Suhas Dixit, CMD, Pyrocrat Systems shares his review on biomedical wastes; its definition, hazards, categorization, segregation, classification and treatment.
2. Waste are Biomedical
Wastes?
Wastes which are generated during
the diagnosis, treatment or
immunization of human beings or
animals or in research activities are
termed as biomedical wastes.
Hospitals, health clinics, nursing
homes, medical research laboratories,
veterinarians, and funeral homes are
the common sources that produce
biomedical wastes.
3. Hazards of Biochemical
Wastes
Can lead to spreading of diseases like
cholera, typhoid, hepatitis etc.
Radioactive wastes can cause
headache, vomiting, dizziness, DNA
damage, carcinogenesis and other
serious issues.
Poor handling of needles, blades etc.
can cause injuries
Air, water and land pollution
4.
5. Categorization of biomedical Waste
Waste Contents
Anatomical Waste Human Tissues, Organs, Body Parts
Animal Waste Animal Tissues, Organs, Carcasses, Bleeding
Parts, Fluids, Blood
Microbiological and
Biotechnical Waste
Wastes From Lab Cultures, Vaccines, Toxins,
Animal Cell Cultures
Waste Sharps Needles, Syringes, Scalpels, Blades Etc.
Discarded Medicines Outdated, Contaminated Medicines
Soiled Waste Contaminated Cotton, Linen, Dressings, Soiled
Plaster Casts, Beddings Etc.
Solid Waste Generated From Disposables Other Than Sharps
Such As Tubings, Catheters, I.V. Sets
Liquid Waste Generated From Laboratory And Washing,
Cleaning, And Disinfecting Activities
Incineration Ash Ash From Incineration Of Biomedical Waste
Chemical Waste Insecticides, Disinfectant
6. Segregation of Biomedical
Wastes
Segregation is the process of
separating of waste into different
streams and the treatment of each
stream to ensure complete sterilization
and recycling.
Segregation shall be done at point of
generation.
Non-infectious and infectious wastes
must always be kept separate.
7. Benefits of Segregation
Segregation helps in reducing:
1. Total treatment cost.
2. Impacts of waste on community.
3. Chances of infecting healthcare
workers.
9. Biomedical Waste Treatment
Incineration
Combustion of waste is carried out under
controlled conditions and is converted into inert
material and gases.
There are three types of incinerators
Multiple hearth type
Rotary kiln
Controlled air types.
These incinerators can have primary and
secondary combustion chambers to achieve
optimal combustion.
10. Autoclave
The autoclave works similarly as a
pressure cooker where steam penetrates
into waste material, thus killing the
micro-organisms. Autoclaves are of
three categories; Gravity type, Pre-
vacuum type and Retort type.
Conditions:
Temperature-121⁰C
Holding time-15 min.
Pressure-15 pounds per sq.inch.
11. Microwave
The waste is subjected to microwave
radiations which causes the molecules
of the material to heat up, thereby
killing the pathogens.
Waves with Frequency of about 3000
MHz are used to destroy micro-
organisms.
Heat is produced at 95-100 ⁰C for a
holding period of 25 to 30 minutes.
12. Hot Air Oven
In this method the oven is electrically
heated. A fan is used for adequate
distribution of hot air in the chamber.
A Thermostat is used to maintain a
temperature of chamber at
temperature of 160⁰C for a period of 2
hours.
13. Mechanical Treatment
The bulk of biomedical waste is
processed in order to change its
physical form to facilitate waste
management.
The common methods implied are
Compacting and Shredding.
14. Biological processes
Biological enzymes can be used
decontaminate the waste or even to
cause the destruction of all the organic
constituents.
Hence only inerts like plastics, glass,
and other inert remain in the residues.
15. Inertization
Biomedical waste is mixed with
cement and other substances before
disposal to make them inert.
This prevents toxic substances in
waste from contaminating the ground
or surface water.
The mixture constitutes 65 % waste,
15 % lime, 15 % cement and 5 %
water.
16. Land Disposal
Sanitary landfills can be used to dispose
biomedical waste.
The site must have
Full or partial hydrogeological isolation.
Appropriate engineering preparations.
Trained staff should supervise its
functioning.
Planned waste emplacement and
covering: waste should be spread in
layers and compacted.