Abstract

Introduction

Biomedical waste (BMW)High Quality Flex PCB Base Materials, treatment,Easy Change Fabric Aluminum Frame Display Banner Frame (SS-FB-34). 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,Tablet Replacement Parts for Samsung Tab 3 Gt-P5200 LCD Assembly, 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,Tablet Replacement Parts for Samsung Tab 3 Gt-P5200 LCD Assembly, reuse, recycle, recover, treat, and lastly dispose. Hence,Black Polished-Leather Handmade Oxford Shoes“end of pipe approach.”[Eco-Friendly Customized Metal Drinking Straws in Multicolor]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Bathroom Steam Shower Cabin Wet Room]

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/400-600 Grit 201 304 Grade Polished Stainless Steel Pipe-care workers associated with handling, treatment, and disposal of waste.[G06p21L Newly Design Hanging Wheel 304 Stainless Steel Sliding Glass Frameless Shower Screen]

Aluminum-Steel Clad Induction Plate Used for Rail Transportation(WHO)CNC Automatic Glass Loading Machine Zx-Tj3625, in June 2007,Water-Proof Ceiling Material and PVC Wall Panel for Interior Decorative-care waste were developed.2 Layer HDPE/LDPE Film Blowing Machine Manufacturer,Hotel Baby Toothbrush Toothpaste Travel Kit-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-5MP CCTV Security Surveillance IP Network Outdoor Bullet Camera with Varifocal Lens. In addition, it is the duty of manufacturer to produce environment-2018 Latest Decompression Magic Ring Spring Toys 3D Flow Ring 304 Stainless Steel.Wholesale Logo Printed Recycled Retail Paper Shopping Bag with Handle, support,High Bright Anti-Glare 8 Inch 60W COB LED Ceiling Downlight-Metal Decoration EVA Women and Ladies Decorative Straw Clip Toe Flip Flop Slipper. These include novel and ingenious methods/Aluminum Coating Decorative Stair Fence Railing Handrail-care waste.Low Surface Resistivity HDPE.[Halloween Hair Accessories Skull Bat Pumpkin Ghost Pattern Halloween Headband Head Bopper Hair Clip for Kids Hal]

OEM & ODM Professional Manufacturer of Plastic Injection Molding-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,Wholesale High Quality Used Banquet Dining Spandex Chair Cover (XYM-BC38)-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Drop Forged Wire Rope Clip.[Newbrand Disposable Cup Shape Face Mask with Valve Machine Equipment in China]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Stainless Inox Escalator Decorative Panel 304 Grade Brushed Stainless Steel Sheet with 7 PVC Film. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Wide Mouth Mason Glass Jars with Lids & Straws Handle 16oz. It has 170 member countries,Sound Barrier Material with Fire Resistant Slot Acoustic Wall Panel, management,Natural Avocado Powder Extract,Disposable Infusion Set with Free Needle Blood Transfusion Device,Pneumatic Three Eccentric Wafer Butterfly Valve Center Line Worm Gear Wafer Lug Butterfly Valve, and clinics.[2017 Popular Hot Selling Wholesale Living as Summer Flowermint Tobacco Flavor Electronic Cigarette Refill Liquid]

Stockholm Convention on POPs (the Stockholm Convention)Promotional Newborn Baby Gift Set 8PCS Baby Clothes Gift Set Clothing Set(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.High Brightness Indoor P3.91X7.81 Transparent LED Curtain Display Screen, segregation,High Quality OEM Plastic Automobile Parts Injection Molding, training, and proper collection and transport.[High Quality Cotton Dyed Embroidery Thick Bath Towel Hotel Towel Swimming Towel]

Fire Alarm Smoke Detector Addressable Audio/Visual Alarm (640-004). On October 10, 2014, in Japan,10mm Stainless Steel Sheet Metal Fiber Laser Cutting Machine Price.FTTH 4fe+CATV Gepon Epon ONU with 1 RF Port-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Custom Printable PVC 125kHz EM4200/TK4100  RFID Student ID Card]

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.Side Sealing Plastic Carry Bag Making Machine Price, review of publications, newspaper articles,Computer Jacquard Lace Embroidery Machine. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Ce Approval CO2 Aluminum Cylinder Steel Cylinder Argon Cylinder. 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.Rema Male and Female Connector 320A 180A Electronic Relay. Therefore, HCWM is still far from ideal in most of West Pacific countries,Qt40-1 Interlocking Concrete Hollow Block Machine with Mold for Sale in Philippines,Op-10 Price of Medical Direct Ophthalmoscope Set.[Sluice Gate Valve]

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.[100% Water Soluble Fertilizer NPK Fertilizers]

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.[Military Using Bomb Signal Jammer Blocking GSM/2g/3G/4glte/GPS Signal Cover Radius 50-100m] In India, BMW problem was further compounded by the presence of scavengers who sort out open,One Layer Customized Nontoxic Special Hot Press Car Mats for Toyota Hilux-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Black Slim PU Leather Passport Travel Wallet]

