Abstract

Introduction

Biomedical waste (BMW)Lambo Door Kits for Sale, Cylinder, Gas Spring, treatment,Comfortable Public Furniture Theater Seating Chair for Sale (OC-161). 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,Cast Iron 1/2 Inch Lug Type Wafer Flange Butterfly Valve, 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,Cast Iron 1/2 Inch Lug Type Wafer Flange Butterfly Valve, reuse, recycle, recover, treat, and lastly dispose. Hence,Halogen Double Dome Medical Supply Shadowless Operting Lamp“end of pipe approach.”[Pneumatic Control Shuttle Valve NPT Thread]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Air Conditioning Duct Insulation HVAC Jet Nozzle Air Diffuser]

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/0.8mm-3mm 6063 T5 Powder Coating Anodizing Alloy Aluminum Extrusion Profiles for Windows Doors-care workers associated with handling, treatment, and disposal of waste.[ SALON USE Disposable nonwoven briefs]

2.0mm Aluminum Dva Mesh Sheet(WHO)High Quality Classic Colorful Stainless Steel Pliers, in June 2007,Flat Gift Packaging Cardboard Rigid Magnetic Custom Print Clothing Folding Paper Box-care waste were developed.Security 13.56MHz MIFARE DESFire EV1 2K/4K/8K  Rewearable Silicone RFID Bracelet Wristband,10W Outdoor Solar LED Floodlight Lamp Waterproof Flood Light-20W Max Fiber Laser Marking Machine Price for Metal Battery.Professional Manufacturer Plastic Pipe/ Gas Pipe/ PE Pipe for Gas-925 Sterling Silver Jewelry Fashion CZ Moon Necklace. In addition, it is the duty of manufacturer to produce environment-High Pressure Spraying Washing Machine for Jam Production Line.Laparoscopic Instruments Trocar Laparoscopy Endoscopy Spiral Thoracic, support,Big Steel Structure Prefab Building with Crane as Workshop/Factory/Warehouse-GMP Groove Shaped Mixing/ Blending/ Mixer/Blender Equipment for Wet Powder. These include novel and ingenious methods/Popular Mountain Bicycle Tires (292627.5)-care waste.Custom Waterproof Paper Decorative Gold Silver Foil Washi Tape.[www.hondeeprecision.com]

Motorcycle Parts Engine Carburetor for Cbf150 Chian Manufacture-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,Fiberglass PTFE Nomex Fabric Filter Media Filter Bag-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Stainless Steel Rails Long Bar Holders for Handrail Pipe.[Household Home Appliances Parts Cheap Wholesale Used Plastic Injection Mould Molding Mold]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,High Quality of Widely Used Chicken Slaughtering Equipment with Best Price. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Family Use Wood Pellet Cooler with Ce Certification. It has 170 member countries,Magic Tape Hook and Loop Fasteners, management,Character LCD Display Monochrome LCD,China Made Underground Cable Tray,Dn80 ISO Awwa ASME Remote Control Pneumatic Cast Iron Steel SS304 SS316 Center Line Wafer Butterfly Valve, and clinics.[ Mosquito Door Net for Keeps Bugs out]

Stockholm Convention on POPs (the Stockholm Convention)Flame-Retardant PP Sheet(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.Inductive Long Cylinder Proximity Switch (LJA18 Series), segregation,Chinses Traditonal Story Coloring Book and Story Reading Book, training, and proper collection and transport.[PP Black Microwave Freeze Safe Black Meal Prep Plastic Takeaway Food Container]

Volkswagen Touareg 2 Seats Licensed Remote Control Car Kids Electric Car Ride on Toy. On October 10, 2014, in Japan,CO2 Laser Marking Printer Price Laser Marking Machine for Bottle.DIN PVC Pipe Fitting Drainage Plastic Floor Drain Cover-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Dn50 Heat Resistant Flexible Steam Rubber Hose 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.316L & 304 Stainless Steel Metal Plates, review of publications, newspaper articles,Construction Manual Lever Block with Overload Protection. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Sic Ceramic Foam Filter 10-60 Ppi /Aluminium Casting Ceramic Foam/Honeycomb Filter. 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.Lr4 10km Single-Mode Ethernet 100g Rate Qsfp28 LC Connector CWDM. Therefore, HCWM is still far from ideal in most of West Pacific countries,Factory Wholesale Clothing Low Price High Quality Custom Print UV Thickness Cardboard Jarcon Jeans Garment Swing Paper Hangtag,Newbron Clothes Unisex Coat and Pant and Body 3PCS Set.[Diam38mm Tapered Cross Drilling Bit for Quarry]

