Biomedical waste management amendment rules 2018

BIO-MEDICALWASTE
MANAGEMENT
(AMENDMENT) RULES-2018
Dr.Rathod R.S
JR- 2nd yr
Dept of FMT,GMCH Latur.
Mob no:9730983024

OUTLINE
1.Introduction
2.Overview Of Biomedical Rules
3.Biomedical waste rules apply to
4.Objectives
5.BMW rules comprises of
6.Definition commonly used in
BMW Rules
7.Key function
8.Key features BMW
9.Process flow of BMW
10.Waste categorisation
11.How to segregate waste
12.What goes in
red,yellow,blue,back,white
13.Duties of occupier or HCF
14.Environmental legislation

OVERVIEW OF BIOMEDICALWASTE
MANAGEMENT RULES
The Rules apply to all persons who generate,
collect, receive, store, transport, treat, dispose or
handle bio-medical waste in any form
• Rules under the Environment (Protection) Act,
1986
I draft-1995, II draft- 1997
• Final rules notified on 27th July 1998, Bio
Medical Waste (Management & Handling)
Rules, 1998
• Amendments-2003 latest
• New Rules Notified on 28.3.16, Bio medical
Waste Management Rules,2016

INTRODUCTION
Medical care is vital for our life and health, but biomedical waste
management is crucial health issue for community. Improper segregation
and disposal of hospital waste poses a serious threat to our environment and
healthcare.
Biomedical waste management is an essential component of quality
healthcare assurance in hospitals. Meticulous biomedical waste disposal
management has been documented to reduce the hospital acquired
infections to a great extent.
Most health professionals are not aware about the risk involved when they
handle biomedical waste. The sole purpose of this biomedical waste
management manual is to develop awareness to all health professionals
about the recent biomedical waste management rules, 2018 by Government
of India and it is mandatory to implement.

BIOMEDICAL WASTE RULES
APPLY TO
 Hospitals, blood bank
 Nursing homes
 Dispensaries,
 Veterinary institutions
 Animal houses,
 Pathological laboratories
(irrespective of the size)
 Clinical establishments
 Research oreducational institution
 Health camps,
 Medical orsurgical camps,
 Vaccination camps,
 Blood donation camps,
 First aid rooms of schools,
 Forensic and research labs.
 Ayush hospitals,

OBJECTIVES
To reduce the infectious /hazardous nature of
waste
To reduce volume of waste
To prevent misuse or abuse of waste
To ensure occupational safety and health
To recycle the waste

RULES COMPRISE OF
 18Rules, 4 Schedules, And 5 Forms
 Schedule I BMW Color Coding, Collection, Treatment
And Disposal
 Schedule II Standards For Treatment And Disposal
 Schedule III Prescribed Authorities And
 responsibilities
 Schedule IV Labels For BMW Containers And Bags
 Form I Accident Reporting
 Form II And III Application And Authorization
Document
 Form IVAnnual Report
 Form IVAAnnual Report By SPCB OrAFMS ToCPBB
 Form VAppeal

DEFINITIONS COMMONLY USED
IN BMW
OCCUPIER
means a person having administrative control over the institution and the premises
generating bio-medical waste, which includes a hospital, nursing home, clinic, dispensary,
veterinary institution, animal house, pathological laboratory, blood bank, health care facility
and clinical establishment, irrespective of their system of medicine and by whatever name
they are;
OPERATOR
of a common bio-medical waste treatment facility" means a person who owns or controls a
Common Bio-medical Waste Treatment Facility (CBMWTF) for the collection, reception,
storage, transport, treatment, disposal orany other form of handling of biomedical waste;

KEYFUNCTIONS – AUTHORISATION
Every occupier or operator handling bio-medical
waste,
irrespective of the quantity shall make an
application in Form II to the prescribed authority
i.e. State Pollution Control Board and Pollution
Control Committee, for grant of authorization
Prescribed authority shall grant the authorization in
Form III and the validity of authorization
synchronized with validity of consent orders. One
time authorization for non bedded HCF

KEY FEATURES BMW
State
Pollution
control Board
Grant
authorization
inFormIII
Occupieror
Operatorshall
makean
application in
FormII

Waste categorisation
Waste
Non
infectious
infectious Hazardous

SCHEDULE I
(See Rule 5)
CATEGORIES OF BIO-MEDICAL WASTE
Waste
Category No.
Waste Category [Type] Treatment ad Disposal
[Option+]
Category No. I 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 used in
research, waste generated by veterinary
hospitals colleges, discharge from
hospitals, animal
houses)
Incineration@/deep burial*
Category No 3 Microbiology & Biotechnology Waste Local autoclaving/micro-
waving/incineration
Category No 4 Waste sharps
(needles, syringes, scalpels, blades, glass,
etc. that may cause puncture and cuts.
This includes both used and unused
sharps)
Disinfection (chemical treat-
ment@01/auto calving/micro-waving
and mutilation/ shredding"
Category No 5 Discarded Medicines and Cytotoxic
drugs
(wastes comprising of outdated,
Contaminated and discarded medicines)
Incineration @/destruct ion and drugs
disposal in secured landfills

