Bansod Himani S, Deshmukh Prasad
Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Head and Neck Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Feb 3;15(2):e34589. doi: 10.7759/cureus.34589. eCollection 2023 Feb.
The waste generated in various hospitals and healthcare facilities, including the waste of industries, can be grouped under biomedical waste (BMW). The constituents of this type of waste are various infectious and hazardous materials. This waste is then identified, segregated, and treated scientifically. There is an inevitable need for healthcare professionals to have adequate knowledge and a proper attitude towards BMW and its management. BMW generated can either be solid or liquid waste comprising infectious or potentially infectious materials, such as medical, research, or laboratory waste. There is a high possibility that inappropriate management of BMW can cause infections to healthcare workers, the patients visiting the facilities, and the surrounding environment and community. BMW can also be classified into general, pathological, radioactive, chemical, infectious, sharps, pharmaceuticals, or pressurized wastes. India has well-established rules for the proper handling and management of BMW. Biomedical Waste Management Rules, 2016 (BMWM Rules, 2016) specify that every healthcare facility shall take all necessary steps to ensure that BMW is handled without any adverse effect on human and environmental health. This document contains six schedules, including the category of BMW, the color coding and type of containers, and labels for BMW containers or bags, which should be non-washable and visible. A label for the transportation of BMW containers, the standard for treatment and disposal, and the schedule for waste treatment facilities such as incinerators and autoclaves are included in the schedule. The new rules established in India are meant to improve the segregation, transportation, disposal methods, and treatment of BMW. This proper management is intended to decrease environmental pollution because, if not managed properly, BMW can cause air, water, and land pollution. Collective teamwork with committed government support in finance and infrastructure development is a very important requirement for the effective disposal of BMW. Devoted healthcare workers and facilities are also significant. Further, the proper and continuous monitoring of BMW is a vital necessity. Therefore, developing environmentally friendly methods and the right plan and protocols for the disposal of BMW is very important to achieve a goal of a green and clean environment. The aim of this review article is to provide systematic evidence-based information along with a comprehensive study of BMW in an organized manner.
包括工业废弃物在内,各类医院和医疗保健机构产生的废弃物可归类为生物医疗废弃物(BMW)。这类废弃物的成分包括各种传染性和危险性物质。然后,对这些废弃物进行科学识别、分类和处理。医疗保健专业人员必然需要对生物医疗废弃物及其管理有足够的知识和正确的态度。产生的生物医疗废弃物可以是固体或液体废弃物,包括传染性或潜在传染性物质,如医疗、研究或实验室废弃物。生物医疗废弃物管理不当很可能会导致医护人员、到医疗机构就诊的患者以及周边环境和社区受到感染。生物医疗废弃物还可分为普通、病理、放射性、化学、传染性、锐器、药品或加压废弃物。印度已制定了完善的生物医疗废弃物妥善处理和管理规则。《2016年生物医疗废弃物管理规则》(BMWM规则,2016)规定,每个医疗保健机构应采取一切必要措施,确保生物医疗废弃物的处理不会对人类和环境健康造成任何不利影响。该文件包含六个附表,包括生物医疗废弃物的类别、容器的颜色编码和类型,以及生物医疗废弃物容器或袋子的标签,这些标签应不可清洗且清晰可见。附表中还包括生物医疗废弃物容器运输标签、处理和处置标准,以及焚化炉和高压灭菌器等废弃物处理设施的时间表。印度制定的新规则旨在改善生物医疗废弃物的分类、运输、处置方法和处理。这种妥善管理旨在减少环境污染,因为如果管理不当,生物医疗废弃物会造成空气、水和土地污染。在政府在财政和基础设施发展方面的坚定支持下进行集体协作,是有效处置生物医疗废弃物的一项非常重要的要求。敬业的医护人员和医疗机构也很重要。此外,对生物医疗废弃物进行妥善且持续的监测至关重要。因此,开发环保方法以及正确的生物医疗废弃物处置计划和方案对于实现绿色清洁环境的目标非常重要。这篇综述文章的目的是以有组织的方式提供基于系统证据的信息,并对生物医疗废弃物进行全面研究。