Lok Sabha Question No. 6592 (UNSTARRED), answered on 2018-04-06
Subject: Waste Disposal Facilities
Ministry: HEALTH AND FAMILY WELFARE
Asked by: B. SREERAMULU, ANJU BALA

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

## LOK SABHA UNSTARRED QUESTION NO. 6592 TO BE ANSWERED ON 6 TH APRIL, 2018

## WASTE DISPOSAL FACIL ITIES

## 6592. SHRI B. SRIRAMULU: SHRIMATI ANJU BALA:

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

(a)  whether  the  Government  has  any d ta  about  the  waste  disposal  facilities available  in various medical colleges, hospitals and private clinics in the country a d if s , the details ther eof, State/UT - wiseincluding Uttar Pradesh;

(b) whether the Government has introduced a scheme to support all the medical colleges, hospitals  and  private clinics  in  establishing  such  facilities  and  if so, the details  thereof including budgetary allocations made for the purpose;

(c)  whether  the  Government  is  aware that  medical  waste  produced  by  medical colleges, hospitals and institutes is becoming a major pollution concern for the citizens living in nearby locations and affect their health and e nvironment; and

(d) if so, the details thereof and corrective measures being taken by the Government in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

(a): As per information submitted by State Pollution Control Boards (SPCBs) / Pollut Control  Committees  (PCCs)  and  Director  General  of  Armed  Force  Medical  Services (DGAFMS), there are 1,87,485 Nos. of hospitals, clinics and other Health Ca Establishments  ( HCEs).  These  HCEs  generate  519  Tonnes/day  of  Bio  Medical  Waste (BMW); out of which 483 Tonnes/day (93%) is treated/disposed. A total 11,712 Health Ca facilities  have  captive  facilities  for  treatment/disposal  of  Bio - medical  Waste.  Besides  189 Nos. of Common Biomedical Waste Treatment Facilities (CBMWTFs) are operational across the country for treatment and disposal of Biomedical Waste. The State -wise details including Uttar Pradesh are given at Annexure .

(b): As informed by Central Pollution Control Board (CPCB), in terms of Rule 7 (3) Bio- medical Waste Management Rules, 2016, no occupier shall establish on - site treatment and disposal facility, if a service of common bio -medical waste treatment facility is a vailable at a distance of seventy -five kilometre. As per schedule III (5) of BMWM Rules 2016, the Health Department of State Government or Administration of Union Territory are require ensure  implementation  of  the  Rules  in  all  health  care  facilities  in cluding  allocation  of adequate funds, procurement and allocation of treatment equipment.

(c) & (d): As per information received from Central Pollution Control Board (CPCB), the Government has notified the Biomedical Waste Management Rules, 2016; where in at rul 4, specifies that it is the duty of every occupier (i.e. Health Care Establishment) necessary steps to ensure that Bio - medical Waste is handled without any adverse effect to human  health  and  environment  and  in  accordance  with  these  r ules.  The  State  Pollution Control  Boards  (SPCBs)/  Pollution  Control  Committees  (PCCs)  have  been  authorised  t issue authorization to Health Care Establishments and monitor compliance of these rule per  information  submitted  by  SPCBs/PCCs,  a  total  11,78 9  Health  Care  Establishment violated the Bio - medical Waste Management Rules and show - cause notices/directions were issued to 11,028 HCEs.

As  a  corrective  measure,  the  Government  through  Gazette  notification  dated  16 March,  2018  notified  the  Biomedical Waste  Management  (Amendment)  Rules,  2018; wherein, it has become mandatory for Health Care Facilities having less than ten be install Sewa ge Treatment Plant (STP) by 31 st December, 2019.