Cont.........
Category No 6 Solid Waste
(Items contaminated with blood, and
body fluids including cotton, dressings,
soiled plaster casts, lines, beddings, other
material
contaminated with blood)
incineration@ autoclaving/microwaving
Category No. 7 Solid Waste
(wastes generated from
disposable items other than the waste
[sharps] such as tubing's, catheters,
intravenous sets etc).
Disinfection by chemical treatment
autoclaving/microwaving and
mutilation/ shredding
Category No. 8 Liquid Waste
(waste generated from laboratory and
washing, cleaning, house- keeping and
disinfecting
activities)
Disinfection by chemical
treatment@@and discharge
Category No. 9 Incineration Ash
(ash from incineration of any bio-medical
waste)
Disposal in municipal landfill
Category No. 10 Chemical Waste
(chemicals used in production of
biological, chemicals used in
disinfection, as insecticides, etc.)
Chemical treatment and discharge into
drains for liquids and secured landfill
for solids.

HOW TO SEGREGATE WASTE
WASTE
BMW
PLASTIC
Nonplastic
SHARP
PUNCTURE
PROOF
GENERAL

PROCESS OF FLOW OF BMW
GENERATION SEGREGATION STORAGE
COLLECTIONTRANSPORTATION
TREATMENT N
DISPOSAL

DUTIES OF OCCUPIER
HEALTH CHECK UP
MONTHLY ANNUALLY
REPORTING
STORAGE N DISPOSAL
PRE-TREATMENT
NONCLORINATE BAGS
HANDLE AND SEGREGATION
TRAINING
REGISTER
COMMITTEE

The Central Government, on March 16, 2018, has made the Bio-Medical Waste
Management (Amendment) Rules, 2018 to amend the Bio-Medical Waste Management
Rules, 2016 in the following manner:
Rule no Original provision Amended provision
Rule 4(c) It shall be the duty of every
occupier to pre-treat the
laboratory waste,
microbiological waste, blood
samples and blood bags
through disinfection or
sterilization on-site in the
manner as prescribed by the
World Health Organization
(WHO) or National AIDs
Control Organization (NACO)
guidelines and then sent to the
common bio-medical waste
treatment facility for final
disposal.
It shall be the duty of every
occupier to pre-treat the
laboratory waste,
microbiological waste, blood
samples and blood bags
through disinfection or
sterilization on-site in the
manner as prescribed by the
World Health Organization
(WHO) guidelines on Safe
management of wastes from
health care activities and
WHO Blue Book, 2014 and
then sent to the Common
bio-medical waste treatment
facility for final disposal.

Cont...........
Rule no Original Amended provision
Rule 4(d) It shall be the duty of every
occupier to phase out use of
chlorinated plastic bags, gloves
and blood bags within two
years from the date of
notification of these rules.
occupier to phase out use of
chlorinated plastic bags
(excluding blood bags) and
gloves by the 27th March,
2019.
Rule 4(i) It shall be the duty of every
occupier to establish a Bar-
Code System for bags or
containers containing bio-
medical waste to be sent out of
the premises or place for any
purpose within one year from
the date of the notification of
these rules.
occupier to establish a Bar
Code System for bags or
containers containing bio-
medical waste to be sent out of
the premises or for the further
treatment and disposal in
accordance with the
guidelines issued by the
Central Pollution Control
Board by 27th March, 2019.

Cont.........
Rule 4(p) It shall be the duty of every
occupier to make available the
annual report on its web-site
and all the health care facilities
shall make own website within
two years from the date of
notification of these rules.
It shall be the duty of all the
health care facilities (any
number of beds) shall make
available the annual report
on its web-site within a
period of two years from the
date of publication of Bio-
Medical Waste Management
(Amendment) Rules, 2018
Rule 5(c) It shall be the duty of every
operator of a common bio-
medical waste treatment and
disposal facility to establish bar
coding and global positioning
system for handling of bio-
medical waste within one year
operator of a common bio-
medical waste treatment and
disposal facility to establish bar
coding and global positioning
system for handling of bio-
medical waste in accordance
with the guidelines issued by
the Central Pollution Control
Board by 27th March, 2019.

