Bio-Medical Waste Bio-Medical Waste & &

Common Bio-Medical Waste Common Bio-Medical Waste Treatment FacilityTreatment Facility

Presented By:Presented By:

Dr. Anoop HajelaDr. Anoop Hajela

(Managing Director)(Managing Director)

Bhopal Incinerators Ltd.Bhopal Incinerators Ltd.

Bio-Medical WasteBio-Medical Waste

Definition:Definition:

The Bio-Medical Waste is the waste The Bio-Medical Waste is the waste that is generated during the that is generated during the

diagnosis, diagnosis, treatment or treatment or immunization of human immunization of human beings or beings or animals or in research animals or in research activities activities pertaining thereto, or in the pertaining thereto, or in the production or testing of biological production or testing of biological

components. components.

Bio-Medical WasteBio-Medical Waste

Bio-medical waste (BMW) is defined as the total Bio-medical waste (BMW) is defined as the total waste stream from a healthcare facility (HCF)waste stream from a healthcare facility (HCF)

Two basic categoriesTwo basic categories General Waste or Municipal WasteGeneral Waste or Municipal Waste Bio-Medical WasteBio-Medical Waste

General / Municipal General / Municipal WasteWaste

General WasteGeneral Waste Paper PackagingPaper Packaging Plastic packagingPlastic packaging Food preparationFood preparation And other items that haven’t been And other items that haven’t been

contaminatedcontaminated

Bio-Medical WasteBio-Medical Waste

Bio-Medical Waste (BMW)Bio-Medical Waste (BMW) Infectious wasteInfectious waste Hazardous wasteHazardous waste Harmful to humans and environmentHarmful to humans and environment

SOURCE OF SOURCE OF BIO-MEDICALBIO-MEDICAL WASTEWASTE

Biomedical Waste is generated Biomedical Waste is generated in:in:

Hospitals, Nursing Hospitals, Nursing Homes, Homes, Clinics, Clinics, Medical Laboratories, Medical Laboratories, Blood Banks, Animal Houses Blood Banks, Animal Houses

etc. Such a waste can also be etc. Such a waste can also be generated at home if generated at home if

health health care is being care is being provided there to provided there to a a patient.patient.

(e.g. injection, dressing (e.g. injection, dressing material etc.)material etc.)

ComponentsComponents

Solids:Solids:Catheters and tubesCatheters and tubesDisposable masks and scrubsDisposable masks and scrubsDisposable toolsDisposable toolsMedical glovesMedical glovesWound dressingsWound dressingsHuman Body PartsHuman Body Parts

Contd…Contd…

Liquids:Liquids:

BloodBloodBody fluids and tissuesBody fluids and tissuesCell, organ and tissue culturesCell, organ and tissue cultures

Contd…Contd…

Sharps:Sharps:Blades (Razor or Scalpel)Blades (Razor or Scalpel)Material made up glass such as slides.Material made up glass such as slides.NeedlesNeedles

Classification and ManagementClassification and ManagementCategoryCategory Waste Type Waste Type Treatment and Disposal Method Treatment and Disposal Method

Category 1 Category 1 Human Wastes (Tissues, Human Wastes (Tissues, organs, body parts organs, body parts Incineration / deep burial Incineration / deep burial

Category 2 Category 2 Animal WasteAnimal WasteIncineration / deep burial Incineration / deep burial

Category 3 Category 3 Microbiology and Microbiology and Biotechnology waste Biotechnology waste Autoclave/microwave/incinerationAutoclave/microwave/incineration

Category 4 Category 4 SharpsSharpsDisinfection (chemical Disinfection (chemical treatment)+/autoclaving/microwaving treatment)+/autoclaving/microwaving and mutilation shreddingand mutilation shredding

Category 5 Category 5 Discarded Medicines and Discarded Medicines and Cytotoxic Drugs Cytotoxic Drugs

Incineration/ destruction and drugs Incineration/ destruction and drugs disposal in secured landfills disposal in secured landfills

Contd…Contd…CategoryCategory Waste Type Waste Type Treatment and Disposal Method Treatment and Disposal Method

Category 6 Category 6 Contaminated solid waste Contaminated solid waste Incineration/autoclaving / microwaving Incineration/autoclaving / microwaving

Category 7 Category 7 Solid waste (disposable Solid waste (disposable items other than sharps) items other than sharps)

Disinfection by chemical treatment+ Disinfection by chemical treatment+ microwaving/autoclaving & mutilation microwaving/autoclaving & mutilation shreddingshredding

