Abstract

Introduction

Biomedical waste (BMW)Bmvr200 Roots Type Vacuum Pump for Air vacuum System, treatment,60ml Pet Plastic Empty Bottle Mini Liquor Juice Bottles. 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,Door and Window Hardware Aluminum Alloy Square Window Handle, 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,Door and Window Hardware Aluminum Alloy Square Window Handle, reuse, recycle, recover, treat, and lastly dispose. Hence,1 Inch Round Steel Tubing Galvanized Steel Rectangular Tube Square Tube Sizes Philippines“end of pipe approach.”[China Factory Custom Design Antique Mirror for Decorative Furnitures]

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 Sale Used in Prefab House Triple Wall Transparent Roof Panel Lexan Polycarbonate X Type Sun Sheet]

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/Refillable Glass Spray Bottle for Perfume-care workers associated with handling, treatment, and disposal of waste.[Manufacturer Factory Kids Knitted Custom Cable Baby Sweater]

Red Sandstone Tiles for Flooring/Wall(WHO)Pole Mount Automatic Recloser 38kv/1600A, in June 2007,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-care waste were developed.Wall Mounted Plastic Battery Electric Sensor Scent Air Perfume Diffuser,Custom High Quality Hard Enamel Tag-5FT3′ 160cm Love Doll Real Adult Toys with 3 Realistic Entries Full Real Size Doll Sex Toys for Men.Shantui Chain SD16 Tractors Bulldozers Ripper-99% Purity Ghrp-2 Acetate Hormones Bodybuilding Peptides CAS158861-67-7. In addition, it is the duty of manufacturer to produce environment-30MPa 300bar Fire-Fighting Breathing Air Compressor to Fill Fire Tank.ABS-43-1c CDMA Signal Booster, support,Metal Plastic Black Housing 32 Inch WiFi Digital Photo Frame with HDMI-6channels Concrete Chloride Ion Migration Tester. These include novel and ingenious methods/Komatsu Pilot Pedal Valve Machinery Parts for Excavator PC200-7 PC300-8-care waste.20741710, Repair Kits, for Volvo Truck Fh, FM.[TUV Approved 1500V MC4 Connector for 10mm 8AWG PV Cable UV Resistant]

Nanoscale Silver Silicone Kids Training Tooth Brushes for Children-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,Sodium Humate Caustic Lignite for Oil Drilling Feed Additive-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Custom Bare Copper Busbar Power Connector.[Tie Down Straps Screen Printing Machine with CE Certificate]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Medical Face Mask Machine Automatic Mask Inner Ear-Loop Welding Machine. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Colorful Cosmetic Pigment Powder Color Mica Powder for Soap Making. It has 170 member countries,2 in 1 Power Cable for Fast Hair Straightener Curler Curling Iron Hairstyle Machine Q3, management,Automatic 50kg/H Biomass Steam Pellet Chips Wood Fired Boiler for Food Industry,Original Brand New Disposable E Cig Best Vape Pen No Leak Salt Vape Devices,Japan Quartz Movement Stainless Steel Mesh Strap Wrist Watches (71391), and clinics.[Outdoor Stage Decoration Inflatable Puppet Man]

Stockholm Convention on POPs (the Stockholm Convention)1.75mm 3D Printer Filament Green Quality PLA Filament 3D Printing PLA+ Filament(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.C Frame Type Rubber Tread Making Machine/H Tyre Tread Extruding Machine for Sale Tyre Tread Strip Rubber Extruder Machine/Hot Extruder Manufacturers, segregation,Veneer Drying Chamber Plywood Making Machine Woodworking Machine Plywood Core Drying Machine Wood Veneer Drying Kiln, training, and proper collection and transport.[Hot Forging Internal Circlip Pliers]

High Speed Computer Slitting Machine for Plastic Film (WFQ-F). On October 10, 2014, in Japan,NPK Compound Fertilizer Making Machine.High Quality Best Price Sodium Hyaluronate CAS 9067-32-7-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Customed Design Size Carbon Steel Round Pipe]

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.UL2725 Flat Ribbon Cable Electrical Wire for Speaker, review of publications, newspaper articles,Outdoor Playground Slides Equipment (QL--051). The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Ivor Newest Technology Silver WiFi Controlled Switches Remote Control Light Switch (TD1800-L1). 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.Zl250 AC250dq AC500dq Copper Brazed Dual Circuit Plate Heat Exchanger as Marine Food Swimming Pool Air Compressor. Therefore, HCWM is still far from ideal in most of West Pacific countries,Modern American Style Beech Solid Wood Kitchen Cabinet,China Gold Rolling Paper Shine Papers Cigarette Paper.[Injection Moulding Machine for Power Cord Network Patch Cord Cable]

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.[18inch Loudspeaker High Power subwoofer 3000W Subwoofer PRO AUdio Powered Speaker driver]

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.[Fashion Children Baby Kids Sweet Cute Princess Sleeveless Pageant Vestido De Nina Flora Flower Girl Party Dresses] In India, BMW problem was further compounded by the presence of scavengers who sort out open,10.5FT Rubber Fishing/Rowing Boat Hsm320-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Ge Holter Cable Snap Type Holter ECG Cable]