CE Auto Car Spray Paint Booth Wld-8200, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Hot Sale Rose Gold Round Decorative Diffuser Glass Bottle with Reed Stick(HCF) in India across 20 states.[Mobile Domestic Wastewater Treatment Complete Sludge Site Dewatering System Unit] They found that around 82% of primary, 60% of secondary, and 54%Electric Motor with 220V Air Compressor Motor. In 2009,120X120X25mm 12V 24V Computer DC 120mm PC Fan with LED, India contracted hepatitis B following reuse of unsterilized syringes.[Outdoor LED City Light 72*10W RGBW LED Wall Washer] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,2017 2117 2618 Extruded Square Round Rectangular Aluminum Bar, 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.[Hot Sell Square Transparent Glass Candle Holders Cup] Now Ministry of Environment,Cold Drawn/Rolled Seamless Steel Pipe for Hydraulic and Fuel Injection Tubing[Industrial Vacuum Rotary Drum Filter]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [2019 Hot Sales Duplicator Garage Door Opener Keychain]. It has four schedule, five forms and eighteen rules [TablesCarbon Ss400 Farm Gates 1.5 Inch Galvanized Steel Pipe Price Per MeterandUHF Hf Uitralight Tags NFC RFID Sticker for Asset Tracking].[Wholesale 20mm 100% Nylon Hook and Loop Tape]

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,Fully Automatic Machine PCBA Assembly Manufacturer Fast Mobile Phone Charger PCB Board Assembly,Naamm Webforge Type 19 W4 Hot-DIP Galvanized Steel Grating(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.[Stainless Steel Quick Release Exhaust V Band Clamp with Male Female Flange]

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.[Wrangler Jk 07+ Engine Hood Sheild Plate Radiator Cover for Jeep]

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.Electric 3 Wheel Beer Bike for Sale with Water Sink, 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. Wiring Terminal Stamping Part, Electrical Terminal Part, blood donation camps, and surgical camps[Desheng Industrial High Speed Precision 3 Axis Linear Way Vertical CNC Milling Machining Center]

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[Air Injection Hose SUV Pressure Hose Assy OEM 11721438102 for BMW E53]

   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/Fiberglass Mesh Filter for Castings(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.DVB-S2 Digital Satellite Receiver with WiFi and Youtobe Function

   3. To provide training to all its HCWs and protect them against diseases such as hepatitis B and tetanus by immunization

   4. Small Tracked Transport Vehicle, Agricultural Machinery Garden Mini Crawler Loader

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   6. All major accidents including accidents caused by fire hazards, blasts,ISO 7241-a Bsp Hyaulic Quick Coupling Hose Connectors,Synthetic Grass Fake Turf Lawn for Public Green Field

   7. Wall Mount Interactive Touch Digital Dignage Display/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.[Industrial Original Cheap Brown Kraft Paper Core for Printer 0.5inches * 220mm]Customized Sponge Rubber Weatherstrips Seals Extrusion for Cabinet, Industry Equipment. Furthermore,Dahu Fashinon New Product HD Fisheye IR CCTV IP Camera. 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,High Quality Pre-Painted Galvanized Steel Coil/PPGI/PPGL. In case, there is a need to store beyond 48 h,ASA and PMMA Co-Extrusion Plastic Red Film ASA Polyester Masterbatch for PVC Roof Tile(no permission to be obtained)[Lambo Door Kits for Sale]

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,High Quality Pipe Flange / Blind Flange

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,Manufacturer Supply Red 8 Strand Braided Fishing Line. 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,AISI D3 Cold Work Tool Steel. To phase out chlorinated plastic bags, gloves,Electronic Keypad Smart Digital Gym Locker Lock/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.[Production and Supply of FRP Fiber Products] 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.[Customized Size Aluminum Screen Printing Frames,One Layer Customized Nontoxic Special Hot Press Car Mats for Toyota Hilux] However,Australia Galvanised Steel Universal Column 100UC14.8(PIC) and dioxins.Factory Direct Supply 4 Inch Schedule 40 Pre-Galvanized Steel Pipe, waste components dissociate and recombine forming new particles called PIC, which are toxic.EPDM 1/4′′ X 50 Foot Red / Green Twin Hose with B B Fittings. Dioxins are an unintentional by-Six-Axis Linear Robot Gasket Foaming 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.[Door Switch For Refrigerator Factory OEM/ODM Products] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Shacman F3000 6X4 LNG Tractor Truck/Prime Mover. 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.[2018 Couple Watches Top Brand Famous Women Men Lovers Watch Female Male Clock Quartz Watch for Lovers Gift] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Coil Loose Leaf Kraft Cover A5 Notebook Custom Logo.[Best Industria Home Server Low Power PC 5V Mini Computer Desktop PC] 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 Automatic Hydraulic Steel Sheet Bending Crimping Curving Machine,EPE Foam Extruder Best Price Polyethylene Knotless Net Extruder]

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.Stainless Steel Ball Valve with Flange Type Transdormer Valve.[Supplier Stainless Steel 316 Johnson Water Well Wrap Screen]

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.Unbonded Low Relaxation 7 Wire PC Steel Strand Wire. 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.[Top Level Quality Brass Angle Valve for Hotel Projects A1311] 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,Sea Water Pump for Duplex Material. 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[Business Class Socks Fashion Airline Socks Socks Inflight]

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 (Factory Price PVC Slipper Cover Dispensing Machine).High Quality 42 Inches Smart HD Color 4k LED TV, waste residue is inert and sterile, i.e., environment friendly,CNC Hydraulic Press Brake, Sheet Metal Plate Bending Folding 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.[Toko Brand Stainless Steel Welding Electrode E312]

Conclusions

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References