Biomedical Waste Management
Bio medical waste management is one of the key components identified for health facilities. All health facilities have the primary responsibility of ensuring that ‘No Harm’ is done to its patients. Health facilities are a significant source of infections which may pass from one patient to another or from staff members to patients or from within its environment or from its neighboring environment and facilities to users. The waste generated in health facilities is often contaminated by biological and chemical waste that results from its care and treatment interventions. In healthcare facilities, toxic wastes are generated because of improper management, which has a direct impact on the health of the healthcare workers, the society, and the environment.
Biomedical waste is defined as “any solid, fluid and liquid or liquid waste, including its container and any intermediate product, which is generated during the diagnosis, treatment or immunization of human being or animals, in research pertaining thereto, or in the production or testing of biological and the animal waste from slaughter houses or any other similar establishment”.
The hospital wastes when mixed with general wastes, makes the whole course of wastes a hazardous stream. Waste segregation in an improper manner results in an unscientific method of waste disposal increasing the contamination of other municipal waste. Unprofessional management of Bio-medical waste causes unpleasant smell, environmental pollution, and growth and multiplication of vectors. It increases the transmission of diseases like hepatitis, typhoid, cholera and AIDS through injuries from syringes
For proper disposal of Bio-medical waste every health care worker is sensitized about segregation of bio-medical waste as per the rules at the point of generation. Coloured coded bins as per Bio-medical waste management rules has been procured and distributed to all the health facility.The procurement of non-chlorinated bags is in process and distribution of the same to all the health facility will be completed at the earliest.
For the pre-treatment and disinfection of bio-medical waste before final disposal in District Hospital, microwave sterilizer has been installed and functioning in all the 11 District hospital. Disinfection of bio-medical waste in the subsidiary health facility is to be done by autoclave. Procurement of autoclave equipment is completed and distributed to all the functionalhealth facilities.
For the liquid waste disinfection, Effluent treatment Plant (ETP) is already installed in all 9 District Hospital except Peren DH and NHAK. Disinfection of liquid waste in subsidiary health facility is done by stagnation process where the untreated liquid waste is kept in a container filled with sodium hypochlorite solution for twenty four hours and then discharged to drainage.
Incinerator installed at Dimapur district hospital and Phek district hospital has been serviced and functioning for disposal of biomedical waste.
As Nagaland state is without any Common bio-medical waste treatment facility (CBMWTF) at present, after taking prior approval from State Pollution Control Board, yellow category waste are disposed off by deep burial pits and the sharps are disposed off in sharps pit. A total of 517 deep burial pit and sharp pit is constructed across the state. The recyclable items like plastics and glassware after disinfection and mutilation and kept separately for recycling as per the rules.
Information, Education and Communication (IEC) materials for Bio-medical waste management has been developed. Training manuals for bio-medical waste management has been prepared as per the current following Bio-medical waste management rules and manuals has been distributed to all the health facilities across Nagaland. Posters of all the categories of Bio-medical waste have been prepared as per the current Bio-medical waste management rules. Mass media (animated video) as a medium to create awareness for Bio-medical waste management is created and is shared to all health workers.
Training of about 2800 health facility workers has been completed in all the health facility across the state of Nagaland. Infection control review week for management of waste at the health facilities is also organised in all the District Hospitals and Health facilities to review and educate the health facility workers under Bio-medical waste management.
Every health care worker is be ensured for occupational safety by providing appropriate and adequate personal protective equipment. Personal protective equipment which includes gloves, apron/ gown, boot, goggles, masks has been procured and distributed to all the health facility workers.
A total of approximately 6000 health workers were immunized involved in handling bio-medical waste with Hepatitis B. The immunization of health care workers with Tetanus is in process regularly.
Till November 2020, Authorization of 255 Government health facilities have applied/received authorization from State Pollution Control Board the remaining health facility is under process for obtaining authorization.
In compliance to the provisions of the Bio-medical waste management rules, the State Government have constituted the Advisory Committee and District Level Monitoring committee to monitor the compliance of the provisions of the rules in the health care facilities and in the state as a whole.
In compliance with the rules Bio-medical waste management rules annual report has been submitted to the prescribed authority regularly.
