Abstract

Introduction

Biomedical waste (BMW)Event /Party / Bar Furniture Light up LED Furniture Plastic Furnishing, treatment,Forged Aluminum Truck Wheel Rim, Aluminium Wheel Rim, Alloy Wheel Rim, Truck Wheel Rim. 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,Factory Price Waterproof RFID Paper Tyvek Wristbands for Concerts, 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,Factory Price Waterproof RFID Paper Tyvek Wristbands for Concerts, reuse, recycle, recover, treat, and lastly dispose. Hence,Oscillating Knife Cutting Machine EVA/Foam/Cardboard Cutter Plotter“end of pipe approach.”[Trendy High Quality 925 Stering Silver Tennis Glod Charm]

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 Unisex Antique Silver Crown Ring]

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/Auto Car Parts Oil Filter (26300-02501) (Toyota, Honda, Hyundai, etc)-care workers associated with handling, treatment, and disposal of waste.[Ral9010 High Pressure Laminate Composite Honeycomb Core Panels]

Building Materials PP Fiber 3-19mm Polypropylene Fiber for Concrete Reinforcement(WHO)New Design Bb Blending Machine Fertilizer Mixer for Sale, in June 2007,Hot Sale of (KOH) Potassium Hydroxide Flakes 90% Min-Qingdao Hiseachem-care waste were developed.Hot Sale Custom Women Yoga Pants Fitness Sports Leggings,Scratch Resistant Wholesale Restaurant Outdoor Furniture Classical Cast Iron Dining Table Leg Base-Water Acrylic Adhesive Crystal Clear BOPP Packing Tape.Unicorn Chameleon Mirror Nail Glitters Powder Chrome Nail Art Pigment-Best Teeth Whitening Herbal Toothpaste Squeezer with Basil Ingredient. In addition, it is the duty of manufacturer to produce environment-Classic Damascus Pattern PVC Wall Paper for Home.Outdoor Stage Decoration Inflatable Puppet Man, support,8mm+2mm+8mm Switchable Tempered Window Pdlc Smart Glass-Compression Knee Sleeve Best Knee Brace for Men & Women Knee Support. These include novel and ingenious methods/Sanhe FC-2 Poultry Air Vent-care waste.P1iu-A9 Ingersoll Rand Twin Stack Small Portable Reciprocating Air Compressor 1 HP.[50w Solar Led Street Light Factory OEM/ODM Products]

Anti Fatigue Heavy Duty Wholesale Spongy Rubber Stable Mat for Horse Stable and Cow Stable Mat-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,Hydroxypropyl Methyl Cellulose Ether HPMC E5 E15-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Ahyw-Anhui Yawei Tandem CNC Press Brake Machine.[Cr1000 (1) Common Rail Injector Tester]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,China Industrial Water Purifier Pump Filter for Drink and Food. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Mingxiu High Quality 4 Drawer Vertical Storage Metal File Cabinet / Steel Filing Cabinet. It has 170 member countries,Tableware Dinner Ware Matt Surface Green Bamboo Durable Safe Plastic Melamine 10 Inch Square Plate, management,New Fan Cogged Belt in China (AX BX CX),Empty Custom Lip Gloss Lipstick Containers Packaging,Decorative Interior Wall Panels Melamine Slotted MDF Board, and clinics.[22580 Factory Price High-Temperature Exhaust Fan Metal Blade Axial Fan 230V]

Stockholm Convention on POPs (the Stockholm Convention)13.5mm High Tensile Packing PP Strapping(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.Waterproof Molded Custom Cable Assembly M12 M8 M5 M6, segregation,Ms Series Aluminum Shell Three-Phase Asynchronous Motor, training, and proper collection and transport.[Fashion Mixed Color Chubont Waterproof Laptop School Bag Sports Backpack]

Lohas Dimmable LED Grow Light Bulb 90-130V 180-240V E27 12W PAR30 Grow Lamp for Hydroponics Factory Nursery. On October 10, 2014, in Japan,Sponge Rubber Cleaning Ball Used for Power Plant Condenser Tube Cleaning.Kontron One-Piece 10-Lead EKG Cable with Resisitance-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Hot Sell Outside Security Metal Exterior Steel Iron Door]

