pictorial guide on biomedical waste management rules 2016 · acknowledgements t he pictorial guide...

23
PICTORIAL GUIDE ON BIOMEDICAL WASTE MANAGEMENT RULES 2016 (AMENDED IN 2018 & 2019) Including the CPCB guidelines for handling, treatment and disposal of waste generated during treatment/ diagnosis/ quarantine of COVID-19 patients

Upload: others

Post on 23-May-2020

4 views

Category:

Documents


0 download

TRANSCRIPT

PICTORIAL GUIDE ON BIOMEDICAL WASTE

MANAGEMENT RULES 2016 (AMENDED IN 2018 & 2019)

Including the CPCB guidelines for handling, treatment and disposal of waste

generated during treatment/ diagnosis/ quarantine of COVID-19 patients

ACKNOWLEDGEMENTS

The Pictorial Guide on Biomedical Waste Management (BMWM) Rules, 2016 (amended in 2018 & 2019) is a product of joint research by the Centre for Chronic Disease Control (CCDC), Centre for Environmental Health (CEH) −Public Health Foundation of India

(PHFI) and Health Care Without Harm (HCWH). The guide is a compilation of important strategies that are key to appropriate management of biomedical waste in India. The pictorial guide provides a quick, user-friendly view of the important elements of biomedical waste handling, treatment and disposal through its illustrative components. These are based on the specifications provided in the BMWM Rules, 2016 and its subsequent amendments. Importantly, the guide also includes the provisions for COVID-19 waste management as prescribed in the Central Pollution Control Board Guidelines 2020.

We are grateful to the team at the Ministry of Environment, Forests and Climate Change (MoEFCC) for providing their valuable inputs and endorsing this pictorial guide. We thank our fellow colleagues at the CCDC, CEH− PHFI and HCWH for their contributions and critical inputs in development of this guide. Last but not the least, we would like to thank all the members of Health and Environment Leadership Platform (HELP) who had provided their continued support in helping us understand the key issues of concern around biomedical waste management across Indian Healthcare Sector.

Contact Details: For more information, please write to us at [email protected]

Contaminated plastic waste

दषित पलासटिक कचरला

INFECTED PLASTICSसकरषित पलासटिक

Glass waste and metallic implants

कलाच की वततए एव धलातत परतलारोपण

GLASS SHARPSकलाच की पनी वततए

Anatomical waste, chemical waste, soiled waste, chemotherapy waste, discarded linen and medicines and laboratory waste

शलारीररक, रलासलाषनक, गदला कपडला, दवलाइो समषधत एव

परोगशलाला कचरला

KEEP HOSPITALS CLEAN AND SAFE BY IDENTIFYING HAZARDS AND RISKS OF BIOMEDICAL WASTE

अपन असपताल को सवचछ एव सरकषित बनाए रखन क कलए बायोमकिकल कचर स समबकित खतरो एव सकट को समझ

Place the waste in designated colour coded binsकचर को उषचत कडदलान ि ही डला

Hazardous and Other waste

पररसकटिि और अन कचरला

Biodegradable General waste

Recyclable General waste

वलाभलाषवक तरीक स सडन वलाला सलािलान कचरला

Metal sharps

धलारदलार धलातत कचरला

INFECTIOUS WASTEसकरलािक कचरला METAL SHARPS

धलातत की पनी वततए

BIODEGRADABLE WASTE

जषवक कचरला

*

* Labelling as per the Hazardous and Other Wastes (Management and Transboundary Movement) Rules, 2016

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

1

RECYCLABLE WASTEपतनचचकरण ोग कचरला

पतनचचकरण ोग कचरला

RULES WHEN FOLLOWED PROTECT OUR HEALTH AND SAFETY

कनयम हमार जीवन को सरकषित बनात ह

Give your biomedical waste to the Common Biomedical Waste Treatment and Disposal Facility (CBWTF) for complete treatment and disposal as per Biomedical Waste Management (BMWM) Rules, 2016

लाोिषडक कचर को, लाोिषडक वटि िनजिटि षनि 2016 क अनतसलार, सलाझला जव षचषकतसला अपषशषटि उपचलार सतषवधला ि भज

