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Biomedical Waste Management

मुख्य पृष्ठ/ Others/ Biomedical Waste Management

Biomedical Waste Management Scenario In Delhi

Status note in respect of Biomedical Waste Management in Delhi Date. General of Health Services, Govt. of NCT of Delhi

Ministry of Environment and Forest, Govt. of India  notified the Biomedical Waste (Management & Handling) Rules, 1998 in  exercise of power conferred under   sections 6,8 and 25 of the Environment (Protection) Act, 1986. Ministry  of Environment, Forest and climate change, Govt. of India notified the new Bio  Medical Waste Management Rules, 2016 on 28th March, 2016. The Delhi  Pollution Control Committee has been designated as Prescribed Authority to  implement these rules in the National Capital Territory of Delhi. The Lt.  Governor of Delhi  has constituted an Advisory Committee which has 10 members with Pr. Secretary  (H & FW), Govt. of NCT of Delhi as Chairman and Director (Health Services)  as Member Secretary/Convenor.

There  are 109 hospitals (including Ayurvedic Hospitals, Maternity/Home, IPP VIII) in  the Govt. sector, 1050 (approx) registered Nursing Homes in Private Sector and  large number of Primary Health Centers run by Government as well as Non  Government Organisation.  In order to  facilitate the proper treatment of the biomedical waste generated from  dispensaries, smaller Nursing Home/Clinics Blood Bank/Diagnostic Laboratories  etc., the Government has taken initiatives to establish centralized waste  treatment facilities

The Delhi Government has purchased land from  Delhi Development Authority (DDA) for establishment of Centralised Biomedical  Waste Treatment facilities at Okhla and Nilothi in Delhi. The Okhla plant has become operational  on 11th November 2006 and Nilothi plant is operational since April 2011.  A third facility M/s Biotic Waste Solutions registered with DPCC is also  operational in Delhi since October 2009. .   However, Synergy Waste Management Pvt. Ltd has closed its plant on  18/5/2015 and handed over the land to CDMO (SE), Dte. General of Health  Services on 20/5/2015 after  completion  of 10 years contract period.  Biomedical  Waste is collected from all sources in Delhi, transported and treated in these  Common Bio-medical Waste Treatment Facilities (CBWTF).

Objectives:-

In order to implement the  BMW Management Rules, a Bio-medical Waste Management Cell was formed in 2001 in  the Directorate General of Health Services, Govt. of NCT of Delhi, for  promoting, facilitation and monitoring the Biomedical Waste Management  (Management & Handling) Rules 1998 in the health care facilities in the  state of Delhi.  Objectives in brief are as follows:

  1. Facilitation of Biomedical  Waste (Management & Handling) Rules 1998 and amendments thereof.
  2. Reduction of health care waste induced infection/illnesses and patient safety.
  3. Dissemination of the provisions of Acts and Rules to the health care personnel, and also the community at large.
  4. Capacity building of health care institutions to manage biomedical waste.
  5. Strengthening  of monitoring mechanism at state and district level.
  6. Coordination with other agencies.


Basic data:-

Quantum  of biomedical waste generated in Delhi As  per DPCC estimate 13641.22  Kg. per day
No.  of Healthcare establishments in Delhi 2070  (based on application received  in DPCC)
No.  of Delhi Government Hospitals 39
No.  of Delhi Govt.  Dispensaries/polyclinics 266
No.of  Mohalla clinics 66  up to 31/3/2016


Service providers in r/o Common Biomedical Waste Facility in collaboration with Govt. of Delhi.

S.No. Service Provider Operation started Address Installed capacity Districts allotted by DPCC
1. M/ SMS Water Grace BMW (P) Ltd April 2011 SMS    Water Grace BMW Pvt. Ltd., DJB, S.T.P., Nilothi, New
              Delhi-110041		 19    tons per day West, South west, Central, East, Shahdara and    North East District.
2. M/s    Biotic waste Solutions Pvt. Ltd. October    2009 46,    SSI Industrial Area, Delhi-110033. 13    tons North, North west, New Delhi, South and South East    Distt.


