BioMedical Waste Management & Handling Rules (1998 vs draft 2015) dr sumi

BIOMEDICAL WASTE
MANAGEMENT RULES- 1998
VERSUS ( DRAFT)2015
DIFFERENCES, CHALLENGES, AND
ACTIONABLES
DR.
SUMI
NANDWANI

PROFESSOR-‐
CUM/OR
CHIEF
CONSULTANT
&
HOD,

MICROBIOLOGY,

SUB-‐DEAN

SUPERSPECIALITY
PAEDIATRIC
HOSPITAL
AND

POSTGRADUATE
TEACHING
INSTITUTE,NOIDA

POINTS TO BE DISCUSSED …………
! Available Guidelines
! BMWM Rules (1998)
! BMWM Rules( Draft 2015)
! Differences
! Challenges
! Actionables

( PROPOSED) THE BIO-MEDICAL WASTE (MANAGEMENT
AND HANDLING) RULES, 2015
WHAT ARE THE AVAILABLE GUIDELINES ?

ENVIRONMENTAL LEGISLATIONS
1974  Water Act (mentions sewage but not pollution by garbage)
1981  Air Act (no mention of smoke pollution from burning waste)
1986  Environment Protection Act (no mention of urban solid waste)
1989 Hazardous Chemical Waste Rules
1998 Biomedical Waste (M & H) Rules
1999 Rules for Recycled Plastics,
1999 Fly Ash Notification
2000 Municipal Solid Waste Rules
2001 Lead Acid Battery (M & H) Rules
1991  Coastal Regulation Zones
2002 Eco-Fragile Zones for Hill Stations

BIOMEDICAL WASTE (MANAGEMENT &
HANDLING) RULES, BY GOVT. OF INDIA
To
enable
hospitals
to
develop
comprehensive
plan
for
BMWM:

Biomedical Waste (Management & Handling) Rules, 1998 were
Notiﬁed
under
Environment
Protection
Act,
1986
by
MoEF,
Govt.
of
India

-‐
28th
July
1998

(Amended in 2000,2003)

However these 1998 Rules had few shortcomings and so Revised
rules, namely, the Bio-Medical Waste (Management and Handling)
Rules, 2011 were drafted but could not be finalised pending
consensus on certain issues relating to categorisation of Bio-
medical waste and emission standards for incinerators.
Rules being revised again–
Govt. has notified again the revised version of the said draft rules
To be called BMW (Management and Handling) Rules 2015
Draft rules were circulated and posted on website(MOEF) on 3rd
June 2015 for information of the masses. Objections/suggestions
for modifications were invited within 60 days.
These are being discussed by MOEF for finalization.

APPLICATION : DRAFT 2015 RULES

CHALLENGES
These ( a to g) waste eg. Home based Care and
Outreach facilities constitute a huge bulk of HCW
and should be addressed , instead of saying the
BMW Rules do not apply to such waste. Separate
guidelines to handle such waste should be
formulated and We should emphasise that separate
rules exist to handle such waste with a link to these
A statewise list of authorized dealers, recyclers (e.g. for
Mercury Waste, E -waste) and Treatment facilities
(e.g. Hazardous Waste Treatment Facilty)is needed
DIFFERENCES IN APPLICATION
!
Draft 2015 Rules 1998 Rules
Application Makes a mention of other hazardous
Health care waste which are not a part of
BMW
No mention of these other
hazardous Healthcare waste

DIFFERENCES IN DEFINITIONS
!
Point Draft 2015 Rules 1998 Rules
3.Definitions 1.Mentions “ Biomedical Waste Treatment
and Disposal Facility”
2. “Occupier”: Defined as Person having
Administrative Control over Institutes
who generate BMW
3.Includes “ all systems of Medicine”
1.Only “ Biomedical Waste
Treatment Facility”
2. “ Occupier”: Defined as
Institutes generating BMW
3. Other systems of Medicine not
mentioned

DUTIES OF OCCUPIER :1998
RULES

DUTIES OF OCCUPIER : DRAFT 2015 RULES

DIFFERENCES IN :
DUTIES OF OCCUPIER
!
Duties of
Occupier
Have been detailed including:
1. Immunization, training, ensuring
Occupational Safety, Providing
PPE to HCWS.
2. Record keeping,Accident
Reporting,Reporting delay in pick
up , ensuring segregation of
BMW.
3. Formulating a BMW
Management Committee
Have not been detailed

