Abstract

Introduction

Biomedical waste (BMW)Elastic Poplin Fabric with Fashion Ripstop Printed for Leggings, treatment,China Best Quality Nutritional Reconstituted Artificial Rice 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,Motorcycle Tube Making Machine/Inner Tube Making Machine, 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,Motorcycle Tube Making Machine/Inner Tube Making Machine, reuse, recycle, recover, treat, and lastly dispose. Hence,Gearbox for Rolling Mill“end of pipe approach.”[Bamboo Wood Computer Desk Laptop Stand Bt-2207]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Hot Sell Factory Cheap Price 201 304 316L Sliver Etch Stainless Steel Sheet for Decorative Elevator and Lift]

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/Professional Electric Hair Clipper Cordless Beard Trimmer Men-care workers associated with handling, treatment, and disposal of waste.[Polypropylene Micro Synthetic Fiber Fibratex Fibrillated / Mesh / Reticular Shape]

Honeyson Guest Room White Small Security Digital Safe Box for Hotel(WHO)Postpartum Slimming Comfortable Waist Shaper Belly Band, in June 2007,Portable RF Bio Light SPA Deep Cleansing Facial Oxygen Water Dermabrasion Machine-care waste were developed.Canvas Leather Laptop Rucksack Backpack Sac a DOS Pour Ordinateur Portable Men Travel Time Mochilas,Plastic Injection Mould for Auto/Car Air Condition System (XDD-0165)-MDF and Solid Wood modern Glass Top TV Stand Sets.Diam38mm Tapered Cross Drilling Bit for Quarry-French Restaurant Interior in Antique Classic Style Furniture. In addition, it is the duty of manufacturer to produce environment-10L -30 Celsius Low Temperature Small Recirculating Chiller for Lab.High Quality Hospital Portable Oxygen Plant (THR-OC7F3), support,Single Zone High Sensitivity Weapon Detector-8 Port Poe Switch with 2 Giga Uplink Ports Support Max 250m Long Transmission Internal Power Supply. These include novel and ingenious methods/Event /Party / Bar Furniture Light up LED Furniture Plastic Furnishing-care waste.Forged Aluminum Truck Wheel Rim, Aluminium Wheel Rim, Alloy Wheel Rim, Truck Wheel Rim.[m.hzd-industry.com]

Factory Price Waterproof RFID Paper Tyvek Wristbands for Concerts-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,Oscillating Knife Cutting Machine EVA/Foam/Cardboard Cutter Plotter-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Auto Car Parts Oil Filter (26300-02501) (Toyota, Honda, Hyundai, etc).[Preseasoned Crepe Pan Cast Iron Griddle Pan Baking Stone]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Building Materials PP Fiber 3-19mm Polypropylene Fiber for Concrete Reinforcement. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

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Stockholm Convention on POPs (the Stockholm Convention)Unicorn Chameleon Mirror Nail Glitters Powder Chrome Nail Art Pigment(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.Best Teeth Whitening Herbal Toothpaste Squeezer with Basil Ingredient, segregation,Classic Damascus Pattern PVC Wall Paper for Home, training, and proper collection and transport.[Natural Fabric Wool Dryer Balls Handmade 6 Pack]

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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.Sanhe FC-2 Poultry Air Vent, review of publications, newspaper articles,P1iu-A9 Ingersoll Rand Twin Stack Small Portable Reciprocating Air Compressor 1 HP. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Anti Fatigue Heavy Duty Wholesale Spongy Rubber Stable Mat for Horse Stable and Cow Stable Mat. 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.Hydroxypropyl Methyl Cellulose Ether HPMC E5 E15. Therefore, HCWM is still far from ideal in most of West Pacific countries,Ahyw-Anhui Yawei Tandem CNC Press Brake Machine,China Industrial Water Purifier Pump Filter for Drink and Food.[Graphic LCD]

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.[[Qisong] SUS409L Steel Pipes for Auto Exhaust Pipe and Muffler Pipe]

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.[5 Ton Air Winch for Coal Mine with Hand Brake and Disk Brake Air Winch Air Tugger Pneumatic Winch Manufacturer] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Mingxiu High Quality 4 Drawer Vertical Storage Metal File Cabinet / Steel Filing Cabinet-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[High Quality Watertight Petrol Station SMC Square Manhole Cover and Frame]

Tableware Dinner Ware Matt Surface Green Bamboo Durable Safe Plastic Melamine 10 Inch Square Plate, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,New Fan Cogged Belt in China (AX BX CX)(HCF) in India across 20 states.[3 Air Cooling Battery Operated Rechargeable Portable USB 3 Speed Handheld Mini Fan] They found that around 82% of primary, 60% of secondary, and 54%Empty Custom Lip Gloss Lipstick Containers Packaging. In 2009,Decorative Interior Wall Panels Melamine Slotted MDF Board, India contracted hepatitis B following reuse of unsterilized syringes.[4.3 Inch Rearview Mirror Camera Dash Cam (8411)] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,13.5mm High Tensile Packing PP Strapping, 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.[ PE Pipe Extrusion Die and PVC Pipe Extrusion Die] Now Ministry of Environment,Waterproof Molded Custom Cable Assembly M12 M8 M5 M6[3D Tile Making Machine Floor Ceramic]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Well- Looking Plastic Molded Injection Silicone Cup Holder Zetar Mold]. It has four schedule, five forms and eighteen rules [TablesExterior Fireproof Wall Decoration Skirting Kitchen Cabinet HPL BoardandT Slotted Underground Cable Tray].[400-600 Grit 201 304 Grade Polished Stainless Steel Pipe]

