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Bio Medical Waste Management
Guidelines
Dr. Anjalatchi Muthukumaran
Vice Principal and Nursing
Superintendent
Era College of Nursing and ELMCH
Era University , Lucknow 226003
Content of the BMWM
• Transportation of BMW from
segregation point to Disposal
area/storage area
• Treatment of Disposal method
• Recycle of BMWM
• Forms /format to use daily
records purpose
• Symbol /sign of BMWM
• Indicators to follow in BMWM
• Checklist
• Summary
• Conclusion
• Question related topic ?
• References
• Introduction
• Definition/meaning
• Goal/aim/objectives
• Component of BMWM
• Need of BMWM
• Sources of BMWM
• Category of BMWM
• Color code for BMWM
• Segregation point at BMWM
• Packing of BMWM
• Cleaning /Disinfection of BMW
bin/Polythene/trolley
• PPE for BMW handler
Biomedical Waste
• Biomedical or Hospital Waste is any kind of waste containing
infectious materials.
• It may also include waste associated with the generation of
biomedical waste that visually appears to be medical.
• Broadly, Biomedical Waste refers to any waste which is generated
during the diagnosis, treatment or immunization of human beings or
animals or in research activities pertaining thereto or in production or
testing of biological products including categories mentioned in
Schedule 1, of the BMW Rules 2016.
INTRODUCTION

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QUANTITY OF WASTE GENERATED PER
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TYPE OF BMW WASTE
CLASSIFICATION OF BMWM

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Component of BMWM
The Biomedical Wastes consist of:
• 1. Human anatomical waste like tissues, organs and body
parts
• 2. Animal wastes generated during research from
veterinary hospitals
• 3. Microbiology and biotechnology wastes
• 4. Waste sharps like hypodermic needles, syringes,
scalpels and broken glass
• 5. Discarded medicines and cytotoxic drugs
• 6. Soiled waste such as dressing, bandages, plaster
casts, material contaminated with blood, tubes and
catheters
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Color Coding of Biomedical Waste in India
As per Bio-medical Waste Management Rules, 2016
• Bio-medical waste is required to be segregated in
following color coded waste categories –
• Red Bag – Syringes (without needles), soiled gloves,
catheters, IV tubes etc. should be all disposed of in a red
coloured bag, which will later be incinerated.
• Yellow Bag – All dressings, bandages and cotton swabs
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Waste
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then enter the food chain also.
• Air Pollution – Pathogens present in the waste can
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of spores or pathogens. As Covid-19 spreads through
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Continued
• Radioactive Pollution – Hospitals are increasingly
using radioactive isotopes for diagnostic and therapeutic
applications. The main radioisotopes used in hospitals
are technetium-99m (Tc-99m), Iodine-131(I-131), etc.
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• Operational Health Hazards – Improper handling of
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Legal legislation /Authorities related to BMWM
• Authorities Dealing with Biomedical Waste in India Central Pollution Control
Board – The CPCB has been following up with all SPCBs/PCCs to ensure
effective management of biomedical waste in States/UTs.
• National Green Tribunal (NGT) – The NGT has been stringent on the
application of the BMW 2016.
• Common Bio-Medical Waste Treatment and Disposal Facilities (CBWTDF) –
There are now over 200 licensed CBWTDF or Common Treatment Facilities
(CTF) in India.
Legislation with penalty
Features of BMW, 2016
• Compulsory pre-treatment – The method of
sterilization/disinfection should be in accordance with National
AIDS Control Organization (NACO) or WHO.
• Phasing out plastic use – The use of chlorinated plastic bags,
gloves, blood bags, etc. should be gradually stopped and this
phasing out should be within 2 years from the date of
notification of these rules.
• Safe disposal of Liquid waste – They need to be separated at
source by pre-treatment before mixing with other liquid waste.
• Incineration guidelines – The existing incinerator should be
upgraded/modified to achieve the new standard within 2 years
from the date of this notification.
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The document announces a training workshop on communicable diseases like HIV/AIDS, tuberculosis, malaria and non-communicable diseases organized by Era College of Nursing for its interns. The workshop will be held from December 13-16, 2023 at Era University and will feature lectures from experts on the prevention and management of various diseases. Topics will include the national programs for controlling vector-borne diseases, tuberculosis, HIV/AIDS, and cancer. Lectures will also cover lifestyle modifications for managing conditions like obesity, hypertension, and mental illness. The goal is to educate nursing students on fighting diseases and updating them on government health policies and programs.