COMMON BIOMEDICAL WASTE TREATMENT FACILITY (CBWTF)*

For incineration* at CBWTF

भिीकरण क षए CBWTF भज

For treatment at CBWTFउपचलार क षए

CBWTF भज

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

2

* Follow standards for incineration and transportation of bio-medical waste as specified in BMWM Rules, 2016

MANAGE BIOMEDICAL WASTE AS PER BMWM RULES

असपताल क कचर का परबिन बायोमकिकल वसट मनजमट कनयम 2016 क अनसार कर

Segregate waste in correct coloured liners (non-chlorinated)

कचर को उषचत रग क थ ि ही डला

For pre-treatment by autoclaving

ऑटिोकव दलारला पवच उपचलार क षए

BIODEGRADABLE WASTE

जषवक कचरला

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

3

SEGREGATION IS EASY

पथककरण आसान ह

Segregate waste at sourceकचर क उतपषति थलान पर ही उस अग कर

BIODEGRADABLE WASTE

जषवक कचरला

For pre-treatment by autoclaving

ऑटिोकव दलारला पवच उपचलार क षए

4

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

SEGREGATE WASTE IN CORRECT LINERS FOR SUITABLE TREATMENT

कचर को सही रप स उपचार करन हत उस उकचत लाइनर म िाल

Anatomical waste, chemical waste, soiled waste, chemotherapy waste, discarded linen and medicines and laboratory waste (Yellow)Human & animal anatomical waste, liquid waste and other biological infectious waste (Pre-treat petri dishes and blood bags)

शारीररक, रासायकनक, गदा कपडा, दवाइयो समबकित एव परयोगशाला कचरा (पीला) िलानव और पशत शलारीररक कचरला, दवलाइो समषधत, तर एव सकि जीवी कचरला (रकत थी एव पटी षडश कला पवच उपचलार कर)

Contaminated plastic waste (Red)Disposable items such as tubing, plastic bottles, intravenous tubes and catheters, cannulas, syringes without needlesदषकत पलासटकक कचरा (लाल)षडपोज वततए जस टिषग, पलासटिक की ोत, षशरभतर और कथटिर, परवशनी, सतइो क षनला सीररज

Metal sharpsWaste sharps such as needles and blades (in puncture proof container)

िारदार िात कचरासतई एव बड जसी वततए (पचर परफ षडबो ि रख)

Glass waste and metallic implants (Blue)Glassware such as broken and discarded vials, bottles, slides, glass petri dishes etc.

काच स बनी वसतए एव िात परतयारोपण (नीला)कलाच स नी टिटिी-फटिी एव खलाी शीषशला अथवला ोत,लाइड, कलाच की पटी षडश आषद।

Hazardous and Other waste (Black)Used containers of disinfectants and pesticide, used CFL bulb/tube light, lithium ion /alkaline batteries etc.

परकसकटमय और अनय कचरा (काला)खलाी एव एकसपलाडड कीटिलाणतनलाशक पदलाथथो की ोत, सी एफ ए ल/ ट लाईटि एव टिरी

INFECTED PLASTICSसकरषित पलासटिक

GLASS SHARPSकलाच की पनी वततए

INFECTIOUS WASTEसकरलािक कचरला

METAL SHARPSधलातत की पनी वततए

* Labelling as per the Hazardous and Other Wastes (Management and Transboundary Movement) Rules, 2016

*

5

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

NEVER MIX WASTE DURING COLLECTION AND TRANSPORTATIONकचर को इकठा करन व लान-ल जान क समय उस कमकरित न कर

For incineration

at CBWTF

भिीकरण क षए

CBWTF ि भज

For treatment

at CBWTF

उपचलार क षए

CBWTF ि भज

For treatment at CBWTFउपचलार क षए

CBWTF ि भज

For incineration at CBWTF

भिीकरण क षएCBWTF ि भज

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

6

MANAGE SPILLAGE RIGHT AWAY!

कबखर हए तरल पदाथथो का तरनत परबिन कर!