Trainings:-

The BMW Management Cell has been conducting regular  trainings of all categories of health care workers independently and jointly in  collaboration with Centre for Occupational and Environment Health, Maulana Azad  Medical College,  New Delhi.  Since training is an ongoing process to improve the skills and knowledge, all  the Health care workers including doctors, nurses, paramedical staff etc. have  been trained in BMW (Management & Handling) Rules 1998, at least once.  Details of the recently held trainings are as follows:

Further,  regular awareness activities are also being undertaken by the Biomedical Waste  Management Cell, Directorate of Health Services through TV, Outdoor banners,  print media and interpersonal communication. Posters on biomedical waste management  are displayed in health care facilities for health care workers and the general public at large. The Training programmed conducted by Bio Medical Waste Management during 2015-16 is given as under:

  1. Sensitization programme on International World Hand Hygiene day  was organized  by BMW Management Cell  on 5/5/2015 for newly recruited Medical Officers and ANM from  each Distt. of  Directorate  General of  Health Services  in collaboration with Indian Society for Hospital Waste Management
  2. Two days Training Programme on BMW Mgmt and Injection Safety  was organized BMW Mgmt Cell on 18/8/2015  and 26/8/2015  for  for newly recruited Medical  officers and Nodal Officers of Distt (DGHS).
  3. One day Training Programme on BMW Mgmt and Injection Safety was organized by BMW Mgmt Cell on 27/11/2015 for  ANM/PHN from All Districts/ School Health Scheme and Mobile Health Scheme of  Directorate General of Health Services.
  4. One day Training Programme on BMW Mgmt and Injection Safety was organized by BMW Mgmt Cell  on 2/12/2015  for staff nurses from All Delhi Govt. Hospitals
  5. One day Training  Programme on BMW Mgmt was organized by BMW Mgmt Cell on 25/2/2016 for Medical Supdt. and Nodal Officers of all Delhi Govt. Hospitals and also interacted with  Officers from  CBWTFs and  Delhi Pollution Control Committee regarding BMW Management

 
Environment Management Group: -

As per the Advisory Committee No.1, it is suggested to constitute a dedicated Environmental Management Group (EMG) in all Govt. Hospitals having 100 beds and above, headed by the Medical Superintendent/Medical Director of the Hospital and consisting of other members e.g.Nodal Officer (BMW) concerned Engineers from PWD/Engineering Division, Paramedical staff etc.
Dte.General of Health Services, Govt. of NCT of Delhi constituted Environmental Management Cell with the Director as Chairperson and SPO BMW Management as State Programme Officer of Environmental Management Cell.

The  mandate of EMG will be to look after the matters concerning implementation of  the requirements under Pollution Control Laws including BMW Rules, Air &  Water Acts etc. as given below:

  • The Biomedical Waste (Management & Handling) Rules, 1998
  • The Municipal Solid Waste (Management & Handling) Rules, 2000
  • The Water (Prevention & Control of Pollution) Act, 1974
  • The Air (Prevention & Control of Pollution) Act, 1981
  • The Environment (Protection) Act, 1986
  • The E Waste (Management & Handling) Rules, 2011
  • The Batteries (Management & Handling) Rules 2011
  • The Water (Prevention & Control of Pollution) Cess Act, 1977
  • The Hazardous Waste (Management, Handling & Transboudary Movement) Rules 2008
  • The Plastics Manufacture, Sale and Usage Rules, 1999
  • The Delhi Degradable Plastic Bag (Manufacture, Sale and Storage) and Garbage (Control) Act, 2000
  • The Noise Pollution (Regulation and Control) Rules 2000
  • As per  DPCC letter dated 23/4/2013 all hospitals having 50 or more beds have to install Effluent Treatment  Plant (ETP) in their hospitals

Review  meetings:-

A meeting was held on 29th May 2013 under  the Chairmanship of Hon’ble Minister of Health & Family Welfare and another  meeting was held on 31st May 2013 under the Chairmanship of Special  Secretary (Health).  The above          meetings were attended by all  Medical Superintendents, Delhi Govt. Hospitals.   Following issues were discussed:

  • Constitution of Environment Management Group (EMG)
  • Establishment of ETPs in the hospitals
  • Replacement of open trolleys and bins with covered ones.
  • Segregation of biomedical waste as per BMW Rules Proper labeling of waste bags as per BMW Rules.
  • Proper management of sharps as per BMW Rules.
  • Regular training by the hospitals.
  • Needle stick injury and post exposure prophylaxis.