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This document provides the schedule and program details for a training workshop on communicable and non-communicable diseases being organized by Era College of Nursing from November 11-14, 2023. The workshop will cover topics like malaria, tuberculosis, HIV/AIDS, dengue, Japanese encephalitis, leprosy, STIs/RTIs, non-communicable diseases like diabetes, obesity, hypertension, cardiovascular diseases, cancer, mental illness and national programs for their prevention and control. Several doctors from Era Lucknow Medical College and Hospital will speak on these topics over the two day event and discuss national policies and management guidelines. The objective is to educate nursing interns on fighting these diseases and their roles in related public health programs.

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The document contains a series of letters addressed to various departments and individuals within ELMC&H and ERA University. Specifically, it includes letters addressed to the nursing superintendent, medical superintendent, registrar, HR team, maintenance incharge, principal, DMS, housekeeping services incharge, director, pro chancellor, establishment, security officer, hospital administration, allied and health sciences principal, class IV worker supervisor, ADA office, nursing college principal, cash counter officers, OSD and IT incharge, dean of medical education, senior clerk, and account section HOD from the nursing superintendent of the nursing department at ELMC&H.

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Frequently answer questions
Challenges in India
• Increase in waste– In a highly populous country
like India, there is a rise in residential biomedical
waste and its collection without adhering to
safety protocols could also trigger a surge in
caseload.
• Poor Compliance of BMW rules – States are not
following the CPCB guidelines.
• Non-segregation – In some states, improper
segregation of waste has been reported.
• Improper disposal – The non-segregation of
waste results in the incineration of contaminated
plastics producing toxic gases and adding to air
pollution.
• Lack of infrastructure – Currently, in India, there
are only 198 CBMWTF in operation and 28 are
under construction.
• No alternative to incineration – During
incineration and postcombustion cooling, waste
components dissociate and recombine forming
new particles.
BIO MEDICAL WASTE MANAGEMENT
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一比一原版美国休斯敦大学毕业证(uh毕业证书)如何办理

