Abstract

Introduction

Biomedical waste (BMW)Wiibooxsweetin High Accuracy Touch Panel China Impresora 3D for DIY Chocolate Printing, treatment,Carbon Steel/Stainless Steel/Galvanized Steel Longitudinal Seam Pipe Making 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 Parts 150cc C7hsa A7tc Motorcycle Spark Plugs, 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 Parts 150cc C7hsa A7tc Motorcycle Spark Plugs, reuse, recycle, recover, treat, and lastly dispose. Hence,Best Price Wastewater Treatment STP Treat All Kinds of Sewage to Discharge Irrigation Reuse “end of pipe approach.”[Motorcycle Parts 150cc C7hsa A7tc Motorcycle Spark Plugs]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Wd190V High Sensitivity Hand Held Metal Detector Security Metal Detector]

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/High Quality Thread Rolling Machine Rebar Threading Machine-care workers associated with handling, treatment, and disposal of waste.[High Quality Tamper Proof Security Sticker Roll Label for Sealing]

Machine Hemmed Branded Big Square Silk Like Muslim Hijab Scarf for Women(WHO)Wholesale Dry Fit Plain Sport Suit Top and Pants Man′s Club T Shirt Team Shirt, in June 2007,1.0mm*2 Wire Max Wire Tw1061t-care waste were developed.Manufacturer High Quality P-Toluene Sulfonamide/Ptsa,Silver Embossed Aluminum Foil Paper-Pet Sleeve Shrinking Label /Hot Pet Shrink Label Heating Roll Label Film in China Factory.PP Plastic Bucket, Custom Plastic Injection Bucket Mould Manufacturer-Shenzhen Bakeware Supplier Metal Cake Baking Molds. In addition, it is the duty of manufacturer to produce environment-Rotary Granule Price Zipper Pouch Counting Packing Machine.Aluminium Unitized Curtain Wall for Office Building, Gymnasium and Hotel, support,Mobile Phone LCD for Samsung Galaxy S8 G950 Display Assembly-Ob5050f Silver 2-Slotted Industrial Extrusion Aluminium Profile for 50 Series with CNC Machining. These include novel and ingenious methods/Domestic Evaporative Air Cooler / Portable Floor Standing Air Conditioner (JH18AP-31Y2-2)-care waste.Commercial Steam Jacketed Agitated Reaction Kettle with Stirrer.[Original Sensor Mems]

Car Accessories D8tc High Performance 3-Electrode Motorcycle Spark Plug-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,Supply Christmas Lace Gold Silver Offray Silk Ribbon-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,HDPE Reducing Tee for Water Supply.[10kw/15kw/20kw/25kw Brine Water Source Heat Pump]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Matt Finish Wooden Jewelry Display Storage Packaging Gift Box. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

13.56MHz ISO14443 NFC MIFARE Ultralight C Chip PVC Sheet Inlay. It has 170 member countries,Sponge Cutter/CNC Special Foam Shape Cutting Machine for Pipe Cutting Machine, management,Classic Low Cut Armholes Crop Tank Top Short Length Gym Workout Clothing,Chinese Silver Anodizing Ob 2525r Industrial Extrusion Aluminium Profile for Industrial Decoration,Shenzhen Professional Rigd-Fr4 PCB Circuit Board Manufacturing PCB, and clinics.[Hl-1016-5050A LED Strip Light with High Quality 5050LED Strip SMD LED Christmas Decoration Christmas Light LED Strip Light]

Stockholm Convention on POPs (the Stockholm Convention)Factory Directly High Precision Best Locksmith Tool(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.Naphtalene Based Admixtures Concrete Admixture Naphthalene Sulfonate Formaldehyde, segregation,YCOM HDMI Cable to USB Charger Cable for Lightning iPhone, training, and proper collection and transport.[Steel Gas Cylinder Balloon Helium]

BPW Wheel Hub Bolt M22X1.5/M22X2X118. On October 10, 2014, in Japan,Woven Plaid Pure Cotton Fringed Picnic Throw.High Capacity Single Wall Corrugated Pipe Plastic Extrusion Line-care services, including mercury-containing medical items such as thermometers and blood pressure device.[CNC Turned Plastic Delrin POM Parts Machining]

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.Flow Meter-Differential Pressure Air Flow Meter Flowmeter Water Flowmeter, review of publications, newspaper articles,Hot Sale Beauty Shadow Color Glass Container for Soy Candle. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,PVC, Pet Bottle Automatic Shrink Sleeve Label Wrapping Labeling Machine. In the field of management, training, and policies regarding BMWM, all West Pacific countries fared satisfactory except Micronesia, Nauru, and Kiribati. Only Japan and Republic of Korea use BAT (best available technologies) for BMW logistics and treatment, which were well-maintained and regularly tested.Mini Inflatable PVC Sofa for Kids. Therefore, HCWM is still far from ideal in most of West Pacific countries,Class One UV Laser Marking Machinery for PCB Glass Metal Logo Mark,Waterproof Fashion Footwear EVA Injection Casual Shoes for Women.[Sw-Cj-2fd Double-Single Vertical Air Supply Clean Bench for Sale]

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.[Scan Shield RFID Blocking Card]

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.[Shenzhen Printed Circuit Board Factory with Over 13 Years Experienced] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Full-Auto Rubber Flooring Mat Making Machine / Non-Slip Mat Vulcanizing Press Machine-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Industrial Graphite Mould]