Cont,...
Rule 7(8) Every occupier shall phase out use
of non-chlorinated plastic bags
within two years from the date of
publication of these rules and after
two years from such publication of
these rules, the chlorinated plastic
bags shall not be used for storing
and transporting of bio-medical
waste and the occupier or operator
of a common bio-medical waste
treatment facility shall not dispose
of such plastics by incineration and
the bags used for storing and
transporting biomedical waste shall
be in compliance with the Bureau
of Indian Standards. Till the
Standards are published, the carry
bags shall be as per the Plastic
Waste Management Rules, 2011.
Every occupier shall phase out use
of chlorinated plastic bags within
two years from the date of
publication of these rules and after
two years from such publication of
these rules, the chlorinated plastic
bags shall not be used for storing
and transporting of bio-medical
waste and the occupier or operator
of a common bio-medical waste
treatment facility shall not dispose
of such plastics by incineration and
the bags used for storing and
transporting biomedical waste shall
be in compliance with the Bureau
of Indian Standards. Till the
Standards are published, the carry
bags shall be as per the Plastic
Waste Management Rules, 2016.

cont,.......
Rule 13(2)
Along with the changes in the
Rules, amendments have also
been made to Schedule I, II
and III and the format for
submission of the annual
report information on bio-
medical waste management
has been inserted as Form IVA.
The prescribed authority shall
compile, review and analyze
the information received and
send this information to the
Central Pollution Control
Board on or before the 31st
July of every year.
The prescribed authority shall
compile, review and analyze
the information received and
send this information to
the Central Pollution Control
Board in Form IVA
before the 31st July of every
year.

ENVIRONMENTAL LEGISLATION
(COMPENSATION)
CPCB Guidelines:-
1.No Authorization under BMWM Rules, 2016;
2.No arrangement with CBWTF for disposal of biomedical waste;
3.Improper Segregation of generated biomedical waste as per color coded
system prescribed under BMWM Rules, 2016;
4. No facility for pre-treatment of yellow(h) category waste (microbiology,
biotechnology and other clinical laboratory waste);

CONTD……………….
5. Storage facility not provided for segregated biomedical waste
(applicable for bedded hospitals);
6. Not provided Effluent Treatment Plant for treatment of
wastewater, in case when city sewerage network in not
connected to terminal STP; and
7. Non-compliance to other responsibilities as stipulated for
Healthcare Facilities under BMWM Rules, 2016.

FORMULA
• Environmental Compensation for HCFs = HR x T x
S x R x N
• Where;
• HR – Health Risk factor
• T- Type of Healthcare Facility
• S – Size of Health Care Facility
• R – Environmental Compensation factor
• N – Number of days of Violation

MONITORING INSTITUTE
(AUTHORITY)
Bio-Medical Waste Management Rules,2018
Published in the Gazette of India,
Extraordinary, Part II, Section 3, Sub-section (i)]
GOVERNMENT OF INDIA MINISTRY OF
ENVIRONMENT, FOREST AND CLIMATE CHANGE
NOTIFICATION
(New Delhi, the 16TH March, 2018).

CONT...........
1. MINISTRY OF ENVIRONMENT, FOREST AND CLIMATE CHANGE,
GOVERNMENT OF INDIA
2.CENTRAL OR STATE MINISTRY OF HEALTH AND FAMILY
WELFARE, CENTRAL MINISTRY FOR ANIMAL HUSBANDRY AND
VETERINARY OR STATE DEPARTMENT OF ANIMAL HUSBANDRY
AND VETERINARY
3. MINISTRY OF DEFENCE
4. CENTRAL POLLUTION CONTROL BOARD 5. STATE
GOVERNMENT OF HEALTH OR UNION TERRITORY
GOVERNMENT OR ADMINISTRATION
6. STATE POLLUTION CONTROL BOARDS OR POLLUTION
CONTROL COMMITTEES
7. MUNICIPALITIES OR CORPORATIONS, URBAN LOCAL BODIES
AND GRAM PANCHAYATS
8. OPERATOR OF A COMMON BIO-MEDICAL WASTE TREATMENT
FACILITY (CBMWTF):
………………………………………………………………………........
9.(Occupier):…………………………………………………………………

References
 K Park. Park’s Textbook of preventive and social medicine. Twenty Forth
 Edition. Jabalpur, India: M/S Banarsidas Bhanot Publishers, 2017.
 Biomedical Waste Management Rules 2016.
 Plastic Waste management Rules 2016
 Water ( Prevention and Control of Pollution) Act, 1974
 Air ( Prevention and Control of Pollution ) Act, 1981
 Safe Management of Waste from Health Care Activities Second Edition : WHO
 IMEP guidelines : MOHFW
 Hospital waste disposal system and technology , Journal of Academy of Hospita
 Administration, Vol- 8 no – 2 July 1996.
 World Health Organisation Guidelines for Safe Transport of Infectious Substances
and
 C. K. Mishra. Training Manual On Bio-Medical Waste Management For Doctors ,
 Nurses , Nodal Officers and Waste Managers.Delhi.2018
 Bio- Medical Waste Management Rules Amended to Protect Human Health: Dr.
 Harshwardhan;24 March 2018 .Available from http://www.moef.nic.in.

Let the waste of sick not contaminate
the healthy…….
k.park

Biomedical waste management amendment rules 2018

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Biomedical waste management amendment rules 2018