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    BMW-COVID

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    aayush43734

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    BMW-COVID

    Uploaded by

    aayush43734
    1 views15 pages

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    BMW-COVID

    Uploaded by

    aayush43734

    Copyright:

    © All Rights Reserved
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    of 15

    BIO-MEDICAL WASTE

    MANAGEMENT GUIDELINES
    -17TH JULY 2020

    Central Pollution Control Board


    (Ministry of Environment, Forest &
    Climate Change)
    New Delhi
    Health Care Facilities

    Quarantine Camps

    Quarantine-homes
    Area of
    Intervention Home-care Health Camps

    Sample Collection Centers

    SPCBs/PCCs, ULBs and CBWTFs


    COVID-19 Isolation wards

    Separate color-coded bins (with foot operated


    lids)2/bags/containers in wards and maintain proper segregation
    Double layered bags (using 2 bags) should be used

    Collect and store biomedical waste labelled as “COVID-19” can


    also be lifted directly from ward into CBWTF collection van
    Bags/containers used for collecting biomedical waste from
    COVID-19 wards, should be labelled as “COVID-19 Waste”
    Maintain separate records, Register in CPCB mobile application
    namely ‘COVID19BWM’ to update
    Dedicated trolleys and collection bins in COVID-19 isolation
    wards. A label “COVID-19 Waste”
    COVID-19 Isolation wards
    • The (inner and outer) surface of containers/bins/trolleys used for storage
    of COVID-19 waste should be disinfected with 1% sodium hypochlorite
    solution daily.
    • Dedicated sanitation workers separately for biomedical waste and general
    solid waste
    • If patient unable to use toilets
    • Excreta is collected in diaper
    • Placed in yellow bag/container.
    • if a bedpan is used
    • Faeces to be washed into toilet
    • Cleaned with a neutral detergent and water
    • Disinfected with a 0.5% chlorine solution
    • Rinsed with clean water.
    • Collect used PPEs such as goggles, face-shield, splash proof apron, Plastic
    Coverall, Hazmet suit, nitrile gloves into Red bag
    • Collect used mask (including Triple layer mask, N95 mask etc.), head
    cover/cap, shoe-cover, disposable linen Gown, non-plastic or semi-plastic
    coverall in Yellow bags.
    Sample Collection Centers and Laboratories for
    COVID-19 suspected patients

    • Report opening or operation of COVID-19 sample


    collection centres to SPCB/PCC
    • Same guidelines for isolation wards should be applied
    Responsibilities of persons operating Quarantine Centers/Camps/Home
    Quarantine or Home- Care facilities
    • General solid waste (household waste) bags, securely tied and handed-over to municipal solid waste
    collector
    • Only the used masks, gloves and tissues or swabs contaminated with blood / body fluids of COVID-19
    patients, including used syringes, medicines, etc., if any generated should be treated as biomedical waste
    • Collection should be done separately in yellow bags, General waste should not be stored in yellow bags
    • Designate a nodal person for maintenance of its record
    • Upload data on daily basis on Biomedical waste Tracking App ‘COVID19BWM’
    • Contact details of CBWTFs would be available with Local Authorities.
    • Waste generated from suspected or confirmed COVID-19 patients in homecare should be handed over in
    yellow bags at door-steps engaged by local bodies or at designated centres.
    Duties of SPCBs (State Pollution Control Boards)
    /PCCs (Pollution Control Committees)
    • Maintain records of all sites of waste generation
    • Ensure proper segregation, collection and disposal.
    • Allow CBWTFs to operate for extra hours as per requirement.
    • Coordinate with CBWTFs and ULBs in establishing adequate facilities for collection and disposal of
    COVID-19 waste.
    • Generation of large volume of yellow colour coded (incinerable) COVID-19 waste permit HW
    incinerators at existing TSDFs or captive industrial incinerators if any exist in the State/UT.
    • ULBs to collect dry general solid waste in bags from quarantine Centres / Quarantine homes /
    Homecare units, and sprayed with disinfectant solution, for disposal in waste to energy plants/
    industrial incinerators/ landfills, as per existing practice or availability in the state
    • Every SPCB/PCC shall use ‘COVID19BWM’ web-portal
    Duties of Urban Local Bodies (ULBs)

