Biomedical Waste management

1. Biomedical Waste management
Mohammad Mukhit Kazi
prepared by Mohammad Mukhit Kazi

2. • 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

3. 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

4. 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

5. Healthcare
waste
Non risk waste
(75 to 90%)
Risk waste
(10- 25%)
WHO estimates:
85% of hospital waste is non hazardous
10% is infectious
5% is non infectious
prepared by Mohammad Mukhit Kazi

6. • 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

7. 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 solids
prepared by Mohammad Mukhit Kazi

8. Who is at risk?
Multipurpose
workers
Health care
workers
including
doctors
Patients
prepared by Mohammad Mukhit Kazi

9. Hazardous health care waste results in
• Infection
• Genotoxicity or cytotoxicty
• Radioactive hazard
• Physical injuries
prepared by Mohammad Mukhit Kazi

10. Waste management plan
• Sorting
• Handling
• Interim storage
• Sub disposal
• Final disposal
prepared by Mohammad Mukhit Kazi

11. NEEDLES INFUSION SETS USED BLADES
BROKEN GLASS SLIDES
P
U
N
C
T
U
R
E
P
R
O
O
F
C
O
N
T
A
I
N
E
R
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

12. ALL HUMAN ANATOMICAL WASTE MICROBIOLOGICAL CULTURES
EXPIRED MEDICINES
Y
E
L
L
O
W
B
A
G
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

13. USED SYRINGES
(without needles & nozzles)
R
E
D
B
A
G
EMPTY SALINE BOTTLES
GLOVES
CUT ALL THE IV LINES, SALINE
BOTTLES,GLOVES & EMPTY BLOOD BAGS
UROSAC BEFORE DISCARDING.
prepared by Mohammad Mukhit Kazi
Biomedical Waste
Management
Committee, Sinhgad
Dental College and
Hospital Pune

14. EMPTY BOTTLES
WASTE FOOD FRUIT PEELINGS
BOUQUET
PACKAGING MATERIAL
B
L
A
C
K
B
A
USED PENS, G
ICE CREAM
CUPS
COCONUT SHELL
prepared by Mohammad Mukhit Kazi
Biomedical Waste
Management
Committee, Sinhgad
Dental College and
Hospital Pune