特殊工艺完全按照原版制作【微信:A575476】【美国休斯敦大学毕业证(uh毕业证书)成绩单offer】【微信:A575476】(留信学历认证永久存档查询)采用学校原版纸张(包括:隐形水印,阴影底纹,钢印LOGO烫金烫银,LOGO烫金烫银复合重叠,文字图案浮雕,激光镭射,紫外荧光,温感,复印防伪)行业标杆!精益求精,诚心合作,真诚制作!多年品质 ,按需精细制作,24小时接单,全套进口原装设备,十五年致力于帮助留学生解决难题,业务范围有加拿大、英国、澳洲、韩国、美国、新加坡,新西兰等学历材料,包您满意。 【业务选择办理准则】 一、工作未确定,回国需先给父母、亲戚朋友看下文凭的情况,办理一份就读学校的毕业证【微信:A575476】文凭即可 二、回国进私企、外企、自己做生意的情况,这些单位是不查询毕业证真伪的,而且国内没有渠道去查询国外文凭的真假,也不需要提供真实教育部认证。鉴于此,办理一份毕业证【微信:A575476】即可 三、进国企,银行,事业单位,考公务员等等,这些单位是必需要提供真实教育部认证的,办理教育部认证所需资料众多且烦琐,所有材料您都必须提供原件,我们凭借丰富的经验,快捷的绿色通道帮您快速整合材料,让您少走弯路。 留信网认证的作用: 1:该专业认证可证明留学生真实身份【微信:A575476】 2:同时对留学生所学专业登记给予评定 3:国家专业人才认证中心颁发入库证书 4:这个认证书并且可以归档倒地方 5:凡事获得留信网入网的信息将会逐步更新到个人身份内,将在公安局网内查询个人身份证信息后,同步读取人才网入库信息 6:个人职称评审加20分 7:个人信誉贷款加10分 8:在国家人才网主办的国家网络招聘大会中纳入资料,供国家高端企业选择人才 → 【关于价格问题(保证一手价格) 我们所定的价格是非常合理的,而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格,因为我想坦诚对待大家 不想跟大家在价格方面浪费时间 对于老客户或者被老客户介绍过来的朋友,我们都会适当给一些优惠。 选择实体注册公司办理,更放心,更安全!我们的承诺:可来公司面谈,可签订合同,会陪同客户一起到教育部认证窗口递交认证材料,客户在教育部官方认证查询网站查询到认证通过结果后付款,不成功不收费! 办理美国休斯敦大学毕业证(uh毕业证书)【微信:A575476】外观非常精致,由特殊纸质材料制成,上面印有校徽、校名、毕业生姓名、专业等信息。 办理美国休斯敦大学毕业证(uh毕业证书)【微信:A575476】格式相对统一,各专业都有相应的模板。通常包括以下部分: 校徽:象征着学校的荣誉和传承。 校名:学校英文全称 授予学位:本部分将注明获得的具体学位名称。 毕业生姓名:这是最重要的信息之一,标志着该证书是由特定人员获得的。 颁发日期:这是毕业正式生效的时间,也代表着毕业生学业的结束。 其他信息:根据不同的专业和学位,可能会有一些特定的信息或章节。 办理美国休斯敦大学毕业证(uh毕业证书)【微信:A575476】价值很高,需要妥善保管。一般来说,应放置在安全、干燥、防潮的地方,避免长时间暴露在阳光下。如需使用,最好使用复印件而不是原件,以免丢失。 综上所述,办理美国休斯敦大学毕业证(uh毕业证书)【微信:A575476 】是证明身份和学历的高价值文件。外观简单庄重,格式统一,包括重要的个人信息和发布日期。对持有人来说,妥善保管是非常重要的。

特拉利理工学院毕业证沃特福德理工学院毕业证邓莱里文艺理工学院毕业证
一比一原版(爱大毕业证书)英国爱丁堡大学毕业证如何办理
一比一原版(爱大毕业证书)英国爱丁堡大学毕业证如何办理一比一原版(爱大毕业证书)英国爱丁堡大学毕业证如何办理
一比一原版(爱大毕业证书)英国爱丁堡大学毕业证如何办理

