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Bio medical waste management 2016

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New rule of bio-medical waste management 2016

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Bio medical waste management 2016

  1. 1. BIOMEDICAL WASTE MANAGEMENT 2016 PRESENTED BY : DR. VISHAL BATHMA MBBS, MBA(HA), MD ASST. PROFESSOR COMMUNITY MEDICINE PCMS&RC
  2. 2. CONTENT DEFINITION STEP TO MANAGE WASTE NEED FOR BIOMEDICAL WASTE MANAGEMENT PRESENT SCENARIO NOTIFICATIONS AND AMENDMENTS MAJOR DIFFERENCE BETWEEN BMW RULES 1998 & 2016 CONCLUSION
  3. 3. DEFINITION “Bio-medical waste" means any waste, which is generated during the diagnosis, treatment or Immunization 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
  4. 4. Biomedical Waste (BMW) is… Healthcare Waste 85% Non-infectious 15% Infectious/ Hazardous
  5. 5. Step to manage waste BIOMEDICAL WASTE MANAGEMENT (CRADLE TO GRAVE) • CHARACTERIZATION • QUANTIFICATION • SEGREGATION • STORAGE • TRANSPORTATION • TREATMENT • DISPOSAL
  6. 6. Shri Prakash Javadekar releasing the new Bio-Medical Waste Management Rules
  7. 7. PRESENT SCENARIO According to the MoE,F&CC • Gross generation of BMW in India is 484 TPD from 1,68,869 healthcare facilities (HCF), out of which 447 TPD is treated, which means that • Almost 38 TPD of the wastes is left untreated and not disposed finding its way in dumps or water bodies and re-enters our system.
  8. 8. There are 198 (CBMWF) are in operation and 28 are under construction. 21,870 HCFs have their own treatment facilities and 1,31,837 HCFs are using the CBMWFs.
  9. 9. BIO-MEDICAL WASTE MANAGEMENT & HANDLING RULES NOTIFICATIONS AND AMENDMENTS • On 20th July 1998 Ministry of Environment and Forests (MoEF), Govt. of India, Framed a rule known as ‘Bio-medical Waste (Management and Handling) Rules, • 1st Amendment Dated 06/03/2000 • 2nd Amendment Dated 17/09/2003
  10. 10. • The MoE,F&CC has notified the new BMW (M) Rules, 2016 on 28TH March, under the Environment (Protection) Act, 1986 to replace the earlier Rules (1998) and the amendments thereof. • Published in the Gazette of India, Extraordinary, Part II, Section 3, Sub-section (i)
  11. 11. Provide uniform guidelines and Code of practice for management and handling of biomedical wastes generated from  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.
  12. 12. This New Rules are more…………. • comprehensive in nature • It contains important features of BMW (M & H) Rules, 1998 • Several new provisions have been added in the new Rules.
  13. 13. SHORT TITLE AND COMMENCEMENT • These rules may be called the Bio-Medical Waste Management Rules, 2016. • They shall come into force on the date of their publication in the official Gazette.
  14. 14. Bio-medical Waste Management Rules 2016 • SCHEDULES- 1 to 4 • FORMS- 1 to 5 • Rules – 1 to 18
  15. 15. Major Difference between BMW Rules 1998 & 2016 1998 2016 1 Occupiers with more than 1000 beds required to obtain authorisation Every occupier generating BMW, Including health camp or ayush requires to obtain authorisation 2 Operator duties absent Duties of the operator listed 3 Biomedical waste divided in ten categories Biomedical waste divided in 4 categories 4 Rules restricted to HCEs with more than 1000 beds Treatment and disposal of BMW made mandatory for all the HCEs 5 No format for annual report A format for annual report appended with the rules 6 Shudule I, II, III, IV,V Change of Shudule I, II, III, IV
  16. 16. DUTIES OF THE OPERATOR 1. To take all necessary steps to ensure that the BMW collected from the occupier is transported, handled, stored, treated & disposed of without any adverse effect to human health & environment. 2. To ensure timely collection of BMW from the health care facilities. 3. To inform the prescribed authority immediately regarding the health care establishments/facilities, which are not handling over the segregated BMW. 4. To provide training of all its workers.