CHALLENGES (DUTIES OF
OCCUPIER ) IN DRAFT 2015 RULES
•  Specific ‘Do’s and Don’ts are needed to make these steps
specific
•  Specifying the training module, duration and type will ensure
uniformity and compliance by all levels of Health care workers
•  The frequent turnover of housekeeping, nursing or other
contractual staff should be addressed and discouraged
•  Including all cases/ incidents of Sharp Injuries at all steps
during patient care may become laborious and difficult
•  The PPE may not be available to the HCWs unless specified
•  Unless people from Administration, Finance and other
departments are not included in the Committee most of the
Compliance monitoring is left to Nodal Officers making it
difficult for them to implement/comply
•  A team with above specified composition would ensure regular
monitoring

DUTIES OF OPERATOR OF
CBMWTFS- DRAFT 2015 RULES

DIFFERENCES : (DUTIES OF
OPERATOR OF CBMWTFS)1998
RULES VS DRAFT 2015 RULES
!
Duties of the
operator of
CWTF
All duties listed Operator duties absent

CHALLENGES(DUTIES OF OPERATOR
OF CWTFS) IN DRAFT 2015 RULES
•  Non compliance to all/ any of the above should be punitive
•  The PPE may not be made available to the HCWs unless
specified
•  Pick up usually is not timely because of a single operator
collecting from multiple sites with limited number of
vehicles & limited capacity
•  Some states don’t have any authorized CWTF operator
•  If one CWTF operator loses his license, timely handover to
another operator for collecting & treatment of waste
•  Currently rates for these operators are on per bed basis
which makes it difficult to calculate or fix the rates for
HCFs with no inpatients. Therefore, both the options(beds/
weight) should be available

DUTIES OF AUTHORITIES- DRAFT 2015
RULES

!
Duties of the
Authorities
All duties listed Duties of Authorities absent
DIFFERENCES : (DUTIES OF THE
AUTHORITIES)1998 RULES VS
DRAFT 2015 RULES
CHALLENGES(DUTIES OF THE
AUTHORITIES) IN DRAFT 2015 RULES
Actions which can be taken by authorities in
case of non compliances should also be
specified

TREATMENT AND DISPOSAL :
1998 RULES

TREATMENT AND DISPOSAL
Color Coding Type of Container Waste
Category
Treatment options
Yellow Plastic bag Cat.1, 2,3,6 Incineration/deep burial
Red Disinfected
container/Plastic
bag
Cat 3,6,7 Autoclave/Microwave/
Chemical Treatment
Blue/White
translucent
Puncture proof
container
Cat.4,7 Autoclave/Microwave/
Chemical Treatment &
destruction/shredding
Black Plastic bag Cat 5,9,10 Disposal in secured
landfill
Own requisite BMW treatment facilities or at a CWTF
Chemicals treatment using at least 1% hypochlorite solution
No chemical pretreatment before incineration. Chlorinated plastics should not be
incinerated.
Liquid waste: 1 part bleach to 9 parts contaminated liquid – let stand for 20 to 30
minutes. After treating, dispose down drain with lots of H2O best is own ETP

TREATMENT AND DISPOSAL :DRAFT
2015 RULES

DIFFERENCES : (TREATMENT AND
DISPOSAL)1998 RULES VS DRAFT
2015 RULES
!
Treatment
and Disposal
Are more comprehensive including:
1. An option for adopting new
technology provided.
2. Option for Occupiers>500 beds to
install their own incinerator if needed
depending on recipient environment,
location & availability of CWTF
nearby/not.
3. Mandatory for operators of CWTFs to
install reqd. equipments eg. Shredder,
incinerator, autoclave/microwave,
ETP e.t.c before commencing
operation.
4. Use of chlorinated bags & incineration
of chlorinated plastics prohibited
5. Mandatory for occupiers/operators of
CWTFs to dispose recyclable BMW
i.e. Plastics and Glass through
authorized Recyclers after
treatment(autoclaving/microwaving
&shredding/ mutilation)
6. Maintainence of Record of such
recyclable waste sold & submission of
this to authorities mandatory
7. Mercury Waste Disposal emphasized.
Very brief –Only mentions
about Occupiers to adhere to
Schedule I( categories),
Schedule V( standards for
treatment) and schedule VI(
Time frame) for Treatment
and Disposal of BMW