## Annexure

|   Sl. No. | States/UTs                          |   Bedded Health Care Facilities (HCFs) |   Non - bedded Health Care Facilities (HCFs) | Other Health Care Facilities (HCFs)   |   BMW generated (Kg/day) | BMW Treated and Disposed (Kg/day)   | Captive Treatment Facilities   | CBWTFs   |
|-----------|-------------------------------------|----------------------------------------|----------------------------------------------|---------------------------------------|--------------------------|-------------------------------------|--------------------------------|----------|
|         1 | Andaman Nicobar*                    |                                     35 |                                           35 | INP                                   |                   287.5  | 287.5                               | 30                             | Nil      |
|         2 | Andhra Pradesh                      |                                   4652 |                                         1270 | INP                                   |                  9898    | 9898                                | 01                             | 11       |
|         3 | Arunachal Pradesh                   |                                     15 |                                           44 | INP                                   |                   577.4  | INP                                 | 06                             | Nil      |
|         4 | Assam                               |                                    620 |                                          761 | INP                                   |                  7925.8  | 5698.5                              | 149                            | 01       |
|         5 | Bihar                               |                                    241 |                                          149 | INP                                   |                  8827.69 | 8827.69                             | 03                             | 03       |
|        36 | Chandigarh                          |                                     47 |                                          733 | INP                                   |                  1994    | 1994                                | 03                             | 01       |
|         7 | Chhatisgarh                         |                                    486 |                                          159 | INP                                   |                  1988.85 | 3321                                | 554                            | 04       |
|         8 | Daman &Diu and Dadra & Nagar Haveli |                                     23 |                                           94 | 04                                    |                   253.9  | 253.9                               | Nil                            | Nil      |
|         9 | Delhi                               |                                    856 |                                         3788 | INP                                   |                 24996.4  | 24996.44                            | 8 (only autoclave)             | 02       |
|        10 | Goa *                               |                                    572 |                                          572 | INP                                   |                  7922.4  | 7922.4                              | 541                            | Nil      |
|        11 | Gujarat                             |                                  10215 |                                        18382 | INP                                   |                 30296    | 30296                               | Nil                            | 19       |
|        12 | Haryana                             |                                   2319 |                                          848 | INP                                   |                 11171    | 12045.30                            | 01                             | 11       |
|        13 | Himachal Pradesh                    |                                    506 |                                          290 | INP                                   |                  1717.7  | 1717.70                             | 296                            | 03       |
|        14 | Jharkhand                           |                                   1026 |                                          124 | INP                                   |                 12830    | 2353                                | INP                            | 01       |
|        15 | J & K                               |                                    445 |                                          318 | INP                                   |                   885.94 | -                                   | 76                             | 01       |
|        16 | Karnataka                           |                                  13506 |                                        10314 | 6054                                  |                 66468    | 66468                               | 5061                           | 25       |
|        17 | Kerala                              |                                   2043 |                                         7111 | INP                                   |                 37773.4  | 37773.45                            | 88                             | 01       |
|        18 | Lakshadweep                         |                                     11 |                                            9 | INP                                   |                    80    | 80                                  | 80                             | INP      |
|        19 | Madhya Pradesh                      |                                   2780 |                                         2300 | INP                                   |                 12810    | 12810                               | 181                            | 13       |
|        20 | Maharashtra                         |                                  20225 |                                        32479 | INP                                   |                 71511.5  | 71511.5                             | 310                            | 34       |
|        21 | Manipur                             |                                    120 |                                          579 | INP                                   |                   367.49 | 365.99                              | 532                            | 01       |
|        22 | Meghalaya                           |                                    173 |                                          530 | INP                                   |                   972.97 | 972.97                              | 90                             | 01       |
|        23 | Mizoram                             |                                     94 |                                           10 | INP                                   |                   440.09 | 440.09                              | Nil                            | Nil      |
|        24 | Nagaland                            |                                     81 |                                           87 | INP                                   |                   751.48 | 451.48                              | 81                             | -        |
|        25 | Orissa                              |                                   1429 |                                          796 | INP                                   |                 13795.3  | 12568.2                             | 1597                           | 05       |
|        26 | Puducherry                          |                                     99 |                                          143 | INP                                   |                  5848.8  | 7867.67                             | 01                             | 01       |
|        27 | Punjab                              |                                   2606 |                                         3869 | INP                                   |                 14668    | 14668                               | Nil                            | 04       |
|        28 | Rajasthan                           |                                   4241 |                                         1406 | INP                                   |                 21722.8  | 16026.07                            | 1282                           | 10       |

| 29   | Sikkim        |    35 |    09 | INP   |    388.44 |    172.35 | Nil   | Nil   |
|------|---------------|-------|-------|-------|-----------|-----------|-------|-------|
| 30   | Tamil Nadu    |  3758 |   219 | INP   |  40552.2  |  21078    | INP   | INP   |
| 31   | Telengana     |  2975 |  1046 | INP   |  13220    |  13220    | Nil   | 11    |
| 32   | Tripura       |   137 |  1185 | 568   |   1607    |   2987.3  | 04    | 01    |
| 33   | Uttarakhand   |   582 |   191 | INP   |   2557.32 |   2557.32 | 237   | 01    |
| 34   | Uttar Pradesh |  8656 |  8656 | INP   |  37655    |  36422    | 28    | 17    |
| 35   | West Bengal   |  2477 |  3060 | INP   |  26858.8  |  26858.8  | 2     | 6     |
| 36   | DGAFMS        |   262 |   208 | INP   |  27995.3  |  27995.3  | 470   | -     |
|      | Total         | 88348 | 92511 | 6626  | 579618    | 483206    | 11712 | 189   |

## INP .....Information not provided

- *..... Annual Report information in r/o Andaman & Nicobar and Goa is as per the information submitted for the year 2015. Annual Report Information for the year 2016 is not submitted by th respective State/UT so far.

Total No. of hospitals, clinics Other HCEs -88348+92511+6626 = 187485 Nos.