Salient Features and Key Changes of Hazardous Waste

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Salient features of BMW Management Rules, 2016

The ambit of the rules has been expanded to include vaccination


camps, blood donation camps, surgical camps or any other healthcare
activity;

Phase-out the use of chlorinated plastic bags, gloves and blood bags
within two years;

Pre-treatment of the laboratory waste, microbiological waste, blood


samples and blood bags through disinfection orsterilisation on-site in
the manner as prescribed by WHOor NACO;

Provide training to all its health care workers and immunise all health
workers regularly;

Establish a Bar-Code System for bags or containers containing biomedical waste for disposal;

Report major accidents; (g) Existing incinerators to achieve the


standards for retention time in secondary chamber and Dioxin and
Furans within two years;

Bio-medical waste has been classified in to 4 categories instead 10 to


improve the segregation of waste at source;

Procedure to get authorisation simplified. Automatic authorisation for


bedded hospitals. The validity of authorization synchronised with
validity of consent orders for Bedded HCFs. One time Authorisation for
Non-bedded HCFs;

The new rules prescribe more stringent standards for incinerator to


reduce the emission of pollutants in environment;

Inclusion of emissions limits for Dioxin and furans;

State Government to provide land for setting up common bio-medical


waste treatment and disposal facility;

No occupier shall establish on-site treatment and disposal facility, if a


service of `common bio-medical waste treatment facility is available at
a distance of seventy-five kilometer.

Operator of a common bio-medical waste treatment and disposal


facility to ensure the timely collection of bio-medical waste from the
HCFs and assist the HCFs in conduct of training .

Major changes proposed in the Bio - Medical Waste Management Rules, 2016
and its likely implication
Bio-Medical Waste
(Management and
Handling)Rules, 2011

Bio-Medical Waste
Management Rules,
2016

Reasons and likely


implications

Bio-Medical Waste
(Management and
Handling) Rules,2011

Bio-Medical Waste
Management Rules, 2016.

The word Management


includes Handling.

These rules shall apply to


all persons who generate,
collect, receive, store,
transport, treat, dispose, or
handle bio-medical waste
in any form and shall not
apply to:

Modified to bring more clarity


in the application.

Application
These rules apply to all
persons who generate,
collect, receive,store,
transport, treat, dispose,
or handle bio medical
waste in any form

radioactive wastes,

wastes covered
under the MSW
Rules, 2000,

lead acid batteries,

hazardous wastes,

E-waste,

hazardous
microorganisms

Clarified that vaccination


camps, blood donation
camps, surgical camps or any
other healthcare activity
undertaken outside the
healthcare facility, will be
covered

Duties of the Health care facilities


Every occupier of an in
stitution generating bio
-medical waste which
includes a hospital,
nursing home, clinic,
dispensary,veterinary
institution, animal house,

Additions:
Health care facilities (HCF)
shall make a provision
within the premises for a
safe, ventilated and
secured location for
storage of segregated

To ensure that there shall be


no secondary handling,
pilferage of recyclables or
inadvertent scattering or
spillage by animals and the
bio-medical waste from such
place or premises can be

pathological
laboratory,blood bank to
take all steps to ensure
that such waste is
handled without any
adverse effect to human
health and the
environment.

biomedical waste
pre-treat the laboratory
waste, microbiological
waste, blood samples and
blood bags through
disinfection or sterilisation
on-site in the manner as
prescribed by the World
Health Organisation (WHO)
or National AIDs Control
Organisation (NACO)
guidelines and then sent to
the common bio-medical
waste treatment facility for
final disposal.

directly transported in to the


common bio -medical waste
treatment facility.
This is to prevent the possible
microbial contamination.

Will eliminate the emission of


dioxin and furans from
burning of such wastes.

phase out use of


chlorinated plastic bags,
gloves and blood bags
Will improve the management
within two years from the
date of notification of these of BMW including collection,
segregation.
rules
provide training to all its
health care workers and
To protect the health of
others involved in handling workers
of bio medical waste at the
time of induction and
thereafter at least once
every year
immunise all its health care
workers and others
involved in handling of biomedical waste for
protection against diseases
including Hepatitis B and
Tetanus that are likely to be
transmitted by handling of
bio-medical waste,
establish a Bar-Code
System for bags or

Will improve the


segregation,transportation
and disposal system.Also will
eliminate pilferage on the way
of BMW to disposal facility.
Help to monitor and improve
the management

containers containing biomedical waste to be sent


out of the premises

Will improve the environment


in the vicinity treatment
facility.

report major accidents


including accidents caused
by fire hazards, blasts
during handling of biomedical waste and the
remedial action taken to
SPCB
existing incinerators shall
achieve the standards for
retention time in secondary
chamber and Dioxin and
Furans within two years
from the date of this
notification
Duties of the operator of a common bio-medical waste treatment and
disposal facility
Nil..

