bio medical waste & its environmental impact

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    Waste

    Management

    By

    Sree Raj

    Alekhya Allu

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    Bio-Medical Waste Any waste which is generated

    during the diagnosis,treatment or immunization of

    human eings or animals or inresearch acti!ities "ertainingthereto, or in the "roductionor testing of iologicals -Biomedical Waste #Management and$andling% Rules, &''(

    Bio-medical waste #BMW% isde)ned as the total wastestream from a healthcarefacility #$*F%

    +nternational Symol of

    Biological $azard

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    Bio-Medical Waste

    on $azardousWaste #./ to '0 1%

    2ther$azardous

    Waste

    $azardous

    Waste #&0 to3/1%

    +nfectiousWaste

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    Statistics from W$2

    85%

    5%10%

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    4aw and 5e"artmentBio-medical Waste #Management 6 $andling% Rules,

    &''( were noti)ed y the Ministry of 7n!ironment 6Forests #Mo7F% under the 7n!ironment #8rotection%

    Act, &'(9 and Bio-medical Waste #Management 6$andling% Amendment Rules, 300:;

    State 8ollution *ontrol Board #S8*B%< 8ollution *ontrol*ommittee #8**% are in charge of all the health care

    facilities located in any Stateerritory

    5irector ?eneral, Armed Forces Medical Ser!ices#5?AFMS% is in charge of all health careestalishments of the Armed Forces under theMinistry of 5efence

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    Statistics

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    +ndia&,/',(:( hos"itals and healthcare facilities in +ndia

    @;&9 lakh kg

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    WhoCs at Risk

    7n!ironment

    Wastecollection 6dis"osalstaD

    Medical 68aramedic

    al staD

    8atients 6Eisitors

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    S2=R*7 2F B+2-M75+*A4 WAS>7$os"itals #Both ?o!ernment and 8ri!ate%ursing $omes

    8hysicianCs 2ce

    *linics

    5entists oce5is"ensaries

    Mortuaries

    Medical 4aoratories

    Blood Banks and collection centers

    Animal $ouses4aoratories

    Research 2rganisation

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    Why the eed for Safety >reatment

    and 5is"osal of BMW5ue to increase the "o"ulation the amount of

    iomedical waste generation also increasedand it reGuires attention as it "osses a greatthreat to "ulic health and en!ironment;

    $ealth $azards of BMW

    Type of Waste Health Hazards

    $umanB, "neumonia

    Shar"s $+E, $SE, $*E, +njuries

    Radioacti!e

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    *ategories of Bio-Medical WasteCategory Waste Type

    Treatment &Disposal Method

    *ategory +$uman Wastes #>issues,

    organs, ody "arts%+ncineration < dee"

    urial

    *ategory ++ Animal Waste+ncineration < dee"

    urial

    *ategory +++Microiology and

    Biotechnology wasteAutocla!e

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    *ontd;;Category Waste Type

    Treatment & Disposal

    Method

    *ategory E+ *ontaminated solid waste+ncinerationreatment Hand discharge in to drainfor liGuids and secured

    land)ll for solids

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    Segregation of BMWColor

    CodingType of

    ContainerWaste

    CategoryTreatment

    Options Waste Bag

    J7442W 8lastic Bag*at

    &,3,:,9+ncineration reatment Facility #*BMW>F%

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    *ommon Bio Medical Waste

    >reatment Facility #*BMW>F%*BW>F is a set u" where io-medical waste,

    generated from a numer of healthcare units, isim"arted necessary treatment to reduce ad!erse

    eDects that this waste may "ose;>he treated waste may )nally e sent for dis"osal in

    a land)ll or for recycling "ur"oses;

    *BW>F ha!e following treatment facilities

    +ncineration Autocla!ing< Microwa!ing < $ydrocla!ing

    Shredder Shar" "it< 7nca"sulation 7Kuent >reatment 8lant

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    Why eed of *BW>F+nstallation of indi!idual treatment facilities y small

    healthcare units reGuires com"arati!ely high ca"italin!estment;