CHALLENGES(TREATMENT AND
DISPOSAL) IN DRAFT 2015 RULES
•  A lot of states do not have authorized CWTFs.
•  The availability( nearest distance) of CWTF and
distance from Residential areas for deciding
permission to install incinerators need to be
specified.
•  Currently a lot of states do not have authorized
recyclers for Plastic and Glass waste.
•  Most of the manufacturers of Plastic Bags /Plastic
items donot have nonchlorinated Plastics and if
so, do not have certification for the same
•  A lot of states do not have authorized Hazardous
Waste Treatment Facilities.

SEGREGATION , PACKING, TRANSPORT
&STORAGE: 1998 BMW RULES

CATEGORIES OF BIO-MEDICALWASTE(1998 RULES)
Cat
ego
ry
Waste
type
Colour
coding
Treatment & Disposal
1. Human
anatomical
Yellow Incineration / deep burial
2. Animal
waste
Yellow Incineration / deep burial
3 Microbiolog
y &
Biotechnolo
gy Waste
Yellow/ Red Autoclaving/microwaving/
Incineration
4 Waste
Sharps
White /
blue /
Translucent
puncture
proof
containers
D i s i n f e c t i o n b y c h e m i c a l
t r e a t m e n t / a u t o c l a v i n g /
Microwaving & mutilation/
shredding
5 Discarded
medicines
and
Cytotoxic
drugs
Black Destruction/ neutralization &
disposal in secured landfills

Cate
gory
Waste
type
Colour
coding
Treatment & Disposal
6 Soiled
waste
Yellow/red Incineration / autoclaving/
microwaving
7 Solid
( plastic)
Blue/ White/
Red
Disinfection by chemical
treatment/autoclaving/
Microwaving & mutilation/
shredding
8 Liquid
waste
------- Disinfection by chemical
treatment and discharge into
drains
9 Incinerat
ion Ash
Black Disposal in municipal landfill
10 Chemica
l
Black Chemical treatment and
discharge into drains for liquids
and secured landfill for solids

SEGREGATION OF HCW BEING FOLLOWED CURRENTLY
AT HOSPITALS

TRANSPORT
Intramural: By wheeled trolleys
Wheelbarrows/containers /carts
authorized only for the purpose
Easy to load and unload, No sharp edges,
Easy to clean, Disinfect daily
Waste routes must be designated.
Separate time should be earmarked
Extramural: only
in
such
vehicles
as

may
be
authorized
for
the
purpose

Container
apart
from
the
label
prescribed

in
Schedule
III,
should
also
carry

information
prescribed
in
Schedule
IV.

STORAGE
•  In
an
area
away
from
general

traﬃc
and
accessible
only
to

authorized
personnel

•  DO
NOT
store
for
more
than
48

hours

•  If
for
any
reason
it
becomes

necessary
to
store
the
waste

beyond
such
period
take
measures

to
ensure
that
the
waste
does
not

adversely
aﬀect
human
health
and

environment

CATEGORIES OF BMW(DRAFT 2015 RULES)

CATEGORIES OF BMW (DRAFT 2015 RULES) CONT..

CATEGORIES OF BMW (DRAFT 2015 RULES)
SCHEDULE I CONT..

SEGREGATION , PACKING, TRANSPORT
&STORAGE: DRAFT 2015 BMW RULES

DIFFERENCES( CATEGORIES AND
COLOUR CODING OF BMW) 1998 VS
2015 DRAFT RULES
!
Categories of
BMW
Categories of Biomedical Waste
according to colour
Biomedical waste divided in ten
categories according to type of
waste
Colour option
for waste
Segregation
1. Only one colour option to ensure
uniformity and clarity
2. Glass and Metal Sharps in
different colour categories
1. Multiple options for colour
creating nonuniformity and
confusion
same category
DIFFERENCES : (SEGREGATION ,
PACKING, TRANSPORT &STORAGE)1998
RULES VS DRAFT 2015 RULES
!
Storage Sharps and Solid Waste exempted from 48 hrs
time limit for storage
All type of waste cannot be
stored beyond 48 hours