Same as the duties of HCFs


and additionally they shall
ensure timely collection of
bio-medical waste from the
HCFs, assist the HCFs in
conduct of training

Specific responsibility on the


operator of a common bio
-medical waste treatment and
disposal facility will be make
them clear to their duties

No occupier shall establish


on -site treatment and
disposal facility, if a service
of `common bio-medical
waste treatment facility is
available at a distance of
seventy -five kilometer.

This is to make the installation


and operation of common
treatment facility a viable
one.

Treatment and disposal


Every HCFs, where
required, shall set
requisite bio -medical
waste treatment facilities
like incinerator,
autoclave, microwave
system for the treatment
of waste, or, ensure
requisite treatment of
waste at a common waste
treatment facility or any

In cases where service of


the common bio-medical
waste treatment facility is
not available, the

other waste treatment


facility.

Occupiers shall set up


requisite bio medical waste
treatment equipment like
incinerator, autoclave or
microwave,shredder prior
to commencement of its
operation, as per the
authorisation given by the
prescribed authority.

Segregation, packaging, transportation and storage


Bio-medical waste
classified in to 10
categories based on
treatment options.

Bio-medical waste
Will improve the segregation
classified in to 4 categories of waste at source channelize
based on treatment
proper treatment and disposal
options.
Will eliminate obtaining
No untreated bio-medical Untreated human
permission within 48 hours
waste shall be kept stored anatomical waste, animal
which is not practically
beyond a period of 48
anatomical waste, soiled
feasible.
hours
waste and, biotechnology
waste shall not be stored
Provided that if for any
beyond a period of forty
reason it becomes
eight hours:
necessary to store the
waste beyond such
In case for any reason it
period, the authorised
becomes necessary to
person must take
store such waste beyond
permission of the
such a period, the occupier
prescribed authority and shall take appropriate
take measures to ensure measures to ensure that
that the waste does not
the waste does not
adversely affect human
adversely affect human
health and the
health and the
environment.
environment and inform
the SPCB along with the
reasons.
Authorisation
Hospitals treating 1000 or One time Authorisation for
more patients per month Non-bedded HCFs. The
to obtain authorization
validity of authorization

HCFs can make application


along with consent and hence
getting authorisation will not

from SPCBs/PCCs

shall be synchronised with


validity of consent orders
for Bedded HCFs

be additional burden for HCFs.


and operator of treatment
facility.
It will also help to SPCB in
making single inspection /
monitoring to consider both
the consent and
authorisation.

Advisory Committee
The Government of every
State/Union Territory shall
constitute an advisory
committee with the
experts in the field of
medical and health,
animal husbandry and
veterinary sciences,
environmental
management, municipal
administration, and any
other related department
or organisation including
non -governmental
organisations.

No change in the concept


except additional
members.

Advisory Committee has


strengthened suitably with
additional members

Shall meet once in Six


Months.

Ministry of Defence shall


constitute, an Advisory
Committee under
Additional Director
General of Armed Forces
Medical Services with
representative of Ministry
of Defence, MoEFCC, for
HCFs under Armed forces
under the Ministry of
Defence
Standards for emission from incinerators
SPM in the Incinerators

50 mg/nm3

The proposed stringent

Emission 150 mg/nm3

2 second

Residence Time in
Secondary chamber of
incinerators is 1 second

Standards for Dioxin and


furans prescribed.

Nil..

standards for emission from


Incinerator (reduction of
permissible limit for
particulate
matter,introduction of
standards for Dioxin and
Furans and increasing the
residence time in the
Incinerator Chambers) will
improve the operation of
incinerator and reduce the
emission of pollutants in
environment.

Site for common bio-medical waste treatment and disposal facility


Nil..

The department dealing


the allocation of land shall
be responsible for
providing suitable site for
setting up of common
biomedical waste
treatment and disposal
facility in the State
Government

Monitoring of implementation
Nil..

Ministry of Environment,
Forest and Climate Change
shall review the
implementation of the
rules in the country once in
a year through the State
Health Secretaries and
CPCB.SPCBs
State Government shall
constitute District Level
Monitoring Committee
under the chairmanship of
District Collector or District

Getting suitable land is the


problem in many States for
establishment of waste
management facility. Making
the responsibility to provide
land by the Department
dealing the allotment of land
would eliminate the issue of
getting land for the waste
management facility.

Magistrate or Deputy
Commissioner or Additional
District Magistrate to
monitor the compliance of
the provisions of these
rules in the health care
facilities.
The District Level
Monitoring Committee shall
submit its report once in
six months to the State
Advisory Committee, State
Pollution Control Board for
taking further necessary
action.
The District Level
Monitoring Committee shall
comprise of District Medical
Officer or District Health
Officer, representatives
from SPCB,
Public Health Engineering
Department, local bodies
or municipal corporation,
Indian Medical Association,
Common bio-medical
waste treatment facility
registered NGO working in
the field of bio-medical
waste management
District Medical Officer
shall be the Member
Secretary of this
Committee.

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