Category 8 Category 8

Liquid waste (generated Liquid waste (generated from laboratory washing, from laboratory washing, cleaning, housekeeping and cleaning, housekeeping and disinfecting activity)disinfecting activity)

Disinfection by chemical treatment+ and Disinfection by chemical treatment+ and discharge into the drains discharge into the drains

Category 9 Category 9 Incineration ash Incineration ash Disposal in secured landfillDisposal in secured landfill

Category10Category10 Chemical Wastes Chemical Wastes Chemical Treatment + and discharge in to Chemical Treatment + and discharge in to drain for liquids and secured landfill for drain for liquids and secured landfill for solids solids

Segregation of BMWSegregation of BMWSchedule - IISchedule - II

Color codingColor coding Type of containerType of container Waste category treatment option Waste category treatment option

YELLOWYELLOW Plastic BagPlastic Bag Cat 1,2,3,6 Incineration / deep Cat 1,2,3,6 Incineration / deep burial burial

REDRED Disinfected container / Disinfected container / plastic bag plastic bag

Cat 3,6,7 Autoclave/microwave Cat 3,6,7 Autoclave/microwave /chemical treatment /chemical treatment

BlueBlue Plastic bag/ Puncture Plastic bag/ Puncture proof proof

Cat 4,7 Autoclave/microwave Cat 4,7 Autoclave/microwave /chemical treatment / /chemical treatment / destruction shreddingdestruction shredding

BLACKBLACK Plastic bagPlastic bag

Cat 5,9,10 Disposal in secure Cat 5,9,10 Disposal in secure landfill landfill

Procedure of Bio-MedicalProcedure of Bio-Medical Waste Disposal Waste Disposal

Generation of Waste Generation of Waste

Segregation at sourceSegregation at source

Collection of WasteCollection of Waste

TransportationTransportation Autoclaving & shreddingAutoclaving & shredding

TreatmentTreatment IncinerationIncineration

Common Bio-Medical Waste Common Bio-Medical Waste Treatment FacilityTreatment Facility

A set up where biomedical waste, generated A set up where biomedical waste, generated

from a number of healthcare units, is from a number of healthcare units, is

imparted necessary treatment to reduce imparted necessary treatment to reduce

adverse effects that this waste may pose.adverse effects that this waste may pose.

Need of CBWTFNeed of CBWTF

Installation of individual treatment facilities by small Installation of individual treatment facilities by small healthcare units requires comparatively high capital healthcare units requires comparatively high capital investment.investment.

Separate manpower and infrastructure development Separate manpower and infrastructure development required for proper operation and maintenance of required for proper operation and maintenance of treatment systems.treatment systems.

Risk of proliferation of treatment equipment in a city.Risk of proliferation of treatment equipment in a city. Monitoring pressure on regulatory agencies.Monitoring pressure on regulatory agencies. By running the treatment equipment at CBWTF to its full By running the treatment equipment at CBWTF to its full

capacity, the cost of treatment of per kilogram gets capacity, the cost of treatment of per kilogram gets significantly reduced.significantly reduced.

Coverage of CBWTFCoverage of CBWTF

One CBWTF allowed to cater up to 10,000 One CBWTF allowed to cater up to 10,000 beds at the approved rate by the Prescribed beds at the approved rate by the Prescribed Authority. Authority.

Not allowed to cater healthcare units situated Not allowed to cater healthcare units situated beyond a radius of 150 km. beyond a radius of 150 km.

Location of CBWTFLocation of CBWTF

Place reasonably far away from residential and Place reasonably far away from residential and sensitive area.sensitive area.

Near to its area of operation as possible in Near to its area of operation as possible in order to minimize the travel distance in waste order to minimize the travel distance in waste collection, thus enhancing its operational collection, thus enhancing its operational flexibility. flexibility.

Decided in consultation with the state Decided in consultation with the state pollution control board (spcb)/pollution pollution control board (spcb)/pollution control Committee (PCC).control Committee (PCC).

is a cooperative effortis a cooperative effort

of the Doctors of the Doctors for the Doctors for the Doctors by the Doctors by the Doctors 93 Doctors are Share Holders93 Doctors are Share Holders NON PROFIT NON PROFIT

ORGANISATIONORGANISATION

for the PEOPLE of BHOPAL.