 Advisory  Committee:-

A meeting of Advisory Committee for Bio-medical Waste Management was held on 6th  January 2015, May, 2015 and September, 2015 under the Chairmanship of Secretary  (Health & Family Welfare) in his Chamber at 9th Level, Delhi  Secretariat, New Delhi-110 002, to discuss the issues regarding Bio-Medical  Waste Management and streamlining the system in Delhi

  • A Committee under the Chairmanship of  Dr. T.K. Joshi of COEH with members from DHS, DPCC & DDA constituted by Secretary (H & FW). The committee visited the sites identified by DDA and submitted the proposal of four sites to Hon’ble NGT.
  • A meeting was organized on 26.02.2015 with all  Service Provides, DPCC, DMA, IMA and COEH to sort issues raised by users.
  • Effluent Treatment Plant established in almost all the Delhi Govt. Hospitals as a part of Environmental Management Group.
  • Delhi Pollution Control Committee (DPCC) in consultation with the Biomedical Waste Management Cell, DHS, distributed the area among the two  CBWTF operators vide order dated 15/5/2015.
  • Dte. Of Health Services declared the rates for utilizing the Common Bio Medical Waste Treatment Facility w.e.f. 1st January 2015.
  • DHS and its nominee from Districts are part of the monitoring team constituted by DPCC.
  • Hospital monitoring and statistics  for quality improvement of hospitals   and to define what hospitals actually do and to compare that with the original targets in order to identify  opportunities for  improvement.
  • Meeting with DPCC  for management of Bio Medical Wastes collected from Health Care Establishments in Delhi  on 24/8/2015.
  • Regular BMW  Inspection  of Hospitals conducted  with DPCC   and Programme Officers of Distts (Dte. Of Health Services).
  • Sh. O.P. Gupta, Distt. & Session Judge (Retd) /Arbitrator pronounced award on 11/9/2015 in the dispute between Dte. Of Health Services, Govt.of NCT of Delhi and SMS Water Grace Pvt. Ltd.
  • Procurement of Bio Hazard symbols, labels and stickers of BMW Mgmt Cell for distribution among CDMOs Offices of Dte. Of Health Services and procurement of display boards for distribution among districts, polyclinics and mohalla clinics of DGHS.  Handouts on Bio Medical Waste Management was distributed  among general public  and health workers through CDMO Office of DGHS.
  • Demarcation of boundary wall on land at STP Okhla by Delhi Jal Board and  PWD  on 24/9/2015.
  • Release of performance bank guarantee to Synergy Waste Management Pvt. Ltd  for an amount of Rs. 15 Lakh on completion of agreement period of 10 years.
  • Land at Ghazipur was handed over to planning branch of this Directorate for future utilization as regional store by DGHS.
  • STANDARD OPERATING PROCEDURES (SPOs) FOR INFECTION PREVENTION & CONTROL IN HEALTHCARE SETTINGS IN GNCTD & MANNUAL OF INFECTION PREVENTION & CONTROL IN HEALTHCARE SETTINGS 2016
For further information write/contact to: Dr. R.Aggarwal, Addl.Director (BMW-Mgmt.), cmobmwdhs.delhi@nic.in, Directorate of Health Services, GNCT of Delhi, F-17, Karkardooma, Delhi – 110032, 
Phone no - 011- 22304549, E-mail: cmobmwdhs[dot]delhi[at]nic[dot]in

 

For further information write/contact to:

Dr. R.Aggarwal
Addl.Director (BMW-Mgmt.),
cmobmwdhs[dot]delhi[at]nic[dot]in
Directorate of Health Services, GNCT of Delhi,
 F-17, Karkardooma, Delhi – 110032,
Phone no - 011-22304549,
E-mail: cmobmwdhs[dot]delhi[at]nic[dot]in

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