Health facilities needs to streamline and standardise the entire activities required to manage waste right from its inception to its final disposal. This includes collection, transport, treatment and disposal of waste together with monitoring and regulation. It also encompasses the legal and regulatory framework that relates to waste management.
BMW management rules were revised through a gazette notification by the Central Government in 2016 & 2018 (Amendment) and it has become mandatory for health facilities to manage bio medical waste generated from the health facilities as per the new rules.
The bio medical waste as defined by the BMW Rules, 2016 is any waste which is generated during the activities of diagnosis, treatment and immunisation of human beings or any research activities pertaining thereto or in the production or testing of biological or in the health camps.
For implementation of the BMW Rules, 2016 & 2018 (Amendment) the health facilities need to be aware of the key changes that are incorporated in the BMW Rules vis-a-vis BMW Rules, 1998. The health facilities need to ensure that it has a copy of new BMW Rules for ready reference and as a guiding document for BMW management.
For implementation of the BMW Rules 2016 & 2018 (Amendment) the health facilities needs to ensure the following:
The key activities that a hospital performs for the management of BMW include segregation of the waste at the point of generation, timely collection of waste and transportation of the waste from the interim storage areas of the hospital to the central storage area and transportation of the waste from the central storage area to the deep burial pits (in case of facilities not having agreement with CBMWTF).
Segregation of BMW Waste as per BMW Rules, 2016 & 2018 (Amendment)
|Category||Type of Waste||Colour & Type of Container|
Discarded or Expired Medicine
Chemical Liquid Waste
Chemical Laboratory Waste
Chemotherapy Drug Vials
|Yellow colour non chlorinated plastic bags or containers|
|Red Category||Contaminated Waste (Recyclable)||Red colour non chlorinated plastic bags and containers|
|White Category||Waste Sharps including metals||White colour puncture proof, leak proof, tamper proof containers|
Metallic Body Implants
|Puncture proof and leak proof boxes or containers with blue coloured marking (2018 Amendment)|
Waste water must also be disposed effectively since it can serve as a breeding ground for mosquitoes. People may also slip and fall in muddy puddles, and children may play in them and risk waterborne illness.
The area should be kept clean and planting of trees and plants should be encouraged.
Burning of plastic wastes is hazardous to human health and must not be practiced.Plastic bags must be segregated and recycled. If plastic is coming out of the patient care area, it needs to be disinfected by Chlorine Solution, and mutilated to prevent its re-circulation by unscrupulous element.
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