EF­FEC­TIVE WASTE MAN­AGE­MENT

Assocham Bulletin - - ENVIRONMENT -

In­di­ais likely to gen­er­ate about 775.5 tons of med­i­cal waste per day by 2022 from the cur­rent level of 550.9 tons per day grow­ing at Com­pound An­nual Growth Rate (CAGR) of about 7%, re­veals ASSOCHAMVe­loc­ity MRjoint study.

Lackof staffand in­fras­truc­ture is also a ma­jor con­straint in the im­ple­men­ta­tion of the rules. The coun­try needs strin­gent mon­i­tor­ing and eval­u­a­tion frame­work to en­sure com­pli­ance, ac­cord­ing joint study ti­tled 'Unearthing the Growth Curve and Ne­ces­si­ties of Biomed­i­cal WasteMan­age­mentin In­dia-2018' re­leased at a con­fer­ence on 'Biomed­i­calWaste Man­age­ment: Is­sues, Chal­lenges, Aware­ness and Op­por­tu­ni­ties' or­ga­nized by ASSOCHAMat New Delhi.

Re­leas­ing the pa­per, Dr. Kirti Bhushan, Direc­tor Gen­eral of Health Ser­vices, Govern­ment of NCT of Delhi said, waste man­age­ment mar­ket in In­dia is ex­pected to reach US $ 13.62 bil­lion by 2025. Ma­jor waste sec­tions such as mu­nic­i­pal solid waste man­age­ment mar­ket, e-waste mar­ket and biomed­i­cal waste are ex­pected to grow at CAGR of 7.14%, 10.03% and 8.14% re­spec­tively.

Safe and ef­fec­tive man­age­ment ofwaste is not only a le­gal ne­ces­sity but also a so­cial re­spon­si­bil­ity. Lack of con­cern, mo­ti­va­tion, aware­ness and cost fac­tor are some of the prob­lems faced in the proper biomed­i­cal waste man­age­ment. Clearly there is a need for ed­u­ca­tion as to the haz­ards as­so­ci­ated with im­proper waste dis­posal. Ed­u­ca­tion of the staff about the man­age­ment or biomed­i­cal waste is cru­cial in to­day's health care arena, added Dr. Bhushan.

"To en­sure safe and proper dis­posal of biomed­i­cal waste, MoEF has no­ti­fied Biomed­i­cal Waste Man­age­ment Rules 2016. Th­ese rules shall ap­ply to all those who gen­er­ate, col­lect, re­ceive, store, trans­port or han­dle biomed­i­cal waste in any form. The rules make hos­pi­tal and owner of the med­i­cal waste treat­ment fa­cil­ity li­able for all dam­ages caused due to im­proper han­dling ofwaste", Dr. Ravin­dra Ag­gr­wal, Ad­di­tional Direc­tor, Biomed­i­cal Waste (BMW), Di­rec­torate of Health Ser­vices, Govern­ment of NCT of Delhi said at the event.

Dr. Ag­gr­wal fur­ther said bar-cod­ing is evolv­ing and we are wait­ing for guide­lines from the min­istry of en­vi­ron­ment. CPCB has al­ready framed the guide­lines -and sent it for the govern­ment ap­proval.

Mr. Jasal Shah, Founder and CEO of Ve­loc­ity MR (Mar­ket Re­search) adds, "Ve­loc­ity MR, the Knowl­edge Part­ner for this con­fer­ence is proud to have con­trib­uted in bring­ing in­sights about Biomed­i­cal Waste Man­age­ment in In­dia. We pledge to con­tinue ig­nit­ing in­sights on busi­ness is­sues/ so­ci­etal con­cerns from across the sec­tors and help all the con­cerned in march­ing ahead on their growth curve. I'm sure this report on 'Unearthing the Growth Curve & Ne­ces­si­ties of Biomed­i­cal Waste Man­age­ment in In­dia' will help the healthcare fra­ter­nity, in­vestors and our govern­ment in un­der­stand­ing the cur­rent re­quire­ments to bridge the gap and bet­ter equip our­selves for the chal­lenges ahead."

The mon­i­tor­ing bod­ies,

"I have a firm be­lief that we will de­velop a cul­ture and the new steps that we take to­wards achiev­ing clean­li­ness will con­tinue. Only then will we achieve the dream of Gand­hiji, achieve the kind of clean­li­ness that he had dreamt of," Prime Min­is­ter Naren­dra Modi said.

viz. SPCBs and CPCB, should make a strict time line and visit the healthcare fa­cil­i­ties and CBWTFs reg­u­larly and up­date their data on time. The newly formed dis­trict level mon­i­tor­ing com­mit­tee should plan out a strat­egy and mon­i­tor th­ese fa­cil­i­ties as re­quired by the rules to fill in this gap, noted the study.

