Thanks to Dr J Jayalakshmi mam, Professor of Microbiology, KMCH, Coimbatore

1. 9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 1

2. It’s a Concern ………………!!!!
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 2

3. Biomedical Waste Management
8th Sep 2021 – CAHO -Young IMA - Webinar

4. Objectives…………
• Biomedical waste (BMW)
• Classification & Types of BMW
• Lifecycle of Biomedical waste
• Risks associated with BMW
• Safety of personnel handling BMW
• Monitoring BMW handling
• COVID waste guidelines
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 4

5. Biomedical waste (BMW)
Any waste that is generated during Diagnosis,
Treatment or Immunization of human beings or
animals, or in research activities , or in the production of
biological
Ministry of Environment , Forest and Climate change - 2016
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 5

6. Burden of Biomedical waste in India
203 tons per day -!!!
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 6
Central Pollution control board , May 2021

7. 9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 7
By the end of the vaccination drive, which the Centre hopes to reach by the
end of this year, the country would have generated over 1.3 billion used
syringes, needles and more than 100 million discarded glass vials,

8. Waste generated In Indian Hospitals – 1-2 Kgs / bed / day
80% General Waste
Kitchen waste (Food, peels, tea cups, foil,
plastic, fruit, vegetable leftovers)
General office waste (Wrapping paper,
office papers, cartoons, packing materials)
20% Biomedical Waste
15% infectious / contaminated
3% Chemical & pharmaceutical
1% Sharps
1% Radioactive, cytotoxic and heavy metals
Classification of Hospital waste
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 8

9. Types of the concerning 20% BMW
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 9

10. Biomedical waste disposal in the past
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 10

11. Risks Involved with poor BMW handling
Unsafe Segregation Unsafe Disposal
Reuse of Equipment
Injuries Infections Toxic Effects
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 11

12. BMW Management Rule -2016 .
(Amended – 2018 & 2019)
Ministry of Environment & Forest and Climate change-2016
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 12

13. BMW management - 3Rs Concept
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 13

14. • Hospitals, nursing homes, clinics, dispensaries,
• Veterinary institutions, animal houses,
• Pathological laboratories, blood banks,
• Ayush hospitals, clinical establishments
• Research or educational institutions,
• Health camps, medical or surgical camps, vaccination camps, blood donation camps,
• First aid rooms of schools,
• Forensic laboratories and Research labs
Uniform guidelines and Code of practice for managing BMW
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 14

15. BMW – 2016 ( 2018 & 2019 amended)
Color Coding
• Standardizing the practices
• Identifying the contents, without opening the bags
• Improving compliance
Ministry of Environment , Forest and Climate change -2016
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 15

16. 9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 16
1%

17. 9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 17

18. 9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 18
Poster Courtesy – CMC vellore

19. BIOMEDICAL WASTE (AMENDMENT) - 2018
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 19

20. BMW Label & Documentation
Day............ Month.............. Year...........
Date of generation ...................Waste category Number........Waste quantity…………
Sender's Name and Address Receiver's Name
and Address:
Phone Number ........ Phone Number
...............
Fax Number............... Fax Number
.................
Contact Person ........ Contact Person
.........
In case of emergency please contact :
Name and Address :
Phone No.
Note :Label shall be non-washable and prominently visible.
Barcoding……………..
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 20

21. Transportation of BMW
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 21

22. Movement of BMW
Across Lifecycle
• Generation
• Segregation
• Disinfection / Sterilization
• Temp Storage
• Record Maintenance
• Treatment
• Disposal
• Record Maintenance
• Temp Storage
• Record Maintenance
In the Wards Common BMW Storage
Area @ Hospital
In the Common BMW
treatment facility
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 22

23. Storage of BMW in the Healthcare facility (HCF)
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 23
Untreated BMW should NOT
be stored in a HCF for more
than 48hrs

24. Common BMW treatment facility (CBMWTF)
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 24

25. Workflow - CBMWTF
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 25

26. Treatment & Disposal of Biomedical waste
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 26
Deep burial pit Sharp pit
Kayakalp - 2018

27. Safety of Health Care Personnel
PPE & Vaccination
Immunization against Hepatitis B & Tetanus
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 27

28. Training – atleast once a year
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 28

29. BMW - Forms to be submitted
• The hospital should submit - I-V forms:
I. Accident reporting
II. Application for authorization/renewal
III. Authorization
IV. Annual report – 30th June
V. Application for filing appeal
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 29

30. 9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 30

31. Monitoring BMW Management
• Audit - Direct observation / CCTV
camera
• Onsite inspection - BMWCTF
• Reviewing BMW generated
• Barcoding
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 31

32. Hospital Waste Management Committee
>30 beds - Every 6 months
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 32

33. Bio-Medical Waste Management
(Amendment) Rules, 2019 ( 19th Feb 2019 )
1. The occupier of all bedded health care units, shall maintain and update on a day to day
basis the bio-medical waste management register.
2. All bedded healthcare units shall display the monthly record of waste disposal
management on its website.
3. Such health care facilities (irrespective of any number of beds), shall make the Annual
Report available on its web-site before 19 March 2021.
4. Health Care Facilities having less than ten beds shall have to comply with the output
discharge standard for liquid waste by 31st December, 2019
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 33

34. Implementation of BMW standards
• Practices as per the updated rule
• CBMWTF – 75kms radius
• Deep burial pit – if beyond 75kms
• Pre-treat the BMW
• Non chlorinated bags
• Labelling & Barcoding
• Report accidents
• Daily Documentation of the BMW
• Uploading the website
• Annual report – 30th June
• BMW committee – Every 6 months
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 34

35. COVID Pandemic Generating large quantities of Waste
&
Unsafe Disposal
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 35

36. 9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 36

37. PCB Guidance for Safe disposal of BMW
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 37

38. Safe disposal of COVID waste
(Hospitals)
Guidelines for handling , treatment and disposal of waste generated during treatment / diagnosis / quarantine of COVID -19 patients .
Version -4, 21st July 2020
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 38

39. Safe disposal of COVID waste
(Household)
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 39

40. To Summarize………….
• CPCB / SPCB - CBMWTF
• Color coded – Bags / PPC
• Compliance to be ensured
• COVID waste disposal.
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 40

41. Proper BMWM - Not just a legal necessity
but also a social responsibility……!!!!!!
9/8/2021 Dr J.Jayalakshmi , KMCH-IHSR 41