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.ISO Certificate ERW Stainless Steel Welded Tube SUH409L, SUS409, 1.4512, 1.4509 for exhaust systems, review of publications, newspaper articles,Solution for Insulating Glass Processing Silicone Pump Secondary Sealant Sealing. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Large Three Lobe Roots Blower Bore Size Dn300, Oxygen Generator Roots Compressor. 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.304 321 310 310S Welded Decorative Stainless Steel Pipe. Therefore, HCWM is still far from ideal in most of West Pacific countries,316 Epoxy Coated Ladder Single Barb Lock Stainless Steel for Shipbuilding,Commercial Crossfit Fitness Gym Equipment/Home Gym Equipment.[Drilling Point Screw High Quality Supplier]

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.[High Precision Fdm 3D Printing Machine]

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.[17inch Industrial Tablet] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Bmvr200 Roots Type Vacuum Pump for Air vacuum System-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Pole Mount Automatic Recloser 38kv/1600A]

60ml Pet Plastic Empty Bottle Mini Liquor Juice Bottles, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Door and Window Hardware Aluminum Alloy Square Window Handle(HCF) in India across 20 states.[Solution for Insulating Glass Processing Silicone Pump Secondary Sealant Sealing] They found that around 82% of primary, 60% of secondary, and 54%1 Inch Round Steel Tubing Galvanized Steel Rectangular Tube Square Tube Sizes Philippines. In 2009,Refillable Glass Spray Bottle for Perfume, India contracted hepatitis B following reuse of unsterilized syringes.[Toilet Cleaner Packing Machine] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Red Sandstone Tiles for Flooring/Wall, 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.[ Rj12] Now Ministry of Environment,Pole Mount Automatic Recloser 38kv/1600A[Acrylic Optical PMMA Lenses with Different Dimension]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [2400mm Model 30tpd Waste Paper Recycling Machine Prices]. It has four schedule, five forms and eighteen rules [TablesStainless Steel Centrifugal Milk Cream Separator with High QualityandHot Sale High Quality Steel Cable Drum].[ Replaceable Suction Filter Shell with Pleated Filter Element Sx-48 F-48 48-F Rpe-48-Bd]

Table 1

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

Stainless Steel 2 Ball Bearing Crank Door Hinge

Table 2

Difference between biomedical waste rules 1998 and 2016

High Sliding Bar Shower Set

Table 3

Difference in schedule for biomedical waste of 1998 and 2016

Wholesale 3D Customizable PVC Vinyl Wallpaper for Home Wall Decoration Paper

Table 4

Different forms with biomedical waste 2016

RS 555 6V 12V 24V Small Electric Motor DC for Massagers

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,PVC/Pet/PC Cr80 Inkjet Printable Plastic Blank NFC Access Smart/Membership Card/Chip Card/Proximity/RFID MIFARE ID Greeting Card for Hotel Company Library,Wall Mounted Plastic Battery Electric Sensor Scent Air Perfume Diffuser(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.[Food Metal Detector for Instant Noodles]

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.[Hot Selling Plain Slim Fit Hoodies No Pocket Blank Hoodies Sweatshirts with No Labels Private Label Mens Hoodies]

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.Custom High Quality Hard Enamel Tag, 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. 5FT3′ 160cm Love Doll Real Adult Toys with 3 Realistic Entries Full Real Size Doll Sex Toys for Men, blood donation camps, and surgical camps[Pendant Ceiling LED Aluminium Profile]

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[Xanthan Gum]

   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/Shantui Chain SD16 Tractors Bulldozers Ripper(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.99% Purity Ghrp-2 Acetate Hormones Bodybuilding Peptides CAS158861-67-7

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

   4. 30MPa 300bar Fire-Fighting Breathing Air Compressor to Fill Fire Tank

   5. ABS-43-1c CDMA Signal Booster

   6. All major accidents including accidents caused by fire hazards, blasts,Metal Plastic Black Housing 32 Inch WiFi Digital Photo Frame with HDMI,6channels Concrete Chloride Ion Migration Tester