特殊工艺完全按照原版制作【微信:A575476】【(爱大毕业证书)英国爱丁堡大学毕业证成绩单offer】【微信:A575476】(留信学历认证永久存档查询)采用学校原版纸张(包括:隐形水印,阴影底纹,钢印LOGO烫金烫银,LOGO烫金烫银复合重叠,文字图案浮雕,激光镭射,紫外荧光,温感,复印防伪)行业标杆!精益求精,诚心合作,真诚制作!多年品质 ,按需精细制作,24小时接单,全套进口原装设备,十五年致力于帮助留学生解决难题,业务范围有加拿大、英国、澳洲、韩国、美国、新加坡,新西兰等学历材料,包您满意。 【业务选择办理准则】 一、工作未确定,回国需先给父母、亲戚朋友看下文凭的情况,办理一份就读学校的毕业证【微信:A575476】文凭即可 二、回国进私企、外企、自己做生意的情况,这些单位是不查询毕业证真伪的,而且国内没有渠道去查询国外文凭的真假,也不需要提供真实教育部认证。鉴于此,办理一份毕业证【微信:A575476】即可 三、进国企,银行,事业单位,考公务员等等,这些单位是必需要提供真实教育部认证的,办理教育部认证所需资料众多且烦琐,所有材料您都必须提供原件,我们凭借丰富的经验,快捷的绿色通道帮您快速整合材料,让您少走弯路。 留信网认证的作用: 1:该专业认证可证明留学生真实身份【微信:A575476】 2:同时对留学生所学专业登记给予评定 3:国家专业人才认证中心颁发入库证书 4:这个认证书并且可以归档倒地方 5:凡事获得留信网入网的信息将会逐步更新到个人身份内,将在公安局网内查询个人身份证信息后,同步读取人才网入库信息 6:个人职称评审加20分 7:个人信誉贷款加10分 8:在国家人才网主办的国家网络招聘大会中纳入资料,供国家高端企业选择人才 → 【关于价格问题(保证一手价格) 我们所定的价格是非常合理的,而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格,因为我想坦诚对待大家 不想跟大家在价格方面浪费时间 对于老客户或者被老客户介绍过来的朋友,我们都会适当给一些优惠。 选择实体注册公司办理,更放心,更安全!我们的承诺:可来公司面谈,可签订合同,会陪同客户一起到教育部认证窗口递交认证材料,客户在教育部官方认证查询网站查询到认证通过结果后付款,不成功不收费! 办理(爱大毕业证书)英国爱丁堡大学毕业证【微信:A575476】外观非常精致,由特殊纸质材料制成,上面印有校徽、校名、毕业生姓名、专业等信息。 办理(爱大毕业证书)英国爱丁堡大学毕业证【微信:A575476】格式相对统一,各专业都有相应的模板。通常包括以下部分: 校徽:象征着学校的荣誉和传承。 校名:学校英文全称 授予学位:本部分将注明获得的具体学位名称。 毕业生姓名:这是最重要的信息之一,标志着该证书是由特定人员获得的。 颁发日期:这是毕业正式生效的时间,也代表着毕业生学业的结束。 其他信息:根据不同的专业和学位,可能会有一些特定的信息或章节。 办理(爱大毕业证书)英国爱丁堡大学毕业证【微信:A575476】价值很高,需要妥善保管。一般来说,应放置在安全、干燥、防潮的地方,避免长时间暴露在阳光下。如需使用,最好使用复印件而不是原件,以免丢失。 综上所述,办理(爱大毕业证书)英国爱丁堡大学毕业证【微信:A575476 】是证明身份和学历的高价值文件。外观简单庄重,格式统一,包括重要的个人信息和发布日期。对持有人来说,妥善保管是非常重要的。

伦敦大学毕业证伦敦商学院毕业证牛津大学毕业证
一比一原版(heriotwatt毕业证书)英国赫瑞瓦特大学毕业证如何办理
一比一原版(heriotwatt毕业证书)英国赫瑞瓦特大学毕业证如何办理一比一原版(heriotwatt毕业证书)英国赫瑞瓦特大学毕业证如何办理
一比一原版(heriotwatt毕业证书)英国赫瑞瓦特大学毕业证如何办理