CHEMICAL SPILLAGEरासायकनक साव

BODY FLUID SPILLAGEशारीररक दरव साव

MERCURY SPILLAGEपारा साव

Isolate, neutralise and clean thoroughlyजगह खाली कर तथा साव को कनषपरभाव कर क अचछछ स साफ कर

Isolate, mop with absorbent cloth/paper and disinfect appropriatelyजगह खाली कर तथा सोखन वाल कपडछ या कागज स साफ कर

Remove gold jewellery, wear gloves and suck with needle-less syringeसोन क आभषण कनकाल, दसतान पहन और कबना सई वाल सीरीज स खीच

Collect in separate liner for incinerationअलग लाइनर म इकटा कर

Collect in separate liner for incinerationअलग लाइनर म इकटा कर

Pre-treat by sterilizationकवसकरमण दारा पवव उपचार कर

Store in 5-10 ml water५-१० कम. कल. पानी म रख

Send to CBWTFसाझा जव-कचककतसा अपकशषट उपचार सकविा म भज

* Use of mercury based equipments should be phased out from the healthcare sector पलारला आधलाररत उपकरणो कला उपोग वलाथ कतर स धीर-धीर हटिलाला जलानला चलाषहए

*

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

7

TREATMENT AND DISPOSAL OPTIONS FOR BLUE CATEGORY WASTE AT CBWTF AND CAPTIVE TREATMENT FACILITIES (CTF)

नीली रिणी क कचर का CBWTF और CTF दारा उपचार एव कनपटान करन क तरीक

Glass sharps काच स बनी पनी वसतए

Common Biomedical Waste Treatment

Facility (CBWTF)

साझा जव कचककतसा अपकशषट उपचार सकविा

CTF(Only if CBWTF is more than 75 km away. In case HCF is unable to set-up captive facility – they may look out for CBWTF upto 150 km distance provided waste can be disposed within 48 hours)

(कवल जहा CBWTF 75 km म उपलबि न हो। जहा CTF न बन सक, व असपताल 150 km म ससथत CBWTF स सपकक कर बशतत कचर को 48 hrs म कनपटाया जा सक)

Segregate in blue liner

नील लाइनर म िाल

Autoclaveऑटोकलव

Or या किर

Or या किर

पनचवकरण कर

For disinfecting/ sterilizing waste

कचर को कवसकरकमत करन क कलए

Microwaveमाइकरोवव

Hydroclaveहाईिरोकलव

Cleaning with detergent and water किटजजट और पानी स िोए

Double bucket disinfection with 2% sodium hypochlorite solution (for pre-treatment storage until picked up by CBWTF operator)

2% सोकियम हाइपोकलोराइट घोल स िबल बालटी कीटाणशोिन कर (पवव उपचार हत जब तक साझा जव कचककतसा अपकशषट उपचार सकविा न भजा जाय')

Disinfectant bucket

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

8

Authorised Recycler

Cleaning bucket

TREATMENT AND DISPOSAL OF SHARPS WASTE AT CBWTF AND CAPTIVE

TREATMENT FACILITIES (CTF)िात की पनी वसतओ का CBWTF और CTF दारा उपचार

एव कनपटान करन क तरीकMetal sharpsिात की पनी वसतए

Container with Needle, Hub Cutter and Keyhole सई हब कटर और की-होल वाला किबबा

Autoclave for sterilizing wasteकचर को कवसकरकमत करन हत ऑटोकलव कर

Dry heat treatmentिारदार िात-वसत परबिन

पवव उपचाररत िात की पनी वसतओ का सरकषित पररवहन

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of India

In order to avoid needle stick injuries, never recap used needle and always use container with needle

hub cutter for isolating the metal sharpsसई क चभन दारा चोट लगन स बचन हत सई हब कटर वाल किबब

का परयोग अवशय कर

[email protected]

9

Common Biomedical Waste Treatment

Facility (CBWTF)

साझा जव कचककतसा अपकशषट उपचार सकविा

CTF(Only if CBWTF is more than 75 km away. In case HCF is unable to set-up captive facility – they may look out for CBWTF upto 150 km distance provided

waste can be disposed within 48 hours)

(कवल जहा CBWTF 75 km म उपलबि न हो। जहा CTF न बन सक, व असपताल 150 km म ससथत

CBWTF स सपकक कर बशतत कचर को 48 hrs म कनपटाया जा सक)

