Lok Sabha Question No. 3680 (UNSTARRED), answered on 2018-03-16
Subject: Bio-Medical Waste
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ASHOK MAHADEORAO NETE

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3680 TO BE ANSWERED ON 16 TH MARCH, 2018

## BIO - MEDICAL WASTE

## 3680. SHRI ASHOK MAHADEORAO NETE:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the quantum of bio -medical waste generated in the country during each of the last three years and the current year, State/ UT - wise;
- (b) whether any mechanism has been put in place by the Government for safe di sposal of bio -medical waste in all the Government hospitals in the country and if so, the details thereof, State/UT - wise; and
- (c) the measures taken/being taken by the Government to strictly implement the bio - medical waste procedure in the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a): As per information submitted by State Pollution Control Board (SPCB) / Polluti Control  Committees  (PCCs)  and  Director  General  of  Armed  Force  Medical  Ser vices (DGAFMS), detailed state - wise quantum of Bio -medical waste generation for three years i.e, 2014 to 2016 is given in Annexure - I.
- (b): As informed by Central Pollution Control Board (CPCB), in terms of Rule 7 of Bi -medical Waste Management Rules, 201 6, bio - medical waste shall be treated and disposed of in accordance with Schedule I, and in compliance with the standards provided in Schedu -II of  the  said  Bio - Medical  Waste  Management  (BMWM)  Rules,  2016  by  the  health  care facilities  and  common  bio - medical  waste  treatment  facility.  Further  details  of  Captiv treatment facility installed by Health Care Facility (HCF) and Common Bio - medical Waste Treatment  Facility (CBWTF) provided  for the  treatment of  biomedical waste  for the  y 2016 is given at Annexure - II.
- (c): In Bio- medical Waste Management Rules, 2016, treatment & disposal options have been given for different kind of bio - medical waste. Schedule -I stipulates treatment & disposal options for different categories i.e., Yellow, Red, Blue & White which needs to be followed for treatment & disposal of bio - medical waste in compliance to the standards as stipulated under  Schedule -II.  Further,  CPCB  has  prepared  following  guidelines  which  help  in implementation of BMWM Rules, 2016:
- i) Draft Guidelines for manage ment of healthcare waste in healthcare facilities as per Bio - medical Waste Management Rules, 2016.
- ii) Draft Guidelines for Bar Code System to be adopted by the Occupier or Operato of a CBWTF for ensuring compliance to the BMWM Rules, 2016
- iii) Revised  Guidelines for  Common  Bio - medical  Waste  Treatment  and  Disposal Facilities.
- iv) Guidelines on Management of BMW Generated during UIP.
- v) Environmentally Sound Management of Mercury Waste Generated from Health Care facilities.

## Annexure - I

| Sl. No.   | States/UTs                               | Total BMW Generated (kg/day)   | Total BMW Generated (kg/day)   | Total BMW Generated (kg/day)   |
|-----------|------------------------------------------|--------------------------------|--------------------------------|--------------------------------|
|           |                                          | 2014                           | 2015                           | 2016                           |
| 1         | Andaman Nicobar*                         | 312                            | 287.5                          | 287.5                          |
| 2         | Andhra Pradesh                           | 8184                           | 8415                           | 9898                           |
| 3         | Arunachal Pradesh                        | 58                             | 63                             | 577.4                          |
| 4         | Assam                                    | 6329.5                         | 6885.25                        | 7925.8                         |
| 5         | Bihar                                    | 1280.66                        | 1390.18                        | 8827.69                        |
| 6         | Chandigarh                               | 2169.05                        | 2134.68                        | 1994                           |
| 7 8       | Chhatisgarh Daman &Diu and Dadra & Nagar | 387.63 192.27                  | 9263.76 251.64 14644.71        | 1988.85 251.64                 |
| 9         | Haveli Delhi                             | 14941.07                       |                                | 24996.44                       |
| 10        | Goa                                      | 9586                           | 7922.4                         | 7922.4                         |
| 11        | Gujarat                                  | 29900                          | 32700                          | 30296                          |
| 12        | Haryana                                  | 6953.73                        | 10109                          | 11171.02                       |
| 13        | Himachal Pradesh                         | 1472.9                         | 2049.5                         | 1717.7                         |
| 14        | Jharkhand                                | 5703.26                        | 9222.22                        | 12829.98                       |
| 15        | J & K                                    | 4682                           | 4794.34                        | 885.94                         |
| 16        | Karnataka                                | 82123                          | 51560                          | 66468                          |
| 17        | Kerala                                   | 52794.42                       | 53169.1                        | 37773.45                       |
| 18        | Lakshadweep                              | 70                             | 70                             | 55                             |
|           | Pradesh                                  |                                |                                | 12810                          |
| 19        | Madhya                                   | 9409                           | 10714                          |                                |
| 20        | Maharashtra                              | 53385.5                        | 62470                          | 71511.5                        |
| 21        | Manipur                                  | 372.55                         | 372.55                         | 365.99                         |
| 23        | Mizoram                                  | 2978.94                        | 5378.58                        | 440.09                         |
| 24        | Nagaland                                 | 675                            | 595                            | 595                            |
| 25        | Orissa                                   | 11029.16                       | 12920.9                        | 13795.34                       |
| 26        | Puducherry                               | 12982.1                        | 12863.6                        | 5849.8                         |
| 27        | Punjab                                   | 12810.8                        | 13148.1                        | 14668                          |
| 28        | Rajasthan                                | 16749.02                       | 19480.13                       | 21722.84                       |
| 29        | Sikkim                                   | 455.4                          | 423                            | 388.44                         |
| 30        | Tamil Nadu                               | 43284                          | 43880                          | 40552.24                       |
| 31        | Telengana                                | 8733                           | 8733.4                         | 13220                          |
| 32        | Tripura                                  | 1336.5                         | 1378.5                         | 1607                           |
| 33        | Uttarakhand                              | 2565.32                        | 2597                           | 2557.32                        |
| 34        | Uttar Pradesh                            | 29133                          | 37498                          | 37655                          |
| 35        | West Bengal                              | 42236.99                       | 32823                          | 26858.76                       |
| 36        | DGAFMS                                   | 18980                          | 20213                          | 27995.26                       |
|           | Total                                    | 495324.6                       | 501578.6                       | 519432.4                       |