    • Ensure that general solid waste and biomedical waste generated from quarantine camps/ quarantine
    homes / Homecare is not mixed.
    • Inform the persons responsible to collect solid waste and biomedical waste in separate bags securely
    tied prior to hand over to authorized waste collectors of ULBs.
    • Provide necessary support, security including authorisation to staff of CBWTFs.
    • Engage authorized waste collectors for door-steps collection of biomedical waste and transfer to
    collection points for further pick-up by CBWTF
    • If quarantined homes/Home-care units are less, CBWTFs to collect the waste directly from door-steps
    • Training should be provided for sanitization, about collection of biomedical waste, precautionary
    measures to handle biomedical waste
    • Information on each Quarantine Camps/ Quarantine Homes/ Home-Care should be available with
    local administration and provide updated list to SPCBs/PCCs from time to time
    Minimal General solid
    waste Generation
    Principles

    • Non-disposable items must be used for serving food and cleaned


    and disinfected as per hospital guidelines.
    • Use bio-degradable cutlery (where use of disposable items is
    inevitable).
    • Wet and dry solid waste bags to be tied securely in leak-proof
    bags, sprayed with sodium hypo-chlorite solution and hand over
    on daily basis.
    • Compostable bags should be used for collecting wet-waste.
    • Maintain separate records of waste generated from COVID-19
    isolation wards.
    Solid Waste Handling
    • Use dedicated trolleys and collection bins in COVID-19 isolation
    wards labelled with “COVID-19 Waste”
    • The (inner and outer) surface of containers/bins/trolleys used
    for storage of COVID-19 waste should be disinfected with 1%
    sodium hypochlorite solution daily.
    • Report opening or operation of COVID-19 ward and COVID-19
    ICU ward to SPCBs/PCCs and respective CBWTF located in the
    area.
    • Register in CPCB mobile application namely ‘COVID19BWM’ to
    update the details of COVID-19 biomedical waste generation.
    • Dedicated sanitation workers separately for biomedical waste
    and general solid waste
    Handling Faeces of COVID-19 patient
    If patient unable to use toilets

    • Excreta is collected in diaper


    • Placed in yellow bag/container.

    If a bedpan is used

    • Faeces to be washed into toilet


    • Cleaned with a neutral detergent and water
    • Disinfected with a 0.5% chlorine solution
    • Rinsed with clean water.
    Management of wastewater from HCFs /
    Isolation Wards

    • The risk of transmission of virus that causes COVID-19


    through sewerage systems is thought to be low.
    • Continue to ensure disinfection of treated wastewater as
    per prevailing practices to inactivate corona viruses
    • Operators of ETPs/STPs attached with discharge from
    Healthcare Facilities and isolation wards should use PPEs
    (Goggles, face mask, liquid repellent coveralls, waterproof
    gloves and Rubber boots )
    • During the period of COVID-19 pandemic, utilization of
    treated wastewater in utilities within HCFs may be avoided.
    Disposal of used PPEs

    • Waste masks and gloves in general households should be


    kept in paper bag .
    • Minimum of 72 hours prior to disposal of the same as dry
    general solid waste after cutting the same to prevent reuse.
    • Discarded PPEs from general public (shopping malls,
    Cinema Hall, airport, Institutions) should be stored in
    separate bin for 3 days, disposed of as dry general solid
    waste after cutting/shredding.
    PPEs doffed by healthcare workers
    accompanying diseased body of COVID-19
    patient to crematorium / graveyards

    Collected in separate bin with yellow-bag and handed


    over to authorized waste picker engaged by of ULBs for
    disposal through CBWTFs
    Deposited at designated deposition centre
    Red and yellow bags/bins provided in the hospital
    ambulance itself.
    Doff the PPEs at the hospital or healthcare unit from
    where they collected the corpse.
    Used masks from visitors to crematorium/ graveyards
    separate bins and stored for 72 hours prior to disposal as
    dry general solid waste through local bodies.
    Disposal of used PPE
    RED BIN YELLOW BIN
    • Eye Gear • Mask (including Triple layer mask,
    • Face-shield N95 mask etc.)
    • Splash proof apron • Head cover/cap
    • Helmet • Shoe-cover
    • Plastic coverall • Disposable linen Gown
    • Sterile gloves • Non-plastic or semi-plastic coverall

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