This project report summarizes Rochan Banga's investigatory project on biological waste management. The report discusses the need for proper biological waste management in hospitals to prevent the spread of diseases and environmental pollution. It provides classifications of biomedical waste, sources of waste, and the problems caused by improper management. It also outlines the key steps in biological waste management processes, including collection, segregation, transportation, treatment, and disposal. Common treatment methods like incineration and autoclaving are also summarized.
-Bio-Medical Waste
-Contents:
-Evolution of Bio-Medical Waste in India
-Biomedical Waste
-Need of Rules for Bio-Medical Waste
-Present Scenario in India
-Disease Caused by Improper Disposal of Waste
-BMW(H&M) 1998
-Major Differences between BMW 1998 and BMW 2016
-BMW (H&M) 2016
-Conclusion
Evolution of Bio-Medical Waste Management Rules in India:
-First Bio-Medical Rules were notified by the Govt. of India, erstwhile
MOEF on 20th July 1998.
-Modification in the next following years (2000, 2003 and 2011)
-BMW rules 2011 remained as the draft
-MOEFCC in March 2016 has amended the BMWM rules.
-BMW Management 2016 was released on 27 March 2016
Bio-Medical Waste:
means any waste, which is generated during the diagnosis, treatment or immunisation of human beings or animals
or research activities pertaining thereto
or in the production or testing of biological or in health camps, including the categories mentioned in Schedule I appended to these rules;
Hospital Waste Management:
i) Health Hazards of heath care waste
ii) Types of hazards
iii) Ways to treat and dispose of healthcare waste
iv) Bio-medical waste management in India (Schedule I, II, III)
Abstract— This is a review paper which is prepared from the surveys of hospitals and research studies. Hospital waste management in the world is a strict discipline and does occupy a serious place in the management of health care sector. The management of hospital remaining requires its removal and disposal from the health care establishments as hygienically and economically as possible by methods that all stages minimizes the risk to public health and to environment. Health care waste can be dangerous, if not done properly. Poor management of healthcare waste exposes health labors, waste handlers, and the community to the toxic effects of wastes generated from health activity. The disposal of these wastes could also lead to environmental problems. This article intends to describe various health care wastes and its controlling, as creating good practices for proper handling and disposal of health care waste is an important part of the health care delivery system. The aim of this paper is to highlight the present condition of medical waste and a review on scientific method of hospital waste management.
-Bio-Medical Waste
-Contents:
-Evolution of Bio-Medical Waste in India
-Biomedical Waste
-Need of Rules for Bio-Medical Waste
-Present Scenario in India
-Disease Caused by Improper Disposal of Waste
-BMW(H&M) 1998
-Major Differences between BMW 1998 and BMW 2016
-BMW (H&M) 2016
-Conclusion
Evolution of Bio-Medical Waste Management Rules in India:
-First Bio-Medical Rules were notified by the Govt. of India, erstwhile
MOEF on 20th July 1998.
-Modification in the next following years (2000, 2003 and 2011)
-BMW rules 2011 remained as the draft
-MOEFCC in March 2016 has amended the BMWM rules.
-BMW Management 2016 was released on 27 March 2016
Bio-Medical Waste:
means any waste, which is generated during the diagnosis, treatment or immunisation of human beings or animals
or research activities pertaining thereto
or in the production or testing of biological or in health camps, including the categories mentioned in Schedule I appended to these rules;
Hospital Waste Management:
i) Health Hazards of heath care waste
ii) Types of hazards
iii) Ways to treat and dispose of healthcare waste
iv) Bio-medical waste management in India (Schedule I, II, III)
Abstract— This is a review paper which is prepared from the surveys of hospitals and research studies. Hospital waste management in the world is a strict discipline and does occupy a serious place in the management of health care sector. The management of hospital remaining requires its removal and disposal from the health care establishments as hygienically and economically as possible by methods that all stages minimizes the risk to public health and to environment. Health care waste can be dangerous, if not done properly. Poor management of healthcare waste exposes health labors, waste handlers, and the community to the toxic effects of wastes generated from health activity. The disposal of these wastes could also lead to environmental problems. This article intends to describe various health care wastes and its controlling, as creating good practices for proper handling and disposal of health care waste is an important part of the health care delivery system. The aim of this paper is to highlight the present condition of medical waste and a review on scientific method of hospital waste management.
