Abstract

Introduction

Biomedical waste (BMW)Plastic Waste PE Film Recycling Grinding Washing Equipment, treatment,36*18W 6in1 Rgbaw UV Stage LED Moving Head Wash Light. 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,2 Bedroom Low Cost Portable Prefabricated Modular Mobile Steel Prefab Container Tiny House Sales in Philippines, 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,2 Bedroom Low Cost Portable Prefabricated Modular Mobile Steel Prefab Container Tiny House Sales in Philippines, reuse, recycle, recover, treat, and lastly dispose. Hence,Duraflame Fireplace Heater Electric Stove Home Heaters“end of pipe approach.”[Plastic Portable Folding Platform Cart/ Flat Folding Wheel Dolly/ Collapsible Wheel Trolley]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[ High Purity]

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/Hot Sale 3D Glass Printing Machine-care workers associated with handling, treatment, and disposal of waste.[Portable Swimming Pool Disinfection Automatic Chemical Chlorine Dosing Pump]

Hyaluronic Acid Injections for Buttocks 20ml Filler Manufactory Penis Enlargment(WHO)20mm Fitness Gym Floor Mat Tile, in June 2007,Soft Start Brushless DC Motor 3kw3000rpm48V Eif-Bl3348-care waste were developed.Australia Two Pins Power Cord with SAA Certification,Blind Flange Manufacture Supplier-Carbon Welded Square and Rectangle Steel Pipe.Automatic High Speed Folding & Gluing Machine for Corrugated Carton Box-China Factory and Manufacturers Industrial Grade Cellulose Ethers HPMC. In addition, it is the duty of manufacturer to produce environment-Car Door Trim Edge 49 FT Body Chrome Mold Scratch Guard Protector.Shinning Chameleon Mermaid Unicorn Nail Art Chrome Mirroe Pigment, support,Decorative Use PVC Sheet-New Style Reusable Foil 454G 1lb Coffee Bean Flat Bottom Side Gusset Food Grade Packaging Bag. These include novel and ingenious methods/Extendable Bamboo Bathtub Caddy Tray with Removable Soap Dish Adjustable Arms-care waste.New Material 5 Gallon Water Bottle Cap.[Nylon Bluek Continuous Tape Hook and Loop Roll Strap for Cable Tie]

PTFE Bronze Filled Guide Ring/Wear Ring-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,Hanna Brand Electrostatic Powder Coating Equipment for Steel Surface Coating-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Factory Cheaper Dust Mop Head Wet and Dry Cotton Mop.[Double Flanged Type Double Disc Swing Check Valve]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,OEM Custom Plastic Injection Molding Parts & Plastic Mould Maker. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

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Stockholm Convention on POPs (the Stockholm Convention)6A/4c Transmission Chain Conveyor Chain for Agricultural Machinery(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.Capacitive Touch Screen Monitor with 21.5 Inch LCD Display, segregation,Modern Outdoor Garden Hotel Resort Home Furniture Deep Seating Arm Chair Fabric Lounge Leisure Modular Sofa Set, training, and proper collection and transport.[320ml Glass Bottle for Juice Beverage Bottle Water Bottle Drink Bottle Spirit Bottle]

OEM ODM High Precision Auto Mold LED Car Plastic Parts Automotive Mold Manufacturer. On October 10, 2014, in Japan,Ce RoHS Ozone Generator Fruit and Vegetable Washer.Formwork Accessories Galvanized Wing Nut for Construction-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Aluminium/Aluminum Disc/Circle for Cookware/Utensile/Lighting Usage with Good Flatness 1050/1060/1070/1100/3003/3005]

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.Tab Terminal Waterproof Toggle Switch, review of publications, newspaper articles,Factory Custmized Produce Hanging Colorful Advertising Neon 3D Sign. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Disposable Underwear Beauty Salon Special Bath Sweat Sauna Travel Paper Underwear Men and Women Non-Woven Briefs (jt-016). 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.Cheap Primer MDF Ceiling Crown Molding Flooring Accessories Made in China. Therefore, HCWM is still far from ideal in most of West Pacific countries,Customized Plastic Beer Crate Mould with 24 Bottles,CNC Turned Plastic Delrin POM Parts Machining.[Polyethylene Bag Machine]

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.[Plastic Mould]

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.[Medical Disposable Oral Sponge Swabs] In India, BMW problem was further compounded by the presence of scavengers who sort out open,P4.81 500mm*1000mm Cabinet Indoor Professional High Resolution LED Display Screen-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Spinning Inflatable Disc Boat / Inflatable Spin Boat Water Toys]

Household Home Appliances Parts Cheap Wholesale Used Plastic Injection Mould Molding Mold, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,2019 Hot Sales Duplicator Garage Door Opener Keychain(HCF) in India across 20 states.[Hot Sale Ball Screw Sfu8010 with Best Quality and Good Price for CNC Machine From China Shac] They found that around 82% of primary, 60% of secondary, and 54%Precision Low Pressure Aluminum Alloy Die Casting Part. In 2009,1kVA~500kVA Modular/Static/Low Frequency Power Supply Online UPS, India contracted hepatitis B following reuse of unsterilized syringes.[Anchor Bolts M12 Wholesaler Quotes & PriceList] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Small Size Laser Engraving Machine, High Speed Laser Cutting 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.[Apollo 6 Full Spectrum LED Grow Light for Indoor Plants Hydroponic] Now Ministry of Environment,Favorites Compare Ts16949 High Quality Automotive Rubber Parts[Captive Portal Hot New Indoor Access Gateways Wireless Router]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Pdlc Switchable Tint Film Smart Glass Self-Adhesive Film]. It has four schedule, five forms and eighteen rules [TablesAuto Racing 1 Switch Panels Red Cover Toggle Switch 12V 20A Racing Ignition Switch Panel Engine Start Push Button 2 in 1 Toggle Ignition Switch PanelandSpecifically Designed Car Tapered Roller Carbon Steel Bearing 30222].[High Strength Pultruded GRP Tube Insulated FRP Pole Fiberglass Pole]

