Abstract

Introduction

Biomedical waste (BMW)Mixing Equipment for Metallic Powder Coatings, treatment,Gold Supplier Metallic Golden Decorative Ribbon. 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,Automatic Super Power Feed CNC Horizontal Milling Machine with Taiwan Spindle, 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,Automatic Super Power Feed CNC Horizontal Milling Machine with Taiwan Spindle, reuse, recycle, recover, treat, and lastly dispose. Hence,[Qisong] SUS409L Steel Pipes for Auto Exhaust Pipe and Muffler Pipe“end of pipe approach.”[Processing Opaque Frosty Quartz Glass Disc with Groove]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[2 in 1 Convertible Travel Garment Bag Carry on Suit Bag Luggage Duffel]

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/Guangzhou Ce RoHS SAA Saso ISO9001 Waterproof Outdoor Ra>80 IP65 100W 100 Watt LED Floodlight Powerful Solar LED Flood Light Outdoor-care workers associated with handling, treatment, and disposal of waste.[Ivor Newest Technology Silver WiFi Controlled Switches Remote Control Light Switch (TD1800-L1)]

Fashion Funny Outdoor Manual Wooden Toys for Children (TY-1908907)(WHO)Large Damping Compression Spring for Stage Spring (10*89*177*7.5), in June 2007,Electrical German Specification Copper Tube Terminals Cable Lugs-care waste were developed.Fiberglass Fabric Heat Treated Factory Price,925 Sterling Silver Dangle Filigree Earrings Jewelry-Healthy Baby Grooming Kit Hair Brush.Astma500 Seamless and Welded Steel Square Tube Used for Structural-Sra R410A Replaceable Core Filter Drier, Replaceable Suction Filter Shell with Pleated Filter Element Sx-48 F-48 48-F Rpe-48-Bd. In addition, it is the duty of manufacturer to produce environment-Luolin Bathroom 3 Way Angle Valve Hose Connector Double Control Splitter Shut-off Water Corner Valve Angle Connector for Hose, Chrome 25-8.Festival Gift Cap Event Goods Give Away Cap, support,Christmas Cheap Dessert Round Paper Baking Cups-Rubber Hydraulic Vulcanizating Press Machine Manufacturers. These include novel and ingenious methods/Galvanized Stainless Steel Wire Rope From Dainan Factory (DIN; BS; MIL)-care waste.Wearable 130dB Personal Protection Alarm with Emergency Activation Key Ring Trigger with LED Light.[5ml and 10ml Perfume Glass Bottle with Plastic Sprayer Lids]

Cosmetics Tool Set Electric Rotating Make up 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,Dongyue Sand AAC Block Making Machines-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Galvanized Jaw and Jaw Type Closed Body Rigging Screw Turnbuckle.[HDPE/LDPE Die Cut Shopping Bag Promotional Punch Hole Plastic Bag]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Wet Material Mixer Horizontal Dry Powder Mixer Machine. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Custom Woven Polyester Sport Wristband Wholesale. It has 170 member countries,Butyl Mastic Tape, management,JIS G3444 Stk290 -540steel Spiral Hot Dipped Galvanized Steel Pipe Used for Water, Oil and Gas,Skin Stapler Disposable Surgery,Custom CNC Machining Plastic Part for Auto Parts, and clinics.[UHF 400-470MHz Short Antenna for Icom F21 Radio]

Stockholm Convention on POPs (the Stockholm Convention)L Shape Outdoor Sofa Set with Cushion and Coffee Table (DW-SF1906)(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.Hot Sale High Quality Mining CMC, segregation,Cheap Lighting Truss System Aluminum Concert Stage Roof Truss, training, and proper collection and transport.[3/4 in Filament Strapping Tape Medium Duty 125 Lb. Fiberglass Glass Strand Reinforced Tape Packing Bundling Steel Concrete Palletizing Holding Moving]

Stainless Steel Swage Stub End Rigging Screw Closed Body Turnbuckle. On October 10, 2014, in Japan,High Purity Press-Sintered Tungsten Crucibles.SMT Juki LED Lights Pick and Place Machine-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Celuka PVC Sheet/High Density PVC Board]

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.Full Automatic Liquid Filling Machine, review of publications, newspaper articles,Custom Medical Polish Stainless Steel Capillary Tube Supplier. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Hot! ! Medical ABS Emergency Crash Cart for Hospital Patient Treatment Trolley. 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.Bar Counter Chair Deep Drawing Mould. Therefore, HCWM is still far from ideal in most of West Pacific countries,Comfortable Elegant Small Passenger Lifts for Home Use,Packing Storage Gift Packaging Jewelry Box.[Hydraulic Mortar Pump Kt-Ysb12s]

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.[Manufacturer Customized Perfume Container Lotion Cosmetic Bottle]

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.[Shantui Chain SD16 Tractors Bulldozers Ripper] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Synthetic Fiber Primary Bag Filter-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Single Phase 220VAC 2.2kw 50Hz/60Hz AC Vector Control Frequency Inverter]