特殊工艺完全按照原版制作【微信:A575476】【(heriotwatt毕业证书)英国赫瑞瓦特大学毕业证成绩单offer】【微信:A575476】(留信学历认证永久存档查询)采用学校原版纸张(包括:隐形水印,阴影底纹,钢印LOGO烫金烫银,LOGO烫金烫银复合重叠,文字图案浮雕,激光镭射,紫外荧光,温感,复印防伪)行业标杆!精益求精,诚心合作,真诚制作!多年品质 ,按需精细制作,24小时接单,全套进口原装设备,十五年致力于帮助留学生解决难题,业务范围有加拿大、英国、澳洲、韩国、美国、新加坡,新西兰等学历材料,包您满意。 【业务选择办理准则】 一、工作未确定,回国需先给父母、亲戚朋友看下文凭的情况,办理一份就读学校的毕业证【微信:A575476】文凭即可 二、回国进私企、外企、自己做生意的情况,这些单位是不查询毕业证真伪的,而且国内没有渠道去查询国外文凭的真假,也不需要提供真实教育部认证。鉴于此,办理一份毕业证【微信:A575476】即可 三、进国企,银行,事业单位,考公务员等等,这些单位是必需要提供真实教育部认证的,办理教育部认证所需资料众多且烦琐,所有材料您都必须提供原件,我们凭借丰富的经验,快捷的绿色通道帮您快速整合材料,让您少走弯路。 留信网认证的作用: 1:该专业认证可证明留学生真实身份【微信:A575476】 2:同时对留学生所学专业登记给予评定 3:国家专业人才认证中心颁发入库证书 4:这个认证书并且可以归档倒地方 5:凡事获得留信网入网的信息将会逐步更新到个人身份内,将在公安局网内查询个人身份证信息后,同步读取人才网入库信息 6:个人职称评审加20分 7:个人信誉贷款加10分 8:在国家人才网主办的国家网络招聘大会中纳入资料,供国家高端企业选择人才 → 【关于价格问题(保证一手价格) 我们所定的价格是非常合理的,而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格,因为我想坦诚对待大家 不想跟大家在价格方面浪费时间 对于老客户或者被老客户介绍过来的朋友,我们都会适当给一些优惠。 选择实体注册公司办理,更放心,更安全!我们的承诺:可来公司面谈,可签订合同,会陪同客户一起到教育部认证窗口递交认证材料,客户在教育部官方认证查询网站查询到认证通过结果后付款,不成功不收费! 办理(heriotwatt毕业证书)英国赫瑞瓦特大学毕业证【微信:A575476】外观非常精致,由特殊纸质材料制成,上面印有校徽、校名、毕业生姓名、专业等信息。 办理(heriotwatt毕业证书)英国赫瑞瓦特大学毕业证【微信:A575476】格式相对统一,各专业都有相应的模板。通常包括以下部分: 校徽:象征着学校的荣誉和传承。 校名:学校英文全称 授予学位:本部分将注明获得的具体学位名称。 毕业生姓名:这是最重要的信息之一,标志着该证书是由特定人员获得的。 颁发日期:这是毕业正式生效的时间,也代表着毕业生学业的结束。 其他信息:根据不同的专业和学位,可能会有一些特定的信息或章节。 办理(heriotwatt毕业证书)英国赫瑞瓦特大学毕业证【微信:A575476】价值很高,需要妥善保管。一般来说,应放置在安全、干燥、防潮的地方,避免长时间暴露在阳光下。如需使用,最好使用复印件而不是原件,以免丢失。 综上所述,办理(heriotwatt毕业证书)英国赫瑞瓦特大学毕业证【微信:A575476 】是证明身份和学历的高价值文件。外观简单庄重,格式统一,包括重要的个人信息和发布日期。对持有人来说,妥善保管是非常重要的。

萨塞克斯大学毕业证布里斯托大学毕业证谢菲尔德大学毕业证
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• Safe and effective management of biomedical waste is not only a
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• The current BMWM 2016 rules are an improvement over earlier
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References
• 1. Hari Singh. (2018). Essentials of management for healthcare
professionals. Crc Press, Taylor & Francis Group.
• 2. WHO. Review of Health Impacts from Microbiological Hazards in
Health-Care Wastes. Geneva: World Health Organization;
• 3. R Radhakrishnan, Dr. (2006). Bio Medical waste management.
Sumit Enterprises.
• 4. K Sasikumar, & Sanoop Gopi Krishna. (2009). Solid waste
management. Phi Learning.
• 5.Ministry of health and family welfare guidelines
• 6. national health mission guidelines
• 7. central pollution board guidelines
• 8. state health guidelines
• 9.Environment safety guidelines
Take your home message
• Your responsible for your health
• Your responsible for health care services if your health care
professionals
• Take plenty of water every day
• Eat balanced diet
• Eat seasonal fruits, vegetables , and other
• Avoid junks foods and fast food
• be happy ,your responsible for your health
• Make the environment healthy, happy and ready to do work
with smile manner
• Get vaccination as per policy
• Lead your life as healthy way, not wealthy way…….
THANK YOU SO MUCH

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Bio Medical Waste Management Guideliness 2023 ppt.pptx

