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BMWM

BIO-MEDICAL WASTE MANAGEMENT

Introduction

As per the act passed by the Ministry of Environment and Forests in 1986 & notified the Bio-Medical Waste (Management and Handling) Rules in July 1998, it is the duty of every “occupier” (in the case of TSRMMCHRC, the Chairman/Managing Trustee of TSRMMCHRC), 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.

The biomedical waste management policy followed at TSRMMCHRC is as per the Biomedical Waste Management Rules 2016, notified by the Ministry of Environment, Forest and Climate Change, Government of India as per the gazette notification dated 28th March 2016.  At present, the biomedical waste management at TSRMMCHRC has been outsourced to a common biomedical waste management facility, M/S Medicare Enviro Systems Pvt. Ltd.

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

(c) Bio-medical waste should be segregated as per the Schedule – I and handed over Common Bio-Medical Waste Treatment Facility for treatment, processing and final disposal.

(d) Pre-treatment of the laboratory waste, microbiological waste, blood samples and blood bags through disinfection or sterilization on-site in the manner as prescribed by WHO or NACO

(e) Untreated human anatomical waste, animal anatomical waste, soiled waste and bio-technological waste shall not be stored beyond a period of forty-eight hours.

(f) Bio-medical waste shall be treated and disposed of in accordance with schedule I, and in compliance with the standards provided in Schedule II by the health care facilities and common bio-medical waste treatment facility.

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

(h) Establish a Bar-Code System for bags or containers containing bio-medical waste for disposal. Provide training to all its health care workers and immunize all health workers regularly;

(i) Report major accidents;

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

(k) Procedure to get authorization simplified. Automatic authorization for bedded hospitals. The validity of authorization synchronized with validity of consent orders for Bedded HCFs. One time Authorization for Non-bedded HCFs;

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

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

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

(o) 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;

(p) 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.

(q) Every Health Care Unit or Operator handling bio-medical wastes has to obtain Authorization from State Pollution Control Board in respect of State and Pollution Control Committees in respect of Union Territories and Director General, Armed Forces Medical Services in respect of health care establishments of Armed Forces.

(r) Every State Government has to constitute an Advisory Committee to oversee the implementation of the rules in the respective state. The Ministry of Defense has also to constitute an Advisory Committee.

Steps of Biomedical waste management

STEP 1

Segregation and pretreatment of waste at the site of generation

STEP 2

Collection of segregated waste from all areas of hospital

Transportation of waste from various areas of the hospital to storage site

STEP 3

Weighing of waste bags at storage site

Transportation for final disposal