This slide is based on PCB guidelines for BMWM and treatment for waste generated from COVID-19 Health Care Facilities.

1. By
Mr. Jonils Macwan
Senior Nursing Superintendent
Vadodara
Prepared On: 05/05/2020

3. 1. SEGREGATION OF SOLID WASTE MANAGEMENT 2016, 2018 AND 2019
2. CPCB GUIDELINES FOR COVID-19 HEALTHCARE FACILITIES
3. LABELLING AND DOUBLE BAG
4. MONTHLY REPORT COVID-19 HEALTH CARE FACILITY
5. GENERAL WASTE( NON COVID)
6. SPECIFIC BMW ARTICLES DISPOSAL
7. RESPONSIBILITIES OF PERSONS OPERATING HOME CARE FACILITIES
8. CLARIFICATIONS
9. FAQ
WHAT WE WILL DICUSS TODAY?

4. TYPES OF WASTE FROM
HOSPITALS
Between 75 to 90 % of waste generated at healthcare facilities is
“general” or nonhazardous waste. It includes waste generated during:
• administrative activities
• housekeeping activities
•kitchen & food related o packaging o maintenance functions
• Only 10 to 25% of waste generated during delivery of patient care is
“hazardous” in nature and carries various health risks. This hazardous
or biomedical waste includes:
o infectious waste cultures
o sharps
o pathological waste
o pharmaceutical
o Geno toxic o chemical and
o radioactive wastes

5. BMWM Rules 2016, 2018, 2019

6. CPCB GUIDELINES FOR COVID-19 HEALTHCARE FACILITIES
• Based on current knowledge on COVID-19 and existing practices in
management of infectious waste generated in HCFs while treating
viral and other contagious diseases like HIV, H1N1, etc.
•These guideline will be update if needed
•Guidelines brought out by WHO, MoH& FW, ICMR, CDC and other
concerned agencies from time to time may also be referred.

7. 1. COLLECT AND STORE BMW: Use a dedicated collection bin labeled as “ COVID-19” to
store and keep separately in store room prior to handling over to staff of CBWTF or be
lifted directly from ward in to CBWTF collection van.
2. MANDATORY LABELING: BMW bags/containers from COVID-19 wards: labeled as “
COVID-19 Waste” CBWTFs to indentify for priority treatment and disposal upon
receipt.
3. SEPARATE COLOUR CODED: bins/bags/containers in wards and maintain proper
segregation of waste as per BMWM Rules as amended and CPCB guidelines on BMWM
Rules.
4. Double layered bags( 2 bags) use for collection of BMW so as to ensure adequate
strength and no leaks.
5. Use dedicated trolleys and collection bins with label “ COVID-19 Waste” to be pasted
on these items also.
6. Inner and outer surface of containers/bins/trolleys used for COVID-19 BMW- disinfect
with 1% Sodium Hypochlorite solution daily.
LABELLING AND DOUBLE BAG

9. 1. COVERING LETTER TO CENTRAL POLLUTION CONTROL BOARD
• Duly signed by Concerned Authority
2. PARTICULARS OF THE OCCUPIER
• Name of the authorized occupier, operator of facility, Name of
the HCF, Address
• Address of Facility, telephone No., Email id, Website
• Ownership of HCFs
• Type of HCFs- Total Beds
• Details of the storage, treatment, transportation, processing and
disposal facility
MONTHLY REPORT COVID-19 HEALTH CARE FACILITY

10. • General waste not having contamination should be disposed as
solid waste as per SWM Rules 2016
• Depute dedicated sanitation workers separately for BMW, SW so
that waste can be collected and transferred timely to temporary
waste storage area.
GENERAL WASTE( NON COVID)

11. • FAECES from COVID-19 confirmed patient, who is unable to use
toilets and excreta is collected in diaper, must be treated as
BMW and should be placed in yellow bag/container.
• If a bedpan is used, then faeces to be washed into toilet and
cleaned with a neutral detergent and water, disinfected with
0.5% chlorine or 1% hypochlorite solution then rinsed with clean
water.
GENERAL WASTE( NON COVID)

12. PPEs: Goggles, face shield, splash proof apron, plastic coverall,
Hazmat suit, nitrile gloves into red bag.
SPECIFIC BMW ARTICLES DISPOSAL

13. PPEs: Collected used masks( triple layer mask and N95 mask), head
cover, shoe cover, disposable linen gown, non-plastic or semi
plastic coverall in yellow bags.
SPECIFIC BMW ARTICLES DISPOSAL

