Bio-Medical Waste Management An Environmental and Health Paradigm Understanding and Simplifying Bio-medical Waste Management A training manual for trainers

International Conventions related to Biomedical waste The Basel Convention on the Control of Transboundary Movement of Hazardous Wastes 1989 The Stockholm Convention on Persistent Organic Pollutants 2001 The Minamata Convention on Mercury 2013 Understanding and Simplifying Bio-medical Waste Management A training manual for trainers

International Networks related to Bio-medical waste WHO: World Alliance for Patient Safety Safe Injection Global Network NGOs Hospital waste and Sustainable hospitals: Health Care Without Harm (HCWH) Anti-incineration: GAIA (Global Anti Incinerator Alliance) Mercury: Zero Mercury working group and EEB Understanding and Simplifying Bio-medical Waste Management A training manual for trainers

Basel Convention Control of Transboundary Movement of Hazardous Wastes and Their Disposal Minimize hazardous waste (including clinical waste) generation and dispose it nearest to the point of generation Understanding and Simplifying Bio-medical Waste Management A training manual for trainers

Stockholm Convention on Persistent Organic Pollutants A global environmental treaty It Entered into force on 17 May 2004 with ratification by 180 countries India is a signatory of this convention and ratified it in 2006 Aims to eliminate or reduce the release of persistent organic pollutants (POPs) into the environment Understanding and Simplifying Bio-medical Waste Management A training manual for trainers

Stockholm and Medical waste PVC in medical waste responsible for release of Dioxins and Furans Indian Rules set out a phase out date for PVC Products (BMW 2016) Standard set for Dioxins &Furans (0.1ngTEQ/Nm3) Understanding and Simplifying Bio-medical Waste Management A training manual for trainers

Minamata Convention To protect human health and the environment from mercury  Adopted in 2013 Phase out of Mercury added products, including mercury medical instruments, by 2020 Understanding and Simplifying Bio-medical Waste Management A training manual for trainers

India on the mercury front India is a signatory to the convention Mercury containing lamps has been included in the revised E waste regulation EPR is applicable to disposal of mercury containing lamps India has shifted 32 of its chlor alkali plants to mercury free technology Understanding and Simplifying Bio-medical Waste Management A training manual for trainers

World alliance for patient safety In 2002, World Health assembly passed a resolution calling member states to work for safety of Patients. In 2004, World Alliance for Patient safety was formed. First Challenge is “Clean care is Safer Care” (2005) A formal pledge committing to address health care-associated infection in the country was signed by Government of India. Understanding and Simplifying Bio-medical Waste Management A training manual for trainers

Priority areas for Patient safety Safe clinical practices and hand hygiene Safe Surgical practices Blood Safety Safe Injections Practices Health Care Waste Management Understanding and Simplifying Bio-medical Waste Management A training manual for trainers

Health care associated infections HCAIs complicate between 5-10% of admissions in acute care hospitals in industrialized countries It is estimated that this risk is up to 20 times higher in developing world At any given time, 1.4 million people worldwide suffer from HCAI, and at least 50% of HCAI are preventable. Understanding and Simplifying Bio-medical Waste Management A training manual for trainers