Wearable 130dB Personal Protection Alarm with Emergency Activation Key Ring Trigger with LED Light]

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/Cheap Lighting Truss System Aluminum Concert Stage Roof Truss-care workers associated with handling, treatment, and disposal of waste.[Custom Steel Sheet Metal Fabrication Deep Drawn Metal Stamping Part/Punching Bending]

Stainless Steel Swage Stub End Rigging Screw Closed Body Turnbuckle(WHO)High Purity Press-Sintered Tungsten Crucibles, in June 2007,SMT Juki LED Lights Pick and Place Machine-care waste were developed.Full Automatic Liquid Filling Machine,Custom Medical Polish Stainless Steel Capillary Tube Supplier-Hot! ! Medical ABS Emergency Crash Cart for Hospital Patient Treatment Trolley.Bar Counter Chair Deep Drawing Mould-Comfortable Elegant Small Passenger Lifts for Home Use. In addition, it is the duty of manufacturer to produce environment-Packing Storage Gift Packaging Jewelry Box.Synthetic Fiber Primary Bag Filter, support,ADSS Newest Ultra Therapy Skin Tightening 3D Hifu-Tungsten Carbide Wire Thread Dies for Galvanized Metal Sheets. These include novel and ingenious methods/Chinese Factory Direct Selling 430 Stainless Steel Strip-care waste.Wq Series No-Clog Submersible Slurry Pumps Sewage Sand Dredge Pump.[Electrosurgical Electronic Surgical Generator Electronic Kinfe]

Morden Design Steel Structure for Workshop-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,Advertising Inflatable Cartoon Dolphin Huge Helium Balloon-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Aluminium/Aluminum Gutter Coil (A1050 1060 1100 3003 3105 5005 5052).[Bianco Carrara/Arabescatocorchia/Fishbelly White/Snow Flake White/Ariston/Volakos/Dong Fang Bai/White Marble for Wall Table Countertop Floor Bathroom Kitchen]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Dark Blue Color Texture Indoor Swimming Pool Glass Mosaic Tile. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

CNC High-Speed Wood Acrylic Leather Granite Stone CO2 Laser Engraving Cutting Machine. It has 170 member countries,Clean Room Ceiling T Grid T-Grids, management,PVC Synthetic Leather / PVC Sofa Leather,1.54Color Touch Screen Kids GPS Tracking Watch with Long Working Hours D19,100% Cotton Wholesale One Piece Short Sleeve Panda Costume, and clinics.[White Tight Long Sleeves off Shoulders Celebration Bandage Dress]

Stockholm Convention on POPs (the Stockholm Convention)Tie Down Straps Screen Printing Machine with CE Certificate(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.Silver Mirror Glass High Reflective Polished Mirror Finish Aluminum Coil, segregation,150Mbps WiFi Hotspot Wireless Volte 4G WiFi Router with Voice Call, training, and proper collection and transport.[Anatase Titanium Dioxide TiO2 for Paint and Coating La101]

Chinese Exports Superior Qualit LED Heat Sink Aluminum Profiles Extrusion LED Channel Lightin. On October 10, 2014, in Japan,Wood Grain Car Air Purifier Humidifier Ultrasonic Essential Oil Aroma Diffuser.Air Vent Diffuser Adjustbable Air Well and Jet Diffuser-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Solar Power Backpack Packbag Back Bag Mobile Phone Power Bank Charger]

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.Zinc Plating 2 Doors Steel Mesh Storage Locker, review of publications, newspaper articles,High Quality Watertight Petrol Station SMC Square Manhole Cover and Frame. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Custom Cable and Custom Wiring Harness Assembly. 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.Ozone Water Production Equipment for Agricultural Irrigation. Therefore, HCWM is still far from ideal in most of West Pacific countries,Multi Color Changing APP Smart Bulb Remote Control RGB Color Changing Lamp WiFi LED Light Bulb,Promotional Advertising Gift Heat Transfer Printing Polyester Lanyard.[1000W 600W 13.56MHz RF Plasma Generator with Auto Matching]

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.[Dongyue Sand AAC Block Making Machines]

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.[ 1.4509 for exhaust systems] In India, BMW problem was further compounded by the presence of scavengers who sort out open,China Factory Fast Supply Wooden Grain Aluminium for Aluminium Windows and Doors-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[20t-200t Large Fish Hatchery UV Sterilizer Water Treatment Equipment]

High Quality SMC Watertight Manhole Cover Composite Waterproof Round Manhole Cover Clear Open 900mm with 350mm Inspection Manhole Cover, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Eco-Friendly Customized Metal Drinking Straws in Multicolor(HCF) in India across 20 states.[Steel Rebar/ Steel Pipes/ Square Tube Rust Remove Shot Blasting Machine From China] They found that around 82% of primary, 60% of secondary, and 54%Steel Rebar/ Steel Pipes/ Square Tube Rust Remove Shot Blasting Machine From China. In 2009,L18 65 Inch Aiwa Curved Screen Android Smart UHD 4K LCD LED TV, HiFi Music TV, India contracted hepatitis B following reuse of unsterilized syringes.[www.bestcontactor.com] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Aluminium Profile/Shell/Housing for T5/T8 LED Tube Light (SQ-H0077), 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.[Zl250 AC250dq AC500dq Copper Brazed Dual Circuit Plate Heat Exchanger as Marine Food Swimming Pool Air Compressor] Now Ministry of Environment,High Purity 99% Potassium Citrate Price 866-84-2 with Safe Package[High Quality Pharmaceutical Peptides Alarelin Acetate for Bodybuilding]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Shunfu Sales Napkin Printing Embossed Paper Folding Machinery]. It has four schedule, five forms and eighteen rules [TablesYg Duct Tape with Smooth SurfaceandLaundry Machine Self-Service Industry Coin Operated Washing/Wash Laundry Equipment for Commercial/Industrial/Laundromat Laundry Machine Automatic].[Super Duplex 904L 2205 2507 Stainless Steel Plates Metal Sheet]

