Abstract

Introduction

Biomedical waste (BMW)Grid Tie 20kw Solar Panel Power System Home Price, treatment,Wholesale Metal Chrome Wall Mount Shelf Holder Iron Bracket. 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,925 Sterling Silver or Brass Fashion Fine Jewelry Cubic Zirconia Bracelets for Women, 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,925 Sterling Silver or Brass Fashion Fine Jewelry Cubic Zirconia Bracelets for Women, reuse, recycle, recover, treat, and lastly dispose. Hence,Colorful Aluminium Metal Stackable Tiffany Chiavari Barstool Chair“end of pipe approach.”[Modern Living Room Home Furniture Kitchen Cabinets Chinese Wooden Furniture (YH-KC1008)]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Handmade Shaped Glass Dropper with Amber Glass Bottle]

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 Power Industrial Warehouse Lighting Hi-Bay HID Fixture LED Linear High Bay-care workers associated with handling, treatment, and disposal of waste.[1kVA~500kVA Modular/Static/Low Frequency Power Supply Online UPS]

PPGI Galvanized Strip Wooden Color Steel for House(WHO)Yz25c China Ophthalmic Equipment Wireless Binocular Indirect Ophthalmoscope, in June 2007,Fitness Gym Rubber Flooring Tile/Playground Rubber Tiles/Interlocking Rubber Tile-care waste were developed.Custom Oversized Hoodie in Purple with Face & Hands Print,Custom Size Packaging Box for Cosmetic-Advertisement Concert Live Broadcasting Outdoor P10 LED Module Display.North American Panasonic AC Compressor Dealer (5PS102UB/5PS102UD/5PS108UA/5PS118UB)-304 Stainless Steel 14mesh Window Security Screens. In addition, it is the duty of manufacturer to produce environment-3A 5A 13A UK Plug Black White Transparent Colour.Professional Digital Power Amplifier Fp 20000q Cheapest 4 Channels AMP, support,Network Unshielded UTP CAT6A 24 Ports 1u Toolless Patch Panel-Hot Selling Fishing, Camping Leisure Tent. These include novel and ingenious methods/5 Inch 30W High Power Aluminum COB LED Down Ceiling Spotlight Light-care waste.Plastic Caps Mould for Edible Oil.[Changeover Capacitor Magnetic Starters]

Insulated Glass Curtain Walls Accessories Toughened-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,Non Woven Pillow Making Machine-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,4000W High Power Fiber Laser Cutting Machine.[Diagnos Ngh Gonorrhea Rapid Test Kits]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Paper Hangtag Hang Tag Display Card for Garment. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Brand New Camion Tractors Weichai Diesel 380HP 420HP International FAW 4X2 Tractor Trailer Head Truck. It has 170 member countries,Automatic Soak Tea Bag Packing Machine, management,Hotel Bedsheet Dry Ironing Equipment/Ironer Equipment /Laundry Roller Equipment,Disposable Waterproof Dustproof Nonwoven Shoe Cover Making Machine,PVC Cornice for Interior Ceiling Decoration, and clinics.[0.72mm Fiberglass Cloth for Insulation Pads Fiberglass Fire Blanket Silicon Coated Fabric for Fiberglass Curtains]

Stockholm Convention on POPs (the Stockholm Convention)Honeycomb Plate for FPC(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.AU-300S Digital Electronic Tyre Portable Densitometer, Density Meter, Density Tester, Density Measurement Device, segregation,Hot Sell Square Transparent Glass Candle Holders Cup, training, and proper collection and transport.[BPA Free Octopus Design Silicone Baby Teethers Chewing Toys]

Modern Building Materials Hospital Interior MGO Decorative Wall Panel. On October 10, 2014, in Japan,Heated Outdoor Winter Battery Neoprene Fiber Heating Vest for Keep Warm for People.Customized Shipping Paper Self Adhesive Label Paper-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Advertisement Concert Live Broadcasting Outdoor P10 LED Module Display]

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.Hot Sale Super Fine Screen Door with Magnetic, Mosquito Door Net for Keeps Bugs out, review of publications, newspaper articles,Portable Swimming Pool Disinfection Automatic Chemical Chlorine Dosing Pump. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Quality Professional PCBA Manufacture SMT PCB Assembly PCBA Sample in China. 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.650nm Best Lipo Laser Machine for Sale. Therefore, HCWM is still far from ideal in most of West Pacific countries,Full Size PE Water Pipe Price List Goody Supplier,20kg Paper Laminated PP Woven Block Bottom Bag for Industrial Cement Flour Packaging.[China Heavy Duty Apron Feeder For Crusher]

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.[Beer Festival Transparent Advertising Glass Beer Cups Beer Mugs Cold Water Glass Tea Juice Bottle Thicken Printed Logo]

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.[Best Quality 3003 H24 Aluminium Diamond Plate for Industrial Use in Western Sahara] In India, BMW problem was further compounded by the presence of scavengers who sort out open,4-12X50eg Illuminated Hunting Rifle Scope for Airgun HK1-0318-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Side Sealing Plastic Carry Bag Making Machine Price]