Biomedical Waste is any kind of waste that contains infectious material (or material that’s potentially infectious). This definition includes waste generated by healthcare facilities like physician’s offices, hospitals, dental practices, laboratories, medical research facilities, and veterinary clinics
Impact of Biomedical Waste on City Environment :Case Study of Pune India.IOSR Journals
Indian cities are facing problem of Biomedical waste management in the wake of urban development. The number of healthcare facilities is increasing day by day resulting in large-scale generation of bio medical waste. It has been observed that inadequate disposal of biomedical waste is creating highly unhygienic environment and posing serious heath threat for inhabitants. Present paper discusses the issue of biomedical waste management from a wider perspective with special emphasis on chemical waste which is one of the most hazardous wastes in present context. Various types of biomedical waste with reference to generation, handling and disposal practices are presented. It includes study and analysis of the parameters which affect the quality of environment to explore their impact on city environments. The current practices of handling such waste is presented based on a study conducted in city of Pune, which is the second largest city in the state of Maharashtra, India. It is aimed to put forth the importance of adequate handling and treatment of biomedical waste with reference to healthy and hygienic living environment for inhabitants to live in.
The health of patients is important to hospitals making it imperative to properly dispose of biomedical waste. Having the proper biomedical waste containers is part of keeping patients safe from illnesses they could contract while in the hospital.
The waste produced in the course of health-care activities carries a higher potential for infection and injury than any other type of waste. Therefore, it is essential to have safe and reliable method for its handling. Inadequate and inappropriate handling of health-care waste may have serious public health consequences and a significant impact on the environment. Appropriate management of healthcare waste is thus a crucial component of environmental health protection, and it should become an integral feature of health-care services.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
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CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
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2. Acknowledgement
I feel proud to present my investigatory project in Biology on the
“Biological Waste Management” This project would not have been feasible
without the proper rigorous guidance of biology teacher Mrs. Anita Kaul & Mrs
Manisha Sharma. Who guided me throughout this project in every possible
way? An investigatory project involves various difficult lab experiments, which
have to obtain the observations and conclude the reports on a meaningful
note. Thereby, I would like to thanks Mrs. Anita Kaul & Mrs Manisha Sharma
for guiding me on a systematic basis and ensuring that in completed all my
research with ease. Rigorous hard work has put in this project to ensure that it
proves to be the best. I hope that it proves to be the best. I hope that this
project will prove to be a breeding ground for the next generation of students
and will guide them in every possible way.
4. INTRODUCTION
Biomedical waste management has recently emerged as an issue of major
concern not only to hospitals, nursing home authorities but also to the
environment. the bio-medical wastes generated from health care units depend
upon a number of factors such as waste management methods, type of health
care units, occupancy of healthcare units, specialization of healthcare units, ratio
of reusableitems in use, availability of infrastructureand resources etc.
The proper management of biomedical waste has become a worldwide
humanitarian topic today. Although hazards of poor management of biomedical
waste have aroused the concern world over, especially in the light of its far-
reaching effects on human, health and the environment.
Now it is a well established fact that there are many adverse and harmful effects
to the environment including human beings which are caused by the “Hospital
waste” generated during the patient care. Hospital waste is a potential health
hazard to the health care workers, public and flora and fauna of the area. The
problems of the waste disposal in the hospitals and other health-care institutions
have become issues of increasing concern.
Definition
According to Biomedical Waste (Management and Handling) Rules, 1998 of India
“Any waste which is generated during the diagnosis, treatment or immunization
of human beings or animals or in research activities pertaining thereto or in the
production or testing of biologicals
5. The Government of India (notification, 1998) specifies that Hospital Waste
Management is a part of hospital hygiene and maintenance activities. This
involves management of range of activities, which are mainly engineering
functions, such as collection, transportation, operation or treatment of processing
systems, and disposalof wastes.
One of India’s major achievements has been to change the attitudes of the
operators of health care facilities to incorporate good HCW management
practices in their daily operations and to purchase on-site waste management
services fromthe private sector. (Bekir Onursal, 2003)
World Health Organization states that 85% of hospital wastes are actually non-
hazardous, whereas 10% are infectious and 5% are non-infectious but they are
included in hazardous wastes. About 15% to 35% of Hospital waste is regulated as
infectious waste. This range is dependent on the total amount of waste generated
(Glenn and Garwal, 1999).
Classification of Bio-Medical Waste
The World Health Organization (WHO) has classified medical waste into eight
categories:
´ General Waste
´ Pathological
´ Radioactive
´ Chemical
´ Infectious to potentially infectious waste
´ Sharps
6. ´ Pharmaceuticals
´ Pressurized containers
Sources of Biomedical Waste
Hospitals produce waste, which is increasing over the years in its amount and
type. The hospital waste, in addition to the risk for patients and personnel who
handle them also poses a threat to public health and environment.
Major Sources
Govt. hospitals/privatehospitals/nursing homes/dispensaries.
Primary health centers.
Medical colleges and research centers/paramedic services.
Veterinary colleges and animal research centers.
Blood banks/mortuaries/autopsycenters.
Biotechnology institutions.
Production units.
Minor Sources
Physicians/ dentists’ clinics
Animal houses/slaughter houses.
Blood donation camps.
Vaccination centers.
Acupuncturists/psychiatric clinics/cosmetic piercing.