CHALLENGES( CATEGORIES AND
COLOUR CODING OF BMW) IN DRAFT
2015 RULES
•  Microbiology, Biotechnology and other clinical
Laboratory Waste, Blood Bags and Gloves should
be elaborated and shifted from yellow to Red
Category as autoclavable waste
•  Treatment of Microbiology, Biotechnology and other
clinical Laboratory Waste should be modified with
inclusion of Autoclaving as onsite treament and
deletion of incineration and chemical disinfection
•  If infected linen has to be discarded then Linen and
beddings should not be incinerated but can be
autoclaved followed by washing or can be
shredded and recycled after washing in 1%
hypochlorite

CONTD…
•  Treatment to be modified with deletion of
“Chemical disinfection” and “ Incineration”
•  Plastic Containers are not biodegradable. This
can be resolved by using biodegradable
materials for sharp containers
•  Liquid waste should include liquid patient
samples and method of disposal should be
specified especially in absence of a functional
ETP Plant
•  Standards for ETP Plant and Shredder should
be provided

CHALLENGES: (SEGREGATION ,
PACKING, TRANSPORT &STORAGE)
DRAFT 2015 RULES
•  All waste segregated at collection sites is
dumped together in a single compartment
vehicle.
•  Usually the same vehicle is used to pick up
waste from multiple Hospitals leading to either
delay in pickup and sometimes overloading of
vehicles.
•  An option of storing this waste beyond 48 hours
should not be available as it may lead to
noncompliance
•  Bio- medical waste should not be handed over
to municipal bodies

LABELS
1998 RULES 2015 DRAFT RULES
LABEL FOR RADIOACTIVE WASTE
( NOT A PART OF BMWM RULES)

LABEL FOR TRANSPORT
DRAFT 2015 RULES 1998 RULES
!
Label for
transport
Waste category no. & quantity to be
mentioned
Waste category no., class &
description to be mentioned
CHALLENGE: DRAFT 2015 RULES:
Category No. cannot be given as it is accdg. to colour

PRESCRIBED AUTHORITY (1998 RULES)

PRESCRIBED AUTHORITY (DRAFT
2015 RULES)

AUTHORIZATION (DRAFT 2015 RULES)

DIFFERENCES :
(AUTHORIZATION)1998 RULES VS
DRAFT 2015 RULES

ADVISORY COMMITTEE(1998
BMW RULES)

ADVISORY COMMITTEE(DRAFT
2015 BMW RULES)

DIFFERENCES : (ADVISORY
COMMITTEE)1998 RULES VS DRAFT
2015 RULES
!
Advisory
Committee
1.Has to meet every 6 months
2. The defence advisory
committee should have a member
from AFMC and MOHFW
3.Seperate Detailed Mention of
monitoring of rules in Armed
Forces Health Care Facilities
1.No period/ frequency of meeting
specified
2. The defence advisory committee
should have a member from ISHWM &
MOEF
3. The Defence Advisory committee will
be supervised by CPCB

CHALLENGES(ADVISORY
COMMITTEE) DRAFT 2015 RULES:
•  Certain National Organisations working in
fields of Infection Control e.g. ISHWM &
Hospital Infection Society India( HISI) and in
Healthcare Waste Management should form
a part of advisory Committee.
•  Clinical/Medical Microbiologist(s) should
form a part of the Advisory Committee and
Authority

ANNUAL REPORT, RECORD
MAINTENANCE &ACCIDENT REPORTNG
(1998 RULES)

Annual/Monthly
report

Every
occupier/operator-‐

submit
an
annual
report
to

the
prescribed
authority
in

Form
II
by
31st

January
:

categories
and
quantities
of

BMW

The
prescribed
authority
shall

send
this
information
to
the

CPCB
by
31st

March
every

year.

Monthly
report
to
DPCC
by

ﬁrst
week
of
next
month

Maintenance of Records
•  Maintain
records
related
to
BMW.

•  All
records
shall
be
subjected
to

inspection
and
veriﬁcation
by
the

prescribed
authority
at
any
time.