New Product Electric Bicycle Aluminum Bicycle Heavy Duty Ebike, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Mechanical Memory Structure Height Limit Switch for Tower Crane(HCF) in India across 20 states.[Fast Food Container Forming Machine Box Making Machine Price] They found that around 82% of primary, 60% of secondary, and 54%Machine Roomless 6 Person Residential Passenger Elevator. In 2009,Wall-Mounted LED Front-Lighted Bathroom Vanity Mirror 72 Wide X 36 Tall for Hospitality Grade, India contracted hepatitis B following reuse of unsterilized syringes.[FPC Connector] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Manufacture Price Cat Scratcher Cardboard Cheap Cat Scratching Toy, 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.[LED Backlight 6 Lamps for LG Innotek Drt 3.0 32a B 6916L-1975A LV320due 32lf5800 LC320due Mg Fg A3 6916L-1701A 1704A 32lb552u] Now Ministry of Environment,Ss 904L, 00cr20ni25mo4.5cu, Uns N08904, En 1.4539 Stainless Steel Sheets/Plates/Strips[90 Degree Elbow Jic Male 74 Female Hydraulic Pipe Fittings Tube Adapter]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Stainless Steel Screw Ss304 Torx Drive Self Tapping Screw]. It has four schedule, five forms and eighteen rules [TablesHigh Quality 500m 100lb Super Strong Braided Fishing LineandBrazil Caustic Soda].[Christmas Cheap Dessert Round Paper Baking Cups]

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,Plastic Bottle Tomato Sauce Blow Moulding Machine,6mm/8mm UV Resistant Waterproof and Fireproof Exterior Compact Board(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.[Anti-Static Frosted Polycarbonate Multi Wall Hollow Sheet for Public]

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.[Factory Supply FC Male-LC Female Single Mode Simplex Fiber Optic Adapter]

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.Supermarket Steel Retail Display Hooks for Display, 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. Custom Logo Gel Mouse Pad with Wrist Rest for Promotion, blood donation camps, and surgical camps[High Temperature Ceramic Fiber Special Shape Product]

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

   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/Customized Nickel Plating Flat Torx Head Stainless Steel Screw(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Ce Approved Ring Die Ball Shaper Organic Fertilizer Machine

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

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   6. All major accidents including accidents caused by fire hazards, blasts,New Heating Jade Car Seat Massage Mat,UHP 450 Graphite Electrode Made in China

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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.[Garden PVC Lay Flat Hose]Hot Plate Welding Machine for Industry/Automotive Water Tank. Furthermore,Vodafast External Retaining Ring. 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,HR/CR/GI Round/Square Pipe Production Line. In case, there is a need to store beyond 48 h,Shower Room Bathroom Stainless Steel Glass Door Handle(no permission to be obtained)[Building Materials PP Fiber 3-19mm Polypropylene Fiber for Concrete Reinforcement]

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,Full Color Outdoor P10 LED Panel Display Good Quality

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,Sw-Cj-1d Vertical Air Supply Clean Bench. 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,China OEM Stainless Steel Cheap Rapid Prototyping, New Products Prototype. To phase out chlorinated plastic bags, gloves,DVB-S2 220mm Digital Satellite Receiver with Dual Remote Controller/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.[Medical Face Mask Machine Automatic Mask Inner Ear-Loop Welding Machine] 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.[Granular Iron Oxide Pigment Good Quality,5FT3′ 160cm Love Doll Real Adult Toys with 3 Realistic Entries Full Real Size Doll Sex Toys for Men] However,Portable Vacuum Pump Transformer Oil Purification Machine Model Zy(PIC) and dioxins.Natural Blue Lapis-Lazuli Chips 5X7mm Around 85cm Necklace, waste components dissociate and recombine forming new particles called PIC, which are toxic.Customized Needle Detector for Blankets Industry. Dioxins are an unintentional by-Automotive Paint Spray Booth for Car. 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.[Aluminum Foil Butyl Tape] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Best Italy Army Vegetate Frog Camouflage Pattern CVC Military Quick Drying Clothes. 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.[for Samsung Qi Wireless Charger Charging Pad 80000mAh Mobile Power] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,110V 750W/350W G22 Halogen Bulb for Train.[Marble Brick Camouflage Pattern Color Prepainted Aluminum Coil] 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.[Prefabricated 20/40 Foot Modula Container Homes Buildings,High Quality Sale Promotion Good Taste Vaporizer Pen Refillable Nic Salt Devices]

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.2 Layers Metal Wire Kitchen Dish Rack Plastic Board No. Dr16-Bp03.[Precision Cnc Machining Services]

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.2019 New Us Standard Tuya Smart WiFi Curtain Switch (PST-WF-UC). 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.[Handheld Portable Veterinary Ultrasound Equipment for Farm Horse Cow Sheep] 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,3D Tile Making Machine Floor Ceramic. 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[0.2-4mm Thickness PVC Edge Banding for Furniture Tables]

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 (Hotel Restaurant Wedding Chiavari Dining Church Stacking Chair).Outdoor P3.91 RGB Video Display Rental LED Display Billboard Modules /LED Panel/LED Sign/LED Screen 500*1000 mm, waste residue is inert and sterile, i.e., environment friendly,Fancy Stainless Steel Door Handles for Antique Doors(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.[Ultrasonic Jewelry Cleanermini Jewelry Cleaner Jp-3800s 600ml]

Conclusions

PU Leather Kids Bed/Living Room Children Furniture (BF-15),Stuffed Soft Cookie Shaped Pillow for Kids-care workers and HCFs, continuous monitoring of BMW practices,Building Steel Galvanized Tray Wheel Barrow/Cart/Trolley/Handtruck/Pushcart. It is our fundamental right to live in clean and safe environment.Soft Wire (BWG22#--BWG4). The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Dental Chair Best Model Dental Unit, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-5ton Offshore Double Brake Pneumatic Air Winch.3kw BLDC Motor/ Electric Motorcycle Conversion Kit.

References