  17. 17. 5. To undertake appropriate pre-placement & periodic medical examination and immunize all its workers and records for the same. 6. To ensure occupational safety by providing protective equipments. 7. To develop system of reporting of unintended accidents in Form III with annual report even the nil reporting. 8. To maintain a log book of treatment equipment according to weight of batch; categories of waste treated; time; date; duration of treatment cycle & total hours of operation.
  18. 18. TYPES OF BIOMEDICAL WASTES RULE 1998SCHEDULE-I WASTE CATEGORY TYPE OF WASTE Category No. 1 Human Anatomical Waste Category No. 2 Animal Waste Category No. 3 Microbiology & Biotechnology Waste Category No. 4 Waste Sharps Category No. 5 Discarded Medicine and Cytotoxic drugs Category No. 6 Soiled Waste Category No. 7 Solid Waste Category No. 8 Liquid Waste Category No. 9 Incineration Ash Category No.10 Chemical Waste
  19. 19. TYPES OF BIOMEDICAL WASTES RULE 2016 SCHEDULE-I
  20. 20. Cat. Type of Bag/ Container used TYPE OF WASTE Treatment /Disposal options Yellow non-chlorinated plastic bags Separate collection system leading to effluent treatment system a) Human Anatomical Waste b) Animal Anatomical Waste c) Soiled Waste d) Expired or Discarded Medicines e) Chemical Waste f) Micro, Bio-t and other clinical lab waste g) Chemical Liquid Waste Incineration or Plasma Pyrolysis or deep burial* Red non-chlorinated plastic bags or containers Contaminated Waste (Recyclable) tubing, bottles, intravenous tubes and sets, catheters, urine bags, syringes (without needles) and gloves. Auto/ Micro/Hydro and then sent for recycling. not be sent to landfill White (Translucent) Puncture, Leak, tamper proof containers Waste sharps including Metals Auto or Dry Heat Sterilization followed by shredding or mutilation or encapsulation Blue Cardboard boxes with blue colored marking Glassware Disinfection or auto/ Micro/hydro and then sent for recycling.
  21. 21. COLOR CODE TYPE OF CONTAINER WASTE CATEGORY TREATMENT OPTIONS Yellow Plastic bags 1, 2, 3 and 6 Incineration/deep burial Red Disinfected container/plastic bag 3, 6 & 7 Autoclaving/Micro Waving/Chemical treatment Blue/white transparent Plastic bags/puncture proof container 4 & 7 Autoclaving/Micro waving/chemical treatment, Destruction & shredding Black Plastic bag 5, & 9, AND 10 (SOLID) Disposal in secured land fills SCHEDULE-II RULE 1998
  22. 22. SCHEDULE II [See rule 4(t), 7(1) and 7(6)] STANDARDS FOR TREATMENT AND DISPOSAL OF BIO-MEDICALWASTES (2016) • STANDARDS FOR INCINERATION A. Operating Standards B. Emission Standards C. Stack Height • Operating and Emission Standards for Disposal by Plasma Pyrolysis or Gasification A. Operating Standards B. Air Emission Standards and Air Pollution Control Measures C. Disposal of Ash Vitrified Material
  23. 23. • STANDARDS FOR AUTOCLAVING OF BIO-MEDICAL WASTE • STANDARDS FOR MICROWAVING • STANDARDS FOR DEEP BURIAL • STANDARDS FOR EFFICACY OF CHEMICAL DISINFECTION • STANDARDS FOR DRY HEAT STERILIZATION • STANDARDS FOR LIQUID WASTE
  24. 24. SCHEDULE-III (1998) LABEL FOR BIO-MEDICAL WASTE CONTAINERS/BAGS Note : Label shall be non-washable and prominently visible. HANDLE WITH CARE BIOHAZARD CYTOTOXIC BIOHAZARD SYMBOL CYTOTOXIC HAZARD SYMBOL
  25. 25. Schedule III [See rule 6 and 9(3)] (2016) • List of Prescribed Authorities and the Corresponding Duties
  26. 26. SCHEDULE-IV (1998) LABEL FOR TRANSPORT OF BIO-MEDICAL WASTE CONTAINERS/BAGS Label shall be non-washable & prominently visible Day………………. Month…………….day Year……………… Date of generation…………………… Waste Category No……………… Waste quantity……………………. Sender’s Name and Address Receiver’s Name and Address Phone No……… Phone No……………… Telex No……….. Telex No……………….. Fax No………….. Fax No…………………… Contact Person………. Contact Person…….. In case of emergency please contact Name and Address: Phone No.