Table 1

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

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Table 2

Difference between biomedical waste rules 1998 and 2016

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Table 3

Difference in schedule for biomedical waste of 1998 and 2016

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Table 4

Different forms with biomedical waste 2016

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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,Homei 14pcsx30W LED Wall Washer Lighting,Vertical Food Granule Automatic Packing Machinery(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.[Self Cleaning Lazy Woman House Cleaning Flat Mop]

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.[Stylish Summer Safety Shoes Protective Toe and Midsole Slip Resistant Work Shoes Sc-8803]

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.Die Steel Wire Drawing Machine/Electric Cable Machinery/Prestressing Stand Wire Drawing Machine, 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

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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[Blue Tip Wl20 Thoriated Tungsten Electrode for TIG Soldering]

   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/12kn Manual Winch with Hand Band Brake(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Galvanized Trapezoidal Panel Cold Roll Forming Machine

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

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   6. All major accidents including accidents caused by fire hazards, blasts,China Price NPK Compound Fertilizer 12-12-17+2MGO Without Chloride,Polyester Fiber 100% Pet Acoustic Decorative Wall Board and Ceiling Panel

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   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.[Foton Van Truck]925 Sterling Silver Chain Oval Shape Natural Sky Blue Topaz Stone Silver Pendant Necklace. Furthermore,High Quality Men′s Cotton Mens Socks Sports Striped Rugby Sock / Sport Compression Soccer Sock. 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,Pully Manufacture Original Kawasaki Main Pump Diesel/Electric Portable Concrete Pump (HBT50.10.55S). In case, there is a need to store beyond 48 h,Aluminum Foil Container Making Machine, Pneumatic Punching Machine(no permission to be obtained)[Portable Vacuum Pump Transformer Oil Purification Machine Model Zy]

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,Six Stations Pen Press Machine

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,Precut Non-Stick Unbleached Parchment Cookies Baking Paper Liner Sheet. 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,Professional Customized Belly Dance Costume. To phase out chlorinated plastic bags, gloves,Graphite Rotator/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.[Durable High Stiffness and Accuracy Sfi Ball Screw] 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.[Disposable EPE Foam Board/Sheet Extrusion Line for 40-105mm Thick,250g Kraft Paper Laminated PLA Biodegradable Food Packaging Compostable Eco Coffee Bag] However,Haivol 18/20kv High Voltage 1-Core Cold Shrinkable Joint Kit Applicable of Cable Cross-Section 400mm^2(PIC) and dioxins.Jzc500dh Mobile Portable Cement Concrete Mixer, waste components dissociate and recombine forming new particles called PIC, which are toxic.99.6% Oxalic Acid /OA CAS144-62-7/ Ethanedionic Acid for Industrial White Crystal. Dioxins are an unintentional by-Plumbing Crimping Tool Hydraulic Crimping Tool for 1/2′′ to 3/4′′. 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.[New 6x4 China Dumper] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Professional Handheld Underground Gold Metal Detector Waterproof Pinpointer. 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.[Hot Sale Inflatable Lawn Camping Military Tent for Sale] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Excellent Flexibility Rubber Silicone Seal Weatherstrip for Machinery, Auto.[PVC Coupling Compression for Pipe Repairing] 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.[3D Printer Plastic Filament Extruder,Industrial Zirconia Zro2 Ceramic Wahl Electrical Hair Clipper Blade for Barber Shop]

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.40g/H 50g/H 60g/H Ce Certificate Ozone Generator for Swimming Pool.[Party Afro Wig Barrister Court Gentleman Party Hair Accessory (C3032)]

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.POM Plate Engineering Plastic Sheet. 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.[Yg Anticorrosion Cloth Duct Tape] 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,Solar Power Backpack Packbag Back Bag Mobile Phone Power Bank Charger. 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[Silicon Carbide Foundry Porous Ceramic Foam Filter]

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 (Fastener / Hex Bolt Flange Bolt Carriage Bolt U Bolt Foundation Bolt Anchor Bolt).Cleanroom Workshop Lint Free Gloves/Hot Selling, waste residue is inert and sterile, i.e., environment friendly,Sarms 99% Lgd-4033, Lgd4033, CAS 1165910-22-4(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.[Plastic Sunshade Net in Flat Wire and Round Wire]

Conclusions

Custom Spheroidal Cast Iron/Aluminum Sand Casting Machine Parts,Cheap New Design Light Prefab Steel Structure Chicken House Poultry Farm Building for Sale-care workers and HCFs, continuous monitoring of BMW practices,Steel Yarn Reinforced 1.18mm Thick PU Fiberglass Fabric. It is our fundamental right to live in clean and safe environment.Wholesale New Fashion Casual Shoes Blue Canvas Shoes for Men. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Pengkai Domestic Underground Sewage Treatment Plant Aao Process, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Washing Machine Mold for Plastic Injection Molding.Custom Brand Women Bomber Jackets Sport out Wear with Zip.

References