14. General solid waste (household waste) generated from quarantine centers or
camps should be handed over to waste collector identified by Urban Local Bodies
or as per the prevailing local method of disposing general solid waste.
-Biomedical waste if any generated from quarantine centers/camps should be
collected separately in yellow colored bags (suitable for biomedical waste
collection) provided by ULBs.
These bags can be placed in separate and dedicated dust-bins of appropriate size.
- Persons operating Quarantine camps/centers should call the CBWTF operator to
collect biomedical waste as and when it gets generated. Contact details of
CBWTFs would be available with Local Authorities.
RESPONSIBILITIES OF PERSONS OPERATING HOME
CARE FACILITIES

15. Persons taking care of quarantine home / Home-care should deposit biomedical
waste if any generated from suspected or recovered COVID-19 patients, by
following any of the following methods as may be arranged by ULBs;
- Hand over the yellow bags containing biomedical waste to authorized waste
collectors at door steps engaged by local bodies; or
- Deposit biomedical waste in yellow bags at designated deposition Centers
established by ULBs. The bag again be stored in yellow bag or container; or
- Handover the biomedical waste to waste collector engaged by CBWTF operator
at the doorstep.
RESPONSIBILITIES OF PERSONS OPERATING HOME
CARE FACILITIES

16. Quarantine Camps / Quarantine-Home / Home-care are the places where
suspected people or the contacts of suspected / confirmed cases who have been
directed by authorized hospitals or local authorities to stay at home for at least
14 days for observation for any symptom of COVID-19, if any.
- Patients positive for COVID-19 will not be treated at Quarantine Camps /
Quarantine-Home /Home-care unless such situation is notified by the
State/Central Governments.
- Biomedical waste at Quarantine Camps / Home-care will comprise of used
syringes, date expired or discarded medicines, used masks/gloves and in case of
patients with other chronic diseases may also include drain bags, urine bags,
body fluid or blood soaked tissues/cotton, empty ampules etc. FOLLOW 2016
GUIDELINES.
CLARIFICATIONS

17. Biomedical waste generated from Quarantine Camps / Quarantine-Home /
Home-care would be treated as ‘domestic hazardous waste’ as defined under
Solid Waste Management Rules, 2016, and shall be disposed as per provisions
under Biomedical Waste Management Rules, 2016 and these guidelines.
- General waste from Quarantine Camps / Quarantine-Home / Home-care shall
be disposed as Solid waste as per provisions under SWM Rules, 2016.
CLARIFICATIONS

18. Report to SPCBs/PCCs about receiving of waste from COVID-19 isolation wards /
Quarantine Camps / Quarantined homes / COVID-19 Testing Centers;
- Operator of CBWTF shall ensure regular sanitization of workers involved in
handling and collection of biomedical waste;
- Workers shall be provided with adequate PPEs including three layer masks,
splash proof aprons/gowns, nitrile gloves, gum boots and safety goggles;
- Use dedicated vehicle to collect COVID-19 ward waste. It is not necessary to
place separate label on such vehicles;
- Vehicle should be sanitized with sodium hypochlorite or any appropriate
chemical disinfectant after every trip.
- COVID-19 waste should be disposed-off immediately upon receipt at facility.
DUTIES OF COMMON BIOMEDICAL WASTE
TREATEMENT FACILITY(CBWTF)

19. •CDC- risk of transmission COVID-19 through sewage is low: operators
treatment of STPs: no evidence
•Agencies: HCF/ isolations wards/operators of terminal sewage treatment
plants
•Agencies to ensure disinfection of treated wastewater as per prevailing
practices to inactivate corona viruses
•Operators of STPs- standard operation practices, practice basic hygiene
precautions, and wear PPEs
•COVID-19 pandemic- utilization of treated waste water in utilities with HCFs
may be avoided.
MANAGEMENT OF WASTE WATER FROM HCFs

20. • What type of container should I use for sharps?
Ans: White (Translucent) Puncture proof, Leak proof, Tamper proof
containers.
• Should Microbiology, biotechnology and other clinical laboratory waste be
pre-treated?
Yes. Microbiology, biotechnology and other clinical laboratory waste needs
to be pre-treated at HCF either by Autoclave/ Microwave/ Hydroclave and
then sent for Incineration.
https://www.biomedicalwastemanagementinindia.in/FAQ's.html
FAQ