    Se"arate man"ower and infrastructure de!elo"mentreGuired for "ro"er o"eration and maintenance oftreatment systems;

    Risk of "roliferation of treatment eGui"ment in a city;

    Monitoring "ressure on regulatory agencies;By running the treatment eGui"ment at *BW>F to its

    full ca"acity, the cost of treatment of "er kilogramgets signi)cantly reduced

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    *o!erage of *BW>F2ne *BW>F allowed to cater u" to &0,000

    eds at the a""ro!ed rate y the 8rescriedAuthority;

    ot allowed to cater healthcare units situatedeyond a radius of &/0 km;

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    4ocation of *BW>F*BW>F shall e located at a "lace reasonaly

    far away from residential and sensiti!e area;

    ear to its area of o"eration as "ossile inorder to minimize the tra!el distance in wastecollection, thus enhancing its o"erationalLeiility;

    5ecided in consultation with the state"ollution control oard #s"c%

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    +ncineration*ontrolled comustion "rocess where waste is

    com"letely oidized and harmfulmicroorganisms "resent in it are

    destroyed

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    Autocla!eAutocla!ing is a low-heat thermal "rocess

    where steam is rought into direct contactwith waste in a controlled manner and forsucient duration to disinfect the wastes;

    o of incinerator in +ndia &/.

    o of incinerator in A8 - &9

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    Microwa!e+n microwa!ing, microial inacti!ation occurs

    as a result of the thermal eDect ofelectromagnetic radiation s"ectrum lying

    etween the freGuencies :00 and :00,000M$z;

    o of incinerator in +ndia 0/

    o of incinerator in A8 - 0

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    $ydrocla!e$ydrocla!ing is similar to that of autocla!ing

    ece"t that the waste is sujected to indirectheating y a""lying steam in the outer jacket;

    o of incinerator in +ndia 03

    o of incinerator in A8 - 0

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    ShredderShredding is a "rocess y which waste are

    desha"ed or cut into smaller "ieces so as tomake the wastes unrecognizale; +t hel"s in

    "re!ention of reuse of io-medical waste andalso acts as identi)er that the waste ha!eeen disinfected and are safe to dis"ose oD;

    o of incinerator in +ndia &9:

    o of incinerator in A8 - &9

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    7Kuent >reatment 8lant7>8 shall e installed to ensure that liGuid

    eKuent generated during the "rocess ofwashing containers, !ehicles, Loors etc; is

    dis"osed after treatment; >he treated eKuentshall com"ly with the sti"ulated regulatoryreGuirements;

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    5os and 5onNts5oCs

    >he used "roduct should e segregated

    >he used "roduct should e mutilated

    >he used "roduct is treated "rior to dis"osal=se "rotecti!e gear when handling waste *ollect waste when the in is O the full *lean s"ills with disinfectants

    =se trolleys 6 do not drag waste ag

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    5os and 5onCts5onNts

    Reuse "lastic eGui"ment

    Mi "lastic eGui"ment with other wastes

    Burn "lastic waste A!oid needle stick injuries A!oid using common lift to mo!e waste A!oid s"illage

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    *onclusionBio-medical waste "rogramme cannot e successfullyim"lemented without the willingness, self-moti!ationan co-o"eration from all sections of em"loyees of any

    health care settings+f we want to "rotect our en!ironment and health of

    community we must sensitize our sel!es to thisim"ortant issue not only in the interest of health

    managers ut also in the interest of community

    Start dis"osing waste )rst from within your home,then outside home, then neighorhood, then yourstreet, your area, city and then the nation and theworld;

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    Biliogra"hy$ealth-*are Waste Management http://www.healthcare-waste.org/basics/overview/

    World $ealth 2rganization http://www.who.int/mediacentre/factsheets/fs281/en/

    http://www.who.int/topics/medical_waste/en/

    *entral 8ollution *ontrol Board #*8*B% http://cpcb.nic.in/Bio_medical.php

    Annual Re"ort +nformation on Bio-medical WasteManagement #as sumitted y S8*Bs

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    4ets Make >he World A Better 8lace>o 4i!ePPP

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