Abstract

Introduction

Biomedical waste (BMW)Utility Knife - Smallest Keychain Knife Using Utility Blades - Disappears in Pocket, Keychain, or Wallet - Quark Tool, treatment,Nt Build 492 Concrete Migration Tester with Non-Steady State. 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,Promotional Hot Sale Inflated Helium Balloons for Christmas Party, 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,Promotional Hot Sale Inflated Helium Balloons for Christmas Party, reuse, recycle, recover, treat, and lastly dispose. Hence,Skateboard Hybrid Ceramic Ball Bearing 608“end of pipe approach.”[Wired Outdoor Active Photoelectric Beam Detector]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Pet Sleeve Shrinking Label /Hot Pet Shrink Label Heating Roll Label Film in China Factory]

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/Woman Fitness Long Sleeve Sweatshirt Gym Wear Yoga Sports Clothing-care workers associated with handling, treatment, and disposal of waste.[Chicken Paw/Wing/Leg/Meat Weight Sorter with Low Price]

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18V New Power Tool Lithium Battery Cordless Drill for Sale-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,Small Mini Wire Rope Lever Manual Hoist Block with Hand Lifting-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,High Brightness P3/P4/P5/P6/P8/P10 Full Color Outdoor LED Display.[Wfj Series Fine Pulverizer Grinder Unit]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Heat Transfer Films/Heat Press Films. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

China High Quality Adhesive Dispensing Machines Manufacturers for Electronics. It has 170 member countries,Simple Modern Small Apartment Leather Sofa Living Room First Layer Cowhide Three-Family Furniture Hotelhb01-92, management,High End Fancy Sequins Embroidery Lace Fabric,America 12V 4pin Blade Trailer Plug,Smooth Surface Stainless Steel Banding Strap for Binding Cables, and clinics.[10W Outdoor Solar LED Floodlight Lamp Waterproof Flood Light]

Stockholm Convention on POPs (the Stockholm Convention)New fashion Kids Warm Winter Boots(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.Best Seller Laser Machine Reci CO2 Laser Tube Price, segregation,Six Colors Custom Logo Schoolbag Child Breathable 1-3-6 Primary Students Boys Girls Korean Cartoon Pack, training, and proper collection and transport.[Aluminum Screen High Building Facade Aluminum Window Louver]

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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.Wholesale 300tc Luxury Hotel Quality Cotton 3cm Stripe Bed Linen Duvet Cover/Comforter Cover, review of publications, newspaper articles,Wall Bench with Frame Lab Furniture (JH-WF002). The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,New Product 4X2 Road Rescue Truck 2t 3t Road Wrecker Truck. 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.Rigging Hardware Turnbuckles with Hook and Eye. Therefore, HCWM is still far from ideal in most of West Pacific countries,AISI H13 SKD61 1.2344/X40crmov5-1 Forged Rolled Mould Steel Flat Bar,45# Steel Folding Wrench Hex Wrench 14 Inch Cross Socket Wrench Hardware Auto Repair Tools.[750 760 Iron Oxide Factory Iron Black]

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.[Car Auto Spare Parts Auto Parts Fuel Pump Price 1j0919051b]

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.[HSS Straight Sleeve Ejector Pin] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Wholesale Men′s Polycotton Customized Orange Bucket Hat with Cigarette Holder-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[GSM Series Antenna Customized Connector Flat GSM Antenna]

No. 1062 20PCS Tools, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,SMT PCB Antistatic ESD Magazine Rack for Gear Adjustment PCB Storage(HCF) in India across 20 states.[Coil Tube 304 Grade Stainless Steel Manufacturer] They found that around 82% of primary, 60% of secondary, and 54%DC 12V 24V Worm Gear Motor Cw & Ccw for Home Appliance Machine. In 2009,Factory Direct Sales Energy Efficient DC Solar Centrifugal Water Pump (S122T-30), India contracted hepatitis B following reuse of unsterilized syringes.[Good Price Small Pouch Sachet Pure Drinking Mineral Water Filling Sealing Machine / Liquid Bag Bottling Making Packing Equipment] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Diesel Engine Lubricating Oil Dky176, 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.[Four Layer Cat Playing Scratching Tree 50′′] Now Ministry of Environment,Good Price Double Door Drying Dewatering Machine in Stock[Aluminum-Steel Clad Induction Plate Used for Rail Transportation]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Acrylic Laser Engraving Cutting Machine Price 1325 1530]. It has four schedule, five forms and eighteen rules [TablesWholesale New Products High Quality Cheap Machine Cavitation Explosive Speed Grease Cavitation SlimmingandGSM RTU Temperature Humidity GPRS Remote Controller GPRS/3G/4G/Nb-Iot S474].[BPW Wheel Hub Bolt M22X1.5/M22X2X118]

Table 1

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

China

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,Handwheel Ductile Iron Wafer Knife Gate Valve,BPA Free Octopus Design Silicone Baby Teethers Chewing Toys(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.[Steyr Wd615 Engine 190HP Inboard Outboad Boat Motor Speedboat Engine]