Or या किर

Followed by shredding or mutilation and encapsulation in metal container, cement concrete or final disposal at iron foundries

कवसकरमण क बाद छोटछ टकडछ या म यकटलशन कर और किर िात कनकमवत िबबा या सीमट ककरीट म बद कर या अकतम कनपटान हत लोह की ढलाई क कारखान भज

Secure transport of pre-treated metal sharps waste

Shredding/mutilation/ encapsulation unit

छोटछ टकडछ/ अगभग/ कपसलीकरण, करन हत यकनट

सकरमित पलासटिक कचरला षडपोज वततए जस टिषग, पलासटिक की ोत, षशरभतर और कथटिर, परवशनी और सतइो क षनला सीररज

Contaminated plastic wasteDisposable items such as tubing, plastic

bottles, intravenous tubes and catheters, cannulas & syringes without needles

Collect in appropriate liner

कचर को उकचत लाइनर म ही िाल

Plastic waste should not be sent to landfill sites पलासटिक कचर को भ-भरन थ ि नही भजनला चलाषहए

Check for authentication of pre-treatment, e.g. copy of printed receipt indicating Log 4 reduction of microorganisms as per WHO*

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

10

MANAGEMENT OF RED CATEGORY WASTE BY CBWTF AND CAPTIVE

TREATMENT FACILITIES (CTF)लाल रिणी क कचर का CBWTF और CTF दारा परबिन

For sterilizing wasteकचर को कवसकरकमत करन क कलए

*

Vertical autoclaveवकटटिकल ऑटोकलव

Or या

किर

* *

Autoclaveऑटोकलव

Microwaveमाइकरोवव

Or या

किर

Common Biomedical Waste Treatment

Facility (CBWTF)

साझा जव कचककतसा अपकशषट उपचार सकविा

CTF(Only where there is no CBWTF available

within 75 kms of distance)

(कवल जहा CBWTF 75 km म उपलबि न हो।)

Shredding or mutilation or combination of sterilization

and shredding छोटछ छोटछ टकडछ कर

Send for authorized recycling or energy recoveryपनचवकरण या ऊजाव पनःपरासपत क कलए भज

Autoclaveऑटोकलव

Microwaveमाइकरोवव

For sterilizing wasteकचर को कवसकरकमत करन क कलए

* *

Anatomical waste, chemical waste, soiled waste, chemotherapy waste, discarded linen and medicines and

laboratory waste Human & animal anatomical waste, liquid waste

and other biological infectious waste (Pre-treat petri dishes and blood bags)

Collect in appropriate liner

कचर को उकचत लाइनर म िाल

Or या

किर

शलारीररक, रलासलायमिक, गदला कपडला, दवलाइयो सममित एव परयोगशलाला कचरलािलानव और पशत शलारीररक कचरला, दवलाइो समषधत, तर एव सकि जीवी कचरला (रकत थी, पटी षडश कला पवच उपचलार कर)

For pre-treatment by autoclaving

ऑटिोकव दलारला पवच उपचलार क षए

Infectious waste except blood bag and microbiological wasteबलि बग एव सकम जीवी कचरा रकहत सकरामक कचरा

Blood bag and microbiological waste

बलि बग एव सकम जीवी कचरा

Check for authentication of pre-treatment, e.g. copy of printed receipt indicating Log 4 reduction of microorganisms as per WHO*

Send to CBWTF for final disposal through incineration. Ash from incineration to be disposed through hazardous waste treatment, storage and

disposal facility (TSDF)

अकतम कनपटान हत CBWTF म भसमीकरण क कलए भज किर उसकी राख को पररसकटमय अपकशषट उपचार, भिारण और कनपटान सकविा भज

Disposal by incineration at CTF (Only if CBWTF is more than 75 km away. In case HCF is unable to set-up captive facility – they may look out for CBWTF upto 150 km distance provided waste

can be disposed within 48 hours.). Ash from incineration to be disposed through hazardous waste treatment, storage and disposal facility (TSDF)

CTF दारा भसमीकरण (कवल जहा CBWTF 75 km म उपलबि न हो। जहा CTF न बन सक, व असपताल 150 km म ससथत CBWTF स सपकक कर बशतत कचर को 48 hrs म कनपटाया जा सक) किर उसकी राख को पररसकटमय अपकशषट उपचार, भिारण और कनपटान सकविा भज

*Follow standards for incineration as specified in the BMWM Rules, 2016.

