As per the Ministry of Environment and Forests, Govt. of India Gazette notification dated 20 july,1998: “Bio-Medical waste”  means “any waste, which is generated during the diagnosis treatment or immunisation of human beings, or animals, or in research activities pertaining thereto, or in the production or testing of biologicals”.
 
Categories of Biomedical Waste:
As per the Biomedical Waste (Management and Handling) Rules, 1998, biomedical waste is categorized into 10 categories:
 
Category 1:-Human Anatomical Waste
  Pathological waste consists of tissues, organs, body parts, human fetus, blood, and body fluids. The treatment for waste in this category as per the Bio Medical Waste (Management and Handling) Rules, 1998 is incineration or deep burial.
 
Category 2:-Animal Waste
 

This category contains animal tissues, organs, body parts, body fluids carcasses, experimental animals in research, waste generated by veterinary hospitals and animal houses. The treatment for waste in this category is incineration or deep burial.

 
Category 3:-Microbiology and Biotechnology
 

This category includes wastes from laboratories, cultures and stocks, live/-attenuated vaccine, specimens or micro-organisms, human and animal cell culture used in research and infectious agents from labs – Incineration/deep burial, autoclaving or microwaving

 
Category 4:-Waste Sharps
 

Sharps are items that could cause cuts or puncture wounds, this category would include needles, hypodermic needles, scalpel and other blades, knives, infusion sets, saws, broken glass and nails. They may cause puncture and cuts and the treatment is disinfection (chemical treatment/autoclaving/micro waving and mutilation/shredding.

 
Category 5:-Discarded Medicines and Cytotoxic Drugs
 

Discarded medicines include expired, unused, spilt, and contaminated pharmaceutical products, drugs, vaccines and sera that are no longer required and need to be disposed of appropriately. Cytotoxic (or antineoplastic) drugs, the principal substances in this category, have the ability to kill or stop the growth of certain living cells and are used in chemotherapy of cancer. These drug need to be incinerated, destroyed or disposed in secured landfill.

 
Category 6:-Soiled Wastes
 

Items contaminated with blood and body fluids including cotton, dressing, soiled, plasters, casts, linen beddings, and other material contaminated with blood. Its treatment consists of incineration/autoclaving/microwaving/hydroclaving/chemical treatment.

 
Category 7:-Solid wastes
 

Wastes generated from disposable items other than waste sharps such as tubings, catheters, intravenous sets. Basically these include plastics used in patient care. Treatment includes disinfection / chemical treatment /autoclaving / micro waving / hydroclaving and mutilation / shredding.

 
Category 8:-Liquid waste
 

Wastes generated from laboratories, washing, cleaning, housekeeping, and disinfecting activities. The treatment includes chemical disinfection/ neutralization and discharging into drains.

 
Category 9:- Ash from Incineration
 

Incineration ash of any biomedical waste is categorized as hazardous waste under the Hazardous Waste Rules. The ash can have heavy metals and can be contaminated with toxins such as dioxins and furans and as per BMW Rules, secured land filling of ash.

 

Category 10:-Chemical wastes

 

Wastes form chemicals used in production of biological and chemicals used in disinfection as insecticides etc. The Treatment method needs to be chemical disinfection and discharging into drains for liquid and secured landfills for solids.

 
Bio-medical Waste is Harmful to one and All

Every responsible person of Hospitals, nursing homes, veterinary hospitals, animal houses, pathological labs, blood banks etc., generating biomedical waste and providing treatment/services, should manage the biomedical waste as per BMW Rules. Anybody found violating the Biomedical Waste Management Rules, 1998, shall be held guilty under the penal provisions of the Rules.

 
BIOMEDICAL WASTE TRANSPORTATION

The vehicles transporting Bio-Medical Waste, must comply with requirements of the Environment Protection act 1986 and BMW (Management and Handling) rules 1998 at all times. Accordingly the vehicle shall;

 
i
Be dedicated and kept solely for the transport of Bio-Medical Waste,
ii.
Be so designed and fabricated that they can be cleaned and drained in a manner that waste matter do not get trapped on edges or services , so as to avoid harbouring of insects or vermin.
iii.
Allow waste to be loaded, secured and unloaded, and should not contain any seepage from damaged containers.
iv.
Be steam cleaned and clinically disinfected once in a week.
v.
Have only one opening
vi.
Have a fully enclosed , lockable body.
vii.
Comply with latest emission norms in force at the time of registration of vehicles.
viii.
Have the following information on the access door/and sides of the vehicle in large Red bold letters
  The name of the transporter with phone number.
The Biohazard symbol should be clearly displayed on the vehicle.
The transporters permit or license number.
 