Bhopal Incinerators Limited

BOARD OF DIRECTORSBOARD OF DIRECTORS Dr. R. K. BisaryaDr. R. K. Bisarya Dr. Anoop HajelaDr. Anoop Hajela Dr. Ajay GoenkaDr. Ajay Goenka Dr. Deepak ShahDr. Deepak Shah Dr. B. M. LoyaDr. B. M. Loya Dr. A.S. ChawlaDr. A.S. Chawla Dr. (Mrs.) Viraj JaiswalDr. (Mrs.) Viraj Jaiswal Dr. Sudhir JainDr. Sudhir Jain Dr. Arun GuptaDr. Arun Gupta Dr. Deepak ZutshiDr. Deepak Zutshi Dr. Yogesh Bhooshan Dr. Yogesh Bhooshan

JainJain Dr. Randhir SinghDr. Randhir Singh

ChairmanChairman

Managing DirectorManaging Director

Director - Marketing Director - Marketing

Director - FinanceDirector - Finance

DirectorDirector

DirectorDirector

DirectorDirector

DirectorDirector

DirectorDirector

DirectorDirector

DirectorDirector

DirectorDirector

Total No. of Clients : Total No. of Clients : 421421

This includes This includes Nursing Homes, Nursing Homes, Blood Banks , Blood Banks ,

Pathology Labs , Pathology Labs , Government Hospitals Government Hospitals and Private Hospitalsand Private Hospitals

&& BMHRC BMHRC exceptexcept Peoples groupPeoples group

LEGAL LIABILITIES of the LEGAL LIABILITIES of the CompanyCompany

As per the As per the EPAEPA 1998 & our 1998 & our agreement with clients it is our legal agreement with clients it is our legal responsibility to dispose BMW with responsibility to dispose BMW with in 24 in 24 HRS after collection.HRS after collection.

BMW Treated in last 10 BMW Treated in last 10 yearsyears

20032003-- 60,172 kg 60,172 kg 20042004-- 62,471 kg 62,471 kg 20052005-- 71,370 kg 71,370 kg 20062006-- 91,206 kg 91,206 kg 2007 2007 - 1,10,460 kg- 1,10,460 kg 2008 2008 - 1,61,182 kg- 1,61,182 kg 2009 2009 - 1,54,483 kg- 1,54,483 kg 20102010- 1,75,202 kg - 1,75,202 kg 20112011- 2,07,289 kg- 2,07,289 kg 20122012- 2,23,203 kg- 2,23,203 kg

TOTALTOTAL - - 13,17,038 KG13,17,038 KG

PostersPosters

Material Supplied by BILMaterial Supplied by BIL

De-chlorinated Color Coded Poly BagsDe-chlorinated Color Coded Poly Bags Color Coded Dustbin/Container with lidColor Coded Dustbin/Container with lid Needle Cutter cum Destroyer Needle Cutter cum Destroyer Poster (Category Wise)Poster (Category Wise) Daily Record RegisterDaily Record Register Sodium Hypo chlorideSodium Hypo chloride Label/Sticker Label/Sticker

Acts that we are Acts that we are followingfollowing

Bio-Medical Waste (Management & Bio-Medical Waste (Management & Handling) Rules 1998Handling) Rules 1998

Industrial Health & Safety RulesIndustrial Health & Safety Rules Minimum Wages ActMinimum Wages Act Bonus ActBonus Act EPF ActEPF Act ESIS ActESIS Act Gratuity ActGratuity Act

Segregation of BMWSegregation of BMW

The segregation of biomedical waste into various categories and storage in four different coloured containers. The Biomedical waste shall be segregated into containers/bags at the point of generation in accordance with Schedule II prior to its storage, transportation, treatment and disposal.

The Vehicles to carry Bio Medical Waste from Different Hospitals

Computerised Autoclave Computerised Autoclave ReportReport

Needle DestroyerNeedle Destroyer

Computerised Computerised Incinerator ReportIncinerator Report

ASH STORAGE ROOMASH STORAGE ROOM

EFFULENT TREATMENTEFFULENT TREATMENT PLANTPLANT

PROBLEMSPROBLEMS

Difficulty to getting Manpower.Difficulty to getting Manpower. Improper Segregation.Improper Segregation. Red Bag & Yellow Bag Category.Red Bag & Yellow Bag Category. Secured Landfills.Secured Landfills. Autoclaving of Bottles.Autoclaving of Bottles. Payment of Bills (Government agencies).Payment of Bills (Government agencies). Running Cost.Running Cost. Law.Law.

THANKS FOR THANKS FOR YOUR YOUR

TIME & KIND TIME & KIND ATTENTIONATTENTION