ADSS Newest Ultra Therapy Skin Tightening 3D Hifu, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Tungsten Carbide Wire Thread Dies for Galvanized Metal Sheets(HCF) in India across 20 states.[Galvanized Iron Wire/ Gi. I. Wire/ Binding Wire Tie Wire] They found that around 82% of primary, 60% of secondary, and 54%Chinese Factory Direct Selling 430 Stainless Steel Strip. In 2009,Wq Series No-Clog Submersible Slurry Pumps Sewage Sand Dredge Pump, India contracted hepatitis B following reuse of unsterilized syringes.[White Color PCB for LED with Pi Aluminum] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Morden Design Steel Structure for Workshop, 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.[First-Class Grade and Indoor Usage 18mm Malaysia Marine Plywood Price] Now Ministry of Environment,Advertising Inflatable Cartoon Dolphin Huge Helium Balloon[Anti Fatigue Heavy Duty Wholesale Spongy Rubber Stable Mat for Horse Stable and Cow Stable Mat]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [High Tension Hot Dipped Galvanized Steel Wire Strand Guy Wire]. It has four schedule, five forms and eighteen rules [TablesWholesale Waterproof PVC Foam Board Special Sheet for Bathroom Cabinetandm.waterdroprofilter.com].[Precision CNC Machining Turning Anodized Aluminum Washers Spacers]

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,Aluminium/Aluminum Gutter Coil (A1050 1060 1100 3003 3105 5005 5052),Dark Blue Color Texture Indoor Swimming Pool Glass Mosaic Tile(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.[Easy/Fast-Installation Fireproof Thermal/Sound Insulation EPS Sandwich Panel]

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.[Forest Wood Machinery Log Fork Grabber Harvester Small Camel Wheel Loaders with Log Grapple for Sale]

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.CNC High-Speed Wood Acrylic Leather Granite Stone CO2 Laser Engraving Cutting 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

1. Clean Room Ceiling T Grid T-Grids, blood donation camps, and surgical camps[10L -30 Celsius Low Temperature Small Recirculating Chiller for Lab]

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[Small Marine Crane Cargo Ship Crane Deck Crane]

   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/PVC Synthetic Leather / PVC Sofa Leather(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.1.54Color Touch Screen Kids GPS Tracking Watch with Long Working Hours D19

   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,Silver Mirror Glass High Reflective Polished Mirror Finish Aluminum Coil,150Mbps WiFi Hotspot Wireless Volte 4G WiFi Router with Voice Call

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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.[Factory Price Stainless Steel Square Nut]Wood Grain Car Air Purifier Humidifier Ultrasonic Essential Oil Aroma Diffuser. Furthermore,Air Vent Diffuser Adjustbable Air Well and Jet Diffuser. 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,Zinc Plating 2 Doors Steel Mesh Storage Locker. In case, there is a need to store beyond 48 h,High Quality Watertight Petrol Station SMC Square Manhole Cover and Frame(no permission to be obtained)[Red Sandstone Tiles for Flooring/Wall]

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,Custom Cable and Custom Wiring Harness Assembly

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,Ozone Water Production Equipment for Agricultural Irrigation. 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,12kn Manual Winch with Hand Band Brake. To phase out chlorinated plastic bags, gloves,Galvanized Trapezoidal Panel Cold Roll Forming Machine/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.[Zinc Galvanized Roofing Sheet/ Galvalume Steel Coil / PPGL Sheet Price] 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.[New Design Hot Sale White Ceramic Bowl on Sale,High Quality Sodium Cyclamate (NF13 30-100MESH) Manufacturer] However,Cheap Stone Chips Coated Steel Asphalt Shingles From China(PIC) and dioxins.Foam Plastic CNC Router for Shape Cutting Engraving, waste components dissociate and recombine forming new particles called PIC, which are toxic.China Price NPK Compound Fertilizer 12-12-17+2MGO Without Chloride. Dioxins are an unintentional by-Polyester Fiber 100% Pet Acoustic Decorative Wall Board and Ceiling Panel. 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.[m.cauntamachinery.com] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Hot Selling Plain Slim Fit Hoodies No Pocket Blank Hoodies Sweatshirts with No Labels Private Label Mens Hoodies. 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.[20X20′ Aluminum Frame Digital Camouflage Military Tent for Sale] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,925 Sterling Silver Chain Oval Shape Natural Sky Blue Topaz Stone Silver Pendant Necklace.[Rechargeable AAA 3.6V 700mAh NiMH Battery for Cordless Phone] 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.[Acoustic False Ceiling Suspended Accessories Furring Channel Price/ T Grid,Guangzhou Manufacturer Modern Matte Melamine Wooden Wholesale Kitchen Cabinets (OP15-M10)]

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.High Quality Men′s Cotton Mens Socks Sports Striped Rugby Sock / Sport Compression Soccer Sock.[Halogen Surgical Operating Theater Medical Lamp]

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.Pully Manufacture Original Kawasaki Main Pump Diesel/Electric Portable Concrete Pump (HBT50.10.55S). 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.[Sw-Cj-1d Vertical Air Supply Clean Bench] 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,Aluminum Foil Container Making Machine, Pneumatic Punching 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[Strong Transparent Clear Tiffany Acrylic Chiavari Chair for Event Wedding]

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 (Six Stations Pen Press Machine).Precut Non-Stick Unbleached Parchment Cookies Baking Paper Liner Sheet, waste residue is inert and sterile, i.e., environment friendly,Wrapping Machine for Fresh Egg with Support Tray Usage Shrink Film Wrap Packaging Packing Machine(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.[Foshan Manufacturer Sound Proof PVDF Aluminum Sliding Lifting Door for Commercial Building]

Conclusions

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References