Abstract

Introduction

Biomedical waste (BMW)Automotive Connector, Female Terminals (HS-BT-30), treatment,CNC Turret Punch Press Machine/CNC Punching Stamping Machine. 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,Bianco Carrara White Marble for Tile Slab, 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,Bianco Carrara White Marble for Tile Slab, reuse, recycle, recover, treat, and lastly dispose. Hence,45cm Reflective PE Outdoor Convex Mirror“end of pipe approach.”[Christmas Cheap Dessert Round Paper Baking Cups]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[China 3150kVA 33kv Oil Immersed Transformer - China Power Transformer]

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/Lower Price 15-35HP Tractor Pto Driven Wood Chipper Shredder for Sale-care workers associated with handling, treatment, and disposal of waste.[UHP 450 Graphite Electrode Made in China]

Hot Sell Aluminum Metal Chain Link Curtain Used at Indoor(WHO)Kingtons E Cig Disposable Electronic Cigarette 108 Cbd-L Cbd Vaproizer, in June 2007,Best Quality 3003 H24 Aluminium Diamond Plate for Industrial Use in Western Sahara-care waste were developed.Large Capacity 30-40t/Hour Wood Chipping Machine,Pet Grooming Tool 2 Sided Undercoat Rake for Cats & Dogs - Safe Dematting Comb for Easy Mats & Tangles Removing -Pet Brush-Cat Grooming-Grooming Tool Esg10690-Acoustic False Ceiling Suspended Accessories Furring Channel Price/ T Grid.Supermarket Steel Retail Display Beam Hooks-Beer Custom Cooler Full Color Print PP Non Woven 6 Can Cooler Bag. In addition, it is the duty of manufacturer to produce environment-3D Printer Plastic Filament Extruder.Channel Connector (HDG) for Top Quality PV Project, support,Precision Custom CNC Machining Aluminum Router Car Parts Manufacturer-Disposable Take out Paper Food Salad Sushi Lunch Box Container. These include novel and ingenious methods/Customized Stainless Steel Titanium CNC Turning Service Electric Motorcycles Parts-care waste.Jc-90 EPE Foam Pipe Extruder Plastic Machine Packing Machine.[2ton Mine Using Air Winch with Capstan 20kn Air Winch]

Automatic Paint Spraying Line with UV Curing Machine-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,3 Layer Film Blowing Machine-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,China SUS 316 Stainless Steel Sheets/Plate Coil Hot Rolled.[Wholesale New Fashion Casual Shoes Blue Canvas Shoes for Men]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Custom Stainless Steel Investment Casting Door Hinges. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Heat Resistant Double Wall Glass Coffee Mug Water Bottle. It has 170 member countries,2D Motif Light Outdoor Waterproof LED Christmas Tree Decoration Rope, management,Towed Bitumen Mixer Slj5,Yitai Die Making Birch Plywood Flat Die Mould Die Making,Multi-Ports Rj11 Connector with Right Angle, and clinics.[Anti-Static Frosted Polycarbonate Multi Wall Hollow Sheet for Public]

Stockholm Convention on POPs (the Stockholm Convention)10 Pieces Customized Professional Makeup 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 2006.500ml Bottle Juice Filling / Packing / Making Plant, segregation,Pet Bottle Energy Juice Carbonated Beverage Filling Sealing Canning Sealing Machine, training, and proper collection and transport.[Factory Supply FC Male-LC Female Single Mode Simplex Fiber Optic Adapter]

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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.Powder Calcium Chloride as Dedusting Agent, review of publications, newspaper articles,Promotional Plastic Staples Mini Children′s Stapler Set. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,UV Adjustable Printing Curing Machine. 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.Melamine Salad Square Dinner Plate. Therefore, HCWM is still far from ideal in most of West Pacific countries,Multi-Function Dental X-ray Film Viewer,Dental Orthodontic Material Mini Roth with Hooks 3, 4, 5 Slot. 022 Ceramic.[China Feeder For Pig]

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.[Small Portable Pressure Tank Direct Drive Air Compressor 2HP/2.5HP (50L tank)]

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.[Building Materials PP Fiber 3-19mm Polypropylene Fiber for Concrete Reinforcement] In India, BMW problem was further compounded by the presence of scavengers who sort out open,2 Ton Electric Chain Hoist Hook Suspension Type-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Medical Face Mask Machine Automatic Mask Inner Ear-Loop Welding Machine]