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

11

MANAGEMENT OF YELLOW CATEGORY WASTE

पीली रिणी क कचर का परबिन

Or या

किर

pre-treated waste पवच उपचलार कचरला

STANDARDS FOR TREATMENT AND

TRANSPORTATION OF BIO-MEDICAL WASTE

AS PER SCHEDULE II OF BMWM RULES, 2016

FOR VACUUM AUTOCLAVE:1. A temperature of not less than 121°C and pressure of 15 pound per square inch (psi) for an

autoclave residence time of not less than 45 minutes; or 2. A temperature of not less than 135°C and a pressure of 31 psi for an autoclave residence

time of not less than 30 minutes

FOR GRAVITY FLOW AUTOCLAVE: 1. A temperature of not less than 121° C and pressure of 15 psi for an autoclave residence

time of not less than 60 minutes; or 2. A temperature of not less than 135° C and a pressure of 31 psi for an autoclave residence

time of not less than 45 minutes; or 3. A temperature of not less than 149° C and a pressure of 52 psi for an autoclave residence

time of not less than 30 minutes.

FOR MICROWAVE:The microwave should completely and consistently kill the bacteria and other pathogenic organisms that are ensured by approved biological indicator at the maximum design capacity of each microwave unit. Biological indicators for microwave shall be Bacillus atrophaeus spores using vials or spore strips with at least 1 x 104 spores per detachable strip. The biological indicator shall be placed with waste and exposed to same conditions as the waste during a normal treatment cycle.

FOR INCINERATION: The temperature of the primary chamber shall be a minimum of 800°C and the secondary chamber shall be minimum of 1050°C + or - 50°C. Expired cytotoxic drugs and items contaminated with cytotoxic drugs to be incinerated at a temperature of ≥ 1200°C. There will be no chemical pre-treatment before incineration of waste, except for microbiological, laboratory and highly infectious waste.

FOR TRANSPORTATION OF BIO-MEDICAL WASTE: The operator of common bio-medical waste treatment facility shall transport the bio-medical waste from hospitals only in the vehicles having label as provided in part ‘A’ of the Schedule IV along with necessary information as specified in part ‘B’ of the Schedule IV of BMWM Rules, 2016.

FOR SPILLAGE MANAGEMENT: Treat spillage as per the specifications provided on pages 185-186 of the WHO Blue Book.

12

METAL SHARPSधलातत की पनी वततए

GLASS SHARPSकलाच की पनी वततए

Capटोपी

INFECTIOUS WASTEसकरलािक कचरला

SAFETY FIRST!PROTECTIVE GEAR FOR HEALTHCARE WORKERS

सरषिा पहल!वलाथकिमी क षए सतरकलातिक षगर

Maskमासक

Gogglesचशम

Face shieldमखडा कवच

Apronतहबद

Glovesदसतान

Bootsजत

INFECTED PLASTICSसकरषित पलासटिक

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

13

UNTREATED BIOMEDICAL WASTE IS A RISK TO ENVIRONMENT AND HEALTH अनपचाररत कचककतसा कचरा वातावरण एव सवासथय क कलए जोकखम पदा कर सकता ह।

Careless handling of waste can lead to spread of infectious diseases such as Hepatitis, AIDS and Tuberculosis (TB)

कचर क रख-रखाव म लापरवाही क कारण हपटाइकटस, एडस और टबरकलोकसस (टीबी) जसी बीमाररया हो सकती ह

Waste littering can lead to spread of infectionsकचर को उपयकत जगह ना िकन स बीमाररया िल सकती ह

Infection acquired from hospitalअसपताल दारा परापत सकरमण

Biomedical waste should never get mixed with municipal solid waste. Waste collectors trying to retrieve valuables from waste can inadvertently injure themselves and catch infectionबाइओमकिकल कचर को सािारण कचर म कभी भी ना कमलन द। कडा बीनन क समय कडा बीनन वालो को चोट लग सकती ह और कजसक कारण उनह बीमाररया हो सकती ह