HIGHLIGHTS:  EXPOSURE TO MERCURY

 Exposure to mercury occurs from;

    • Breathing contaminated air,
    • Ingesting contaminated water and food, and
    • Having dental and medical treatments.

What is Mercury?

Mercury is a naturally occurring metal which have several form. The metallic mercury is a shiny, silver-white, odourless liquid. If heated, it is a colourless, odourless gas.

 

How can mercury affect our health?

Mercury, at high levels, may damage the brain, kidneys and developing foetus. The nervous system is very sensitive to all forms of mercury. Methyl mercury and metallic mercury vapours are more harmful than other forms, because more mercury in these forms reaches the brain. Exposures to high levels of metallic, inorganic, or organic mercury can permanently damage the brain, kidneys, and developing foetus. Effects on brain functioning may result in irritability, shyness, tremors, changes in vision or hearing and memory problems. Short term exposure to high levels of metallic mercury vapours may cause effects including lung damage, nausea, vomiting, diarrhoea, increase in blood pressure or heart rate, skin rashes and eye irritation.

 

How likely is mercury to cause cancer?

There are inadequate human cancer data available for all forms of mercury. Mercuric chloride has caused increases in several types of tumours in male mice. The EPA has determined that mercuric chloride and methyl mercury are possible human carcinogens.

 

How does mercury affect children?

Very young children are more sensitive to mercury than adults. Mercury in the mother’s body passes through the foetus and may accumulate there. It can also pass to a nursing infant through breast milk. However, the benefits of breast feeding may be greater than the possible adverse effects of mercury in the breast milk. Mercury’s harmful effects that may be passed from the mother to the foetus include to brain damage, mental retardation, inco-ordination, blindness, seizures, and inability speak. Children poisoned by mercury may develop problems of their nervous and digestive systems, and kidney damage.

 

How can families reduce the risk of exposure to mercury?

Carefully handle and dispose of products that contain mercury, such as thermometers or fluorescent light bulbs. Do not vaccum up spilled mercury, because it will vaporize and increase exposure. If a large amount of mercury has been spilled, contact your health department. Teach children not to play with shiny, silver liquids. Properly dispose of older medicines that contain mercury. Keep all mercury-containing medicines away from children. Pregnant women and children should keep away from rooms where liquid mercury has been used.

 

Is there any medical test to show whether we have been exposed to mercury?

Tests are available to measure mercury levels in the body. Blood or urine samples are used to test for exposure to metallic mercury and to inorganic forms of mercury. Your Doctor can take blood/urine samples and send them to a testing laboratory.

 
Solid waste(Municipal/General waste)

60-70% of waste gets  re-cycled  in the West (US & Europe), only 14% gets recycled in India. In China and other Asian countries, at least 25-30% waste gets recycled.  Economically and  ecologically, proper waste management and recycling would pay rich dividends. Recycling is absolutely essential to conserve precious natural resources.

 
Environmental  hazards
60% (approx.) of the waste generated in household consists of paper, metal, plastic,  and other things. Two bin system- segregation of waste at source into two categories (recyclable & non-recyclable) should be adopted.
 
Quantity of waste generated in metro-cities in India (on approx. daily  basis)
Cities Total waste (tonnes) Recyclable (tonnes)  Non-recyclable (tonnes)
Delhi  6,000 1,800 4,200
Mumbai  6,800 2,000 4,800
Kolkatta 5,500 1,600 3,900
Chennai 4,500 1,300 3,200
Bangalore 4,000 1,200 2,800
Hyderabad 4,200 1,200 3,000
 
E- WASTE (ELECTRONIC WASTE)
Estimate of E-waste (electronic waste)
 
The total generation of electrical and electronic waste in India is estimated approximately 1, 46,000 tonnes per year. Out of which 29,000 tonnes of E-waste is generated in four metro cities in India. An estimated 30,000 computers become obsolete every year from IT industries in Bangalore alone.
 
Legislation: The  Government of India, Ministry of Environment and Forest have notified the Hazardous Waste (Management and Handling) Rules, 1989 which was amended in the years 2000 and 2003. The E-wastes are regulated under this Rule. The Central Pollution Control Board (CPCB) has undertaken a study for the preparation of “Guideline Document for Environmentally sound Recycling of E-Waste.” for  the State pollution control Boards and Pollution Control committee of the Union Territories and the industries for handling E-wastes.