Need for ef­fi­ciency in seg­re­ga­tion and col­lec­tions. Make it the bot­tom-line re­spon­si­bil­ity of CBWTF's to col­lect, treats & train healthcare fa­cili ties. Since the ex­ist­ing CBWTFs are not enough to treat the quan­tum of med­i­cal waste gen­er­ated by hospi­tals, the coun­try should fo­cus on in­stal­la­tion of more CBWTFs and should work on in­creas­ing con­nec­tiv­i­tyup to the PHC level.

The study out­lines the key chal­lenges in Biomed­i­cal Waste Man­age­ment in the cur­rent healthcare sce­nario in In­dia. Some of the chal­lenges in­cludes speed of data avail­abil­ity, un­der re­port­ing of waste gen­er­ated and han­dling ca­pac­ity, op­er­a­tion of healthcare fa­cil­ity with­out au­tho­riza­tion un­der BMW Rules, States/UT's which are yet to de­velop CBWTFs in the re­spec­tive State/UT, lack of aware­ness among var­i­ous sec­tions of the staff at all lev­els.

In­ad­e­quate waste man­age­ment can cause en­vi­ron­men­tal pol­lu­tion, growth and mul­ti­pli­ca­tion of vec­tors like in­sects, ro­dents and worms which may lead to the trans­mis­sion of dis­eases like ty­phoid, cholera, hepati­tis and AIDS through in­juries, from sy­ringes and nee­dles con­tam­i­nated with a al­ready ef­fected hu­man. In ad­di­tion to health risks as­so­ci­ated with poor man­age­ment of med­i­cal waste, con­sid­er­a­tion must also be given to the im­pact on the en­vi­ron­ment, es­pe­cially to the risks of pol­lu­tion of wa­ter, air and soil in de­vel­op­ing coun­tries.

Ex­pan­sion of healthcare fa­cil­i­ties cou­pled with the re­cent trend ofus­ing dis­pos­ables has led to an un­prece­dented bur­den of health care re­lated waste. Healthcare is one of the largest sec­tor in In­dia both in terms of rev­enue and em­ploy­ment. With grow­ing healthcare, there is a re­quire­ment of man­age­ment of biomed­i­cal waste. Biomed­i­cal Waste (BMW) al­though com­prises a small pro­por­tion of to­tal waste gen­er­ated (around 1%) but needs spe­cial han­dling and treat­ment due to its highly toxic con­tents, and it is highly in­fec­tiou­sand can pose a se­vere threat to hu­man health. Biomed­i­cal waste in In­dia is pro­jected to grow at a rate higher than the over­all healthcare ser­vices mar­ket driven by the ex­pan­sion of the in­creas­ing aware­ness, im­prov­ing ef­fi­cien­cies in the sys­tem, med­i­cal tourism, num­ber of clin­ics, hospi­tals, ris­ing of the age­ing pop­u­la­tion and new BMWguide­lines.

Dr: Kirti Bhushan, Direc­tor Gen­eral, Health Ser­vices, Govern­ment of NeT of Delhi de­liv­er­ing the in­au­gu­ral ad­dress.

In­au­gu­ra­tion by Dr. Kirti Bhushan, Direc­tor Gen­eral, Health Ser­vices, Govt. of NCT of Delhi. Also seen (L-R) Mr. Ut­pal Ku­mar, As­so­ciate Direc­tor-B2B Re­search, Velor4ty MR So­lu­tions Pvt. Ltd., Dr. Sakti Prasad Dhua, Re­gional Co­or­di­na­tor-RENPAP In­dia, United Na­tions In­dus­trial De­vel­op­ment Or­ga­ni­za­tion (UNIDO), Dr. Girish Tyagi, Reg­is­trar, Delhi Med­i­cal Coun­cil, Dr. Ravin­dra Ag­gar­wal, Ad­di­tional Direc­tor (BMW), Di­rec­torate of Health Ser­vices, Govt. of NCT of Delhi, Padma Bhushan Dr. B. K. Rao, Chair­man, AS­SOCHAM Na­tional Coun­cil of Healthcare and Hospi­tals and Dr. K. D. Gupta, Chair­man, AS­SOCHAM Na­tional Coun­cil on Waste and Wa­ter Man­age­ment.

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