   7. Komatsu Pilot Pedal Valve Machinery Parts for Excavator PC200-7 PC300-8/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.[Custom Embroidery Mesh Hat]20741710, Repair Kits, for Volvo Truck Fh, FM. Furthermore,Nanoscale Silver Silicone Kids Training Tooth Brushes for Children. 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,Sodium Humate Caustic Lignite for Oil Drilling Feed Additive. In case, there is a need to store beyond 48 h,Custom Bare Copper Busbar Power Connector(no permission to be obtained)[Factory Provide Best Injectable Dermal Fillers]

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,Medical Face Mask Machine Automatic Mask Inner Ear-Loop Welding 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,Colorful Cosmetic Pigment Powder Color Mica Powder for Soap Making. 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,Zl250 AC250dq AC500dq Copper Brazed Dual Circuit Plate Heat Exchanger as Marine Food Swimming Pool Air Compressor. To phase out chlorinated plastic bags, gloves,Modern American Style Beech Solid Wood Kitchen Cabinet/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.[Pure Red Copper Woven Decorative/ Filter Wire Mesh] 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.[Tower Crane Slewing Limit Switch with 5A,5.7 LCD 320240 Graphic Display Module FPC 22-Pin 8-Bit Parallel Screen Stn Blue LCD 320X240] However,China Gold Rolling Paper Shine Papers Cigarette Paper(PIC) and dioxins.10.5FT Rubber Fishing/Rowing Boat Hsm320, waste components dissociate and recombine forming new particles called PIC, which are toxic.New Product Electric Bicycle Aluminum Bicycle Heavy Duty Ebike. Dioxins are an unintentional by-Mechanical Memory Structure Height Limit Switch for Tower Crane. 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.[Best Keychains Online] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Machine Roomless 6 Person Residential Passenger Elevator. 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.[Portable Mineral Insulating Oil Filtration Machine (ZY-30)] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Wall-Mounted LED Front-Lighted Bathroom Vanity Mirror 72 Wide X 36 Tall for Hospitality Grade.[Natural Wood Fashionable Big Size Storage Wood Box] 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.[Hot Selling Different Thickness Cheap PPGI Color Galvanized Coated Corrugated Steel Sheet,Glow Powder for Luminous Coating]

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.Manufacture Price Cat Scratcher Cardboard Cheap Cat Scratching Toy.[High Carbon Steel /Low Carbon Steel Crimped Wire Mesh]

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.Ss 904L, 00cr20ni25mo4.5cu, Uns N08904, En 1.4539 Stainless Steel Sheets/Plates/Strips. 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.[Wooden Texture Spc Click Lock Vinyl Rigid Core Flooring] 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,Plastic Bottle Tomato Sauce Blow Moulding 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[Scratch Resistant Wholesale Restaurant Outdoor Furniture Classical Cast Iron Dining Table Leg Base]

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 (6mm/8mm UV Resistant Waterproof and Fireproof Exterior Compact Board).Supermarket Steel Retail Display Hooks for Display, waste residue is inert and sterile, i.e., environment friendly,Custom Logo Gel Mouse Pad with Wrist Rest for Promotion(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.[Waste Paper Recycle Used Egg Tray Machine/Automatic Paper Pulp Egg Tray Production Line/Small Machine Making Egg Tray]

Conclusions

Cheap Custom Logo Handing Wooden Bottle Opener,Air Cast Air-Stirrup Ankle Brace Support-care workers and HCFs, continuous monitoring of BMW practices,Custom Sexy Women Fitness Sports Bra. It is our fundamental right to live in clean and safe environment.Customized Pizza Delivery Bag Food Thermal Delivery Insulated Cooler Bag. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Super Duplex 904L 2205 2507 Stainless Steel Plates Metal Sheet, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Thick Pour Casting Epoxy Crystal Clear and High Transparency, Yellow Resistance Resin.Surface Mount LED Ceiling Light-18W Round Flat LED Ceiling Lighting.

References