For pre-treatment by autoclaving

ऑटिोकव दलारला पवच उपचलार क षए

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

14

IF INJURED TREAT YOUR WOUND IMMEDIATELY

अपन घाव का इलाज तरत कर

Wash the wound using running water and

plenty of soapबहत पानी क नीच रखकर

घाव को साबन स िोए

Dress the wound after drying it

सखन क बाद घाव की डछकसग कर

Seek urgent medical advice within two hours of injury

or contact with contaminated substance

चोट लगन या सदकषत पदाथव क सपकक म आन क दो घटछ क भीतर कचककतसक स सलाह ल

Encourage the wound to bleed, by holding it under running water

बहत पानी क नीच रखकर, घाव म स रकत बहन द

Do not squeeze, scrub or suck the wound घाव को ना कनचोड,ना ही रगड या चस

Do not clean with alcoholअलकोहोल स साफ न कर

Never drag filled waste liners

Waste should never be handled without wearing protective gear

कचर स भर थ को कभी ि घसीटि

वलाथ किचचलाररो को सतरकलातिक षगर पहन षनला कचर को कभी

भी नही उठलानला चलाषहए

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

15

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of India

IT IS IMPORTANT TO SEGREGATE GENERAL WASTE FROM INFECTIOUS BIOMEDICAL WASTE AS MIXING OF THESE CAN LEAD TO GREATER

SPREAD OF INFECTIONS AND EPIDEMICS सािारण कचर को सकरकमत बायोमकिकल कचर स

अलग रख, इनका कमरिण सकरामक बीमाररयो एव महामाररयो को अकिक बढावा द सकता ह।

INFECTED PLASTICSसकरषित पलासटिक

INFECTIOUS WASTEसकरलािक कचरला

METAL SHARPSधलातत की पनी वततए

GLASS SHARPSकलाच की पनी वततए

General waste constitutes about 70% of the total waste in hospitals

असपतालो स कनकलन वाल कचर का लगभग 70% कचरा, सािारण कचरा होता ह।

Infectious biomedical waste constitutes about 25-30% of the total waste generated from hospitals

असपतालो स कनकलन वाल कचर का लगभग 25-30% कचरा, सकरकमत बायोमकिकल कचरा होता ह।

[email protected]

16

RECYCLABLE WASTEपतनचचकरण ोग कचरला BIODEGRADABLE

GENERAL WASTEजषवक कचरला

WASTE MANAGEMENT IN COVID-19 WARDS, COVID-19 SAMPLE COLLECTION CENTERS

AND LABORATORIES

Collection of biomedical waste should be carried out separately in appropriately colour coded and specifically dedicated bins with an additional label of “COVID-19 Waste”. ULBs/authorised waste collector shall hand over yellow bag waste to CBWTF operator for final disposal

Biomedical waste can be lifted directly from the isolation wards into CBWTF collection van

Collected biomedical waste should be stored separately in temporary storage room prior to handing over to authorized staff of Common Biomedical Waste Treatment Facility (CBWTF)

Dedicated sanitation workers should be deputed separately for handling biomedical waste and general solid waste for COVID-19 wards

General waste not having contamination should be disposed as solid waste as per SWM Rules, 2016

COVID-19

COVID-19

COVID-19

COVID-19

COVID-19 COVID-19

Double layered bags (using 2 bags) should be used for collection of waste

from 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

Record of waste generated from COVID-19 isolation wards should be maintained separately. Opening or operation of COVID-19 isolation wards and sample collection centres should be reported to SPCBs.

Biomedical waste should be segregated as per the BMWM Rules as depicted in poster number 1 and 5 of this guide.