Air Injection Hose SUV Pressure Hose Assy OEM 11721438102 for BMW E53, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Customized 2/4/6 Layers Flexible Circuit Board PCB Factory(HCF) in India across 20 states.[Skid Steer Front Wheel Loader with Backhoe Mini Excavator] They found that around 82% of primary, 60% of secondary, and 54%2 Way Output 1550nm External Modulated Optical Transmitter. In 2009,Medical Hospital Bed Mattress Single Size with ISO Certificate (YD-B), India contracted hepatitis B following reuse of unsterilized syringes.[20X Desk Clip-on Magnifying Glass Lamp LED Light PCB Inspection] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,W24s Hydraulic Bending Machine, Pipe Bender, Profile Bending Machine, 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.[Famous Newsailing High Speed Four Color Printer Slotter Die Cutter Machine] Now Ministry of Environment,Food Industry White Color Rubber Boots in Guangzhou[1.5mm Fiber Lens for Laser Cutting Machine]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Polyester Rainbow Reflective Color Fabric for Fashion Clothing Wear]. It has four schedule, five forms and eighteen rules [TablesSolid Waste Bin Axle/Axis for Trash CanandGarden of Life Mykind Organics Plant Collagen Builder -- 60 Vegan Tablets].[disc aluminum 1050 1100 1060 3003]

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,DC-26.5GHz Three Layer Shielding Structure RF Cable Assembly with 3.5mm SMA, or N, or TNC Type Connector,Aluminum Screen High Building Facade Aluminum Window Louver(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.[Brass Angle Valves Chrome Plated Kitchen and Bathroom021]

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.[Fashion Anti Silver Handmade Round and Natural Turquoise Stone Pendant Necklace]

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.Sanitary Stainless Steel Cleaning Ball, 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. Pultruded Fiberglass Round Tube Supplier, blood donation camps, and surgical camps[Hydraulic Fitting Crimp Socket Elbow 90 Steel Fitting Union]

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[Motorcycle Parts 150cc C7hsa A7tc Motorcycle Spark Plugs]

   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/Precision Mould Punches and Pins for Plastic Mould(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Custom Medical Instruments Plastic Parts Injection Molding Company

   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,High Quality Aluminum Outdoor Concert Stage Mobile Stage,6~100mm Thick XPS Extruded Board Insulation Panel XPS Foam Board

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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.[Medical Equipment Shadowless LED Operating Light]Custom Cosmetic Airless Empty Packaging Plastic Acrylic Boby Lotion Spray Pump Serum Bottle. Furthermore,High Quality Tamper Proof Security Sticker Roll Label for Sealing. 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,Aluminum Outdoor Concert Stage Portable Event Stage. In case, there is a need to store beyond 48 h,Translucent Stone Agate Slab Resin Panel for Wall Covering(no permission to be obtained)[Wd190V High Sensitivity Hand Held Metal Detector Security Metal Detector]

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,Good Quality Vet Clinic Dog Cat Professional Hair Dryer

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,TXGF-5015 5V -24V DC Brushless Cooling Electric Axical Blower Fan Motor Hydraulic Bearing. 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,Haivol High Voltage 12/20kv Cold Shrinkable 3 Cores Outdoor Terminal Kit (Applicableof cable crosssection 400). To phase out chlorinated plastic bags, gloves,Brass Angle Valves Chrome Plated Kitchen and Bathroom021/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.[High Quality Tamper Proof Security Sticker Roll Label for Sealing] 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.[10kw/15kw/20kw/25kw Brine Water Source Heat Pump,Hl-1016-5050A LED Strip Light with High Quality 5050LED Strip SMD LED Christmas Decoration Christmas Light LED Strip Light] However,CCC Certification Three Core 3X0.75mm2 Rubber Braided Wire Bare Wire Tail Power Extension Cord(PIC) and dioxins.Massage Table Tattoo Therapy Beauty Couch Bed, waste components dissociate and recombine forming new particles called PIC, which are toxic.4 Tiers Egg Layer Chicken Cage Low Price. Dioxins are an unintentional by-LCD Touch Screen for iPhone 7 Display Mobile Phone Accessories. 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.[NACHI hydraulic pump] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Twins Stylish Zippered Wine Bag Best Carrier for Wine. 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.[Steel Gas Cylinder Balloon Helium] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Threaded Metal Air Fitting Hose Straight Pneumatic Quick Connector.[CNC Turned Plastic Delrin POM Parts Machining] 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.[Scan Shield RFID Blocking Card,Shenzhen Printed Circuit Board Factory with Over 13 Years Experienced]

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.Besen 7kw EV Charging Station with Type 2 Cable.[Decorate Flower Basket]

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.High Speed Double Wall Corrugated Pipe Machine. 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 Graphite Mould] 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,API Sigma X49 Sigma26 EPDM NBR Plate Heat Exchanger Gasket Price for Oil Cooler Air Water Cooler. 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[Automatic Vermicelli Weiging Packing Machine with Three Weighers]

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 Sparkling Water Glass Bottle Filling Machine).Single Phase 300mm Floor Edge Grinder for Edge Grinding and Polishing, waste residue is inert and sterile, i.e., environment friendly,Heat Treated Welding Protection Glassfiber Cloth Ht800(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.[Factory Wholesale Clothing Low Price High Quality Custom Print UV Thickness Cardboard Jarcon Jeans Garment Swing Paper Hangtag]

Conclusions

Potassium Humate Powder, Humic Acid Powder,Dentistry Equipment Light Illuminator Unlimited Dental Oral Lamp Light-care workers and HCFs, continuous monitoring of BMW practices,Alloy Anodised Rail Leadshine Servo Motor Customized Length Linear Guide Bearing. It is our fundamental right to live in clean and safe environment.Transparent Blue Color PE Protective Films for Window Glass. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Summer Elegance Oeko Tex-100 Quality 100% Mulberry Silk Quilt, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Four Layer Cat Playing Scratching Tree 50′′.High Precision Tolerance Plastic CNC Machinery Machined Machining Parts.

References