  27. 27. SCHEDULE-IV (2016) LABEL FOR BIO-MEDICAL WASTE CONTAINERS/BAGS (PART ‘A’) Note : Label shall be non-washable and prominently visible. HANDLE WITH CARE BIOHAZARD CYTOTOXIC BIOHAZARD SYMBOL CYTOTOXIC HAZARD SYMBOL
  28. 28. Part B LABEL FOR TRANSPORTING BIO-MEDICAL WASTE BAGS OR CONTAINERS 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.
  29. 29. SCHEDULE-V (2016) STANDARDS FOR TREATMENT AND DISPOSAL OF BIO-MEDICAL WASTES • STANDARDS FOR INCINERATORS • STANDARDS FOR WASTE AUTOCLAVING • STANDARDS FOR LIQUID WASTE • STANDARDS FOR MICROWAVING • STANDARDS FOR DEEP BURIAL
  30. 30. List of authorities and the corresponding duties 1) Ministry of Environment & forests 2) Central/State Ministry of Health Family Welfare, Veterinary and Animal Husbandry 3) Ministry of Defence 4) Central Pollution Control Board 5) State Gov./Union Territory Gov./Administration 6) State Pollution Control Boards/Committees 7) Local bodies such as Gram Panchayat, Municipalities SCHEDULE-VI (2016)
  31. 31. SCHEDULES 1998 • Sch1. cat. of waste or type of waste (10 cat.) • Sch2. color code, type of container, wast cat. & tretment options • Sch3. Label for BMW container / bags • Sch4. Label for transportation of BMW • Sch5. Standard for treatment & disposal of BMW • Sch6. List of authorities and corresponding duties 2016 • Sch1. cat. According to color code & type of waste with tretment/disposal option • Sch2. Standard for treatment &disposal of BMW (including plasma pyrolisis &dry heat sterilization) • Sch3. List of prescribed authorities and the corresponding duties. • Sch4. Part A label for BMW container/bags Part B label for transporting
  32. 32. To The Prescribed Authority (Name of the State Govt/UT Administration) Address. 1. Particulars of Applicant (i) Name of the Applicant (ii) Name of the Institution: (In block letters & in full) Address: Tele No., Fax No. Telex No. 2. Activity for which authorisation is sought: (i) Generation (ii) Collection (iii) Reception (iv) Storage (v) Transportation (vi) Treatment (vii) Disposal (viii) Any other form of handling 3. Please state whether applying for fresh authorisation or for renewal: (In case of renewal previous authorisation-number and date) 4. (i) Address of the institution handling bio-medical wastes: (ii) Address of the place of the treatment facility: (iii) Address of the place of disposal of the waste: 5. (i) Mode of transportation (in any) of bio-medical waste: (ii) Mode(s) of treatment: 6. Brief description of method of treatment and disposal (attach details): 7. (i) Category (see Schedule 1) of waste to be handled (ii) Quantity of waste (category-wise) to be handled per month 8. Declaration; I do hereby declare that the statements made and information given above are true to the best of my knowledge and belief and that I have not concealed any information. I do also hereby undertake to provide any further information sought by the prescribed authority in relation to these rules and to fulfil any conditions stipulated by the prescribed authority. Date : Signature of the Applicant Place : Designation of the Applicant Bio-Medical Waste (Management and Handling) Rules 1998, 2011 FORM I APPLICATION FOR AUTHORISATION (To be submitted in duplicate.)
