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Biomedical Waste Management Case Study

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Table. Status of Biomedical Waste Management in India
Year 2012 2011 2010 2009*
Total no. of HCF (approx.) 159838 151535 13994 129511
Total no. of Beds (approx.) 1612600 1491147 1420563 1368839
Total no. CBWTF / private (operational) 190 179 188 168
No. of HCF utilizing CBWTF / Private 121279 112199 98764 95410
Total quantity of BMW generated (kg/day) (approx.) 416039 415194 354992 405702
Total quantity of BMW treated (kg/day) (approx.) 379509 377876 301993 291983
No. of HCFs violated BMW rules 12990 5472 6653 13037
Total no. notices/ directions issued to HCFs 11583 3585 5829 14898
*Information does not include Sikkim
Source: Annual Report – Information on Bio-medical waste management in the country (Submitted by SPCBs/PCCs for the years …show more content…
Discarded blood and blood products serve as significant foci of hazardous diseases. The waste stream from X-ray units has chemical contamination of silver bromide (Fixon), glutaraldehyde, hydroquinone and potassium hydroxide. The waste stream from the sterilization of syringes usually has infectious materials and methanol. The usual infective waste consists of bandages, gauzes, cotton waste, amputated human parts, placenta and used dialysis kits containing plastic and aluminium. The sterilization of dialysis units, operation theatres and private wards contributes formaldehyde. The waste from laboratory contains infectious materials as well as reagents and solvents used for analytical purposes.
Further, unhygienic conditions in general ward toilets, coupled with frequent strikes by Class IV staff creates what are virtually secondary foci of infectious diseases within the hospital premises. Such areas are often stockpiles of heterogeneous infectious material and contribute greatly to the incidence of nosocomial infections. For example, according to a WHO report the excreted loads of some selected enteric diseases are as follows:
Table Excreted loads of Infectious …show more content…
Healthcare workers, waste management operators, and others outside the healthcare setup are also at the risk (Khairun Nessa et al, 2001).
According to a WHO report, Hepatitis B Virus (HBV) can survive in a syringe in dry conditions for a week or more. Re-use of syringes and needles without sterilization causes crores of infections and even upto 13 lakh early deaths happen every year due to unsafe injections. Careless disposal of medical waste of any kind is dangerous (PRDS, 2007).
The well defined and documented evidence is that, in developing countries, the impact of miss-managed health care wastes are transmitting hepatitis B and C, the HIV viruses through injuries by needles & syringes which are contaminated with human blood. Staphylococcal infections are transmitted through solid health care wastes. Cholera is through sewage from field health care facilities, and those who involves in recycling work, are at greater risk of healthcare

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