1.
• BMW -emerged as anissueof concern over the
world
• Safescientific cost effective methodsof
BMW management – need of hour.

2.
WASTE
Waste
Solid waste
Liquid
Waste
Gaseous
Waste
• Household waste
• Industrial waste
• Biomedical wasteor hospital waste

3.
What is Bio-medical
waste ??
Waste generated during the
diagnosis, testing, treatment, research or
production of biological products for
humans or animals (WHO)

4.
Sources of Bio-Medical
Waste
Major Sources
Hospitals
Labs
Research
centers
Animal research
Blood banks
Nursing homes
Mortuaries
Autopsy centers
Minor sources
 Clinics
 Dental clinics
 Home care
 Cosmetic clinics
 Paramedics
 Funeral services
 Institutions

5.
Non-Infectious
waste, 80%
Pathological
and Infectious
waste, 15%
Chemical and
Pharmaceutical
waste, 3%
Sharps, 1%
Radioactive,
Cytotoxic and
heavy
metals, 1%
Bio-Medical
Wastes

6.
Need of BMW Management in
Hospitals???

7.
WHO IS ATRISK??
Sanitation
workers
Medical &
Paramedical
staff
Patients &
attenders
Public

8.
Hazardous health care
waste may result in:
1. Infection
2. Genotoxicity and Cytotoxicity
3. Chemical toxicity
4. Radioactivity hazards.
5. Physical injuries
6. Public sensitivity.

9.
PROBLEM ASSOCIATED WITH
BMW
ORGANISM DISEASES CAUSED RELATED WASTE ITEM
VIRUSES AIDS, Infected needles, body
HIV,Hepatitis B,Hepatitis A,C, Infectious Hepatitis, Fluids, Human excreta, soiled
Enteroviruses Dengue, Japanese linen, Blood, bodyfluids.
encephalitis,
fevers, etc.
BACTERIA Typhoid, Cholera, Tetanus Human excreta and
Salmonella typhi, Wound infections, body fluid in landfillsand
Vibrio cholerae, septicemia, rheumatic hospital wards, Sharpssuch as
Clostridium Tetani, fever, endocarditis, skin needles, surgical blades in
Pseudomonas,Streptococcus and soft tissueinfections hospital waste.
PARASITES Human excreta, blood and
W.Bancrofti, KalaAzar, Malaria body fluids in poorly
Plasmodium managed sewage system of
hospitals.

10.
How did BMW came into
Existence?

11.
LEGISLATION
• MOEF have promptly designed and issued
guidelines to the hospitals to ensure a proper and
safe disposal of bio-medical waste
• “BIO-MEDICAL WASTE Management & Handling
RULE 1998 came into effect.
• Provides uniform guidelines and code of practice for
Bio-medical waste management.

12.
Biomedical Waste
Management and Handling Rules,1998
[Amended in 2000]
• Theserules apply to all persons who generate,
collect, receive, store, transport, treat, dispose
or handle bio-medical waste in any form. All
Institutions generating BMW must take all steps
to ensure that suchwaste is handled without any
adverse effect to human health and the
environment

13.
Bio-Medical Waste FlowChart
In House Segregation
(Collection, Segregation Packing
in Color Coded Poly Bags)
Common Storage Point
At
Hospitals
Transportation
(Approved Special Vehicle)
Unloading and Temp
Storage at CBWTF
Treatment
(Incineration,Autoclaving
and Shredding)
Disposal
( Recycling & Landfill)
Waste water
to ETP
Re Use
Generator
(HOSPITALS)

14.
36
WASTE
CATEGOR
Y
TYPE OF WASTE
TREATMENT
AND
DISPOSAL
OPTION
Category No. 1 Human Anatomical Waste (Human tissues, organs, body
parts)
Incineration / deep
burial
Category No. 2
Animal Waste
(Animal tissues, organs,body parts, carcasses,bleeding parts,
fluid, blood and experimental animals usedin research, waste
generated by veterinary hospitals and colleges, discharge from
hospitals, animalhouses)
Incineration/ deep
burial
Category No. 3
Microbiology & Biotechnology Waste (Wastes from
laboratory cultures, stocks or specimen of live micro
organismsor attenuated vaccines, human and animal cell
cultures usedin research and infectious agentsfrom research
and industrial laboratories, wastes from production of
Localautoclaving/
microwaving /
incineration
Categories of Biomedical Waste
Schedule