Only dedicated trolleys with “COVID-19” label should be used in COVID-19 isolation wards

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

17

COVID-19 वािटि, सपल कलकशन कनदरो एव परयोगशालाओ स कनकलन वाल कचर का परबिन

बायोमकिकल कचर को उकचत रग क कडछदान कजनपर “COVID-19” का लबल लगा हो उनही म इकठा कर। शहरी सथानीय कनकायो/ कचरा इकटा करन वाल अकिकत कमवचाररयो दारा इकटा ककय गए पील लाइनर को CBWTF भजा जाना चाकहए।

बायोमकिकल कचर को आइसोलशन वािटि स सीि उठाकर साझा जव कचककतसा अपकशषट उपचार सकविा दारा भज वाहन म भजा जा सकता ह।

बायोमकिकल कचर को साझा जव कचककतसा अपकशषट उपचार सकविा म भजन स पहल अलग कमर म रख।

COVID-19 सबकित बायोमकिकल एव सािारण कचर को सभालन क कलए कवल समकपवत सिाई कमवचारी कनयकत कर।

कबना सदषण वाल सािारण कचर का परबिन ठोस अपकशषट परबिन कनयम 2016 क अनसार कर।

COVID-19

COVID-19

COVID-19

COVID-19

COVID-19 COVID-19

COVID-19 सबकित कचर को दोहरी परत क लाइनर म ही इकठा कर।

COVID-19 सबकित बायोमकिकल कचर को कजन कडछदान एव टरॉकलयो म रखा जाए उनह परकत कदन 1% हाइपोकलोराइट घोल स अचछी तरह साि कर।

COVID-19 सबकित बायोमकिकल कचर की जानकारी अलग ररकरॉिटि कर। COVID-19 आइसोलशन वािटि एव सपल कलकशन सटसव की जानकारी राजय परदषण कनयतरण बोिटि को अवशय द।

बायोमकिकल कचर का परबिन बायोमकिकल वसट कनयम 2016 जो कक पोसटर सखया 1 और 5 म कदए हए ह उनक अनसार कर।

COVID-19 सबकित बायोमकिकल कचर का कवल समकपवत एव “COVID-19” क लबल वाली टरॉली स सथानातरण कर।

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

17

GUIDELINES FOR HANDLING AND DISPOSING WASTE FROM QUARANTINE CAMPS/ HOMES/

HOME-CARE FACILTIES

General solid waste (household waste) should be handed over to waste collector identified by Urban Local Bodies (ULBs) or as per the prevailing local method of

disposing general solid waste

Maintain separate bins for biomedical waste and general household waste

Persons taking care of quarantine home / home-care should deposit generated biomedical waste from suspected or recovered COVID-19 patients by any of the following methods: Hand over the yellow bags containing biomedical waste to authorized waste collectors at door steps engaged by local bodies; or Deposit biomedical waste in yellow bags at designated deposition Centres established by ULBs

Persons operating Quarantine camps/centres should call the CBWTF operator to collect biomedical waste as and when it gets generated

Biomedical waste from quarantine centres/camps should be collected separately in yellow coloured bags provided by ULBs. These bags can be placed in separate and dedicated dust-bins of appropriate size

COVID-19

COVID-19

COVID-19

COVID-19

18

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

घरो स कनकलन वाल सािारण कचर को अकिकत सिाई कमवचारी को द या किर उपयकत सथानीय तरीको दारा उसका परबिन कर।सािारण कचर एव बायोमकिकल कचर क कडछदान अलग होन चाकहए।

जो लोग कवारटाइन घरो की दखभाल कर रह हो वह बायोमकिकल कचर को पील रग क लाइनर म इकटा कर या तो दरवाज पर आन वाल अकिकत सिाई कमवचारी को द या किर अकिकत कदरो म द।

कवारटाइन कप एव कनदरो को चलान वाल लोगो को समय-समय पर साझा जव कचककतसा अपकशषट उपचार सकविा कमवचाररयो को बलाकर कचर को भजना चाकहए।

कवारटाइन कप एव कनदरो स कनकलन वाल बायोमकिकल कचर को पील रग क लाइनर म इकटा कर। इन थलो को समकपवत एव उकचत माप क कडछदान म रख।

COVID-19

COVID-19

COVID-19

COVID-19

18

R&D: Ananya Tewari, Poornima Prabhakaran and Shyamala Mani, Centre for Chronic Disease Control and Centre for Environmental Health, Public Health Foundation of IndiaDESIGN

[email protected]

कवारटाइन कप एव घरो स कनकलन वाल कचर क परबिन हत कदशाकनदतश