SITE%OF%WASTE%GENERATION:_____________________________________%
%
% % Quantity%%%%%%%%%%%%(%No.%of%Bags/%Boxes)%
DATE%OF%
WASTE%
GENERATION%
DATE%OF%
WASTE%
PICK%UP%
BLUE%
BAGS%
%
YELLOW%
BAGS%
%
SHARPS%
BOXES%
%
DISCARDED%
MEDICINES%%
% % % % % %
% % % % % %
% % % % % %
% % % % % %
%

ANNUAL REPORT, RECORD
MAINTENANCE &ACCIDENT REPORTNG
(DRAFT 2015 RULES)

DIFFERENCES(ANNUAL REPORT,
RECORD MAINTENANCE &
ACCIDENT REPORTNG) 1998 VS
DRAFT 2015 RULES
!
Annual
Report
CPCB required to forward the annual Report
to MOEF by 30th
June every year
No requirement of CPCB to
file annual return
Accident
Reporting
An accident should be reported within One
Month of the incident and have to be a part of
Annual Report
No time frame for reporting
and not a part of Annual
Report

CHALLENGES(ANNUAL REPORT,
RECORD MAINTENANCE &ACCIDENT
REPORTNG (DRAFT 2015 RULES):
•  The format of Records to be maintained and
points of record maintainence should be
specified
•  Accident reporting especially Sharp injuries
should be specified as to occurring in which
step during Waste handling

APPEAL, SITE FOR CWTFS,LIABILITY
OF OCCUPIER/ OPERATOR (1998
BMW RULES)

DIFFERENCES (APPEAL, SITE FOR
CWTFS,LIABILITY OF OCCUPIER/
OPERATOR) 1998 VS DRAFT 2015 RULES
!
Appeal Any appeal filed has to be disposed off within
90 days
No such timeframe specified
Liability of
occupier/
operator of
cwtf
Detailed including:
1. Liability for damages to environment
2. Paying user fees to Municipal
authorities for solid waste
3. Liability under act 5
Not mentioned

CHALLENGES(APPEAL, SITE FOR
CWTFS,LIABILITY OF OCCUPIER/
OPERATOR) DRAFT 2015 RULES
•  Punitive Measures should be specified
•  Sites for these CWTFs should be away
from residential areas and distance from
residential areas should be specified .

STANDARDS OF INCINERATORS(1998 RULES)

STANDARDS OF INCINERATOR
DRAFT 2015 RULES

DIFFERENCES IN STANDARDS FOR
INCINERATION( DRAFT 2015 VERSUS
1998 RULES)
!
1. Secondary
chamber
Temperature
&gas residence
time
1050 Deg C
2 Second
1050+/- 50 deg C
1 Second
2. Monitoring
value
correction
factor
11% Oxygen on dry basis 3% Oxygen on dry basis
12% Carbon Dioxide on dry
basis
3. Emission
Standard
Particulate matter 100 mg/Nm3
Nitrogen oxide 400 mg/Nm3
HCl 50 mg/Nm3
Dioxins & Furans 0.1 ng TEQ/Nm3
Hg & its compound 0.05 mg/Nm3
Nitrogen Oxide 450 mg/Nm3
HCl 50 mg/Nm3
4. Sampling
duration
Mentioned Not Mentioned
5. Dioxans and
Furans
Emission limits
Mentioned & to be achieved within
2 years of application of Rules
Not Mentioned
6. Combustion
Gas Analyser
Mandatory to be installed Not mandatory
7. Stack gas
emission
monitoring
Must and to be done once every 3
months by authorized agency and
report to be submitted
Not mandatory

CHALLENGES( STANDARDS FOR
INCINERATION IN DRAFT 2015 RULES
•  Currently not all incinerators able to maintain secondary
chamber temperature
•  Dioxan and Furan Emission Controls require special Retrofittings
which are costly and may take time
•  Stack Emission Monitoring Authorized agencies are limited

STANDARDS FOR AUTOCLAVING
(1998 RULES)

STANDARDS FOR AUTOCLAVING
(DRAFT 2015 RULES)