Funeralservices.
Institutions for disabled persons
7. Problems relating to biomedical waste
A major issue related to current Bio-Medical waste management in many
hospitals is that the implementation of Bio-Waste regulation is unsatisfactory as
some hospitals are disposing of waste in a haphazard, improper and
indiscriminate manner. Lack of segregation practices, results in mixing of hospital
wastes with general waste making the whole waste stream hazardous.
Inappropriate segregation ultimately results in an incorrect method of waste
disposal.
8. Inadequate Bio-Medical waste management thus will cause environmental
pollution, unpleasant smell, growth and multiplication of vectors like insects,
rodents and worms and may lead to the transmission of diseases like typhoid,
cholera, hepatitis and AIDS through injuries from syringes and needles
contaminated with human.
Various communicable diseases, which spread through water, sweat, blood, body
fluids and contaminated organs, are important to be prevented. The Bio Medical
Waste scattered in and around the hospitals invites flies, insects, rodents, cats
and dogs that are responsible for the spread of communication disease like
plague and rabies. Rag pickers in the hospital, sorting out the garbage are at a risk
of getting tetanus and HIV infections. The recycling of disposable syringes,
needles, IV sets and other article like glass bottles without proper sterilization are
responsible for Hepatitis, HIV, and other viral diseases. It becomes primary
responsibility of Health administrators to manage hospital waste in most safe and
eco-friendly manner.
The problem of bio-medical waste disposal in the hospitals and other healthcare
establishments has become an issue of increasing concern, prompting hospital
administration to seek new ways of scientific, safe and cost effective management
of the waste, and keeping their personnel informed about the advances in this
area. The need of proper hospital waste management system is of prime
importance and is an essential component of quality assurancein hospitals.
9.
10. Need of biomedical waste management in hospitals
The reasons due to which there is great need of management of hospitals waste
such as:
1. Injuries from sharps leading to infection to all categories of hospital
personneland wastehandler.
2. nosocomial infections in patients from poor infection control practices and
poor waste management.
3. Risk of infection outside hospital for waste handlers and scavengers and at
time general public living in the vicinity of hospitals.
4. Risk associated with hazardous chemicals, drugs to persons handling wastes
at all levels.
11. 5. “Disposable” being repacked and sold by unscrupulous elements without
even being washed.
6. Drugs which have been disposed of, being repacked and sold off to
unsuspecting buyers.
7. Risk of air, water and soil pollution directly due to waste, or due to
defective incineration emissions and ash.
Biomedical Waste Management Process
There is a big network of Health Care Institutions in India. The hospital waste like
body parts, organs, tissues, blood and body fluids along with soiled linen, cotton,
bandage and plaster casts from infected and contaminated areas are very
essential to be properly collected, segregated, stored, transported, treated and
disposed of in safemanner to prevent nosocomialor hospitalacquired infection.
1. Waste collection
2. Segregation
3. Transportation and storage
4. Treatment & Disposal
5. Transportto final disposalsite
6. Final disposal
Biomedical Waste Treatment andDisposal
Health care waste is a heterogeneous mixture, which is very difficult to manage as
such. But the problem can be simplified and its dimension reduced considerably if
a proper management systemis planned.
12. IncinerationTechnology
This is a high temperature thermal process employing combustion of the waste
under controlled condition for converting them into inert material and gases.
Incinerators can be oil fired or electrically powered or a combination thereof.
Broadly, three types of incinerators are used for hospital waste: multiple hearth
type, rotary kiln and controlled air types. All the types can have primary and
secondary combustion chambers to ensure optimal combustion. These are
refractory lined.7
Non-IncinerationTechnology
Non-incineration treatment includes four basic processes: thermal, chemical,
irradiative, and biological. The majority of non-incineration technologies employ
the thermal and chemical processes. The main purpose of the treatment
technology is to decontaminate waste by destroying pathogens. Facilities should
make certain that the technology could meet state criteria for disinfection. 9
Autoclaving
The autoclave operates on the principle of the standard pressurecooker.
The process involves using steam at high temperatures.
The steam generated at high temperature penetrates waste material and kills all
the micro organism
These are also of three types: Gravity type, Pre-vacuumtypeand Retort type.
13. In the first type (Gravity type), air is evacuated with the help of gravity alone. The
system operates with temperature of 121 deg. C. and steam pressure of15 psi. for
60-90 minutes. Vacuum pumps are used to evacuate air from the Pre vacuum
autoclave system so that the time cycle is reduced to 30-60 minutes. It operates
at about 132 deg. C. Retort type autoclaves are designed much higher steam
temperature and pressure. Autoclave treatment has been recommended for
microbiology and biotechnology waste, waste sharps, soiled and solid wastes. This
technology renders certain categories (mentioned in the rules) of bio-medical
waste innocuous and unrecognizable so that the treated residue can be land
filled.