Introduction to Biomedical Waste Management System
Biomedical Waste Management System (in work)
Handbook For Bio-Medical Waste Management
BMWM Training PPT and Segregation Posters
Progress of DBSP
List of Health Care Facilities (Government) that have obtained Authorization under Bio-Medical Waste Management Rules, 2016 from the Prescribed Authority Nagaland
|Sl. No.||District||Health Facility Type||Health Facility Name||Health Facility Address||Authorization Valid upto|
|1||Dimapur||DH||District Hospital, Dimapur||District Hospital, Dimapur||01-01-2025|
|2||Dimapur||UPHC||UPHC Duncan||Duncan Urban Primary Health Centre, Duncan Bosti, Dimapur||06-05-2020|
|3||Dimapur||TB Hospital||District TB Centre Dimapur||District TB Centre, DTC-Bank Colony, Dimapur||09-05-2020|
|4||Dimapur||PHC||PHC Chumukedima||PHC Chumukedima, Dimapur||09-05-2020|
|5||Dimapur||UPHC||UPHC Burma Camp||Urban PHC, Burma Camp, Dimapur||10-05-2020|
|6||Dimapur||PHC||PHC Zhuikhu||PHC Zhuikhu, Zhuikhu Village, Dimapur||10-05-2020|
|7||Dimapur||CHC||CHC Dhansiripar||CHC Dhansiripar, Dimapur||10-05-2020|
|8||Dimapur||PHC||PHC Piphema||PHC Piphema, Piphema Village, Dimapur||10-05-2020|
|9||Dimapur||PHC||PHC Pherima||PHC Pherima, Pherima Villge, Dist. Dimapur||10-05-2020|
|10||Dimapur||PHC||PHC Kuhuboto||PHC Kuhuboto, Kuhuboto Town, Dimapur||10-05-2020|
|11||Dimapur||PHC||PHC Singrijan||PHC Singrijan Village, Dimapur||10-05-2020|
|12||Dimapur||PHC||PHC Niuland||PHC Niuland, Dimapur||10-05-2020|
|13||Dimapur||PHC||PHC Molvom||PHC Molvom, Medziphema, Dimapur||05-05-2020|
|14||Dimapur||OH||Police Referral Hospital Chumukedima||Police Referral Hospital Chumukedima||19-06-2013|
|15||Dimapur||CHC||CHC Medziphema||CHC Medziphema, Dimapur||10-05-2020|
|16||Dimapur||PHC||PHC Akito||PHC Akito, Akito Village, Dimapur||07-11-2020|
|17||Dimapur||SC||Suhoi Sub Centre||Suhoi Sub Centre, Suhoi Village, Dimapur||One Time|
|18||Dimapur||SC||Khehokhu Sub Centre||Khehokhu Sub Centre, Khehokhu Village, Dimapur||One Time|
|19||Dimapur||SC||Nagarjan Sub Centre||Nagarjan Sub Centre, Nagarjan, Dimapur||One Time|
|20||Dimapur||SC||Chekiye Sub Centre||Chekiye Sub Centre, Chekeyi Village, Dimapur||One Time|
|21||Dimapur||SC||Thilixu Sub Centre||Thilixu Sub Centre, Thilixu Village, Dimapur||One Time|
|22||Dimapur||SC||Kacharigaon Sub Centre||Kacharigaon Sub Centre, Phevima Village, Dimapur||One Time|
|23||Dimapur||SC||Purana Bazar Sub Centre||Purana Bazar Sub Centre, Purana Bazar, Dimapur||One Time|
|24||Dimapur||SC||Town Sub Centre. Midland||Town Sub Centre. Midland, Dimapur||One Time|
|25||Dimapur||SC||Lengrijan Sub Centre||Lengrijan Sub Centre, Lengrijan, Dimapur||One Time|
|26||Dimapur||SC||Sematilla Sub Centre||Sematilla Sub Centre, Sematilla, Dimapur||One Time|
|27||Dimapur||SC||Sangtamtilla Sub Centre||Sangtamtilla Sub Centre, Sangtamtilla, Dimapur||One Time|
|28||Dimapur||SC||Xuvihe Sub Centre||Xuvihe Sub Centre, Xuvihe, Dimapur||One Time|
|29||Dimapur||SC||Tsiepama Sub Centre||Tsiepama Sub Centre, Tsiepama Village, Dimapur||One Time|
|30||Dimapur||SC||Aoyimkum Sub Centre||Aoyimkum Sub Centre, Aoyimkum Village, Dimapur||One Time|