  • 1. Bio Medical Waste Management Guidelines Dr. Anjalatchi Muthukumaran Vice Principal and Nursing Superintendent Era College of Nursing and ELMCH Era University , Lucknow 226003
  • 2. Content of the BMWM • Transportation of BMW from segregation point to Disposal area/storage area • Treatment of Disposal method • Recycle of BMWM • Forms /format to use daily records purpose • Symbol /sign of BMWM • Indicators to follow in BMWM • Checklist • Summary • Conclusion • Question related topic ? • References • Introduction • Definition/meaning • Goal/aim/objectives • Component of BMWM • Need of BMWM • Sources of BMWM • Category of BMWM • Color code for BMWM • Segregation point at BMWM • Packing of BMWM • Cleaning /Disinfection of BMW bin/Polythene/trolley • PPE for BMW handler
  • 3. Biomedical Waste • Biomedical or Hospital Waste is any kind of waste containing infectious materials. • It may also include waste associated with the generation of biomedical waste that visually appears to be medical. • Broadly, Biomedical Waste refers to any waste which is generated during the diagnosis, treatment or immunization of human beings or animals or in research activities pertaining thereto or in production or testing of biological products including categories mentioned in Schedule 1, of the BMW Rules 2016.
  • 8. QUANTITY OF WASTE GENERATED PER BED /PER DAY SEGREGATION
  • 11. TYPE OF BMW WASTE
  • 16. The Biomedical Wastes consist of: • 1. Human anatomical waste like tissues, organs and body parts • 2. Animal wastes generated during research from veterinary hospitals • 3. Microbiology and biotechnology wastes • 4. Waste sharps like hypodermic needles, syringes, scalpels and broken glass • 5. Discarded medicines and cytotoxic drugs • 6. Soiled waste such as dressing, bandages, plaster casts, material contaminated with blood, tubes and catheters • 7. Liquid waste from any of the infected areas • 8. Incineration ash and other chemical wastes
  • 24. MANGEMENT OF HEALTH CARE WASTE • Patient right and responsibilities • Patient safety act • Consumer protection act 1986 • Environmental protection act • Central pollution board control act • BMWM guidelines2016
  • 25. Color Coding of Biomedical Waste in India As per Bio-medical Waste Management Rules, 2016 • Bio-medical waste is required to be segregated in following color coded waste categories – • Red Bag – Syringes (without needles), soiled gloves, catheters, IV tubes etc. should be all disposed of in a red coloured bag, which will later be incinerated. • Yellow Bag – All dressings, bandages and cotton swabs with body fluids, blood bags, human anatomical waste, body parts are to be discarded in yellow bags.
  • 28. Concerns with Biomedical Waste • Land Pollution – If not treated and dumped into landfills then there is a high chance for heavy metals like cadmium, lead, mercury, etc. get released. Further, there is a chance these metals get absorbed by plants and can then enter the food chain also. • Air Pollution – Pathogens present in the waste can enter and remain in the air for a long period in the form of spores or pathogens. As Covid-19 spreads through the air, improper treating/not treating it might lead to a new wave of respiratory syndromes.
  • 29. Continued • Radioactive Pollution – Hospitals are increasingly using radioactive isotopes for diagnostic and therapeutic applications. The main radioisotopes used in hospitals are technetium-99m (Tc-99m), Iodine-131(I-131), etc. These have carcinogenic properties. • Epidemic – According to the WHO study, improper waste management is one of the major causes of an increase in infectious diseases globally. This is why the Covid-19 pandemic wastes require proper treatment
  • 30. Continued • Operational Health Hazards – Improper handling of biomedical waste might lead to Injuries from sharps and exposure to harmful radioactive wastes. This will create issues for nurses, emergency medical personnel, and sanitary workers. • Increased Antimicrobial Resistance (AMR) – Biomedical wastes aggravate the problem of AMR. Ever since the pandemic, the use of biocides (sanitizers, disinfectants, and antibiotics) increased manifold. If there is no proper treatment of biocides then the AMR will increase rapidly.
  • 31. Treatment method of BMWM Autoclaving • Autoclaving - The process of autoclaving involves steam sterilization. Instead of incineration, which can be expensive, autoclaving simply introduces very hot steam for a determined amount of time.
  • 32. Color code with treatment method
  • 38. Bio medical waste disposal cycle
  • 45. Incineration • Incineration – The major benefits of incineration are that it is quick, easy, and simple. It effectively removes the waste entirely and safely removes any microorganisms.
