Bio-Medical Waste In India: Challenges, Government/International Initiatives

Explore the challenges of biomedical waste management in India, government initiatives, international conventions, and solutions for sustainable healthcare practices.

Biomedical waste refers to human and animal anatomical waste, as well as treatment apparatus such as needles, syringes, and other materials utilized in healthcare facilities during treatment and research.

  • India generates around 700 TPD of biomedical waste approximately and about 90% is treated, despite the combined treatment capacity available being 1,590 TPD. 20 states in India are still using captive treatment measures and deep pit burials for disposal. 

Challenges Associated With Bio-Medical Waste: Non-Segregation, Increase in Waste

  • Non-Segregation: The non-segregation of waste results in the incineration of contaminated plastics producing toxic gases and adding to air pollution.
  • Increase in Waste: The rise in residential biomedical waste and its collection without adhering to safety protocols could also trigger a surge in caseload.

Bio-Medical Waste

  • Health of Workers Associated: Without proper scientific management of such waste, it can potentially affect patients and can affect the concerned workers and professionals.
  • Municipal Workers at Risk: Many municipal workers have been infected and some have died, likely due to contact with contaminated waste.
  • Issue with the Waste Management Rules: Existing legal provisions are designed for hospital-generated biomedical waste, with no guidelines for managing such waste at home or in non-hospital settings.

 

WAY FORWARD

  • Collecting and Categorizing the Waste: After segregation, the waste is collected and categorized into appropriate bins. Different colored bins are used to indicate specific types of waste, aiding in efficient identification and disposal.
  • Storing the Waste: Proper storage of BMW is essential to avoid health hazards. Waste must be stored in designated containers for limited periods – less than 8-10 hours in hospitals with around 250 beds and up to 24 hours in nursing homes. 
  • Regulatory Compliance: BMW management must adhere to specific regulations, such as Schedule 2 and Schedule 3 of the BMW (Management and Handling) Rules, 1998.
  • Prevention of Waste Reuse: Segregation and proper disposal practices help prevent the reuse of potentially dangerous items like syringes and needles, thus protecting public health and safety.
  • Recycling Goals: Effective BMW management also supports recycling efforts. By segregating plastic and metal waste, recycling processes are facilitated, contributing to environmental sustainability.

 

GOVERNMENT/INTERNATIONAL INITIATIVES

  • Common Biomedical Waste Treatment Facilities (CBWTF): It’s a set up where bio-medical waste, generated from a number of healthcare units, is imparted necessary treatment to reduce adverse effects that this waste may pose.
  • Bio-Medical Waste Management Rules, 2016: The purpose of these rules is to ensure the effective management of daily bio-medical waste generated by Healthcare Facilities (HCFs) nationwide.
  • Bio-Medical Waste Management (Amendment) Rules, 2018: To improve compliance and strengthen the implementation of environmentally sound management of biomedical waste in India.
  • The amended rules stipulate that generators of bio-medical waste such as hospitals, nursing homes, clinics, and dispensaries etc will not use chlorinated plastic bags and gloves beyond March 27, 2019 in medical applications to save the environment.
  • Basel Convention: To protect human health and the environment against the adverse effects resulting from the generation, management, transboundary movements and disposal of hazardous and other wastes.

Bio-Medical Waste

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