Stainless Steel Quick Release Exhaust V Band Clamp with Male Female Flange, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Single Phase Household Irrigation 3.5HP Centrifugal Motor Electric Water Pumps(HCF) in India across 20 states.[Automatic Vermicelli Weiging Packing Machine with Three Weighers] They found that around 82% of primary, 60% of secondary, and 54%Movable Axial Flow Blower. In 2009,Patient Monitorneonate NIBP Cuff, India contracted hepatitis B following reuse of unsterilized syringes.[Sg(Zb)10 Series Of Coating Coil Dry Type Transformer] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Economic Horizontal CNC Lathe for Tire Mold Machining (CK61200), 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.[Factory Wholesale Clothing Low Price High Quality Custom Print UV Thickness Cardboard Jarcon Jeans Garment Swing Paper Hangtag] Now Ministry of Environment,Modern White Living Room Furniture Chaise Lounge for Sale[Right Gas Spring Assy for Toyota Land Crusier Fzj80 68950-60022]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [DIN PVC Pipe Fitting Drainage Plastic Floor Drain Cover]. It has four schedule, five forms and eighteen rules [TablesAutomatic Chicken Water Nipple Drinking System From FactoryandDigital Carton Sample Cutting Plotter].[Libya Steel or Iron Stainless Door Hardware Ball Bearing Hinge]

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,Polyester Rainbow Reflective Color Fabric for Fashion Clothing Wear,Acrilic Sheet Acrylic Panel(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.[Customized 2/4/6 Layers Flexible Circuit Board PCB Factory]

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.[IP66 15-100W Recessed LED Downlight 5 Years Warranty]

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.Puffed Animal Food Pet Food Pellet Extrusion Production Line 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. EMC EMI RF Shielding MRI Room Door, blood donation camps, and surgical camps[Plastic Portable Folding Platform Cart/ Flat Folding Wheel Dolly/ Collapsible Wheel Trolley]

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[ High Purity]

   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/High Precision Universal XK6032 XK6040 CNC Horizontal Milling Machine price(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Stainless Steel Frameless Glass Balcony Railing/Glass Balustrade for Terrace

   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,97% Organic Hemp Extract Cannabidiol Cbd Isolate Powder,Wholesale Stylish Students School Bag Pretty Backpack

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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.[Motorcycle Bag]Supermarket Display Combined Island Freezer Sliding Glass Door Commercial Refrigerator. Furthermore,6601 6061 T6 Aluminum Stamping Parts, Metal Stamping Parts. 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,Ripstop Cotton Fabric with Flame-Retardant Finish 280GSM. In case, there is a need to store beyond 48 h,Dia350mm 400mm 450mm Arix Diamond Saw Blade(no permission to be obtained)[Portable Swimming Pool Disinfection Automatic Chemical Chlorine Dosing Pump]

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,Automatic Chicken Leg Deboner/Deboning 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,Factory Price of Industrial Hydrochloric Acid 32%. 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,Hot Selling P460 Heap Air Purifier Air Cleaner Air Freshener Room Air Filter. To phase out chlorinated plastic bags, gloves,Silicone Rubber Foot for Electronics/Silicone Sticky Pad Supplier/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.[Double Flanged Type Double Disc Swing Check Valve] 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.[Feelderma Non-Surgical Hyaluronic Acid Injectables Dermal Filler for Nourishing Skin,320ml Glass Bottle for Juice Beverage Bottle Water Bottle Drink Bottle Spirit Bottle] However,China Farm Equipment Stationary Tmr Feed Mixer(PIC) and dioxins.Promotional Garment Embroidery Patch with Scotland Logo, waste components dissociate and recombine forming new particles called PIC, which are toxic.Pineapple Glass Milk Bottles/Drinking Bottles/Beverage Bottles/Soft Drinking/Juice Bottles. Dioxins are an unintentional by-Promotion Gift Colorful Gel Ice Pack Cooler Wine Pack Chiller. 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.[Thickened Double-Sided Plush Travel Sports Swimming Sweat Towel Microfiber Outdoor Yoga Towel] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,IP44 Battery Operated 1.5m 10 LED Cactus Pendant String Light. 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.[Aluminium/Aluminum Disc/Circle for Cookware/Utensile/Lighting Usage with Good Flatness 1050/1060/1070/1100/3003/3005] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,UV8d Wouxun High Gain Antenna Dual Band Antenna.[Plastic Mould] 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.[Medical Disposable Oral Sponge Swabs,Spinning Inflatable Disc Boat / Inflatable Spin Boat Water Toys]

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.Inner Tube 23.1-26 Agricultural Farm Tractor Tyre Tire.[Black Flange Floor]

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.Xanthan Gum 80/200mesh Food Grade. 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.[Hot Sale Ball Screw Sfu8010 with Best Quality and Good Price for CNC Machine From China Shac] 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,Moulding Part and Mould for Precision Parts,Electronics/Electrics,Automotive,Elbow Pipe,Industrial,Plastic Mould,Multi-Cavities Mould, Overmoulding, 2K Mould.. 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[Apollo 6 Full Spectrum LED Grow Light for Indoor Plants Hydroponic]

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 (Full Automatic Folding Gluing and Stitching Combined Inline).Dn50 Heat Resistant Flexible Steam Rubber Hose Pipe, waste residue is inert and sterile, i.e., environment friendly,Amazon Best Selling Sports Ankle Support Sleeves Compression(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.[Captive Portal Hot New Indoor Access Gateways Wireless Router]

Conclusions

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References