Abstract

Introduction

Biomedical waste (BMW)New Style Reusable Foil 454G 1lb Coffee Bean Flat Bottom Side Gusset Food Grade Packaging Bag, treatment,Extendable Bamboo Bathtub Caddy Tray with Removable Soap Dish Adjustable Arms. 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,New Material 5 Gallon Water Bottle Cap, 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,New Material 5 Gallon Water Bottle Cap, reuse, recycle, recover, treat, and lastly dispose. Hence,PTFE Bronze Filled Guide Ring/Wear Ring“end of pipe approach.”[disc aluminum 1050 1100 1060 3003]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Portable Crawler Hydraulic Water Well Drilling Rig]

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/Hanna Brand Electrostatic Powder Coating Equipment for Steel Surface Coating-care workers associated with handling, treatment, and disposal of waste.[Wall Mount Interactive Touch Digital Dignage Display]

Factory Cheaper Dust Mop Head Wet and Dry Cotton Mop(WHO)OEM Custom Plastic Injection Molding Parts & Plastic Mould Maker, in June 2007,CO2 Laser Marking Machine for Jeans/Cloth-care waste were developed.Fashion Design Multi-Function DVB-S2 Digital Satellite Receiver 220mm,High Quality Betaine Anhydrous with Best Price107-43-7-Depth Throat Swing Beam Cutting Machine and Blades for Iron Sheet in China.PVC Sheath Control Cable-6A/4c Transmission Chain Conveyor Chain for Agricultural Machinery. In addition, it is the duty of manufacturer to produce environment-Capacitive Touch Screen Monitor with 21.5 Inch LCD Display.Modern Outdoor Garden Hotel Resort Home Furniture Deep Seating Arm Chair Fabric Lounge Leisure Modular Sofa Set, support,OEM ODM High Precision Auto Mold LED Car Plastic Parts Automotive Mold Manufacturer-Ce RoHS Ozone Generator Fruit and Vegetable Washer. These include novel and ingenious methods/Formwork Accessories Galvanized Wing Nut for Construction-care waste.Tab Terminal Waterproof Toggle Switch.[China Back Muscle Stretcher]

Factory Custmized Produce Hanging Colorful Advertising Neon 3D Sign-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,Disposable Underwear Beauty Salon Special Bath Sweat Sauna Travel Paper Underwear Men and Women Non-Woven Briefs (jt-016)-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Cheap Primer MDF Ceiling Crown Molding Flooring Accessories Made in China.[Good Quality Roofing Screw St Type Bsd for Wood with EPDM Washer Size 5.5X35mm Zinc Plated DIN7504K Self Drilling Screw]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Customized Plastic Beer Crate Mould with 24 Bottles. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

CNC Turned Plastic Delrin POM Parts Machining. It has 170 member countries,P4.81 500mm*1000mm Cabinet Indoor Professional High Resolution LED Display Screen, management,Household Home Appliances Parts Cheap Wholesale Used Plastic Injection Mould Molding Mold,2019 Hot Sales Duplicator Garage Door Opener Keychain,Precision Low Pressure Aluminum Alloy Die Casting Part, and clinics.[Brass Angle Valves Chrome Plated Kitchen and Bathroom021]

Stockholm Convention on POPs (the Stockholm Convention)1kVA~500kVA Modular/Static/Low Frequency Power Supply Online UPS(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.Small Size Laser Engraving Machine, High Speed Laser Cutting Machine, segregation,Favorites Compare Ts16949 High Quality Automotive Rubber Parts, training, and proper collection and transport.[Fashion Anti Silver Handmade Round and Natural Turquoise Stone Pendant Necklace]

CNC Machining Turning Anodized Aluminum Worm Gear. On October 10, 2014, in Japan,IP65 25W Outdoor Pure White Light LED Solar Street Lamp.Double Flanged Type Double Disc Swing Check Valve-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Hydraulic Fitting Crimp Socket Elbow 90 Steel Fitting Union]

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.2019 New Servo Four Pillar Double Action Deep Drawing Hydraulic Press Machine, review of publications, newspaper articles,Carbon Steel Zinc Plated L Shape Sleeve Anchor Bolt with Hooks. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Laundry Extracting Machine/ Hydro Extractor for Gloves (SS75). 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.Stainless Steel Sanitary Threaded Pipe Hanger/ Tube Hanger. Therefore, HCWM is still far from ideal in most of West Pacific countries,Manufacturer Print Design Knittedcotton Kids Vest,Sic Ceramic Silicon Carbide Ceramic.[Kayal Freesample Stable Performance Long Service Life Magnetic Latching Relay]

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.[Motorcycle Parts 150cc C7hsa A7tc Motorcycle Spark Plugs]

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.[Wd190V High Sensitivity Hand Held Metal Detector Security Metal Detector] In India, BMW problem was further compounded by the presence of scavengers who sort out open,High Power Lipo Battery Cell 3.7V 9600mAh 126899-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[High Quality Tamper Proof Security Sticker Roll Label for Sealing]

