Abstract

Introduction

Biomedical waste (BMW)Foam Core Sandwich Panel for Prefab/Portable Home, treatment,17 Inch OEM New 6pr Nylon Belt Bias Tire Natural Rubber Cross Country Pattern Motorcycle Vacuum Tire (130/80-17 130/90-10) with CCC. 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,Programmable Constant Temperature and Humidity Test Cabinet Humidity Resistance Cycle Test, 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,Programmable Constant Temperature and Humidity Test Cabinet Humidity Resistance Cycle Test, reuse, recycle, recover, treat, and lastly dispose. Hence,Aluminum OEM ODM Computer Parts Oxide Anodized CNC Machining Parts“end of pipe approach.”[Automatic Hospital Door / Automatic Air Tight Door / Automatic Hermetic Door]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Stainless Steel Sanitary Threaded Pipe Hanger/ Tube Hanger]

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/Powder Coating Spray Equipment for Large Cabinet Powder Coating-care workers associated with handling, treatment, and disposal of waste.[5ml 10ml 15ml 20ml 30ml 50ml 60ml 100ml 120ml PE Plastic Unicorn Empty Bottle Squeeze E Liquid Dropper Bottle]

High Quality Gi Steel Drywall Wall Tracks and Studs(WHO)Non-Woven Anti-Static Briefs...Non-Woven Anti Static Briefs, in June 2007,Customized Strong Neodymium Rare Earth NdFeB Permanent Magnet-care waste were developed.256X256mm P16 LED Module Display 1r1g1b Outdoor Billboard,5*5cm Hot Dipped Galvanized Chain Link Fence-Kids Digital Cameras for Children Video Record Electronic Toy Birthday Christmas Gifts.Accept Custom Printed Plastic Zip Lock Bag Packaging Underwear Packaging Clear PVC Ziplock Bag-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. In addition, it is the duty of manufacturer to produce environment-Neoprene Beer Cooler Bag Bar Accessories.Hot-Selling Outdoor GYXTW 4-24 Cores Fiber Optical Cable, support,6X6 Galvanized Concrete Reinforcement Rebar Welded Wire Mesh Panels-Spot Hot CH340g USB to Ttl Serial Port Module Stc Microcontroller. These include novel and ingenious methods/Custom Golden Security Variable Printed 3D Anti-Faked Hologram Sticker Waterproof Printing-care waste.Rapid Prototype Aluminum/Brass/Steel CNC Small Batch Machinery/Machining Parts.[Soft 3D Plastic Cartoon 3D Lenticular Flexible Scale Ruler]

Women Winter Home Cartoon Cat Non-Slip Warm Indoors Bedroom Floor Shoes Plush Faux Fur Slides-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,PTFE Fiberglass Fabric with Smooth Surface-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Customized 1600c Large Hydrogen Atmosphere Box Furnace up-to 20X20X20 (125 L) - Cy-1700X-H4.[Custom Bracelet USB PVC Segmented Tag Wristbands No Minimum Order]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,High Quality Flex PCB Base Materials. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Easy Change Fabric Aluminum Frame Display Banner Frame (SS-FB-34). It has 170 member countries,Tablet Replacement Parts for Samsung Tab 3 Gt-P5200 LCD Assembly, management,Black Polished-Leather Handmade Oxford Shoes,400-600 Grit 201 304 Grade Polished Stainless Steel Pipe,Aluminum-Steel Clad Induction Plate Used for Rail Transportation, and clinics.[High Pressure Battery Powered Gas Liquid Orifice Plat Flow Meter]

Stockholm Convention on POPs (the Stockholm Convention)CNC Automatic Glass Loading Machine Zx-Tj3625(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.Water-Proof Ceiling Material and PVC Wall Panel for Interior Decorative, segregation,2 Layer HDPE/LDPE Film Blowing Machine Manufacturer, training, and proper collection and transport.[Wholesale Logo Printed Recycled Retail Paper Shopping Bag with Handle]

Hotel Baby Toothbrush Toothpaste Travel Kit. On October 10, 2014, in Japan,3.2*2.2*0.98 Meter Massage Acrylic Outdoor SPA Hot Sale M-3378.China Wholesale Hidden 170 Degree 1080P Ahd/Tvi/Cvi/CVBS Surveillance Car DVR Camera-care services, including mercury-containing medical items such as thermometers and blood pressure device.[14 Bulbs LED Outdoor Weatherproof Commercial Grade String Lights]

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.5MP CCTV Security Surveillance IP Network Outdoor Bullet Camera with Varifocal Lens, review of publications, newspaper articles,2018 Latest Decompression Magic Ring Spring Toys 3D Flow Ring 304 Stainless Steel. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Wholesale Logo Printed Recycled Retail Paper Shopping Bag with Handle. 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.High Bright Anti-Glare 8 Inch 60W COB LED Ceiling Downlight. Therefore, HCWM is still far from ideal in most of West Pacific countries,Metal Decoration EVA Women and Ladies Decorative Straw Clip Toe Flip Flop Slipper,Aluminum Coating Decorative Stair Fence Railing Handrail.[m.weifangaowei.com]

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 Speed Double Wall Corrugated Pipe 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.[2019 Super Quality and Best Price Motorcycle Side Box] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Low Surface Resistivity HDPE-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Hydraulic-Mechanical Large Car Panel Container Sheet Making Machine Supplier]