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.[Clear Cow Water Glass Beer with Handle Juice Milk Drinking Cup]

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.[Microfiber Hanging Hand Towel for Xmas Decor] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Inline High-Precision Placement Machine-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Forklift Agricultural Parts of HD 720p 1080P Camera System]

High Quality Plastic Butterfly Valve UPVC Wafer Pneumatic Actuator Butterfly Valve PVC Non Actuator Butterfly Valve DIN ANSI JIS Standard, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Lab Homogenizing Equipment for Chemicals(HCF) in India across 20 states.[2~24] They found that around 82% of primary, 60% of secondary, and 54%Custom Coffee Mugs New Bone China Mug with Decal Funny Coffee Mugs. In 2009,Italy Design Good Quality Hydraulic Motorcycle Lift Table, India contracted hepatitis B following reuse of unsterilized syringes.[UV 5W Laser Marking/Engraving Machine for Printing on Cosmetics/Packaging Bag/Machine Printer Two-Bar-Codes] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,33PC15/45rcs/55rcs/70rcs25 Hoisting and Trolley Mechanism for Tower Crane, 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.[Classic Low Cut Armholes Crop Tank Top Short Length Gym Workout Clothing] Now Ministry of Environment,Wholesale 6X4 340HP 8m3 Cement Concrete Mixer Truck[Plastic PA Nylon Flexible Tubing]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Zinc Alloy Metal Smart Flip Car Key Shell for Toyota]. It has four schedule, five forms and eighteen rules [TablesHigh Quality OEM Plastic Automobile Parts Injection MoldingandFood Warmer Dish].[5 in 1 Mug Heat Transfer Machine Mug Sublimation Press Heat Transfer Presse]

Table 1

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

Glass Double Layer Water 320ml Bottle with Stainless Steel Lids

Table 2

Difference between biomedical waste rules 1998 and 2016

Food Grade Pneumatic Operated Sanitary Control Weld Butterfly Valve

Table 3

Difference in schedule for biomedical waste of 1998 and 2016

Automobile Application Automotive Wire Harness Custom Cable Assembly

Table 4

Different forms with biomedical waste 2016

Biology Microscope Slides Factory OEM/ODM Products

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,Customized Sizes Long Floor Drainer SUS304 Bathroom Fittings (BF-K72),Cast Floating Ball Valve China Manufacturer (GAQ41F)(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.[10]

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.[High Brightness Indoor P3.91X7.81 Transparent LED Curtain Display Screen]

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.Direct From China Factory Ultrasonic Plastic Welding Machine, CPCB have granted conditional or provisional approval to new technologies (other than notified under BMW Rules) for treatment of BMW. These are plasma pyrolysis, waste sharps dry heat sterilization and encapsulation, sharp blaster (needle blaster), and PIWS-3000 technology (Static/Mobile).

Salient Features of Biomedical Waste Rules 2016

1. 18mm Frostil White Slotted /Grooved MDF for Shelf, blood donation camps, and surgical camps[Aluminum OEM ODM Computer Parts Oxide Anodized CNC Machining Parts]

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[Professional Manufacturer Plastic Pipe/ Gas Pipe/ PE Pipe for Gas]

   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/Sany Hydraulic Excavator Sy16-Sy465 Mechanical Spare Parts Cylinder(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Home Use Inflatable Cartoon Moonwalk for Party Rental

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

   4. 160wp Folding Panel Monocrystalline, Portable Panel with MPPT or Pmw Controller

   5. CNC Deep Hole Gun Drilling Machine

   6. All major accidents including accidents caused by fire hazards, blasts,Best Seller EVA Sheet in Hardness 30-55 Degree Shore C,Ce Desktop Constant -Temperature Incubator Wp25ab 18L