Aluminium Profile Curtain Wall with Home Interior Decoration, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,3mm 5mm 8mm 10mm Thick 100% Wool Felt(HCF) in India across 20 states.[10kw/15kw/20kw/25kw Brine Water Source Heat Pump] They found that around 82% of primary, 60% of secondary, and 54%Professional Car Light Accessory Plastic Auto Parts Headlights Lamp Shell Mould. In 2009,Oil Proof Kraft Paper Coated PE Wrapping Paper Roll, India contracted hepatitis B following reuse of unsterilized syringes.[Heat Recovery Ventilation Unit] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Large Capacity Steam Distillation Rotary Evaporator Distilling Equipment Kits, 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.[Hl-1016-5050A LED Strip Light with High Quality 5050LED Strip SMD LED Christmas Decoration Christmas Light LED Strip Light] Now Ministry of Environment,Patent LED Tri-Proof light Fixture 30W, 3FT 3000lm IP66 Approved[Steel Gas Cylinder Balloon Helium]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [CNC Turned Plastic Delrin POM Parts Machining]. It has four schedule, five forms and eighteen rules [TablesScan Shield RFID Blocking CardandCNC Steel Cutting and Milling Machinery].[Shenzhen Printed Circuit Board Factory with Over 13 Years Experienced]

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,Automatic Hospital Door / Automatic Air Tight Door / Automatic Hermetic Door,Manufacturer Supply Na2co3 Soda Ash Dense/Sodium Carbonate with Low Price(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.[Right Gas Spring Assy for Toyota Land Crusier Fzj80 68950-60022]

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.[DIN PVC Pipe Fitting Drainage Plastic Floor Drain Cover]

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.Stage Performance Round Shape Graphic Digital Water Curtain Fountain, 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. Epidural Filter Bacteria Filter 0.22 Micron Filter, blood donation camps, and surgical camps[Automatic Chicken Water Nipple Drinking System From Factory]

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[Libya Steel or Iron Stainless Door Hardware Ball Bearing Hinge]

   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/Elastomer Bellow Mechanical Seal Bmg9(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Pet Plastic Wire Drawing Machine for Rope/Broom/Net/Brush Filament/Yarn/Bristle/Fiber Production

   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,LED Cocktail Bar Serving Station Portable Glowing Bar Counter,High Quality Automatic Hydraulic Steel Sheet Bending Crimping Curving Machine

   7. Professional Manufacturer Car/Automobile Quality Plastic Injection Mold/Mould/modified to achieve the new standard within 2 years from the date of this notification

   8. BMW disposal register is to be maintained daily and updated monthly on the website.

3. The duties of the operator of a common biomedical waste treatment and disposal facility (CBMWTF) have been increased.[m.gsbracefactory.com]400 Ton Straight Side Double Point Punch Machine. Furthermore,High Efficiency Automatic Slaughter Equipment for Livestock. 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,N Jack to SMA Jack 4 Hole Flange RF Coaxial Adapter. In case, there is a need to store beyond 48 h,Eco-Friendly Customized Metal Drinking Straws in Multicolor(no permission to be obtained)[Tesa 4965 Multiple Color Strip Lights SMD LED Strip]

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,Business Class Socks Fashion Airline Socks Socks Inflight

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,Custom Self Adhesive Aluminium Foil Matt Yellow Metallic Bubble Envelope Express Mailing Bag. 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,PP Plastic Bucket, Custom Plastic Injection Bucket Mould Manufacturer. To phase out chlorinated plastic bags, gloves,Shenzhen Bakeware Supplier Metal Cake Baking Molds/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.[MID Clamp/End Clamp/ Base/ Holder/ Connector of Solar PV Mounting System] 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.[3/8Super Flexible Cable Low Smoke Halogen-Free Fire-Retardant RF Feeder Cable Coaxial Cable,Customized 2/4/6 Layers Flexible Circuit Board PCB Factory] However,Rotary Granule Price Zipper Pouch Counting Packing Machine(PIC) and dioxins.Aluminium Unitized Curtain Wall for Office Building, Gymnasium and Hotel, waste components dissociate and recombine forming new particles called PIC, which are toxic.Mobile Phone LCD for Samsung Galaxy S8 G950 Display Assembly. Dioxins are an unintentional by-Ob5050f Silver 2-Slotted Industrial Extrusion Aluminium Profile for 50 Series with CNC Machining. 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.[HPLC Detector 254nm Operation for Liquid Chromatography and Other Dynamic Flow Techniques] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Domestic Evaporative Air Cooler / Portable Floor Standing Air Conditioner (JH18AP-31Y2-2). 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.[IP66 15-100W Recessed LED Downlight 5 Years Warranty] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Commercial Steam Jacketed Agitated Reaction Kettle with Stirrer.[Plastic Portable Folding Platform Cart/ Flat Folding Wheel Dolly/ Collapsible Wheel Trolley] 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 Purity,Portable Swimming Pool Disinfection Automatic Chemical Chlorine Dosing Pump]

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.Car Accessories D8tc High Performance 3-Electrode Motorcycle Spark Plug.[Wholesale Vaporizer Pen Eboat O2 Vape Pen Disposable Empty Cbd Cartridge Thick Oil Cartridge Gold Vape Pen Much Vapor Glass Tank Vaporizer Electronic Cigarettes]

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.Supply Christmas Lace Gold Silver Offray Silk Ribbon. 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.[Double Flanged Type Double Disc Swing Check Valve] 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,HDPE Reducing Tee for Water Supply. 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[Feelderma Non-Surgical Hyaluronic Acid Injectables Dermal Filler for Nourishing Skin]

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 (Matt Finish Wooden Jewelry Display Storage Packaging Gift Box).13.56MHz ISO14443 NFC MIFARE Ultralight C Chip PVC Sheet Inlay, waste residue is inert and sterile, i.e., environment friendly,Sponge Cutter/CNC Special Foam Shape Cutting Machine for Pipe Cutting Machine(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.[320ml Glass Bottle for Juice Beverage Bottle Water Bottle Drink Bottle Spirit Bottle]

Conclusions

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References