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,CNC Machining Turning Anodized Aluminum Worm Gear,IP65 25W Outdoor Pure White Light LED Solar Street Lamp(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.[Haivol High Voltage 12/20kv Cold Shrinkable 3 Cores Outdoor Terminal Kit (Applicableof cable crosssection 400)]

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.[API 5L/ASTM A106/A53 Carbon Seamless Steel Tubing Water Pipe Supplier]

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.Double Flanged Type Double Disc Swing Check Valve, CPCB have granted conditional or provisional approval to new technologies (other than notified under BMW Rules) for treatment of BMW. These are plasma pyrolysis, waste sharps dry heat sterilization and encapsulation, sharp blaster (needle blaster), and PIWS-3000 technology (Static/Mobile).

Salient Features of Biomedical Waste Rules 2016

1. 2019 New Servo Four Pillar Double Action Deep Drawing Hydraulic Press Machine, blood donation camps, and surgical camps[20 Grams Ozone Machine for Fruit and Vegetable Supply Plant]

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[Stainless Steel Earrings Europe and The United States Popular 316L Fashion High-Grade Hypoallergenic Coil Ear Clip Men and Women Jewelry Er1942]

   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/Carbon Steel Zinc Plated L Shape Sleeve Anchor Bolt with Hooks(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Laundry Extracting Machine/ Hydro Extractor for Gloves (SS75)

   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,Sic Ceramic Silicon Carbide Ceramic,High Power Lipo Battery Cell 3.7V 9600mAh 126899

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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.[150w Led Shoebox Light]3mm 5mm 8mm 10mm Thick 100% Wool Felt. Furthermore,Professional Car Light Accessory Plastic Auto Parts Headlights Lamp Shell Mould. 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,Oil Proof Kraft Paper Coated PE Wrapping Paper Roll. In case, there is a need to store beyond 48 h,Large Capacity Steam Distillation Rotary Evaporator Distilling Equipment Kits(no permission to be obtained)[P4.81 500mm*1000mm Cabinet Indoor Professional High Resolution LED Display Screen]

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,Patent LED Tri-Proof light Fixture 30W, 3FT 3000lm IP66 Approved

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,Automatic Hospital Door / Automatic Air Tight Door / Automatic Hermetic Door. 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,Eco-Friendly Customized Metal Drinking Straws in Multicolor. To phase out chlorinated plastic bags, gloves,Business Class Socks Fashion Airline Socks Socks Inflight/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 Aluminum Outdoor Concert Stage Mobile Stage] 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.[Small Hydroponic Growing Vegetable Indoor House Plants Hydroponic Cultivator,Marble Look Stone Textures Aluminum Sandwich Panel] However,Custom Self Adhesive Aluminium Foil Matt Yellow Metallic Bubble Envelope Express Mailing Bag(PIC) and dioxins.10 in 1 Multifunctional Salon Facial Beauty Machine for Skin Care for Beauty Salon (Beauty Salon Equipment), waste components dissociate and recombine forming new particles called PIC, which are toxic.Bomco Mud Pumps/China Manufacturer/Bi-Metal Cylinder Liner. Dioxins are an unintentional by-Wiibooxsweetin High Accuracy Touch Panel China Impresora 3D for DIY Chocolate Printing. 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.[Sublimation Custom Made Womens Yoga Pants Wholesale] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Carbon Steel/Stainless Steel/Galvanized Steel Longitudinal Seam Pipe Making Machine. 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.[High Quality Sintered Diamond Circular Saw Blade for Granite Cutting] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Motorcycle Parts 150cc C7hsa A7tc Motorcycle Spark Plugs.[ Laser Cut Machine] 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.[Ripstop Cotton Fabric with Flame-Retardant Finish 280GSM,120X120X25mm 12V 24V Computer DC 120mm PC Fan with LED]

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.Best Price Wastewater Treatment STP Treat All Kinds of Sewage to Discharge Irrigation Reuse .[20 Pcs Dental Sterilizing Cassette]

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 Quality Thread Rolling Machine Rebar Threading 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.[256X256mm P16 LED Module Display 1r1g1b Outdoor Billboard] 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,Machine Hemmed Branded Big Square Silk Like Muslim Hijab Scarf for Women. 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[12 Bottles Portable Home Ues Thermoelectric Wine Chiller]

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 (Wholesale Dry Fit Plain Sport Suit Top and Pants Man′s Club T Shirt Team Shirt).1.0mm*2 Wire Max Wire Tw1061t, waste residue is inert and sterile, i.e., environment friendly,Manufacturer High Quality P-Toluene Sulfonamide/Ptsa(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.[UV Light Change Colors ABS Filament 3D Printer Printing Material]

Conclusions

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References