  33. 33. FORM – I [ (See rule 4(o), 5(i) and 15 (2)] ACCIDENT REPORTING 1. Date and time of accident : 2. Type of Accident : 3. Sequence of events leading to accident : 4. Has the Authority been informed immediately : 5. The type of waste involved in accident : 6. Assessment of the effects of the accidents on human health and the environment: 7. Emergency measures taken : 8. Steps taken to alleviate the effects of accidents : 9. Steps taken to prevent the recurrence of such an accident : 10. Does you facility has an Emergency Control policy? If yes give details: Date : …………………… Signature ……………………. Place: …………………… Designation …………………..
  34. 34. ANNUAL REPORT 1) Every occupier/operator shall submit an annual report to the prescribed authority in Form-II by 31st January every year, to include information about the categories and quantities of BMW handled during the preceding year. 2) The prescribed authority shall send this information in a compiled form to the Central Pollution Control Board by 31 March of every year. 3) The Central Pollution Control Board shall send this information in a compiled Form to the Ministry of Environment and Forest by 30th June of every year
  35. 35. Bio-Medical Waste (Management and Handling) Rules 1998, 2011 FORM II ANNUALREPORT (To be submitted to the prescribed authority by 31 January every year) 1 . Particulars of the Occupier: (i) Name of the authorised person (occupier/operator): (ii) Name of the institution: Address Tel. No 2. Type of health care facility: 3. Categories of Bio-medical waste generated: 4. Category-wise quantity of waste treated: 5. Additional details: 6. Any other relevant information: 7. Certified that the above report is for the period from……… Date ............................... Name and Signature Place.............................. of the Head of the Institution
  36. 36. ACCIDENT REPORTING When any accident occurs at any institution or facility or any other site where bio-medical waste is handled or during transportation of such waste, the authorised person shall report the accident in Form-III to the prescribed authority along with the remedial action.
  37. 37. Bio-Medical Waste (Management and Handling) Rules, 1998, 2011 FORM III ACCIDENT REPORTING 1. Date and time of accident: 2. Sequence of events leading to accident: 3. The waste involved in accident : 4. Assessment of the effects of the accidents on human health and the environment: 5. Emergency measures taken: 6. Steps taken to alleviate the effects of accidents: 7. Steps taken to prevent the recurrence of such an accident: Date ............................... Signature ......................... Place.............................. Designation......................
  38. 38. OTHER FORMS (1998, 2011 Draft) FORM-IV: Authorization for operating a facility for collection, reception, treatment, storage, transport and disposal of BMW FORM-V: Application for filing appeal against order passed by the prescribed authority FORM-VI:It empowers the operator of CBMWTF to report against the HCEs who are not carrying out proper segregation of their wastes.
  39. 39. FORMs 1998 • F1. Application for authorization • F2. Annual report • F3. Accident reporting • F4. Authorization (for operating facility) • F5. Application for filling ‘appeal’ • F6. Empower the operator of CBMWTF to report against the HCFs how are not carrying out proper segregation their waste 2016 • F1. Accident reporting • F2. Application for “authorization or renewal of authorization” (submitted by occupier of HCFs or CBMWTFs) • F3. Authorization (for operating facility) For generation, collection, reception, treatment, storage, transport, disposal • F4. Annual report • F5. Application for filling ‘appeal’ against order pass by the prescribe authority
  40. 40. CONCLUSION • The new Rules on BMW are elaborate, stringent and several new provisions have been added in it. • The new Rules have definitely cleared certain ambiguities of the previous one but still lacks on many fronts.

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