AYUHOM

LETTER TO EDITOR
Year
: 2022  |  Volume : 9  |  Issue : 1  |  Page : 51--52

Biomedical Waste Management at Ayurveda Hospital: Needs Proper Implementation and Compliance


Mahesh Kumar 
 Department of Shalyatantra, Ch. Brahm Prakash Ayurved Charak Samsthan, New Delhi, India

Correspondence Address:
Mahesh Kumar
Department of Shalyatantra, Ch. Brahm Prakash Ayurved Charak Samsthan, Najafgarh, Khera Dabar, New Delhi - 110 073
India




How to cite this article:
Kumar M. Biomedical Waste Management at Ayurveda Hospital: Needs Proper Implementation and Compliance.AYUHOM 2022;9:51-52


How to cite this URL:
Kumar M. Biomedical Waste Management at Ayurveda Hospital: Needs Proper Implementation and Compliance. AYUHOM [serial online] 2022 [cited 2022 Dec 5 ];9:51-52
Available from: http://www.ayuhom.com/text.asp?2022/9/1/51/356163


Full Text



Dear Sir,

Waste[1] is nothing but simply the byproducts which may be harmful if allowed to accumulate. The hospital wastes are generated during clinical care, laboratory diagnosis, therapeutic procedure, surgery, radiodiagnosis, etc. These wastes are commonly general solid waste, biomedical waste (BMW), hazardous waste, and cytotoxic waste. Among these, BMW[2] requires concern as there are more chances of the spread of infection. The BMW includes wastes such as used gloves, masks, anatomical waste, dressing material, pus, blood, syringes, glassware, expired medicine, laboratory reagent, etc., The Government has added consciousness for proper handling of BMW by issuing handling guidelines (BMW management rule 2016)[3] along with supervising authorities such as the Central Pollution Control Board[4] and State Pollution Control Board.[5] The segregation, transportation, temporary collection, timely disposal, handling, safety, reporting, legal aspect, etc. all need full compliance as per the Government BMW management rules 2016.[6] Timely amendment or modification in these rules has been done by a government authorities as per necessity. This is mandatory for all health-care facilities either allopathic or Ayurvedic that they must adhere to BMW rule 2016 along with records and documentation. Ayurveda institutional hospitals require awareness to bring them at par for the proper BMW management. Furthermore, the facility needs a hand of help for their fruitful contribution.

The wastes generation is an integral part of hospitals. The more or less quantity of different category waste generated at every Ayurveda health-care facility during consultation and therapy. Commonly BMW is produced at the pharmacy, laboratory, operation theater, panchakarma procedure room, gynecological procedure room, outdoor, and indoor. The Vaman (emesis), Virechan (purgation), Basti (enema), Ksharasutra (medicated thread) Therapy, Raktamokshana (bloodletting), Siravedhan (venipuncture), Jalaukavacharana (leech therapy), Pracchana karma (scarification), Alabu therapy (cupping therapy), Agnikarma (intentional therapeutic heat burn therapy), Uttarbasti (drug insertion through urethra), Shalya karma (general surgery), etc., are common procedures in which waste is generated frequently. Even a single-used glove, syringe, face mask, bedsheets, expired medicine, etc., need to treat as BMW. These wastes are infectious or noninfectious in nature but need to be responsive to manage. The unmanaged waste results in occupational hazards, environmental hazards, and health risks. Waste is waste, irrespective of allopath, Ayurveda (or AYUSH). Individually every health system has equal responsibility in managing waste making the environment clean, pollution-free, and providing good quality patient care. Nowadays, due to legal compliance, the management deputes the person for adherence with BMW rule. Variation exists in waste generation with regards to quality and quantity at different Ayurveda centers, still awareness cum implementation likely. Unsegregated waste creates improper recycling, safety risk, and challenges. The gap realized about waste management rules, newer technology, time to time revise guideline, Common Biomedical Waste Treatment Facility, incineration, recycling, composting, etc.

At many Ayurveda centers, the BMW generated in sufficient quantity and they appointed a designated person for handling the waste properly. Still, at some centers, various gap areas realized practically at the level of awareness, adherence, and compliance of BMW rule 2016, sincerity, and dedication. Few health-care centers dispose of their waste without following the norm of BMW rule 2016. They do not take pain to segregate the waste correctly. Insensibly, the various types of waste are put in a single bin which is not the right way. From each center, training, awareness, seriousness, their unsafe effect, legal compliance, etc., are expected for better health-care management. Although awareness is going on, still a gap seems in implementing them. The lacunae are seen in view of less interest, less sincerity, and laziness in documentation, making SOP for segregation, collection, transportation, storage, and treatment of BMW. Regular training of all cadre including doctors and paramedical staff along with internal assessment in view of BMW management should make mandatory. Furthermore, the Ayurveda fraternity is expected to know about the seriousness of unmanaged BMW, its method of handling, preventive, and legal aspects. The responsibility of each staff is to contribute voluntarily to make hazardous-free and eco-friendly zone at the health-care center.

 Remarks



The BMW-related legal aspect, responsibility, and reducing pollution with 100% legal compliance needs to adhere. Sustainable waste management practice, regular training, or awareness programs regarding BMW are mandatory for all health-care staff.[6] Adhering to proper BMW management definitely improves the quality of the hospital, quality of patient care, reduction in health hazard or injury, reduction in hospital-acquired infection,[7] and finally the self-satisfaction for caring for humankind. For compliance with full adherence with concerning rule and amendment, regular monitoring, assessment, and gap-filling are compulsory. This article tries to convey messages to paramedical staff, stakeholders of Ayurveda, policyholder, and institutional administration to popularize the issue and make awareness.[8] Effective BMW management is not only a legal necessity but also a social responsibility.[9]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Available from: https://en.wikipedia.org/wiki/Waste. [Last seen on 2021 Nov 06, 1.00 pm].
2Available from: https://cpcb.nic.in/uploads/Projects/Bio-Medical-Waste/Pictorial_guide_covid.pdf. [Last seen on 2021 Nov 06, 3.00 pm].
3Available from: https://cpcb.nic.in/bio-medical-waste-rules/. [Last seen on 2021 Nov 06, 10.00 pm].
4Available from: https://cpcb.nic.in/uploads/Projects/Bio-Medical-Waste/BMW-GUIDELINES-COVID_1.pdf. [Last seen on 2021 Nov 06, 8.00 pm].
5Available from: https://www.dpcc.delhigovt.nic.in/biomedicalwaste #gsc.tab=0 [last seen on 2022 April 13,1.00pm].
6Datta P, Mohi GK, Chander J. Biomedical waste management in India: Critical appraisal. J Lab Physicians 2018;10:6-14.
7Available from: https://www.cdc.gov/hai/index.html. [Last seen on 2021 Nov 07, 8.00 pm].
8Saadati M, Rezapour R. Medical waste in traditional medicine: A neglected issue. Iran J Public Health 2021;50:428.
9Capoor MR, Bhowmik KT. Current perspectives on biomedical waste management: Rules, conventions and treatment technologies. Indian J Med Microbiol 2017;35:157-64.