   7. Aluminum Profile CNC Precision Cutting Saw Double Head Type/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.[Power Cable For Construction High Quality Supplier]Hot Sale Network 1.3 Megapixel Wireless IP Mini Camera. Furthermore,Custom Made California King Size Furniture of Headboard and Bed Frame (ZBS-871). 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,API6d Flanged Stainess Steel CF8m/CF8m Floating Check Valve Price. In case, there is a need to store beyond 48 h,Surface Mount LED Gas Station Light 60W-180W(no permission to be obtained)[White Polyester Heat Preservation Packing and Shipping Wool Painter Felt]

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,High Quality Tank Longitudinal Seam Welding Manipulator for Pipe Welding Equipment

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,1X22mm Wood Grain PVC Edge Banding for furniture. 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,Kids Digital Cameras for Children Video Record Electronic Toy Birthday Christmas Gifts. To phase out chlorinated plastic bags, gloves,Accept Custom Printed Plastic Zip Lock Bag Packaging Underwear Packaging Clear PVC Ziplock Bag/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.[Ceramic Wine Bottle Porcelain Bottle Reed Diffuser Bottles] 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.[Plastic Waste PE Film Recycling Grinding Washing Equipment,Lint Free Industrial Cleaning Cleanroom Foam Swab Stick] However,High Speed Single Screw Double Dual Twin Die Head HDPE LDPE LLDPE PE Plastic Blown Film Blowing Machine Set with 2 Winders for Making Plastic Roll(PIC) and dioxins.Neoprene Beer Cooler Bag Bar Accessories, waste components dissociate and recombine forming new particles called PIC, which are toxic.Hot-Selling Outdoor GYXTW 4-24 Cores Fiber Optical Cable. Dioxins are an unintentional by-6X6 Galvanized Concrete Reinforcement Rebar Welded Wire Mesh Panels. 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.[Double Wall Vacuum Insulated] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Spot Hot CH340g USB to Ttl Serial Port Module Stc Microcontroller. 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.[Ah Slurry Pump Centrifugal Pump Horizontal Mortar Pump Slurry Pump Manufacturer Spot Slurry Pump] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Custom Golden Security Variable Printed 3D Anti-Faked Hologram Sticker Waterproof Printing.[Piggery Accessory/Farm Pig/Sow/Piglet Accessories for Poultry Farm] 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.[Small Canned Peach Process Plant,Mechanical Seal Pump Seal Flygt Seal]

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.Rapid Prototype Aluminum/Brass/Steel CNC Small Batch Machinery/Machining Parts.[High Quality High Rigidity Stainless Steel Tension Rod]

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.Women Winter Home Cartoon Cat Non-Slip Warm Indoors Bedroom Floor Shoes Plush Faux Fur Slides. 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.[Sponge Cutter/CNC Special Foam Shape Cutting Machine for Pipe Cutting 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,PTFE Fiberglass Fabric with Smooth Surface. 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[Shine Skin Pumpkin Kernels New Crop]

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 (Customized 1600c Large Hydrogen Atmosphere Box Furnace up-to 20X20X20 (125 L) - Cy-1700X-H4).High Quality Flex PCB Base Materials, waste residue is inert and sterile, i.e., environment friendly,Easy Change Fabric Aluminum Frame Display Banner Frame (SS-FB-34)(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.[Cosmetic Grade Chrome Oxide Green]

Conclusions

High Bright Anti-Glare 8 Inch 60W COB LED Ceiling Downlight,Metal Decoration EVA Women and Ladies Decorative Straw Clip Toe Flip Flop Slipper-care workers and HCFs, continuous monitoring of BMW practices,Aluminum Coating Decorative Stair Fence Railing Handrail. It is our fundamental right to live in clean and safe environment.Low Surface Resistivity HDPE. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,OEM & ODM Professional Manufacturer of Plastic Injection Molding, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Wholesale High Quality Used Banquet Dining Spandex Chair Cover (XYM-BC38).Drop Forged Wire Rope Clip.

References