DIFFERENCES IN STANDARDS FOR
AUTOCLAVING( DRAFT 2015 VERSUS
1998 RULES)
!
Standards for
Autoclaving
Frequency of Validation Spore
Testing( once in 3 months) and
Routine Tesing ( every batch)
mentioned
Frequency of testing not
mentioned
CHALLENGES( STANDARDS FOR
AUTOCLAVING IN DRAFT 2015 RULES
Frequency of spore tesing for Autoclaving i.e once in 3
months is less

STANDARDS FOR LIQUID WASTE,
DRAFT 2015 1998 RULES

STANDARDS FOR MICROWAVING
DRAFT 2015 1998 RULES
!
Standards for
Microwaving
Biological Indicators: Bacillus
atrophaeus spores
subtilis spores
DIFFERENCES

STANDARDS FOR DEEP BURIAL
DRAFT 2015 VS 1998 RULES

SCHEDULE V LIST OF AUTHORITIES & DUTIES ( DRAFT
2015 RULES)

DIFFERENCES IN DRAFT 2015 AND 1998 BMW
(M&H)RULES)

Treatment and
Disposal
Are more comprehensive including:
1. An option for adopting new
technology provided.
2. Option for Occupiers>500 beds
to install their own incinerator
if needed depending on
recipient environment, location
& availability of CWTF
nearby/not.
3. Mandatory for operators of
CWTFs to install reqd.
equipments eg. Shredder,
incinerator,
autoclave/microwave, ETP e.t.c
before commencing operation.
4. Use of chlorinated bags &
incineration of chlorinated
plastics prohibited
5. Mandatory for
occupiers/operators of CWTFs
to dispose recyclable BMW i.e.
Plastics and Glass through
authorized Recyclers after
treatment(autoclaving/microwa
ving &shredding/ mutilation)
6. Maintainence of Record of such
recyclable waste sold &
submission of this to authorities
mandatory
7. Mercury Waste Disposal
emphasized.
Very brief –Only mentions about
Occupiers to adhere to Schedule I(
categories), Schedule V( standards
for treatment) and schedule VI( Time
frame) for Treatment and Disposal of
BMW
Storage Sharps and Solid Waste exempted from
48 hrs time limit for storage
All type of waste cannot be stored
beyond 48 hours
Authorization Every occupier generating BMW,
irrespective of the quantum of wastes
comes under the BMW Rules and
requires to obtain authorization
Only Occupiers with more than 1000
patients per month required to obtain
authorization
Advisory
Committee
1.Has to meet every 6 months
should have a member from AFMC
and MOHFW
3. Seperate Detailed Mention of
monitoring of rules in Armed Forces
Health Care Facilities
1.No period/ frequency of meeting
specified
should have a member from ISHWM
& MOEF
3. The Defence Advisory committee
will be supervised by CPCB
Annual Report CPCB required to forward the annual
Report to MOEF by 30th
June every
year
No requirement of CPCB to file
annual return
(M&H)RULES) CONT….

!
Accident
Reporting
An accident should be reported within
One Month of the incident and have to
be a part of Annual Report
No time frame for reporting and not
a part of Annual Report
Appeal Any appeal filed has to be disposed off
within 90 days
No such timeframe specified
Liability of
occupier/
operator of
cwtf
Detailed including:
1. Liability for damages to
environment
2. Paying user fees to Municipal
authorities for solid waste
3. Liability under act 5
Not mentioned
Categories of
BMW
Categories of Biomedical Waste
according to colour
Biomedical waste divided in ten
categories according to type of waste
Colour option
for waste
Segregation
1. Only one colour option to
ensure uniformity and clarity
different colour categories
1. Multiple options for colour
creating nonuniformity and
confusion
same category
Label for
transport
Waste category no. & quantity to be
mentioned
Waste category no., class &
description to be mentioned
(M&H)RULES) CONT….

