CC BY-NC-ND 4.0 · J Lab Physicians 2018; 10(01): 006-014
DOI: 10.4103/JLP.JLP_89_17
Review Article

Biomedical waste management in India: Critical appraisal

Priya Datta
Department of Microbiology, Government Medical College Hospital, Chandigarh, India
,
Gursimran Mohi
Department of Microbiology, Government Medical College Hospital, Chandigarh, India
,
Jagdish Chander
Department of Microbiology, Government Medical College Hospital, Chandigarh, India
› Author Affiliations
Financial support and sponsorship: Nil

Abstract

The safe and sustainable management of biomedical waste (BMW) is social and legal responsibility of all people supporting and financing health-care activities. Effective BMW management (BMWM) is mandatory for healthy humans and cleaner environment. This article reviews the recent 2016 BMWM rules, practical problems for its effective implementation, the major drawback of conventional techniques, and the latest eco-friendly methods for BMW disposal. The new rules are meant to improve the segregation, transportation, and disposal methods, to decrease environmental pollution so as to change the dynamic of BMW disposal and treatment in India. For effective disposal of BMWM, there should be a collective teamwork with committed government support in terms of finance and infrastructure development, dedicated health-care workers and health-care facilities, continuous monitoring of BMW practices, tough legislature, and strong regulatory bodies. The basic principle of BMWM is segregation at source and waste reduction. Besides, a lot of research and development need to be in the field of developing environmental friendly medical devices and BMW disposal systems for a greener and cleaner environment.



Publication History

Received: 12 May 2017

Accepted: 27 September 2017

Article published online:
19 February 2020

© 2018.

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Chartier Y, Emmanuel J, Pieper U, Prüss A, Rushbrook P, Stringer R, editors. Safe Management of Wastes from Health-Care Activities. 2nd ed. Geneva, Switzerland: WHO Press; 2014. p. 1-146.
  • 2 Li CS, Jenq FT. Physical and chemical composition of hospital waste. Infect Control Hosp Epidemiol 1993;14:145-50.
  • 3 WHO. Review of Health Impacts from Microbiological Hazards in Health-Care Wastes. Geneva: World Health Organization; 2004.
  • 4 Secretariat of the Basel Convention. Technical Guidelines on Environmentally Sound Management of Wastes Consisting of Elemental Mercury and Wastes Containing or Contaminated with Mercury 31 October, 2011. Geneva: Basel Convention and United Nations Environment Programme; 2011.
  • 5 Secretariat of the Stockholm Convention. Revised Draft Guidelines on Best Available Techniques and Provisional Guidance on Best Environmental Practices of the Stockholm Convention on Persistent Organic Pollutants. Geneva: Secretariat of the Stockholm Convention; 2006.
  • 6 David Lennett, Richard Gutierrez. Countries: List of signatories. In: Minamata Convention on Mercury. Geneva: United Nations Environment Programme; 2014.
  • 7 Available from: https://www.google.co.in/search?rlz=1C1RLNS_enIN730IN730&q=WHO+Bio+medical+waste+west+pacific&oq=WHO+Bio+medical+waste+west+pacific and gs_l=psy-ab. 3.4449.8925.0.9286.20.15.0.0.0.0.393.2252.2-6j2.8.0.0.1.1.64.psy-ab. 16.1.245.0i13k1j0i13i30k1.0.ymdTNBt-k68#. [Last. [Last accessed on 2017 Oct 31].
  • 8 Walkinshaw E. Medical waste-management practices vary across Canada. CMAJ 2011;183:E1307-8.
  • 9 Ministry of Environment and Forests Notification. Bio-Medical Waste (Management and Handling, 1998) Rules. New Delhi: Government of India Publications; 1998. p. 276-84.
  • 10 INCLEN Program Evaluation Network (IPEN) Study Group, New Delhi, India. Bio-medical waste management: Situational analysis & predictors of performances in 25 districts across 20 Indian states. Indian J Med Res 2014;139:141-53.
  • 11 Seetharam S. Hepatitis B outbreak in Gujarat: A wake-up call. Indian J Med Ethics 2009;6:120-1.
  • 12 The Gazette of India Biomedical Wastes (Management and Handling) Rules, India: Ministry of Environment and Forests, Government of India. Notification Dated; 20th July, 1998.
  • 13 Bio-Medical Waste Management Rules, 2016. 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 28th March, 2016.
  • 14 Mattiello A, Chiodini P, Bianco E, Forgione N, Flammia I, Gallo C, et al. Health effects associated with the disposal of solid waste in landfills and incinerators in populations living in surrounding areas: A systematic review. Int J Public Health 2013;58:725-35.
  • 15 Available from: http://www.bsem.org.uk/uploads/IncineratorReport_v3.pdf. [Last accessed on 2017 Oct 31].
  • 16 Vilavert L, Nadal M, Schuhmacher M, Domingo JL. Two decades of environmental surveillance in the vicinity of a waste incinerator: Human health risks associated with metals and PCDD/Fs. Arch Environ Contam Toxicol 2015;69:241-53.
  • 17 Subramanian A, Ohtake M, Kunisue T, Tanabe S. High levels of organochlorines in mothers' milk from Chennai (Madras) city, India. Chemosphere 2007;68:928-39.
  • 18 Available from: http://www.timesofindia.indiatimes.com/city/thiruvananthapuram/pcb-to-study-dioxin-presence-in-city/articleshow/56506072.cms. [Last accessed on 2017 Oct 31].
  • 19 Available from: https://www.google.co.in/search?rlz=1C1RLNS_enIN730IN730&q=philippines+banned+incinerator and spell=1&sa=X& ved=0ahUKEwjbnN-Fu47WAhXDLI8KHdTaAi4QvwUIIigA &biw=1536&bih=804#. [Last accessed on 2017 Oct 31].
  • 20 Available from: https://www.google.co.in/search?rlz=1C1RLNS_enIN730IN730&biw=1536&bih=804&q=Denmark+no+incinerator&oq=Denmark+no+incinerator&gs_l=psy-ab.3.29779.37388.0.38582.32.18.2.0.0.0.456.3675.2-9j3j1.13.0.0.1.1.64.psy-ab.18.11.2597.0j0i67k1j0i7i30k1j0i7i5i30k1j0i8i13i30k1j0i5i30k1j0i8i30k1j0i8i7i30k1.eVw9zPpBfaA#. [Last accessed on 2017 Oct 31].
  • 21 Emmanuel J. Non-Incineration Medical Waste Treatment Technologies. Washington, DC: Health Care without Harm; 2001.
  • 22 Nema SK, Ganeshprasad KS. Plasma pyrolysis for medical waste. Curr Sci 2002;83:271-8.
  • 23 Roohi, Bano K, Kuddus M, Zaheer MR, Zia Q, Khan MF, et al. Microbial enzymatic degradation of biodegradable plastics. Curr Pharm Biotechnol 2017;18:429-40.