15.
37
Category No. 4
Waste Sharps (Needles, syringes, scalpels,
blades, glass,etc. that may causepuncture and
cuts. Thisincludes both used and unused
sharps)
Disinfecting (chemical
treatment / autoclaving /
microwaving and mutilation /
shredding
Category No. 5
Discarded Medicine and Cytotoxic
drugs (Wastescomprising of outdated,
contaminated and discarded medicines)
Incineration / destruction and
drugs disposal in secured
landfills
Category No.6
Soiled Waste (Items contaminated with body
fluids including cotton, dressings, soiled plaster
casts,lines, bedding and other materials
contaminated with blood.)
Incineration / autoclaving /
microwaving
Category No.7
Solid Waste (Waste generated from
disposable items other than the waste sharps
suchas tubing, catheters, intravenous sets,
Disinfecting by chemical
treatment / autoclaving /
microwaving and mutilation /
shredding# #

16.
38
Category No. 8
Liquid Waste (Waste generated from
the laboratory and washing, cleaning,
house keeping and disinfecting
activities)
Disinfecting by chemical
treatment anddischarge
into drains
Category No. 9
Incineration Ash (Ashfrom
incineration of
any biomedical waste)
Disposal in municipal landfill
CategoryNo.10
Chemical Waste (Chemicalsused in
production of biologicals, chemicals
used in disinfecting, asinsecticides,
etc.)
Chemical treatment and
discharge into drains for
liquids and secured landfill
for solids.

17.
Human
anatomical
waste Chemo
drugs Soiled
waste Expired
or Discarded
Medicines,
soiled linen
Contaminat
ed Plastic
Waste
(Recyclable)
Waste
sharps
including
Metals
Glasswar
e: Broken
or
discarded
and
contaminate
d glass
including
medicine
vials and
ampoules
General
waste

18.
SCHEDULEI :YELLOWCATEGORY:SOILED
WASTE
(a)Human Anatomical Waste: Human tissues, organs,
body parts and fetus
(b)Animal Anatomical Waste :
(c)Soiled Waste: Items contaminated with blood, body
fluids like dressings, plaster casts, cotton swabs and
bags containing residual or discarded blood
Incineration or Plasma Pyrolysis or deep
burial

19.
SCHEDULE1-REDC
A
T
E
G
O
R
Y
:PLASTICSRECYCLEBLE
WASTE
(a) Wastes generated from
tubing, bottles,
intravenous tubes and
sets, catheters, urine
bags, syringes (without
needles and fixed needle
syringes) and gloves
Autoclaving or micro-waving/hydroclaving
followed by shredding or mutilation
catheters, urine bags,
syringes (without
needles and fixed
needle syringes) and
gloves

20.
SHARP CONT
AINERS
Puncture proof, Tamper proof, Leak proof containers!!

21.
Glassware:
Broken or discarded
and contaminated glass
including medicine vials
and ampoules except
those contaminated with
cytotoxic wastes &
Metallic Body Implants
Disinfection (by soaking the
washed glass waste after
cleaning with detergent and
Sodium Hypochlorite treatment)
or through autoclaving or
microwaving or hydro claving and
then sent for recycling.

22.
GENERALWASTEIN
BLACK

23.
TAKEHOME MESSAGE….
YELLOW has blood, drugs and tissues dead,
Plastics;tubes and syringe nowgo in RED,
Sharps in Containers lockable & white,
Black is for garbage; BMW not by right,
Card boards shall carry bottles and Glasses,
All we need, are a few more classes!!

24.
THANK YOU