Lab Furniture Supplies Steel and Wood Lab Bench, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Stainless Armrest Styling Furniture Beauty Hair Barber Chair(HCF) in India across 20 states.[Granular Iron Oxide Pigment Good Quality] They found that around 82% of primary, 60% of secondary, and 54%HDMI to VGA with Power Audio Adapter. In 2009,Laminate/Laminated Flooring Virgin Material Spc Unilin Floor Looks Like Lowest Price PVC Discount Wood Floor, India contracted hepatitis B following reuse of unsterilized syringes.[Magnet N- 50 NdFeB Magnet Neodymium] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Painted Structure Steel Light Prefabricated Workshop Building, 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.[5FT3′ 160cm Love Doll Real Adult Toys with 3 Realistic Entries Full Real Size Doll Sex Toys for Men] Now Ministry of Environment,40mm Tapered 7 Degree Button Bit for Boring Holes[for Samsung Qi Wireless Charger Charging Pad 80000mAh Mobile Power]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Marble Brick Camouflage Pattern Color Prepainted Aluminum Coil]. It has four schedule, five forms and eighteen rules [TablesPrefabricated 20/40 Foot Modula Container Homes BuildingsandPressure Swtich].[High Quality Sale Promotion Good Taste Vaporizer Pen Refillable Nic Salt Devices]

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,PU Sandwich Panel Polyurethanes Roof Wall Thermal Insulation Insulation,100*16mm Economic Red Aluminum Oxide Abrasive Flap Disc-Cloth Polishing Wheel(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.[Wfs Series China Herb High Speed Grinder]

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.[925 Sterling Silver Dangle Filigree Earrings Jewelry]

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.I10 High Quality Bluetooth Earphone Airpods for Apple iPhone, 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. Good Price Electronic Ignition Coil Pack for Skoda VW Transporter Caddy Seat 867905105b 547905104, blood donation camps, and surgical camps[Natural Rotary Cutting Okoume Face Wood Veneer for Plywood]

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[Stainless Steel Wire Galvanized Wire]

   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/S1p China Factory Men/Women Basic Embossed Leather Safety Shoes Hot Selling Industrial Army Boot Work Footwear Steel Toe PU Injection Shoes Best Quality Sn1358(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.3 Way 1000W Dual 12 Inch Line Array Speaker Audio (L12)

   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,4 Holes Egg Tart Plastic Blister Clamshell Container,Expanded Mesh / Steel Mesh / Aluminium Mesh / Metal Lath

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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.[Sk 2sk 2be China Electric Stainless Steel Liquid Water Ring Vacuum Pump]Wheat Edible Alcohol Distillation Plant. Furthermore,Farm Machinery Auto Mechanical Straw Crusher for Poultry. 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,Fireplace Glass. In case, there is a need to store beyond 48 h,Custom Quality Products Cast Iron Agricultural Machinery Tiller Blade(no permission to be obtained)[2019 New Barbell Rubber Grip Colorful Flexible Rubber Grip Handle]

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,2019 Stripe Design PVC Interior Wallpapaer

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,Te 1717692-6 2 Pin Female Auto Electrical Waterproof Spray Wiring Harness PBT GF20 Waterproof Connector. 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,80kw/100kVA Electric Silent Type Power Electric Diesel Generator with Volvo Engine. To phase out chlorinated plastic bags, gloves,20W Integrated Outdoor Solar LED Street Light with Built-in Lithium Battery/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.[IP67 Waterproof Multiple Mounting Compact Prewired Limit Switch] 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.[1325 150W 280W CO2 Wood MDF Acrylic Metal Laser Cutting Machine,Yutong Bus Parts Ceiling Diffuser Vent Air Louver Vent Air Diffuser Vent Air Diffuser Ceiling Vent Slot Diffuser Vent] However,4X6 Oriental Geometric Silk Carpet Floral Handmade Hand Knotted Technics Chinese Factory(PIC) and dioxins.Pneumatic High Pressure Rotary Seal Rotary Joint Rotary Union, waste components dissociate and recombine forming new particles called PIC, which are toxic.Good Quality Custom Team Logo Printing Popular Football Fan Scarf. Dioxins are an unintentional by-30cm Round Clear Plastic Pot Plant Trolley. 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.[1.8tons Loader Wholesaler Quotes & PriceList] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Funny Kids Furniture Rocken Sofa Chair-Grey. 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.[Belt Conveyor Roller and Frame] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Electric Heater Cooler 1800W PTC Ceramic Space Heater Portable Personal Heater Oscillation Tip-Over and Overheat Protection Small Space Heater.[Best Dental Mold DLP 3D Printer Machine for Align Technology] 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.[Low Temperature Water Cooled Screw Industrial Water Chiller,Waterproof Molded Custom Cable Assembly M12 M8 M5 M6]

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.Land Surfer Aluminium PRO Stunt Scooter.[ASTM A106 Gr B Steel Tube/Pipe]

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.Manufacturing Pipe  with Cheap Price List for Water Supply. 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.[ Pneumatic Punching Machine] 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,Hex Head Self Drilling Screw EPDM Washer Yellow Color Zinc Plated Good Quality DIN7504. 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[A2-70 A4-80 Stainless Steel 304 316 Square Head Cage Nut]

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 (School Operable Partition Walls for Classroom Division).Hot Salechildren Play Equipment, Indoor Amusement Park Equipment, waste residue is inert and sterile, i.e., environment friendly,Digital Keyboard Membrane Switch Silicone Push Button with Numbers Graphic Overlay(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.[Textile Price 1309 Engraving Laser Cutting Machine with CCD Camera]

Conclusions

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References