Bio-Medical Waste Management Rules, 2016

New Bio-Medical Waste Management Rules, 2016 notified by the Ministry of Environment & Forests.

The major salient features of BMW Management Rules, 2016 include the following:-

 (a)                The ambit of the rules has been expanded to include vaccination camps, blood donation camps, surgical camps or any other healthcare activity;

(b)               Phase-out the use of chlorinated plastic bags, gloves and blood bags within two years;

(c)                Pre-treatment of the laboratory waste, microbiological waste, blood samples and blood bagsthrough disinfection orsterilisation on-site in the manner as prescribed by WHOor NACO;

(d)               Provide training to all its health care workers and immunise all health workers regularly;

(e)                Establish a Bar-Code System for bags or containers containing bio-medical waste for disposal;

(f)                Report  major accidents;

(g)               Existing incinerators to achieve the standards for retention time in secondary chamber and Dioxin and Furans within two years;

(h)               Bio-medical waste has been classified in to 4 categories instead 10 to improve the segregation of waste at source;

(i)                 Procedure to get authorisation simplified. Automatic authorisation for bedded hospitals.  The validity of authorization synchronised with validity of consent orders for Bedded HCFs. One time Authorisation for Non-bedded HCFs;

(j)                 The new rules prescribe more stringent standards for incinerator to reduce the emission of pollutants in environment;

(k)               Inclusion of emissions limits for Dioxin and furans;

(l)                 State Government to provide land for setting up common bio-medical waste treatment and disposal facility;

(m)             No occupier shall establish on-site treatment and disposal facility, if a service of `common bio-medical waste treatment facility is available at a distance of seventy-five kilometer.

(n)               Operator of a common bio-medical waste treatment and disposal facility to ensure the  timely collection of bio-medical waste from the HCFs and assist the HCFs in conduct of training

 Bio-medical waste

 Biomedical waste comprises human & animal anatomical waste, treatment apparatus likeneedles, syringes and other materials used in health care facilities in the process of treatment and research.  This waste is generated during diagnosis, treatment or immunisation in hospitals, nursing homes, pathological laboratories, blood bank, etc. Total bio-medical waste generation in the country is 484 TPD from 1,68,869 healthcare facilities (HCF), out of which 447 TPD is treated.

Proper Bio-medical waste management

  1. Scientific disposal of Biomedical Waste through segregation, collection and treatment in an environmentally sound manner minimises the adverse impact on health workers and on the environment. The hospitals are required to put in place the mechanisms for effective disposal either directly or through common biomedical waste treatment and disposal facilities.  The hospitals servicing 1000 patients or more per month are required to obtain authorisation and segregate biomedical waste in to 10 categories, pack five colour backs for disposal.  There are 198 common bio-medical waste treatment facilities (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.

Problems of unscientific Bio-medical waste disposal

iii.            The quantum of waste generated in India is estimated to be 1-2 kg per bed per day in a hospital and 600 gm per day per bed in a clinic. 85% of the hospital waste is non-hazardous, 15% is infectious/hazardous.  Mixing of hazardous results in to contamination and makes the entire waste hazardous. Hence there is necessity to segregate and treat.  Improper disposal increases risk of infection; encourages recycling of prohibited disposables and disposed drugs; and develops resistant microorganisms

 

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