The wastes generated from health care units are generally classified as infectious and non-infectious. The infectious health care wastes are termed as ‘bio-medical wastes’ and are considered to be potentially hazardous in nature. The disposal of untreated bio-medical wastes mixed with non-infectious health care wastes or other general municipal wastes poses an environmental threat and public health risk. Indiscriminate disposal of untreated bio-medical waste is often the cause for the spread of several infectious diseases. It is also responsible for the nosocomial diseases i.e. the hospital acquired diseases to the healthcare personnel who handle these wastes at the point of generation. Moreover, this is equally harmful to persons involved in the bio-medical waste management i.e. segregation, storage, transport, treatment and disposal. Apart from the above, a good amount of bio-medical wastes such as disposable syringes, saline bottles, I.V. fluid bottles etc. are picked up by rag pickers and are recycled back into the market without any disinfection procedures. It is imperative, therefore, to adopt an appropriate environmentally safe method for the disposal of the hospital wastes.
Bio Medical Waste
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 biological or in health camps, including the categories mentioned in Schedule I
- Biomedical Waste Management Rules 2016
The amount of infectious waste is nearly about 15-20% of the total waste generated from a health care establishment.
In absence of proper segregation, the non-infectious waste becomes infectious and poses environmental threat to the society.
Policy on Bio-Medical Waste Management
Shivamogga Institute of Medical Sciences was started during 2005 in 25 acres of land, in the premises of Government Mc. Gann Hospital at Shivamogga. The Institute is located in Bangalore-Honnavara National high-way 206. The total floor area available, including College, boys & girls hostels and doctors quarters is about 34488 square meters.
As per the Bio-medical Waste Management Rules-2016, segregation of BMW should be done as given below:
||Plastic Bin Yellow Plastic Bag (liner)
||Anatomical waste: Human anatomical waste, fetus below viability period ( with certification )
Infectious Waste - Cotton, Dressing, Bandage, Plaster Casts, blood bags containing residual and discarded blood and blood components, etcâ€¦Discarded linen and mattresses
Microbiological and laboratory wastes after concurrent disinfection
|Yellow-2 (Label it as-Drugs/medicines)
||Expired and discarded medicines, (bottles and vials / ampoules if drug is present in it).
||Plastic bin with red plastic bag /liner
||Plastic part of syringes, Intra-venous fluid sets/ Fluid bags, Catheters, cannula, Gloves, corrugated rubber drains
||Autoclaving & shredding
||Blue cardboard box
||Glass waste - Intact as well as broken glass vials/bottles/ampoules WITHOUT drug in it, broken glass pieces and glass slides.
||Autoclaving and sent for recycling
||Metallic body implants.
| Translucent PPC
||PPC with lid filled 3/4th with freshly prepared bleach solution
|| Metal sharps-Needles and lancets, needle embedded syringe, broken blades, aluminum foils of vials etc.
Large wheel-able trolleys are being used for in-house transport of segregated bio-medical waste and it is done at 8am in the morning every day. From Operation Theaters, Labour room and Casualty/Emergency wards segregated waste is collected twice in a day.
Temporary Storage of Bio-Medical Waste in the hospital premises
We have a temporary storage room measuring 12'X10' within the hospital premises where the waste collected from the wards, OPD, OT, Labour room and Casualty are being stored temporarily.
- Biohazard symbol is displayed and entry is restricted only to authorized personal.
- It is used only for storage of bio-medical waste.
- The area and the surroundings is kept neat and tidy with greenery around.
- It has proper water facility, electric connection and weighing machine along with relevant records.
- Proper drainage facility is in place (connected to effluent treatment plant).
Liquid waste which is generated from Shivamogga Institute of Medical Sciences, is being drained to the Effluent Treatment Plant within the premises where the liquid waste is being treated scientifically as per Pollution Control Board guidelines to meet the prescribed standard.
After treatment, the treated water was used for construction purpose initially and as of now it is being utilized for gardening. The treated water is not being let into the Public drainage system.