INTRODUCTION

As per the act passed by the Ministry of Environment and Forests in 1986 & notified the Bio Medical Waste (Management and Handling) Rules in July 1998, it is the duty of every “occupier”, (in the case of JIPMER, the Director, JIPMER) i.e. a person who has the control over the institution or its premises, to take all steps to ensure that waste generated is handled without any adverse effect to human health and environment.

The biomedical waste management policy followed at JIPMER is as per the Biomedical Waste Management Rules 2016, notified by the Ministry of Environment, Forest and Climate Change, Government of India as per the gazette notification dated 28^th March 2016. Prior to this notification, JIPMER had been following the Bio-medical Waste (Management & Handling) Rules 1998 notified by the same ministry. At present, the biomedical waste management at JIPMER has been outsourced to a common biomedical waste management facility centre in Thuthipet, Puducherry solid waste management Pvt Ltd.

DEFINITIONS

• Hospital waste:refers to all waste, biological or non‐ biological that is discarded and not intended for further use.
• Bio-Medical Waste means 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 biological, and including categories mentioned in Schedule I, of the BMW rules, 2016.

SALIENT FEATURES:

    The major salient features of BMW Management Rules, 2016 include the following:-

1. The ambit of the rules has been expanded to include vaccination camps, blood donation camps, surgical camps or any other healthcare activity;
2. Phase-out the use of chlorinated plastic bags, gloves and blood bags within two years;
3. Pre-treatment of the laboratory waste, microbiological waste, blood samples and blood bags through disinfection or sterilization on-site in the manner as prescribed by WHO or NACO;
4. Provide training to all its health care workers and immunize all health workers regularly;
5. Establish a Bar-Code System for bags or containers containing bio-medical waste for disposal;
6. Make available of Annual Report on its website within period of two years.
7. Report major accidents;
8. The new rules prescribe more stringent standards for incinerator to reduce the emission of pollutants in environment;
9. Existing incinerators to achieve the standards for retention time in secondary chamber and Dioxin and Furans within two years;
10. Bio-medical waste has been classified in to 4 categories instead of 10 to improve the segregation of waste at source;
11. Procedure to get authorization simplified. Automatic authorization for bedded hospitals. The validity of authorization synchronized with validity of consent orders for Bedded HCFs. One time Authorization for Non-bedded HCFs;
12. No occupier shall establish on-site treatment and disposal facility, if a service of `common bio-medical waste treatment facility is available at distance of seventy-five kilometers.
13. Operator of a common bio-medical waste treatment and disposal facility to ensure the timely collection of bio-medical waste from the HCFs and assist the HCFs in conduct of training.

Segregation: The wastes generated is segregated as infectious biological wastes in yellow bags, infectious plastic rubber tube catheter wastes in red bags, sharp items in white translucent puncture proof box, all glass items and metallic implants in blue container and general noninfectious wastes in black-coloured bags for disposal. Segregation is vital role and should be done at generation site.

Collection: If the bag is filled three fourth, it is tied securely and kept in collection place after labelling (include-date, time, block name, place, weight). Separate timings are fixed for collection of biomedical waste. The collected wastes are transported to storage room without spillage in a closed container.

Transportation: The collected waste is transported to Common Bio Medical Waste Treatment facility (CBMWTF), at Thuthipet, Puducherry. To comply with biomedical waste management rules, barcode system and GPS are implemented during transport.

Department activity of the year (2021)

1. A regular round for inspecting wards on safe Bio-Medical Waste Management practices is done by senior nursing officers (SNOs) block wise. The team is guided by DNS and O/I of Bio-Medical Waste Management.
2. Regular orientation classes as per the schedule are taken for all the staff providing health care including the Doctors, nursing staff and other supporting staff to create awareness among them to make the programme a grand success.
3. Number of persons trained at the awareness class Total-61. Details below:

1. Educational video on Bio-Medical Waste Management were made and used for training of all health care workers.
2. An assessment of awareness on Bio-Medical Waste Management among health care workers is done during regular rounds by the SNOs.
3. Care is taken to prevent pilferage of bio-medical waste, during transportation from storage area to the CBWTF premises.
4. Achieved 90% in the practices of safe treatment of waste segregation & management.
5. Clearance of disposable bags at allotted timings is practiced.
6. Staff wellness programme- all health care workers vaccinated for tetanus and hepatitis -B immunization and all staff health checkup regularly

During COVID-19 pandemic

1. JIPMER is following the latest COVID guidelines dated 21.07.2020 issued by the Central Pollution Control Board for handling, Collection, Treatment and disposal of COVID waste generated during treatment/ Diagnosis/Quarantine of COVID-19 Patients.
2. Double layered bags (using two bags) were used for collection of waste from COVID-19 isolation wards so as to ensure adequate strength and prevent leakages.
3. Separate dedicated trolleys and collection bins are used in COVID-19 wards and it was labeled as COVID-19 waste
4. A separate temporary storage room for collection of COVID-19 waste is maintained.
5. Separate dedicated sanitary workers are posted for collection of COVID-19 waste.
6. Inner and outer surface of the bins, trolleys and containers that are used for collection of COVID-19 waste are disinfected with 1% Sodium Hypochlorite solution.
7. A separate register is maintained for COVID-19 waste.
8. The details of COVID-19 waste are regularly uploaded in central pollution control board website.

General Info

S.No.	Title	Details
1	Annual Report Form IV for the years 2021	Download (909.15 KB)
2	Annual Report Form IV for the years 2020	Download (1.21 MB)
3	Annual Report Form IV for the years 2019	Download (284.87 KB)
4	Annual Report Form IV for the years 2018	Download (277.25 KB)
5		Download (433.73 KB)
6		Download (433.73 KB)
7		Download (459.71 KB)
8		Download (475.33 KB)