Reviewed By- Dr Vijay Agarwal Dr Chander Mohan Bhagat Dr Lallu Joseph Biomedical Waste management rules-2016 (Presented by: Dr AM Indira, Ms Anisha Khundongbam, Mr Jiju Mathews, DR Karpe mina lombi, Ms Rachna Goel, Dr Senthil S kumar Reviewed By- Dr Vijay Agarwal Dr Chander Mohan Bhagat Dr Lallu Joseph

Group Members Dr K M Lombi, MPH, FHAZMO, W.ZONE, Kimin Papum Pare District Arunachal Pradesh Dr.A.M.Indira MS.OBS &GYN Managing Director, K.R.Hospital, Kanchipuram District Mr. Jiju Mathews, Manager- Quality & Clinical Operations, Kauvery Hospital, Trichy Dr. Senthil Kumar S ICU - General Manager, KG Hospital, Coimbatore, Tamilnadu Ms. Rachna Goel OT Manager, Amrita Institute of Medical Science, Kochi Ms. Anisha Khundongbam Asst Manager – Operations & Quality Shija Hospitals & Research Institute Pvt. Ltd., Manipur

Definition-BMW Definition. According to Biomedical Waste(Management and Handling) Rules, 1998 of India “Any waste which is generated during the diagnosis, treatment or immunization of human beings or animals or in research activities pertaining thereto or in the production or testing of biologicals. 

Salient Features of Amended BMW Rules 2016 Pre – treat laboratory, microbiological, blood samples and blood bags through disinfection or sterilization on site Phase-out the use of chlorinated plastic bags, gloves and blood bags within two years. Provide training to all its health care workers and immunise all health workers regularly Establish a Bar-Code System for bags or containers containing bio-medical waste for disposal. Bio-medical waste has been classified in to 4 categories instead 10 to improve the segregation of waste at source.

Salient features of amended BMW Rules 2016 No occupier shall establish on-site treatment and disposal facility, if a service of `common bio-medical waste treatment facility is available at a distance of seventy-five kilometer. Operator of a common bio-medical waste treatment and disposal facility to ensure the  timely collection (within 48 hrs) of bio-medical waste from the HCFs and assist the HCFs in conduct of training Annual report to be submitted in prescribed format on or before June 30 of every year.

Major accidents and its reporting Report  major accidents: while handling of bio-medical waste having potential to affect large masses of public and includes toppling of the truck carrying bio-medical waste, release of bio-medical waste in any water body. accidents caused by fire hazards, blasts during handling of biomedical waste and the remedial action taken and the records relevant thereto, (including nil report) in Form I to the prescribed authority and also along with the annual report. exclude accidents like needle prick injuries, mercury spills.

Major differences between BMW Rules 1998 and 2016 Occupiers with >1000 beds require to obtain authorization Operator duties absent BMW divided in 10 categories Rules restricted to HCE with >1000 beds No format for annual report Schedule I II III IV & V Every occupier generating BMW including health camp or AYUSH requires to obtain authorization Duties of operator listed BMW divided into 4 categories BMW treatment and disposal mandatory for all HCEs A format for annual report appended with the rules Change of schedule I II III & IV

Conclusion The 2016 rules are Elaborate Stringent Comprehensive Several new provisions have been added Has Cleared Certain ambiguities of the previous rules

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