  • 47. Chemical disinfection • Chemical disinfection – When it comes to liquid waste, a common biomedical waste disposal method can be chemical disinfection. • Chlorine is a regular choice for this process, and is introduced to the liquid waste in order to kill microorganisms and pathogens
  • 49. Microwaving • Microwaving – Microwave technology can also disinfect wastes. Wastes are first placed into a shredder. This wastes are mixed with water and internally heated that neutralizes present biologicals.
  • 50. Irradiation • Irradiation – This method involves waste sterilization by exposing waste to cobalt sources. Cobalt emits gamma rays that kill all the microbes in wastes.
  • 53. Shredding • Shredding – It is a process by which waste are de-shaped or cut into smaller pieces so as to make the wastes unrecognizable. • It helps in prevention of reuse of bio-medical waste and also acts as an identifier that the wastes have been disinfected and are safe to dispose-off.
  • 57. Legal legislation /Authorities related to BMWM • Authorities Dealing with Biomedical Waste in India Central Pollution Control Board – The CPCB has been following up with all SPCBs/PCCs to ensure effective management of biomedical waste in States/UTs. • National Green Tribunal (NGT) – The NGT has been stringent on the application of the BMW 2016. • Common Bio-Medical Waste Treatment and Disposal Facilities (CBWTDF) – There are now over 200 licensed CBWTDF or Common Treatment Facilities (CTF) in India.
  • 59. Features of BMW, 2016 • Compulsory pre-treatment – The method of sterilization/disinfection should be in accordance with National AIDS Control Organization (NACO) or WHO. • Phasing out plastic use – The use of chlorinated plastic bags, gloves, blood bags, etc. should be gradually stopped and this phasing out should be within 2 years from the date of notification of these rules. • Safe disposal of Liquid waste – They need to be separated at source by pre-treatment before mixing with other liquid waste. • Incineration guidelines – The existing incinerator should be upgraded/modified to achieve the new standard within 2 years from the date of this notification.
  • 61. Segregate to be observed
  • 64. HOW POLYTHENE TO BE PURCHASED
  • 65. How to select the label of BMW bag
  • 70. Bio medical waste management preparation chart
  • 82. Challenges in India • Increase in waste– In a highly populous country like India, there is a rise in residential biomedical waste and its collection without adhering to safety protocols could also trigger a surge in caseload. • Poor Compliance of BMW rules – States are not following the CPCB guidelines. • Non-segregation – In some states, improper segregation of waste has been reported. • Improper disposal – The non-segregation of waste results in the incineration of contaminated plastics producing toxic gases and adding to air pollution. • Lack of infrastructure – Currently, in India, there are only 198 CBMWTF in operation and 28 are under construction. • No alternative to incineration – During incineration and postcombustion cooling, waste components dissociate and recombine forming new particles.
  • 83. BIO MEDICAL WASTE MANAGEMENT POSTER CHART
  • 84. EXAMPLE OF SOME ORGANIZATION BMWM CHART
  • 86. BMWM chart in one language
  • 91. Conclusion • Safe and effective management of biomedical waste is not only a lawful obligation but also a civil duty. • The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods, to decrease environmental pollution and ensure the safety of the staff, patients, and public
  • 92. TRANSPORTATION IS CORRECT OR WRONG? STORAGE OF WASTE ?
  • 93. References • 1. Hari Singh. (2018). Essentials of management for healthcare professionals. Crc Press, Taylor & Francis Group. • 2. WHO. Review of Health Impacts from Microbiological Hazards in Health-Care Wastes. Geneva: World Health Organization; • 3. R Radhakrishnan, Dr. (2006). Bio Medical waste management. Sumit Enterprises. • 4. K Sasikumar, & Sanoop Gopi Krishna. (2009). Solid waste management. Phi Learning. • 5.Ministry of health and family welfare guidelines • 6. national health mission guidelines • 7. central pollution board guidelines • 8. state health guidelines • 9.Environment safety guidelines
  • 94. Take your home message • Your responsible for your health • Your responsible for health care services if your health care professionals • Take plenty of water every day • Eat balanced diet • Eat seasonal fruits, vegetables , and other • Avoid junks foods and fast food • be happy ,your responsible for your health • Make the environment healthy, happy and ready to do work with smile manner • Get vaccination as per policy • Lead your life as healthy way, not wealthy way…….
  • 95. THANK YOU SO MUCH