Biomedical Waste management

prepared by Mohammad Mukhit Kazi

Mohammad Mukhit Kazi

• What is Biomedical Waste?

Waste generated during diagnosis, testing, treatment, research or production of biological products for humans or animas

• BMW a real problem for

– Man

– Community

– Environment

prepared by Mohammad Mukhit Kazi

Biomedical waste management and handling rules 1998(amended in 2000)

• These rules apply to all persons who generate, collect, receive, store, transport, treat, dispose or handle biomedical waste in any form. All institutions generating biomedical waste must take all steps to ensure that such waste is handled without any adverse effect to human health and the environment

prepared by Mohammad Mukhit Kazi

Penalties as per rule

• The penalties as per specified in Environment protection act 1986

• Imprisoned up to 5 years with fine up to one lakh rupees or both

• In case of failure additional Rs 5000 everyday

prepared by Mohammad Mukhit Kazi

Healthcare waste

Non risk waste (75 to 90%)

Risk waste(10- 25%)

WHO estimates:

85% of hospital waste is non hazardous10% is infectious5% is non infectious

prepared by Mohammad Mukhit Kazi

• CDC estimates that 1,144,500 persons aged 13 years and older are living with HIV infection, including 180,900 (15.8%) who are unaware of their infection

• More than 2 000 million people alive today have been infected with HBV at some time in their lives. Of these, about 350 million remain infected chronically and become carriers of the virus.

• An estimated 150–200 million people worldwide are infected with hepatitis C

Transmission Rates:0.3 % HIV

3 % Hepatitis C

30 % Hepatitis B depending upon viral load

prepared by Mohammad Mukhit Kazi

SCHEDULE – 1 (See Rule 5)

CATEGORIES OF BIO MEDICAL WASTE

OPTION WASTE CATEGORY TREATMENT & DISPOSAL

Category No. 1 Human Anatomical Waste Incineration / deep burial

Category No. 2 Animal Waste Incineration / deep burial

Category No. 3 Microbiology & Biotechnology

Waste

Local autoclaving / microwaving /

incineration

Category No. 4 Waste Sharps Disinfection by chemical treatmet /

atoclaving / microwaving and

mutilation / shredding

Category No. 5 Discarded Medicines and

Cytoxic drugs

Incineration / destruction and

drugs disposal in secured landfills

Category No. 6 Solid Waste Incineration / autoclaving /

microwaving

Category No. 7 Solid Waste Disinfection by chemical treatment

/ autoclaving / microwaving and

mutilation / shredding

Category No. 8 Liquid Waste Disinfection by chemical treatment

and discharge into drains.

Category No. 9 Incineration Ash Disposal in municipal landfill

Category No. 10 Chemical Waste Chemical treatment and discharge

into drains for liquids and secured

land for solidsprepared by Mohammad Mukhit Kazi

Who is at risk?

Multipurpose workers

Health care workers

including doctors

Patients

prepared by Mohammad Mukhit Kazi

Hazardous health care waste results in

• Infection

• Genotoxicity or cytotoxicty

• Radioactive hazard

• Physical injuries

prepared by Mohammad Mukhit Kazi

Waste management plan

• Sorting

• Handling

• Interim storage

• Sub disposal

• Final disposal

prepared by Mohammad Mukhit Kazi

INFUSION SETSNEEDLES USED BLADES

BROKEN GLASS SLIDES

PUNCTURE PROOF CONTAINER

BURN AND CUT THE NEEDLE BEFORE DISCARDING IN PUNCTURE PROOF CONTAINER CONTAINING 1% HYPOCHLORITE SOLUTION

Biomedical Waste Management Committee, Sinhgad Dental College and Hospital Pune

BROKEN AMPOULES

LANCET

prepared by Mohammad Mukhit Kazi

EXPIRED MEDICINES

ALL HUMAN ANATOMICAL WASTE MICROBIOLOGICAL CULTURES

YEL LOW

BAG

BLOOD STAINED COTTON, DRESSINGS

CYTOTOXIC DRUGS SHOULD BE DISCARDED IN YELLOW BAG

SEPERATELY BUT WITH LABEL AS

CT

prepared by Mohammad Mukhit Kazi

Biomedical Waste Management Committee, Sinhgad Dental College and Hospital Pune

USED SYRINGES

(without needles & nozzles)RED

BAG

CUT ALL THE IV LINES, SALINE BOTTLES,GLOVES & EMPTY BLOOD BAGS

UROSAC BEFORE DISCARDING.

EMPTY SALINE BOTTLES

GLOVES

prepared by Mohammad Mukhit Kazi

Biomedical Waste Management Committee, Sinhgad Dental College and Hospital Pune

EMPTY BOTTLESWASTE FOOD FRUIT PEELINGS

BOUQUET

PACKAGING MATERIAL

BLACK

BAGUSED PENS,

ICE CREAM CUPS

COCONUT SHELL

prepared by Mohammad Mukhit Kazi

Biomedical Waste Management Committee, Sinhgad Dental College and Hospital Pune