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BIO-MEDICAL WASTE
MANAGEMENT
by Parag R More
BIO-MEDICAL WASTE
Any waste which is
generated during the diagnosis, treatment
or immunization of human beings or
animals or in research activities pertaining
there to or in the production or testing of
bio medicals.
Hazardous health care waste
 85% waste is non infectious
 10% are infectious
 5% are hazardous
HISTORY
 In the late 1980’s
 Items such as used syringes washed up on
several East Coast beaches USA
 HIV and HPV virus infection
 Lead to development of Biomedical Waste
Management Law in USA.
 However in India the seriousness about the
management came into lime light only after
1990’s.
GENERATION OF BMW
 Developed Countries- 1-5 kg/bed/day, with variations
among countries.
In India-
 1-2 kg/bed/day with variation among
Govt. and Private establishments.
 Approximately 506.74 tons/ day wastes generated
 Out of which only 57% waste undergoes proper
disposal
CLASSIFICATION OF BMW
 General Waste
 Pathological
 Radioactive
 Chemical
 Infectious to potentially infectious waste
 Sharps
 Pharmaceuticals
 Pressurized containers
CATEGORIES OF BMW
Non-Infectious
waste, 80%
Pathological
and Infectious
waste, 15%Chemical and
Pharmaceutical
waste, 3%
Sharps,
1%
Radioactive,
Cytotoxic and
heavy metals,
1%
EXPOSURE TO BMW
RESULTS IN…
1. Infection
2. Genotoxicity and Cytotoxicity
3. Chemical toxicity
4. Radioactivity hazards.
5. Physical injuries
6. Public sensitivity.
TYPES OF BMW
WASTE CATEGORY TYPE OF WASTE
Category No. 1 Human Anatomical Waste
Category No. 2 Animal Waste
Category No. 3
Microbiology & Biotechnology
Waste
Category No. 4 Waste Sharps
Category No. 5
Discarded Medicine and Cytotoxic
drugs
Category No. 6 Soiled Waste
Category No. 7 Solid Waste
Category No. 8 Liquid Waste
Category No. 9 Incineration Ash
Category No.10 Chemical Waste
PHARMACEUTICAL WASTES
HOSPITAL WASTES…
SOURCES OF HEALTH CARE
WASTES
 Government/private hospitals
 Nursing homes
 Physician/dentist office or clinic
 Dispensaries
 Primary health care centers
 Medical research and training centers
 animal./slaughter houses
 labs/research organizations
 Vaccinating centers
 Bio tech institutions/production units
COLOUR CODING FOR
SEGREGATION OF BMW
COLOR WASTE TREATMENT
Yellow Human & Animal
anatomical waste /
Micro-biology waste
and soiled
cotton/dressings/lin
en/beddings etc.
Incineration / Deep
burial
Red Tubing, Catheters,
IV sets.
Autoclaving /
Microwaving /
Chemical treatment
Blue / White Waste sharps
( Needles, Syringes,
Scalpels, blades etc.
)
Autoclaving /
Microwaving /
Chemical treatment
& Destruction /
Shredding
BMW MANAGEMENT
PROCESS
 Waste collection
 Segregation
 Transportation and storage
 Treatment & Disposal
 Transport to final disposal site
 Final disposal
TREATMENT & DISPOSAL OF
BMW
1.
Incineration-burn trash and other types of
waste until it is reduced to ash.
2.
Autoclaving and Shredding -It uses a
combination of heat, steam and pressure.
3.
Chemical treatment-Using sodium
hypochlorite solution, bleaching powder,
savlon and then discharged into
drains/sewers
4.
Irradiation technique-Involve the expose to
UV radiation and ionizing radiation
PROBLEMS CAUSED DUE TO
IMPROPER MANAGEMENT OF
BMW
 Lack of segregation can cause mixing of BMW
with the other wastes.
 Environment Pollution.
 Mutiplication of vectors (rodents,insects,worms
etc) which causes severe diseses .
 Many diseases can be spread through
blood,water,etc which is infected.
REDUCTION OF BMW
 Source Reduction - ways to decrease the
amount of material
Segregation - keeping noninfectious
waste out of the infectious waste stream
Minimization - reduce or eliminate waste
at the source
Engineering controls - methods to
reduce quantity of waste(smaller
containers)
LABLE THE HAZARDS WITH
SYMBOLS
1
8
ACTS FOR BMW
MANAGEMENT
 Biomedical waste (management and handling)
rule 1998, prescribed by The Ministry of
Environment and Forests, Govt of India, came
into force on 20th July 1998.
 This rule applies to those who generate, collect,
receive, store, dispose, treat or handle bio
medical waste in any manner.
 Thus bio medical waste should be segregated into
containers/bags at the point of generation of
waste. Thus Colour Coding & type of containers
used for disposal of waste is came into existence
which is shown as follows.
ENVIRONMENT LEGISLATION
 The Environment (Protection) Act, 1986
 The Biomedical Waste (Management &
Handling) Rules, 1998
 The Municipal Solid Waste (Management &
Handling) Rules, 2000
 The Hazardous Waste (Management &
Handling) Rules, 1989
 The National Environmental Tribunal Act,
1995
 The Air (Prevention and Control of Pollution)
Act, 1981
CONCLUSION
 Proper collection and segregation of
biomedical waste.
