2014 bio medical waste mangement

3.  Definition:Definition:
The Bio-Medical Waste is the wasteThe Bio-Medical Waste is the waste
that is generated during the diagnosis,that is generated during the diagnosis,
treatment or immunization of humantreatment or immunization of human
beings or animals or in researchbeings or animals or in research
activities pertaining thereto, or in theactivities pertaining thereto, or in the
production or testing of biologicalproduction or testing of biological
components.components.

4.  Bio-medical waste (BMW) is defined as the totalBio-medical waste (BMW) is defined as the total
waste stream from a healthcare facility (HCF)waste stream from a healthcare facility (HCF)
 Two basic categoriesTwo basic categories
 General Waste or Municipal WasteGeneral Waste or Municipal Waste
 Bio-Medical WasteBio-Medical Waste

5. General / MunicipalGeneral / Municipal
WasteWaste
 General WasteGeneral Waste
 Paper PackagingPaper Packaging
 Plastic packagingPlastic packaging
 Food preparationFood preparation
 And other items that haven’t been contaminatedAnd other items that haven’t been contaminated

6. Bio-Medical WasteBio-Medical Waste
 Bio-Medical Waste (BMW)Bio-Medical Waste (BMW)
 Infectious wasteInfectious waste
 Hazardous wasteHazardous waste
 Harmful to humans and environmentHarmful to humans and environment

7. SOURCE OFSOURCE OF BIO-MEDICALBIO-MEDICAL
WASTEWASTE
 Biomedical Waste is generated in:Biomedical Waste is generated in:
Hospitals, Nursing Homes,Hospitals, Nursing Homes,
Clinics, Medical Laboratories,Clinics, Medical Laboratories,
Blood Banks, Animal HousesBlood Banks, Animal Houses
etc. Such a waste can also beetc. Such a waste can also be
generated at home if healthgenerated at home if health
care is being provided there tocare is being provided there to
a patient.a patient.
(e.g. injection, dressing material etc.)(e.g. injection, dressing material etc.)

8. ComponentsComponents
 Solids:Solids:
Catheters and tubesCatheters and tubes
Disposable masks and scrubsDisposable masks and scrubs
Disposable toolsDisposable tools
Medical glovesMedical gloves
Wound dressingsWound dressings
Human Body PartsHuman Body Parts

9. Contd…Contd…
 Liquids:Liquids:
BloodBlood
Body fluids and tissuesBody fluids and tissues
Cell, organ and tissue culturesCell, organ and tissue cultures

10. Contd…Contd…
 Sharps:Sharps:
 Blades (Razor or Scalpel)Blades (Razor or Scalpel)
 Material made up glass such as slides.Material made up glass such as slides.
 NeedlesNeedles

11. Classification and ManagementClassification and Management
SHEDULE ISHEDULE I
CategoryCategory Waste TypeWaste Type Treatment and Disposal MethodTreatment and Disposal Method
Category 1Category 1
Human Wastes (Tissues,Human Wastes (Tissues,
organs, body partsorgans, body parts
Incineration / deep burialIncineration / deep burial
Category 2Category 2 Animal WasteAnimal Waste Incineration / deep burialIncineration / deep burial
Category 3Category 3
Microbiology andMicrobiology and
Biotechnology wasteBiotechnology waste
Autoclave/microwave/incinerationAutoclave/microwave/incineration
Category 4Category 4 SharpsSharps
Disinfection (chemical treatment)Disinfection (chemical treatment)
+/autoclaving/microwaving and+/autoclaving/microwaving and
mutilation shreddingmutilation shredding
Category 5Category 5
Discarded Medicines andDiscarded Medicines and
Cytotoxic DrugsCytotoxic Drugs
Incineration/ destruction and drugsIncineration/ destruction and drugs
disposal in secured landfillsdisposal in secured landfills

12. Contd…Contd…
CategoryCategory Waste TypeWaste Type Treatment and Disposal MethodTreatment and Disposal Method
Category 6Category 6 Contaminated solid wasteContaminated solid waste Incineration/autoclaving / microwavingIncineration/autoclaving / microwaving
Category 7Category 7 Infecious solid waste (wasteInfecious solid waste (waste
generated from disposablegenerated from disposable
items other than the wasteitems other than the waste
sharps such as tubings ,sharps such as tubings ,
hand gloves , saline bottleshand gloves , saline bottles
with iv tubes , catheters ,with iv tubes , catheters ,
glass , intravenous sets.glass , intravenous sets.
Disinfection by chemical treatment+Disinfection by chemical treatment+
microwaving/autoclaving & mutilationmicrowaving/autoclaving & mutilation
shreddingshredding
Category 8Category 8 Chemical waste(chemicalsChemical waste(chemicals
used in production ofused in production of
bilogicals ,chemicals used inbilogicals ,chemicals used in
disinfection as insecticidesdisinfection as insecticides
etc..etc..
Disinfection by chemical treatment+ andDisinfection by chemical treatment+ and
discharge into the drainsdischarge into the drains

13. Segregation of BIOMEDICALSegregation of BIOMEDICAL
WASTEWASTE
Schedule - IISchedule - II
Color codingColor coding Type of containerType of container Waste category treatment optionWaste category treatment option
YELLOWYELLOW
non chlorinatednon chlorinated
Plastic BagPlastic Bag
Cat 1,2,5,6 Incineration / deepCat 1,2,5,6 Incineration / deep
burialburial
REDRED
non chlorinated plasticnon chlorinated plastic
bags/puncture proofbags/puncture proof
container for sharpscontainer for sharps
Cat 3,4,7 Autoclave/microwaveCat 3,4,7 Autoclave/microwave
/chemical treatment/chemical treatment
BlueBlue
tNon chlorinatedtNon chlorinated
Plastic bag/ PuncturePlastic bag/ Puncture
proofproof
Cat 8 Autoclave/microwaveCat 8 Autoclave/microwave
/chemical treatment //chemical treatment /
destruction shreddingdestruction shredding
BLACKBLACK non chlorinated Plastic bagnon chlorinated Plastic bag Muncipal waste Disposal in secureMuncipal waste Disposal in secure
muncipal yardmuncipal yard

14. Generation of Waste
Segregation at source
Collection of Waste
Transportation
Autoclaving & shredding
Treatment
Incineration

15. A set up where biomedical waste, generated
from a number of healthcare units, is
imparted necessary treatment to reduce
adverse effects that this waste may pose.

16.  De-chlorinated Color Coded Poly Bags
 Color Coded Dustbin/Container with lid
 Needle Cutter cum Destroyer
 Poster (Category Wise)
 Daily Record Register
 Sodium Hypo chloride
 Label/Sticker

17.  Bio-Medical Waste (Management & Handling)
Rules 1998
 Industrial Health & Safety Rule

22. Source reductionSource reduction
Ways to lesser the amount of materialWays to lesser the amount of material
SegregationSegregation
MinimizationMinimization
Reduce or eliminate waste at sourceReduce or eliminate waste at source

23. Engineering toolsEngineering tools
Methods to reduce quality of waste (smallerMethods to reduce quality of waste (smaller
containers)containers)

24. The segregation of biomedical waste into various categories
and storage in four different coloured containers. The
Biomedical waste shall be segregated into containers/bags at
the point of generation in accordance with Schedule II prior
to its storage, transportation, treatment and disposal.