1. BMW Management

2. India's financial capital
Covers an area of about sq.km.
Houses about 11.9 million people (Census 2001)

3. In Mumbai patient beds Total 40,377 Hospital beds Govt: 19,647
Pvt: 20,730
Total 40,377
July 7, 2005
CITYSTATS, Times of India, Bombay, pg 2,

4. Medical Waste Waste per bed: 2 kg Waste per day by hospitals: 6419 kg
June 2
CITYSTATS, Times of India, Bombay, pg 2,

5. What are the different types of waste generated by a health care facility?

6. Every health care facility generates waste
Every health care facility generates waste. Hospital waste is classified as:
Non-hazardous
Hazardous
Biodegradable
Infectious
Non-biodegradable
Toxic

7. Biomedical waste consists of
Hospital Waste Composition
Percentage of Weight
Metal 2%
Wood 3%
Biomedical 5%
Paper
45%
Liquids 6%
Plastics
14%
Glass
Food
17%
Misc
1990 findings of the Ottawa General Hospital Waste Audit, Ortech International)
Biomedical waste consists of
toxic waste, radioactive waste and infectious waste.

8. What is biomedical waste?

9. Biomedical waste means any waste which is generated or has been used in
The Diagnosis,
Treatment or Immunization of human beings or animals, in Research pertaining thereto, in the Production or Testing of Biological
or which may contain Infectious agents and may pose a substantial threat to health.

10. Why is it important to manage biomedical waste?

11. To prevent hazards to Waste handlers Health care providers Community
Environment
Rule

12. MINISTRY OF ENVIRONMENT & FORESTS NOTIFICATION
New Delhi, 20th July, 1998
S.O. 630 (E).-Whereas a notification in exercise of the powers conferred by Sections 6, 8 and 25 of the Environment (Protection) Act, 1986 (29 of 1986) was published in the Gazette vide S.O. 746 (E) dated 16 October, 1997 inviting objections from the public within 60 days from the date of the publication of the said notification on the Bio-Medical Waste (Management and Handling) Rules, 1998 and whereas all objections received were duly considered. Now, therefore, in exercise of the powers conferred by section 6, 8 and 25 of the Environment (Protection) Act, 1986 the Central Government hereby notifies the rules for the management and handling of bio-medical waste.
The BMW Management and Handling Rules came into force in It was mandatory on the part of all the hospitals to implement the same. The process however had to be individually established by each hospital taking into consideration all the schedules described in the rules

13. MUNICIPAL CORPORATION OF BRIHANMUMBAI Municipal Solid Waste
5.7) Untreated bio-medical waste (as listed in Schedule IV) shall be stored in specified type of covered receptacles and delivered by every generator of waste to the collection vehicle which shall be provided weekly/periodically by BMC or any other Agency authorized by the MPCB, or to a centre designated for collection of such waste, for disposal in a manner that is mandated by MPCB in accordance with the Bio-Medical Waste (Management & Handling) Rules  
MUNICIPAL CORPORATION OF BRIHANMUMBAI
Municipal Solid Waste 
(Prohibition of Littering and Regulation of Segregation, Storage, Delivery & Collection) Rules 2006
N O T I F I C A T I O N w.e.f. 1st March 2006
And local state or municipal directives such as the corporation from time to time. Two important aspects of this directive was the authorization to generate, handle , collect and store untreated BMW from MPCB and the delivery of the same for final treatment to a designated agency’s collection vehicle.

14. Salient features of BMW M & H Rules
Schedule - I
Different categories of BMW

15. Schedule I x Category Type of waste Treatment & Disposal option 1
Human anatomical
Incineration/deep burial 2
Animal waste 3
Microbio & biotechno
Local/A/MW/ Incineration 4
Waste sharps
Chemical Disinfection/ A / MW & mutilation /shredding 5
Discarded medicine & cytotoxic drugs
Incineration / Destruction & disposal in landfills 6
Soiled wastes(linen)
Incineration/ A / MW 7
Solid wastes (non sharp disposables)
Chem. Dis./A / MW & mutilation / shredding 8
Liquid waste
Disinfect and Drain 9
Incineration ash
Municipal landfill 10
Chemical waste
Chem.Dis.& drain / landfill

16. Schedule II Colour Coding Type of Container - I Waste Category
Treatment options as per Schedule I
Yellow
Plastic bag Cat. 1, Cat. 2, and Cat. 3, Cat. 6.
Incineration/deep burial
Red
Disinfectable container/plastic bag Cat. 3, Cat. 6, Cat.7.
Autoclaving/Microwaving/ Chemical Treatment
Blue/White translucent
Plastic bag/puncture proof Container Cat. 4, Cat. 7.
Autoclaving/Microwaving/ Chemical Treatment and destruction/shredding
Black
Plastic bag Cat. 5 and Cat. 9 and Cat. 10.
Disposal in secured landfill

17. HUMAN
ANATOMICAL
WASTE
PLASTIC TUBINGS,
IV SETS,
CONTAMINATED
WASTE
MASKS, CAPS,
RUBBER
SHEETS
DISCARDED
DRUGS

18. Transportation When 3/4ths full Avoid spillage
Label bags (Schedule III, IV)
SCHEDULE IV (see Rule 6)
LABEL FOR TRANSPORT OF BIO-MEDICAL WASTE CONTAINERS/BAGS
Day Month Year Date of generation Waste category No
Waste class
Waste description
Sender's Name & Address
Receiver's Name & Address
Phone No
Telex No ....
Fax No
Contact Person
In case of emergency please contact Name & Address : Phone No.

19. Temporary Storage Designate an area Do not segregate here
For not more than 48 hrs

20. What is expected in BMW management?
Obtain authorization first (from state pollution control boards) Then ………..

21. Handling
Disposal
Collection
BMW
Management
Treatment
Segregation
Transport
Storage

22. Conclusion Keep self and others disease free.
Follow Biomedical Waste Management and Handling Rules