2016

| S.No   | State/UT                            | Common Bio -medical Waste Treatment Facilities (CBWTFs)   | Common Bio -medical Waste Treatment Facilities (CBWTFs)   | No. of Health Care Facilities (HCFs) having Captive Treatment Facilities   |
|--------|-------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|----------------------------------------------------------------------------|
| S.No   | State/UT                            | operational                                               | Under Construction                                        | No. of Health Care Facilities (HCFs) having Captive Treatment Facilities   |
| 1      | Andaman Nicobar                     | Nil                                                       | Nil                                                       | 30                                                                         |
| 2      | Andhra Pradesh                      | 11                                                        | Nil                                                       | 01                                                                         |
| 3      | Arunachal Pradesh                   | Nil                                                       | Nil                                                       | 06                                                                         |
| 4      | Assam                               | 01                                                        | ..                                                        | 149                                                                        |
| 5      | Bihar                               | 03                                                        | 01                                                        | 03                                                                         |
| 6      | Chandigarh                          | 01                                                        | Nil                                                       | 03                                                                         |
| 7      | Chhattisgarh                        | 04                                                        | 01                                                        | 554                                                                        |
| 8      | Daman &Diu and Dadra & Nagar Haveli | Nil                                                       | Nil                                                       | Nil                                                                        |
| 9      | Delhi                               | 02                                                        | Nil                                                       | 8 (only autoclave)                                                         |
| 10     | Goa                                 | Nil                                                       | Nil                                                       | 541                                                                        |
| 11     | Gujarat                             | 19                                                        | Nil                                                       | Nil                                                                        |
| 12     | Haryana                             | 11                                                        | NIL                                                       | 01                                                                         |
| 13     | Himachal Pradesh                    | 03                                                        | 01                                                        | 296                                                                        |
| 14     | Jharkhand                           | 01                                                        | Nil                                                       | INP                                                                        |
| 15     | J & K                               | 1                                                         | 0                                                         | 76                                                                         |
| 16     | Karnataka                           | 25                                                        | 05                                                        | 5061                                                                       |
| 17     | Kerala                              | 1                                                         | Nil                                                       | 88                                                                         |
| 18     | Lakshadweep                         | INP                                                       | INP                                                       | 80                                                                         |
| 19     | Madhya Pradesh                      | 13                                                        | 01                                                        | 181                                                                        |
| 20     | Maharashtra                         | 34                                                        | 0                                                         | 310                                                                        |
| 21     | Manipur                             | 01                                                        | Nil                                                       | 532                                                                        |
| 22     | Meghalaya                           | 01                                                        | Nil                                                       | 90                                                                         |
| 23     | Mizoram                             | Nil                                                       | Nil                                                       | Nil                                                                        |
| 24     | Nagaland                            |                                                           |                                                           | 81                                                                         |
| 25     | Odisha                              | 05                                                        | Nil                                                       | 1597                                                                       |
| 26     | Puducherry                          | 01                                                        | Nil                                                       | 01                                                                         |
| 27     | Punjab                              | 04                                                        | 01                                                        | Nil                                                                        |
| 28     | Rajasthan                           | 10                                                        | 7                                                         | 1282                                                                       |
| 29     | Sikkim                              | Nil                                                       | Nil                                                       | Nil                                                                        |
| 30     | Tamil Nadu                          | INP                                                       | INP                                                       | INP                                                                        |
| 31     | Telengana                           | 11                                                        | Nil                                                       | Nil                                                                        |
| 32     | Tripura                             | 01                                                        | NIL                                                       | 04                                                                         |
| 33     | Uttrakhand                          | 01                                                        | Nil                                                       | 237                                                                        |
| 34     | Uttar Pradesh                       | 17                                                        | Nil                                                       | 28                                                                         |
| 35     | West Bengal                         | 6                                                         | 3                                                         | 2                                                                          |
| 36     | DGAFMS                              | -                                                         | -                                                         | 470                                                                        |