UPSC MainsMEDICAL-SCIENCE-PAPER-II20245 Marks
Q31.

Describe the 'yellow' category of biomedical waste in terms of – types of waste, types of bags or containers to be used, and treatment and disposal options.

How to Approach

This question requires a detailed understanding of biomedical waste management rules, specifically focusing on the 'yellow' category. The answer should be structured into three main parts: defining the types of waste falling under this category, specifying the appropriate containers/bags for collection, and outlining the approved treatment and disposal methods. Mentioning the relevant rules (BMW Management Rules, 2016) will add value. A tabular format can be used to clearly present the information.

Model Answer

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Introduction

Biomedical waste (BMW) management is a critical aspect of healthcare systems globally, aiming to prevent infections and environmental contamination. The Biomedical Waste Management Rules, 2016, categorize healthcare waste into four categories based on color coding – yellow, red, white (puncturable & non-puncturable), and blue. The ‘yellow’ category represents a significant portion of infectious waste generated in healthcare facilities and requires stringent handling and disposal protocols. Improper management of this category poses a substantial risk to public health and the environment, necessitating a thorough understanding of its characteristics, containment, and treatment.

The ‘Yellow’ Category of Biomedical Waste

The ‘yellow’ category encompasses human anatomical waste, animal anatomical waste, soiled waste, and discarded microbiological & biotechnological waste. This category is characterized by its potential to cause infection and requires careful handling to prevent the spread of pathogens.

Types of Waste Included

  • Human Anatomical Waste: Tissues, organs, body parts removed during surgery, autopsy, or other medical procedures. This includes recognizable body parts.
  • Animal Anatomical Waste: Animal carcasses, body parts, and waste generated during veterinary practices or biomedical research.
  • Soiled Waste: Items contaminated with body fluids like blood, pus, secretions, or excreta. This includes dressings, cotton swabs, bandages, gloves, masks, and bed linen.
  • Discarded Microbiological & Biotechnological Waste: Waste cultures, stocks, specimens, and other materials used in microbiological, biotechnological, and pathological laboratories. This includes petri dishes, culture tubes, and discarded vaccines.

Types of Bags/Containers to be Used

The Biomedical Waste Management Rules, 2016, mandate specific types of bags and containers for the collection of yellow category waste:

  • Biohazard Plastic Bags: Yellow colored, autoclavable bags conforming to IS 17828 standards. These bags should have a universal biohazard symbol printed on them.
  • Leak-proof Containers: For liquid waste, leak-proof, wide-mouthed containers with a secure lid and the biohazard symbol are required.
  • Secure Labeling: All bags and containers must be clearly labeled with the source of the waste, date of generation, and the biohazard symbol.

Treatment and Disposal Options

The yellow category waste requires effective treatment to render it non-infectious before final disposal. The following methods are commonly employed:

  • Incineration: This is the most preferred method for treating yellow category waste, especially anatomical waste and microbiological cultures. Incineration reduces the volume of waste and destroys pathogens. Incinerators must meet emission standards as per the Central Pollution Control Board (CPCB) guidelines.
  • Autoclaving: This involves sterilizing the waste using high-pressure steam at 121°C for a minimum of 30 minutes. Autoclaving is suitable for soiled waste and laboratory waste.
  • Chemical Disinfection: Chemical disinfection using chlorine compounds or other approved disinfectants can be used for liquid waste and certain types of soiled waste.
  • Deep Burial: In situations where incineration or autoclaving is not feasible, deep burial (at least 5 meters deep) can be considered, but it is generally discouraged due to environmental concerns.

Following treatment, the residue is disposed of in secured landfills as per municipal solid waste management rules.

Waste Type Container/Bag Treatment Method Disposal Method
Human Anatomical Waste Yellow Biohazard Bag Incineration Secured Landfill (ash)
Soiled Waste (Dressings, Gloves) Yellow Biohazard Bag Autoclaving/Incineration Secured Landfill
Microbiological Cultures Yellow Biohazard Bag Incineration/Autoclaving Secured Landfill
Liquid Waste (Blood, Pus) Leak-proof Container Chemical Disinfection Discharge to Sewage Treatment Plant (STP) after disinfection

Conclusion

Effective management of the ‘yellow’ category of biomedical waste is paramount for safeguarding public health and protecting the environment. Adherence to the Biomedical Waste Management Rules, 2016, including proper segregation, containment, treatment, and disposal, is crucial. Continuous monitoring, training of healthcare personnel, and investment in appropriate technologies are essential to ensure sustainable and safe biomedical waste management practices. Further research into eco-friendly and cost-effective treatment options is also needed to address the growing challenge of biomedical waste generation.

Answer Length

This is a comprehensive model answer for learning purposes and may exceed the word limit. In the exam, always adhere to the prescribed word count.

Additional Resources

Key Definitions

Biohazard
A biological substance or material that poses a threat to the health of living organisms, primarily humans. This can include microorganisms, toxins, and medical waste.
Autoclaving
A sterilization method using high-pressure saturated steam at 121°C (250°F) for a specified duration, typically 15-30 minutes, to kill bacteria, viruses, fungi, and spores.

Key Statistics

India generates approximately 622 tonnes of biomedical waste per day (as per CPCB, 2019). This figure has likely increased with the COVID-19 pandemic.

Source: CPCB Annual Report, 2019-20

Approximately 10-15% of medical waste is infectious, falling under categories like yellow and red, requiring specialized treatment (Source: WHO, knowledge cutoff 2023).

Source: World Health Organization (WHO)

Examples

COVID-19 Waste Management

The COVID-19 pandemic significantly increased the generation of biomedical waste, particularly PPE (Personal Protective Equipment). Special guidelines were issued by the CPCB for the safe handling and disposal of COVID-19 related waste, emphasizing incineration and autoclaving.

Frequently Asked Questions

What are the penalties for non-compliance with the BMW Management Rules?

Non-compliance with the BMW Management Rules can result in environmental compensation, closure of the healthcare facility, and legal prosecution under the Environment (Protection) Act, 1986.

Topics Covered

Public HealthEnvironmentBiomedical WasteWaste ManagementHealthcare