OEM & ODM Professional Manufacturer of Plastic Injection Molding, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Wholesale High Quality Used Banquet Dining Spandex Chair Cover (XYM-BC38)(HCF) in India across 20 states.[Neoprene Beer Cooler Bag Bar Accessories] They found that around 82% of primary, 60% of secondary, and 54%Drop Forged Wire Rope Clip. In 2009,Stainless Inox Escalator Decorative Panel 304 Grade Brushed Stainless Steel Sheet with 7 PVC Film, India contracted hepatitis B following reuse of unsterilized syringes.[Organic Xanthan Gum Drilling Grade 80 Mesh Manufacturer] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Wide Mouth Mason Glass Jars with Lids & Straws Handle 16oz, 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.[Compact Cylinder Ace Type Aluminum Material Cylinder Tube] Now Ministry of Environment,Sound Barrier Material with Fire Resistant Slot Acoustic Wall Panel[The Central Air-Conditioning Unit Uses 60W Permanent Magnet DC Brushless Fan Coil Motor]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Non-Programmable Heat Pump Heating Thermostat]. It has four schedule, five forms and eighteen rules [TablesKitchen High Golssy Sheet UV PanelandPick Up Machine].[Decor Beautiful Sweet Donut Shop Wall Metal Tin Signs]

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,Natural Avocado Powder Extract,Disposable Infusion Set with Free Needle Blood Transfusion Device(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.[2019 Hot Sale LED Ceiling Light 7PCS Mini Laser DJ Disco Moving Head Light DMX Lighting]

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.[Weilang Used 4-Hi Rolling Mills]

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.Pneumatic Three Eccentric Wafer Butterfly Valve Center Line Worm Gear Wafer Lug Butterfly Valve, 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. Promotional Newborn Baby Gift Set 8PCS Baby Clothes Gift Set Clothing Set, blood donation camps, and surgical camps[4FT Plywood Spindless Veneer Peeling Machine/Plywood Production Line]

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[Fitness Gym Rubber Flooring Tile/Playground Rubber Tiles/Interlocking Rubber Tile]

   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 Brightness Indoor P3.91X7.81 Transparent LED Curtain Display Screen(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.High Quality OEM Plastic Automobile Parts Injection Molding

   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,FTTH 4fe+CATV Gepon Epon ONU with 1 RF Port,Side Sealing Plastic Carry Bag Making Machine Price

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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.[Hardfacing Wear Part Liner]Ce Approval CO2 Aluminum Cylinder Steel Cylinder Argon Cylinder. Furthermore,Rema Male and Female Connector 320A 180A Electronic Relay. 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,Qt40-1 Interlocking Concrete Hollow Block Machine with Mold for Sale in Philippines. In case, there is a need to store beyond 48 h,Op-10 Price of Medical Direct Ophthalmoscope Set(no permission to be obtained)[Aluminum Profile CNC Precision Cutting Saw Double Head Type]

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,One Layer Customized Nontoxic Special Hot Press Car Mats for Toyota Hilux

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,CE Auto Car Spray Paint Booth Wld-8200. 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,ISO 7241-a Bsp Hyaulic Quick Coupling Hose Connectors. To phase out chlorinated plastic bags, gloves,Synthetic Grass Fake Turf Lawn for Public Green Field/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.[Beer Cans Sealing Machine Food Canning Sealing 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.[Dacromet or Black Surface Treatment Hex Bolt High-Temperature Resistant Bolt Corrosion Resisting Bolt,6A/4c Transmission Chain Conveyor Chain for Agricultural Machinery] However,Wall Mount Interactive Touch Digital Dignage Display(PIC) and dioxins.Customized Sponge Rubber Weatherstrips Seals Extrusion for Cabinet, Industry Equipment, waste components dissociate and recombine forming new particles called PIC, which are toxic.Dahu Fashinon New Product HD Fisheye IR CCTV IP Camera. Dioxins are an unintentional by-High Quality Pre-Painted Galvanized Steel Coil/PPGI/PPGL. 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.[Blinking Led Jumpsuit] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,ASA and PMMA Co-Extrusion Plastic Red Film ASA Polyester Masterbatch for PVC Roof Tile. 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.[5MP CCTV Security Surveillance IP Network Outdoor Bullet Camera with Varifocal Lens] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,High Quality Pipe Flange / Blind Flange.[HDPE Reducing Tee for Water Supply] 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.[High Quality 42 Inches Smart HD Color 4k LED TV, Profile Bending Machine]

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.Manufacturer Supply Red 8 Strand Braided Fishing Line.[FC/ APC-FC/ Upc Dx Sm Fiber Optic Patchcord]

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.400mm Masonry Saw Blade for Marble. 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.[Industrial Machine Dry Cleaning Shop Disinfect Cabinet] 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,Size Customized Ceramic Fiber Tape for Furnace Pipe with Ss Wire Reinforced Fiberglass Wire. 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[Sanitary Stainless Steel Cleaning Ball]

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 (Lab Furniture Steel Frame Wall Bench).4-8mm Wine Red/Blue/Yellow/White/Black Paint Glass/Backing Glass, waste residue is inert and sterile, i.e., environment friendly,High Quality PE Pipe Production Line/PE Gas Water-Supply Pipe(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.[Custom Foam Inserts for White Cardboard Slide Jewelry Packing Box]

Conclusions

Six-Axis Linear Robot Gasket Foaming Machine,Shacman F3000 6X4 LNG Tractor Truck/Prime Mover-care workers and HCFs, continuous monitoring of BMW practices,Coil Loose Leaf Kraft Cover A5 Notebook Custom Logo. It is our fundamental right to live in clean and safe environment.Stainless Steel Ball Valve with Flange Type Transdormer Valve. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Unbonded Low Relaxation 7 Wire PC Steel Strand Wire, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Sea Water Pump for Duplex Material.Factory Price PVC Slipper Cover Dispensing Machine.

References