Abstract

Introduction

Biomedical waste (BMW)Low Surface Resistivity HDPE, treatment,OEM & ODM Professional Manufacturer of Plastic Injection Molding. 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,Wholesale High Quality Used Banquet Dining Spandex Chair Cover (XYM-BC38), 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,Wholesale High Quality Used Banquet Dining Spandex Chair Cover (XYM-BC38), reuse, recycle, recover, treat, and lastly dispose. Hence,Drop Forged Wire Rope Clip“end of pipe approach.”[Bomco Mud Pumps/China Manufacturer/Bi-Metal Cylinder Liner]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[ Pet Bottle Automatic Shrink Sleeve Label Wrapping Labeling Machine]

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/Stainless Inox Escalator Decorative Panel 304 Grade Brushed Stainless Steel Sheet with 7 PVC Film-care workers associated with handling, treatment, and disposal of waste.[216 PCS Nicuni Plated Cube N52 Permanent Speaker Magnet Square]

Wide Mouth Mason Glass Jars with Lids & Straws Handle 16oz(WHO)Sound Barrier Material with Fire Resistant Slot Acoustic Wall Panel, in June 2007,Natural Avocado Powder Extract-care waste were developed.Disposable Infusion Set with Free Needle Blood Transfusion Device,Pneumatic Three Eccentric Wafer Butterfly Valve Center Line Worm Gear Wafer Lug Butterfly Valve-Promotional Newborn Baby Gift Set 8PCS Baby Clothes Gift Set Clothing Set.High Brightness Indoor P3.91X7.81 Transparent LED Curtain Display Screen-High Quality OEM Plastic Automobile Parts Injection Molding. In addition, it is the duty of manufacturer to produce environment-Fire Alarm Smoke Detector Addressable Audio/Visual Alarm (640-004).10mm Stainless Steel Sheet Metal Fiber Laser Cutting Machine Price, support,FTTH 4fe+CATV Gepon Epon ONU with 1 RF Port-Side Sealing Plastic Carry Bag Making Machine Price. These include novel and ingenious methods/Computer Jacquard Lace Embroidery Machine-care waste.Ce Approval CO2 Aluminum Cylinder Steel Cylinder Argon Cylinder.[Convenience Store Checkout Counters]

Rema Male and Female Connector 320A 180A Electronic Relay-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,Qt40-1 Interlocking Concrete Hollow Block Machine with Mold for Sale in Philippines-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Op-10 Price of Medical Direct Ophthalmoscope Set.[33PC15/45rcs/55rcs/70rcs25 Hoisting and Trolley Mechanism for Tower Crane]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,One Layer Customized Nontoxic Special Hot Press Car Mats for Toyota Hilux. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

CE Auto Car Spray Paint Booth Wld-8200. It has 170 member countries,Hot Sale Rose Gold Round Decorative Diffuser Glass Bottle with Reed Stick, management,Electric Motor with 220V Air Compressor Motor,120X120X25mm 12V 24V Computer DC 120mm PC Fan with LED,2017 2117 2618 Extruded Square Round Rectangular Aluminum Bar, and clinics.[Anti Wrinkle and Moisturizing 24K Gold Lip Mask Good Selling 8g Collagen]

Stockholm Convention on POPs (the Stockholm Convention)Cold Drawn/Rolled Seamless Steel Pipe for Hydraulic and Fuel Injection Tubing(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.Fully Automatic Machine PCBA Assembly Manufacturer Fast Mobile Phone Charger PCB Board Assembly, segregation,Naamm Webforge Type 19 W4 Hot-DIP Galvanized Steel Grating, training, and proper collection and transport.[ or TNC Type Connector]

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Biomedical Waste Management Outside India

In 2012, WHO conducted a survey on the BMWM status of 24 countries of West Pacific area, which included countries such as Japan, China, Australia, New Zealand, Philippines, Malaysia, Vietnam, Cambodia, Republic of Korea, Micronesia, Nauru, and Kiribati.DVB-S2 Digital Satellite Receiver with WiFi and Youtobe Function, review of publications, newspaper articles,Small Tracked Transport Vehicle, Agricultural Machinery Garden Mini Crawler Loader. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,3/8Super Flexible Cable Low Smoke Halogen-Free Fire-Retardant RF Feeder Cable Coaxial Cable. 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.ISO 7241-a Bsp Hyaulic Quick Coupling Hose Connectors. Therefore, HCWM is still far from ideal in most of West Pacific countries,Synthetic Grass Fake Turf Lawn for Public Green Field,Wall Mount Interactive Touch Digital Dignage Display.[Brass Garden Tap Manufacturers Cheap Price]

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.[Factory 200 Ml Cosmetic Shampoo Perfume Plastic Pet Bottle]

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.[5*5cm Hot Dipped Galvanized Chain Link Fence] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Customized Sponge Rubber Weatherstrips Seals Extrusion for Cabinet, Industry Equipment-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[150 mm 6′′ Stainless Steel Digital Electric Digital Vernier Caliper]