 Try to reduce the waste generation.
 Individual awareness and participation.
 Use recycle products.
 To natural biodiversity.
THANK YOU…

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Bio medical waste management

  • 2. BIO-MEDICAL WASTE Any waste which is generated during the diagnosis, treatment or immunization of human beings or animals or in research activities pertaining there to or in the production or testing of bio medicals. Hazardous health care waste  85% waste is non infectious  10% are infectious  5% are hazardous
  • 3. HISTORY  In the late 1980’s  Items such as used syringes washed up on several East Coast beaches USA  HIV and HPV virus infection  Lead to development of Biomedical Waste Management Law in USA.  However in India the seriousness about the management came into lime light only after 1990’s.
  • 4. GENERATION OF BMW  Developed Countries- 1-5 kg/bed/day, with variations among countries. In India-  1-2 kg/bed/day with variation among Govt. and Private establishments.  Approximately 506.74 tons/ day wastes generated  Out of which only 57% waste undergoes proper disposal
  • 5. CLASSIFICATION OF BMW  General Waste  Pathological  Radioactive  Chemical  Infectious to potentially infectious waste  Sharps  Pharmaceuticals  Pressurized containers
  • 6. CATEGORIES OF BMW Non-Infectious waste, 80% Pathological and Infectious waste, 15%Chemical and Pharmaceutical waste, 3% Sharps, 1% Radioactive, Cytotoxic and heavy metals, 1%
  • 7. EXPOSURE TO BMW RESULTS IN… 1. Infection 2. Genotoxicity and Cytotoxicity 3. Chemical toxicity 4. Radioactivity hazards. 5. Physical injuries 6. Public sensitivity.
  • 8. TYPES OF BMW WASTE CATEGORY TYPE OF WASTE Category No. 1 Human Anatomical Waste Category No. 2 Animal Waste Category No. 3 Microbiology & Biotechnology Waste Category No. 4 Waste Sharps Category No. 5 Discarded Medicine and Cytotoxic drugs Category No. 6 Soiled Waste Category No. 7 Solid Waste Category No. 8 Liquid Waste Category No. 9 Incineration Ash Category No.10 Chemical Waste
  • 11. SOURCES OF HEALTH CARE WASTES  Government/private hospitals  Nursing homes  Physician/dentist office or clinic  Dispensaries  Primary health care centers  Medical research and training centers  animal./slaughter houses  labs/research organizations  Vaccinating centers  Bio tech institutions/production units
  • 12. COLOUR CODING FOR SEGREGATION OF BMW COLOR WASTE TREATMENT Yellow Human & Animal anatomical waste / Micro-biology waste and soiled cotton/dressings/lin en/beddings etc. Incineration / Deep burial Red Tubing, Catheters, IV sets. Autoclaving / Microwaving / Chemical treatment Blue / White Waste sharps ( Needles, Syringes, Scalpels, blades etc. ) Autoclaving / Microwaving / Chemical treatment & Destruction / Shredding
  • 13. BMW MANAGEMENT PROCESS  Waste collection  Segregation  Transportation and storage  Treatment & Disposal  Transport to final disposal site  Final disposal
  • 14.
  • 15. TREATMENT & DISPOSAL OF BMW 1. Incineration-burn trash and other types of waste until it is reduced to ash. 2. Autoclaving and Shredding -It uses a combination of heat, steam and pressure. 3. Chemical treatment-Using sodium hypochlorite solution, bleaching powder, savlon and then discharged into drains/sewers 4. Irradiation technique-Involve the expose to UV radiation and ionizing radiation
  • 16. PROBLEMS CAUSED DUE TO IMPROPER MANAGEMENT OF BMW  Lack of segregation can cause mixing of BMW with the other wastes.  Environment Pollution.  Mutiplication of vectors (rodents,insects,worms etc) which causes severe diseses .  Many diseases can be spread through blood,water,etc which is infected.
  • 17. REDUCTION OF BMW  Source Reduction - ways to decrease the amount of material Segregation - keeping noninfectious waste out of the infectious waste stream Minimization - reduce or eliminate waste at the source Engineering controls - methods to reduce quantity of waste(smaller containers)
  • 18. LABLE THE HAZARDS WITH SYMBOLS 1 8
  • 19. ACTS FOR BMW MANAGEMENT  Biomedical waste (management and handling) rule 1998, prescribed by The Ministry of Environment and Forests, Govt of India, came into force on 20th July 1998.  This rule applies to those who generate, collect, receive, store, dispose, treat or handle bio medical waste in any manner.  Thus bio medical waste should be segregated into containers/bags at the point of generation of waste. Thus Colour Coding & type of containers used for disposal of waste is came into existence which is shown as follows.
  • 20. ENVIRONMENT LEGISLATION  The Environment (Protection) Act, 1986  The Biomedical Waste (Management & Handling) Rules, 1998  The Municipal Solid Waste (Management & Handling) Rules, 2000  The Hazardous Waste (Management & Handling) Rules, 1989  The National Environmental Tribunal Act, 1995  The Air (Prevention and Control of Pollution) Act, 1981
  • 21. CONCLUSION  Proper collection and segregation of biomedical waste.  Try to reduce the waste generation.  Individual awareness and participation.  Use recycle products.  To natural biodiversity.