Standards for
Incineration
1. Secondary
chamber
Temperature
&gas residence
time
1050 Deg C
2 Second
1050+/- 50 deg C
1 Second
2. Monitoring
value
correction
factor
11% Oxygen on dry basis 3% Oxygen on dry basis
12% Carbon Dioxide on dry
basis
3. Emission
Standard
Nitrogen oxide 400 mg/Nm3
HCl 50 mg/Nm3
Dioxins & Furans 0.1 ng TEQ/Nm3
Hg & its compound 0.05 mg/Nm3
Nitrogen Oxide 450 mg/Nm3
HCl 50 mg/Nm3
4. Sampling
duration
Mentioned Not Mentioned
5. Dioxans and
Furans
Emission limits
Mentioned & to be achieved within
2 years of application of Rules
Not Mentioned
6. Combustion
Gas Analyser
Mandatory to be installed Not mandatory
7. Stack gas
emission
monitoring
Must and to be done once every 3
months by authorized agency and
report to be submitted
Not mandatory
Standards for
Autoclaving
Frequency of Validation Spore
Testing( once in 3 months) and
Routine Tesing ( every batch)
mentioned
Frequency of testing not
mentioned
Standards for
Microwaving
atrophaeus spores
subtilis spores
List of
Authorities
and
Corresponding
Duties
Enlisted in schedule V No such List
DIFFERENCES IN DRAFT 2015 AND 1998 BMW (M&H)RULES) CONT….

ACTIONABLES FOR ALL
STAKEHOLDERS
(IF 2015 RULES BECOME EFFECTIVE)
HEALTH CARE FACILITIES
•  Every occupier generating BMW, irrespective of the quantum of waste generated will come
under the BMW 2015 Rules and requires to obtain authorization to collect, segregate and/
or treat and dispose BMW from SPCB or SPCC unlike earlier(1998 rules) when only
Occupiers with more than 1000 patients per month required to obtain authorization.
However HCFs with less than 1000 patients per month need it only one time.
•  Categorization of Waste is according to colour code under new (2015) Rules with only one
colour option unlike earlier ( 1998)Rule which had ten categories and some categories had
multiple options of colour and disposal.So Hospitals may have to add/ modify coloured
containers and bags for segregation as :
1.  Yellow Bag (all non plastic , non sharp, soiled incinerable waste),
2.  Red Bag ( all plastic infected waste)
3.  White Translucent Puncture Proof Container( for all metal sharps)
4.  Blue Puncture Proof Container( for infected / broken/ discarded Glass)- New Addition
5.  Yellow Bag with Cytotoxic Label ( for cytotoxic waste)
Hence New/ Modified Posters and Training Modules and Procurement specifications for
containers/ Trolleys/ Bags will have to be made

CONTINUED….
•  Under new Rules “Sharps and Glass” can be stored beyond 48
hours and have been exempted from this time limit of storage unlike
earlier rules( 1998)whereany category of BMW could not be stored
beyond 48 hours so now the Hospitals can increase the sizes of
Containers and reduce the required number and recurring cost for
these containers which is very high currently .However Big sized
containers for Glass if all Laboratory glassware needs to be given as
BMW will be difficult.
•  An Effluent Treatment Plant needs to be installed in the HCF if not
existing for treating all Liquid Waste
•  A facility having more than 500 beds can install its own incinerator
provided there is no CWTF in the vicinity( exact distance still to be
specified)and it is not near any residential accomodation.
•  An Autoclave/ Microwave for treating and A shredder for shredding
Plastic Waste before selling it to the recycler needs to be installed in
the Hospital if this waste is not being given to CWTFS

ACTIONABLES FOR CWTF
OPERATORS
•  Duties of CWTF Operators have been clearly listed in the 2015
rules unlike 1998 rules in which there was no separate mention of
their duties.
•  Any noncompliance by them will be considered as an offence and
a punitive action ( could amount to cancellation of
authorization)can be taken against them by authorities.
•  All Waste Pick up vehicles will now have to be compartmentalized
for segregated waste.
•  All incinerators will now need to install pollution control devices
including Retro fittings to adhere to pollution control emission
standards (detailed)in the new2015 rules.
•  The incinerators will have to comply to emission standards
especially for dioxans and furans within two years of
commencement of these rules.
•  They will have to tie up with authorized recyclers for plastic and
glass waste for resale after treatment and shredding.

Dr.
SUMI
NANDWANI

PROFESSOR-‐
cum/or
CHIEF
CONSULTANT,

HOD,
Microbiology,

Sub
-‐
Dean

Superspeciality
Paediatric
Hospital
and
Post

Graduate
Teaching
Institute,Noida

E
Mail:
suminandwani@gmail.com

THANK YOU

BioMedical Waste Management & Handling Rules (1998 vs draft 2015) dr sumi

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