1. 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

2. 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

3. 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. 

4. 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.

5. 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.

6. 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.

7. 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

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

11. THANK YOU!