|31||Dimapur||SC||Lotovi Sub Centre||Lotovi Sub Centre, Lotovi Village, Dimapur||One Time|
|32||Dimapur||SC||Rangapahar Sub Centre||Rangapahar Sub Centre, Thahekhu Village, Dimapur||One Time|
|33||Dimapur||SC||Nihokhu Sub Centre||Nihokhu Health & Wellness Centre, Nihokhu Village, Dimapur||One Time|
|34||Dimapur||SC||Diezephe Sub Centre||Diezephe Health & Wellness Centre, Diezephe Village, Dimapur||One Time|
|35||Dimapur||SC||Samaguri Sub Centre||Samaguri Sub Centre, Samaguri Village, Dimapur||One Time|
|36||Dimapur||SC||Shozukhu Sub Centre||Shozukhu Sub Centre, ShozukhuVillage, Dimapur||One Time|
|37||Dimapur||SC||7th Mile Sub Centre||7th Mile Sub Centre, 7th Mile Village, Dimapur||One Time|
|38||Dimapur||SC||Tenyiphe Sub Centre||Tenyiphe Sub Centre, Tenyiphe - III, Dimapur||One Time|
|39||Dimapur||SC||Seithekima Sub Centre||Seithekima Sub Centre, Seithekima 'A' Village, Dimapur||One Time|
|40||Dimapur||SC||Razaphe Sub Centre||Razaphe Sub Centre, Razaphe Village, Dimapur||One Time|
|41||Dimapur||SC||Doyapur Sub Centre||Doyapur Health & Wellness Centre, Doyapur Village, Dimapur||One Time|
|42||Dimapur||SC||Daniel Sub Centre||Daniel Sub Centre, Daniel Village, Dimapur||One Time|
|43||Dimapur||SC||Khekiho Sub Centre||Khekiho Sub Centre, Khekiho Village, Dimapur||One Time|
|44||Dimapur||SC||Pimla Sub Centre||Pimla Health & Wellness Centre, Pimla, Dimapur||One Time|
|45||Dimapur||SC||Munglamukh Sub Centre||Munglamukh Sub Centre, Munglamukh Village, Dimapur||One Time|
|46||Dimapur||SC||Bade Sub Centre||Bade Sub Centre, Bade Village, Dimapur||One Time|
|47||Dimapur||SC||Pukhato Sub Centre||Pukhato Sub Centre, Pukhato Village, Dimapur||One Time|
|48||Dimapur||SC||Hukhai Sub Centre||Hukhai Sub Centre, Hukhai Village, Dimapur||One Time|
|49||Dimapur||SC||Sahoi Sub Centre||Sahoi Sub Centre, Sahoi Village, Dimapur||One Time|
|50||Dimapur||SC||L. Vihoto Sub Centre||L. Vihoto Sub Centre, L. Vihoto Village, Dimapur||One Time|
|51||Dimapur||SC||Khaghaboto Sub Centre||Khaghaboto Sub Centre, Khaghaboto, Dimapur||One Time|
|52||Dimapur||SC||Nitozu Sub Centre||Nitozu Sub Centre, Nitozu Village, Dimapur||One Time|
|53||Dimapur||SC||Zukihe Sub Centre||Zukihe Sub Centre, Zukihe Village, Dimapur||One Time|
|54||Dimapur||SC||Hovishe Sub Centre||Hovishe Health & Wellness Centre, Hovishe Village, Dimapur||One Time|
|55||Dimapur||SC||Sucunoma Sub Centre||Sucunoma Sub Centre, Sucunoma Village, Dimapur||One Time|
|56||Dimapur||SC||Jharnapani Sub Centre||Jharnapani Sub Centre, Medziphema, Dimapur||One Time|
|57||Dimapur||SC||Diphupar Sub Centre||Diphupar Sub Centre, Diphupar Village, Dimapur||One Time|
|58||Dimapur||SC||Sovima Sub Centre||Sovima Sub Centre, Dimapur||One Time|
|59||Dimapur||SC||Naga United Sub Centre||Naga United Sub Centre, Naga United Village, Dimapur||One Time|
|60||Dimapur||SC||Shokhuvi Sub Centre||Shokhuvi Sub Centre, Shokhuvi Village, Dimapur||One Time|
|61||Dimapur||SC||Aoyimti Sub Centre||Aoyimti Sub Centre, Aoyimti Village, Dimapur||One Time|
|62||Dimapur||SC||Homeland Sub Centre||Homeland Sub Centre, Homeland Village, Dimapur||One Time|