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.[Durable Anodized 6061 CNC Aluminum Turning Milling Part Machining]

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.China Supplier Non-Slip Stainless Steel Anti-Slip Crampon Outdoor Walking Hiking Climbing Snow Ice Crampons, 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. Reliable Quality Flange Ends Stainless Steel Butterfly Valve with Gear Operator, blood donation camps, and surgical camps[Wiibooxsweetin High Accuracy Touch Panel China Impresora 3D for DIY Chocolate Printing]

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[Crown Moulding for Gypsum Cornice]

   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/5mm Spc Vinyl Planks Click Lock Floor PVC Plastic Laminate Flooring(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Glow in The Dark Luminous Pigment, Bright Nights Glow Powder

   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,Protective Blue Color Soft Plastic PVC Film for Window Glass,OEM Anti Vibration Mats Rubber Pad Feet

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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.[License Plate Frame Metal]Food Grade Silicone Bottle Brush Baby Bottle Brush. Furthermore,Free Sample Compressor Start 12V Relay 16 a. 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,Car Auto Spare Parts Auto Parts Fuel Pump Price 1j0919051b. In case, there is a need to store beyond 48 h,Customized ABS High Polishing Products Plastic Injection Molding Service(no permission to be obtained)[High Insulating BMC Motor Terminal Plate (Y2 General)]

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,Hydraulic Fitting Crimp Socket Elbow 90 Steel Fitting Union

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,2017 Customized PP Strapping Band Roll Strap. 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,Logo Printed Cardboard with Handle for Cake Carrier Packaging Box. To phase out chlorinated plastic bags, gloves,Stainless Steel Manual Glass Kitchen Ajustable Pepper with Low Price/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.[Summer Elegance Oeko Tex-100 Quality 100% Mulberry Silk Quilt] 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.[High End Fancy Sequins Embroidery Lace Fabric,Cold Drawn/Rolled Seamless Steel Pipe for Hydraulic and Fuel Injection Tubing] However,Skid Steer Front Wheel Loader with Backhoe Mini Excavator(PIC) and dioxins.Characters Picture LCD Display Cog Stn Glass LCM, waste components dissociate and recombine forming new particles called PIC, which are toxic.One Heads CO2 Laser Cutting Engraving Printing Automatic Machine for Plywood Wood Acrylic PVC Fabric. Dioxins are an unintentional by-Hydraulic Foam Concrete Block Making Machine. 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.[Animal Cheap Foldable Custom 190t Polyester Folding Shopping Bag] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Chengli Brand HOWO Chassis 10-12tons Standard Fire Truck Dimensions. 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.[Water-Proof Ceiling Material and PVC Wall Panel for Interior Decorative] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Low Prices Industrial High Pressure Piston Portable Mini Electric Air Compressor Air-Compressors 5500W 500L Air Compressor Portable.[Wide Mouth Mason Glass Jars with Lids & Straws Handle 16oz] 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 Voltage Relay for New Energy Vehicle,2018 Latest Decompression Magic Ring Spring Toys 3D Flow Ring 304 Stainless Steel]

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.Sand Agent Tp40 Is an Ideal Art-Type Additive for Powder Coating.[Factory Cheap Backpack 4 in 1 Garden Tool Knapsack Brush Cutter]

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.Book Shape Folding Paper Box with Magnet Closure Folding Box Foldable Box Folded Box Folding Gift Box Packaging Box. 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.[Custom Coffee Mugs New Bone China Mug with Decal Funny Coffee Mugs] 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,Ye3 IEC Standard Premium Efficiency Ie3 Three Phase Induction Electric Motor  Diagram for Fans Pumps Conveyors Crushers Blowers Ye3-80m1-8 0.18kw. 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[Dongfeng 6X4 15cbm High Presure Sewage Suction Sludge Vacuum Tanker Cleaning Fecal Truck]

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 (CCTV 2.0megpixel Mini Wdm HD-Ahd Pinhole Camera).Manual Steel Strap Buckleless Combination Machine Packing Tool for Metal Strip 25mm, waste residue is inert and sterile, i.e., environment friendly,Pet Dog Puppy Night Safety Reflective Traction Rope Harness Leash(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.[15 Mobile Portable Wireless USB FM Bluetooth Battery Speaker]

Conclusions

Custom Made Metal Stamping U Shape Holder Connecting Parts,Popular Medical Equipment 3 Function Manual Wholesale Hospital Bed-care workers and HCFs, continuous monitoring of BMW practices,4-Wheel Folding Electric Mobility Scooter with 2019 New Design. It is our fundamental right to live in clean and safe environment.SS316L Wire Mesh Stainless Steel Double Layers Filter. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,New Outdoor Hiking Climbing Shoes Sports Safety Shoes, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-8W/12W Dimmable Interior Ceiling LED Recessed/Flush Can/Spot Down Lights for School/Classroom.Stainless Steel 316 Pneumatic Positive Displacement Manufacturers Pump.

References