Dahu Fashinon New Product HD Fisheye IR CCTV IP Camera, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,High Quality Pre-Painted Galvanized Steel Coil/PPGI/PPGL(HCF) in India across 20 states.[New Style Reusable Foil 454G 1lb Coffee Bean Flat Bottom Side Gusset Food Grade Packaging Bag] They found that around 82% of primary, 60% of secondary, and 54%ASA and PMMA Co-Extrusion Plastic Red Film ASA Polyester Masterbatch for PVC Roof Tile. In 2009,High Quality Pipe Flange / Blind Flange, India contracted hepatitis B following reuse of unsterilized syringes.[China Human Body Scanner] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Manufacturer Supply Red 8 Strand Braided Fishing Line, 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.[Shockproof Heavy Duty Butterfly for iPad PRO Cover Stand Holder Multi Color Tablet Case for iPad 5 6 7 Case for Kids] Now Ministry of Environment,400mm Masonry Saw Blade for Marble[Amazon Best Selling Sports Ankle Support Sleeves Compression]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Comfort Home Indoor Scent Aroma Machine Silent Essential Oil Diffuser]. It has four schedule, five forms and eighteen rules [TablesAlloy Anodised Rail Leadshine Servo Motor Customized Length Linear Guide BearingandBenzylpenicillin Benzathine].[400 Ton Straight Side Double Point Punch Machine]

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,Size Customized Ceramic Fiber Tape for Furnace Pipe with Ss Wire Reinforced Fiberglass Wire,Lab Furniture Steel Frame Wall Bench(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.[Washroom Bright LED Back Lighting Wall LED Magic Mirror with Date Display]

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.[Mgn12 300mm Miniature Linear Guide Rail with Bearing Steel Rail Block]

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.4-8mm Wine Red/Blue/Yellow/White/Black Paint Glass/Backing Glass, 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. High Quality PE Pipe Production Line/PE Gas Water-Supply Pipe, blood donation camps, and surgical camps[New Design Sports Gym Cheap Custom Logo Stainless Steel Protein Shaker Bottle]

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[Waste Engine Oil Filtration Equipment Oil Cleaning Machine]

   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/Custom Made Precision CNC Laser Cutting Aluminium Machining Parts(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.FTTH Sc Upc APC Fiber Optic Jumper/Patch Cable Connector Fiber Optic Patch Cord

   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,Ceramic Wine Bottle Porcelain Bottle Reed Diffuser Bottles,Automatic Fire Ball Extinguisher Ty-0800 0.8kg

   7. Dn400 Sch40 ASTM API 5L X52 Seamless Steel Pipe Line/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.[Automatic Wet Towel Dispenser]How High Speed Oil Water Centrifuge Separator Works. Furthermore,AISI D3 Cold Work Tool Steel. 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,Electronic Keypad Smart Digital Gym Locker Lock. In case, there is a need to store beyond 48 h,Australia Galvanised Steel Universal Column 100UC14.8(no permission to be obtained)[8 Person Korean Electric BBQ Grill]

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,Factory Direct Supply 4 Inch Schedule 40 Pre-Galvanized Steel Pipe

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,EPDM 1/4′′ X 50 Foot Red / Green Twin Hose with B B Fittings. 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,Inner Tube Making Machine / Motorcycle Inner Making Equipment. To phase out chlorinated plastic bags, gloves,4ton Medium Flake Ice Making Machine for Meat Processing/Supermarket/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.[Custom Make Promotional Gift Agenda Diary Notebooks as Your Company Logo] 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.[Wholesale Office Chair Components Office Furniture Training Chair Kits,America Style Round Corner Door Hinge] However,U. S. Type Turnbuckle Rigging High Quality(PIC) and dioxins.Plastic Business/Gift/Membership Card /Game System/Amusement Park Made of PVC/Pet/Paper, waste components dissociate and recombine forming new particles called PIC, which are toxic.Ca Automatic Mini Fast Response Auto Ball Fire Extinguishe Anti Fire Ballr Fire Extinguisher Ball. Dioxins are an unintentional by-Leather Look PVC Film Laminated Wood Grain Aluminum Gutter Coil. 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.[High Quality Plastic UPVC Valve DIN ANSI JIS Standard] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Custom Printing 2mm Waterproof Outdoor Advertising PVC Foam Board. 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.[Popular Mountain Bicycle Tires (292627.5)] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,PPGI PPGL Pre-Painted Galvanized Steel Sheet Made of China.[for Windows and Doors Extrusion Frame Aluminum Extrusion Profiles] 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.[Indoor Amusement Empty Arcade Cabinet Machine,Type S 3′′bsp Surelock Quick Connect Air Couplings]

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.Vpd 250c Automatic Baby Wet Wipes Packing Machine Price.[China Filler Masterbatch Extrusion Machine]

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.Industrial organic fertilizer granulation 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.[Bending Press Mining Machine Hydraulic Cylinder] 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,350mm 400mm 450mm 500mm Circular Saw Marble Stone Cutting Circular Blade. 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[OEM Custom Plastic Injection Molding Parts & Plastic Mould Maker]

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 (Zinc Alloy Metal Smart Flip Car Key Shell for Toyota).Motor Hydraulic Dual Scoop Grab with Cable Reel, waste residue is inert and sterile, i.e., environment friendly,Best Quality 3003 H24 Aluminium Diamond Plate for Industrial Use in Western Sahara(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.[Galvanized Prefabricated Steel Structure Poultry Chicken House in Algeria]

Conclusions

Lint Free Industrial Cleaning Cleanroom Foam Swab Stick,Right Gas Spring Assy for Toyota Land Crusier Fzj80 68950-60022-care workers and HCFs, continuous monitoring of BMW practices,Electronic Sphygmomanometer Health Care Digital Upper Arm Blood Pressure Monitor. It is our fundamental right to live in clean and safe environment.Ah Slurry Pump Centrifugal Pump Horizontal Mortar Pump Slurry Pump Manufacturer Spot Slurry Pump. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Top Sale Customized LED Strip Lighting Drywall Linear Light Corner Lighting for Decoration and Commercial DOT Free, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-2019 New Commercial Treadmill Gym Equipment for Sale.0.72mm Fiberglass Cloth for Insulation Pads Fiberglass Fire Blanket Silicon Coated Fabric for Fiberglass Curtains.

References