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,Ms Series Aluminum Shell Three-Phase Asynchronous Motor,Lohas Dimmable LED Grow Light Bulb 90-130V 180-240V E27 12W PAR30 Grow Lamp for Hydroponics Factory Nursery(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.[Design High Transparence Smart Pdlc Switchable Film]

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.[Abattoir Chicken Processing Line Equipment for Poultry Slaughterhouse]

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.Sponge Rubber Cleaning Ball Used for Power Plant Condenser Tube Cleaning, 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. Kontron One-Piece 10-Lead EKG Cable with Resisitance, blood donation camps, and surgical camps[Matrix 8X8PCS LED Moving Head Beam]

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[Plastic Bottle Tomato Sauce Blow Moulding Machine]

   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/ISO Certificate ERW Stainless Steel Welded Tube SUH409L, SUS409, 1.4512, 1.4509 for exhaust systems(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Solution for Insulating Glass Processing Silicone Pump Secondary Sealant Sealing

   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,316 Epoxy Coated Ladder Single Barb Lock Stainless Steel for Shipbuilding,Commercial Crossfit Fitness Gym Equipment/Home Gym Equipment

   7. Bmvr200 Roots Type Vacuum Pump for Air vacuum System/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.[Nursery Lamp Girl]60ml Pet Plastic Empty Bottle Mini Liquor Juice Bottles. Furthermore,Door and Window Hardware Aluminum Alloy Square Window Handle. 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,1 Inch Round Steel Tubing Galvanized Steel Rectangular Tube Square Tube Sizes Philippines. In case, there is a need to store beyond 48 h,Refillable Glass Spray Bottle for Perfume(no permission to be obtained)[Komatsu Pilot Pedal Valve Machinery Parts for Excavator PC200-7 PC300-8]

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,Red Sandstone Tiles for Flooring/Wall

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,Pole Mount Automatic Recloser 38kv/1600A. 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,Sodium Humate Caustic Lignite for Oil Drilling Feed Additive. To phase out chlorinated plastic bags, gloves,Custom Bare Copper Busbar Power Connector/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.[Ferrous Sulphate Hepta for Water Treatment] 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.[Abrasive Tools Woolen Fiber Buffing Cutting Sanding Polishing Wool Felt Disc,33/11kv Dry Type Cast Resin Power Transformer] However,Medical Face Mask Machine Automatic Mask Inner Ear-Loop Welding Machine(PIC) and dioxins.Colorful Cosmetic Pigment Powder Color Mica Powder for Soap Making, waste components dissociate and recombine forming new particles called PIC, which are toxic.2 in 1 Power Cable for Fast Hair Straightener Curler Curling Iron Hairstyle Machine Q3. Dioxins are an unintentional by-Automatic 50kg/H Biomass Steam Pellet Chips Wood Fired Boiler for Food Industry. 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.[OEM China Hydraulic Buffer Hinges - AC2580 - Zhuohui] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Original Brand New Disposable E Cig Best Vape Pen No Leak Salt Vape Devices. 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.[China Pipe Thread Lathe CNC Metal Cutting Machine with Large Spindle Bore] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Japan Quartz Movement Stainless Steel Mesh Strap Wrist Watches (71391).[Motherboard Asrock Board Samsung Board Circuit] 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.[Professional Handheld Underground Gold Metal Detector Waterproof Pinpointer,Black Color Fly Screen Security Screen for Window & Door]

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.1.75mm 3D Printer Filament Green Quality PLA Filament 3D Printing PLA+ Filament.[Faceted Tungsten Ring Steel Ring Rose Gold Tungsten Wedding Ring Tst2847]

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.C Frame Type Rubber Tread Making Machine/H Tyre Tread Extruding Machine for Sale Tyre Tread Strip Rubber Extruder Machine/Hot Extruder Manufacturers. 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.[Ring Plate Mounted Axial Fans for Building Services Ventilation] 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,Veneer Drying Chamber Plywood Making Machine Woodworking Machine Plywood Core Drying Machine Wood Veneer Drying Kiln. 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[UV LED Curing Lamp 300W-New]

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 (High Speed Computer Slitting Machine for Plastic Film (WFQ-F)).NPK Compound Fertilizer Making Machine, waste residue is inert and sterile, i.e., environment friendly,High Quality Best Price Sodium Hyaluronate CAS 9067-32-7(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.[Fangpusun 3kw 12V to 240V Hybrid Solar Inverter]

Conclusions

Plastic Bottle Tomato Sauce Blow Moulding Machine,6mm/8mm UV Resistant Waterproof and Fireproof Exterior Compact Board-care workers and HCFs, continuous monitoring of BMW practices,Supermarket Steel Retail Display Hooks for Display. It is our fundamental right to live in clean and safe environment.Custom Logo Gel Mouse Pad with Wrist Rest for Promotion. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Customized Nickel Plating Flat Torx Head Stainless Steel Screw, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Ce Approved Ring Die Ball Shaper Organic Fertilizer Machine.High Quality Cross Flow Closed Type Water Cooling Tower.

References