bio medical waste & its environmental impact
TRANSCRIPT
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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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