Microwave Irradiation
The microwaveis based on the principle of generation of high frequency waves.
These waves cause the particles within the waste material to vibrate, generating
heat.
This heat generated from within kills all pathogens.
Chemical Methods
1 % hypochlorite solution can be used for chemical disinfection
Plasma Pyrolysis
Plasma pyrolysis is a state-of-the-art technology for safe disposal of medical
waste. It is an environment-friendly technology, which converts organic waste
into commercially useful byproducts. The intense heat generated by the plasma
14. enables it to dispose all types of waste including municipal solid waste,
biomedical waste and hazardous waste in a safe and reliable manner. Medical
waste is pyrolysed into CO, H2, and hydrocarbons when it comes in contact with
the plasma-arc. These gases are burned and produce a high temperature (around
1200o
C).
Biomedical Waste Management Rules
Safe disposal of biomedical waste is now a legal requirement in India. The
Biomedical Waste Management & Handling) Rules, 1998 came into force on 1998.
In accordance with these rules, it is the duty of every “occupier” i.e. a person who
has the control over the institution or its premises, to take all steps to ensure that
waste generated is handled without any adverse effect to human health and
environment. Itconsists of six schedules.
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
Schedule VI
15.
16.
17. Schedule IV
Label for Transportof Bio-Medical WasteContainers/Bags
Day ………… Month ……………….Year ……………
Date of generation ………………………………………..
Waste category No ……..
Waste class
Waste description
Sender’s Name & Address Receiver’s Name & Address
Phone No ………….…… Phone No …….……………
Telex No ………………….Telex No …………….………
Fax No …………………. Fax No ………………..……..
Contact Person ………………………………………………… ContactPerson ………
In caseof emergency please contact Name & Address:
Phone No.
Note: Label shall be non-washableand prominently visible.
18. Schedule-V
Standards for Treatment and Disposal of Bio-Medical Wastes Standards For
Incinerators
Schedule-VI
Schedule for Waste Treatment Facilities like Incinerator/Autoclave/Microwave
System.10
(Source- The Bio Medical Waste (Management and Handling) Rules,
1998).
19.
20. Benefits of Biomedical Waste Management
Cleaner and healthier surroundings.
Reduction in the incidence of hospitalacquired and general infections.
Reduction in the cost of infection control within the hospital.
Reduction in the possibility of disease and death due to reuse and
repackaging of infectious disposables.
Reduction in the cost of wastemanagement and generation of revenue
through appropriatetreatment and disposalof waste.
Improved imageof the healthcare establishmentand increase the quality of
life.
Recommendations
1. For the useof incinerator Training should be given to some number of
persons fromstaff.
2. Specific fund should be allocated for the use of incinerator.
3. Every hospital should have special boxes to useas dustbin for bio-medical
waste.
4. Bio-medical wasteshould not be mixed with other wasteof Municipal
Corporation.
5. Private hospitals should also be allowed to use incinerator, which is
installed, in govt. hospital. For this purposea specific fee can be charged
fromprivate hospitals.
21. 6. Special vehicle i.e. bio-medical waste vehicle should be started to collect
wastefrom privatehospitals and private medical clinics and carry it up to
the main incinerator.
7. As provided by bio-medical waste rules, the whole of the waste should be
fragmented into colours due to their hazardous nature.
8. Bio-medical wasteManagement Board can be established in each District.
9. Either judicial powers should begiven to the management board or special
court should be established in the matters of environmentpollution for
imposing fines and awarding damages etc.
10.Housekeeping staff wear protective devices such as gloves, facemasks,
gowned, while handling the waste.
11.There is biomedical wastelabel on wastecarry bags and wastecarry trolley
and also poster has put on the wall adjacentto the bins (waste) giving
details about the type of wastethat has to disposein the baggage as per
biomedical wastemanagement rule. Carry bags also have the biohazard
symbolon them.
22. CONCLUSION
Medical wastes should be classified according to their source, typology and risk
factors associated with their handling, storage and ultimate disposal. The
segregation of waste at source is the key step and reduction, reuse and recycling
should be considered in proper perspectives. We need to consider innovative and
radical measures to clean up the distressing picture of lack of civic concern on the
part of hospitals and slackness in government implementation of bare minimum
of rules, as waste generation particularly biomedical waste imposes increasing
direct and indirect costs on society. The challenge before us, therefore, is to
scientifically manage growing quantities of biomedical waste that go beyond past
practices. If we want to protect our environment and health of community we
23. must sensitize ourselves to this important issue not only in the interest of health
managers but also in the interest of community.
Bibliography
1. Hem Chandra, Hospital Waste an Environmental Hazard and Its
Management, (1999).
2. Govt. of India, Ministry of Environment and Forests Gazette notification No
460 dated July 27, New Delhi: 1998: 10-20
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