Bio medical waste management

Bio medical waste management 2016 rules and the older ones are also included

1. BIOMEDICAL WASTE MA N A GEMENT 2016 By: Dr . SAURABH AGRAWAL

2. CONT E NT DEFINITION STEP TO MANAGE WASTE NEED FOR BIOMEDICAL WASTE MANAGEMENT PRESENT SCENARIO NOTIFICATIONS AND AMENDMENTS MAJOR DIFFERENCE BETWEEN BMW RULES 1998 & 2016 CONCLUSION

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. Biomedical Waste (BMW) is… Healthcare Waste 85% Non-infectious 15% Infectious/ Hazardous

5. Step to manage waste BI O ME D ICAL W A S T E M AN A GEMENT CHARACTERIZATION QUANTIFICATION SEGREGATION STORAGE TRANSPORTATION TREATMENT DISPOSAL

6. Shri Prakash Javadekar releasing the new Bio-Medical Waste Management Rules

7. PRESENT SCENARIO 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. 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. BIO-MEDICAL WASTE MANAGEMENT & HANDLING RULES NOTIFICATIONS AND AMENDMENTS On 20 th July 1998 Ministry of Environment and Forests (MoEF), Govt. of India, Framed a rule known as ‘ Bio- med i c al W a st e (Man a g em e n t and Handling) Rules, 1 st Amendment Dated 06/03/2000 2 nd Amendment Dated 17/09/2003

10. The MoE,F&CC has notified the new BMW (M) Rules, 2016 on 28 TH 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. 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.

12. 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.

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. Bio-medical Waste Management Rules 2016 SCHEDULES- 1 to 4 FORMS- 1 to 5 Rules – 1 to 18

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 No format for annual report A format for annual report appended with the rules 5 Shudule I, II, III, IV,V Change of Shudule I, II, III, IV

16. DUTIES OF THE OPERATOR 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. To ensure timely collection of BMW from the health care facilities. To inform the prescribed authority immediately regarding the health care establishments/facilities, which are not handling over the segregated BMW. To provide training of all its workers.

17. To undertake appropriate pre-placement & periodic medical examination and immunize all its workers and records for the same. To ensure occupational safety by providing protective equipments. To develop system of reporting of unintended accidents in Form III with annual report even the nil reporting. 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. TYPES OF BIOMEDICAL WASTES RULE 1998 SCHEDULE-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. COLOR CODE TYPE OF CONTAINER WASTE CATEGORY TREATMENT OPTIONS Yellow Plastic bags 1, 2, 3 and 6 Incine r ation/d e ep burial Red Disinfected container/plastic bag 3, 6 & 7 Autocl a ving / Mic r o Waving/Chemical treatment Blue/white transparent Plastic bags/puncture proof container 4 & 7 A u toc l aving/Mic r o waving/chemical treatment, Destruction & shredding Black Plastic bag 5, & 9, AND 10 (SOLID) Disposal in secured land fills SCHEDULE-II RULE 1998

20. TYPES OF BIOMEDICAL WASTES RULE 2016 SCHEDULE-I

21. Cat. Type of Bag/ Container used TYPE OF WASTE Treatment /Disposal options Y e l low non-chlorinated plastic bags Separate collection system leading to effluent treatment system Human Anatomical Waste Animal Anatomical Waste Soiled Waste Expired or Discarded Medicines Chemical Waste Micro, Bio-t and other clinical lab waste Chemical Liquid Waste Incineration or Plasma Pyrolysis or deep burial* Red no n- c hlo r in a t ed 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 W hi t e (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.

22. SCHEDULE II [See rule 4(t), 7(1) and 7(6)] STANDARDS FOR TREATMENT AND DISPOSAL OF BIO-MEDICALWASTES (2016) STANDARDS FOR INCINERATION Operating Standards Emission Standards Stack Height Operating and Emission Standards for Disposal by Plasma Pyrolysis or Gasification Operating Standards Air Emission Standards and Air Pollution Control Measures Disposal of Ash Vitrified Material

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. SCHEDULE-III (1998) LABEL FOR BIO-MEDICAL WASTE CONTAINERS/BAGS HANDLE WITH CARE Note : Label shall be non-washable and prominently visible . BIOHAZARD CYTOTOXIC BIOHAZARD SYMBOL CYTOTOXIC HAZARD SYMBOL

25. Schedule III [See rule 6 and 9(3)] (2016) List of Prescribed Authorities and the Corresponding Duties