Lok Sabha Question No. 1024 (UNSTARRED), answered on 2020-02-07
Subject: Bio-medical Waste
Ministry: HEALTH AND FAMILY WELFARE
Asked by: A. Chellakumar

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

## LOK SABHA UNSTARRED QUESTION NO. 1024 TO BE ANSWERED ON 7 th FEBRUARY, 2020

## BIO - MEDICAL WASTE

## 1024. DR. A. CHALLAKUMAR:

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

(a) the quantum of bio - medical waste generated annually by various Government and private hospitals in the country during the last three years, State/ UT - wise;

(b) the system put in place for the disposal of such waste ;

(c) whether many of the Government/private hospitals are not adhering to the provisions of the  Bio220medical  Waste  (Management  &  Handling)  Rules,  2016 and  if  so,  the  details thereof along with the action taken against the violators, State/UT - wise; and

(d) the effective measures taken/being taken by the Government to ensure proper disposal of bio - medicalwaste by the hospitals across the country?

## 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),  the  details  of  State/Union  Territories - wise  quantum  of  bio -medical  waste  generation  (during  2016,  2017  &  2018)  in  the  country  are  given Annexure.
- (b): As  informed  by  Central  Pollution  Control  Board  and  as  per  Bio - medical  Waste Management Rules, 2016, Bio - medical waste is required to be segregated in 4 color coded waste  categories,  and  the  same  is  treated  and  disposed  as  per  the  specifi ed  methods  of disposal prescribed under Schedule I of the Rules.

Bio- medical  waste  generated  from  the  hospitals  shall  be  treated  and  disposed Common Bio - medical Waste Treatment and Disposal Facility. In case there is no common facility in the reach of a healthcare facility, then such healthcare facility should instal treatment  and  disposal  facility.  There  are  200  authorized  Common  Bio - medical  Waste Treatment and Disposal Facilities (CBWTFs) in 28 States for environmentally safe disp al of  biomedical  waste.  Remaining  7  States  namely  Goa,  Andaman  Nicobar,  Arunachal Pradesh, Lakshadweep, Mizoram, Nagaland and Sikkim do not have CBWTFs. Apart from common  facilities,  there  are  12,296  number  of  captive  treatment  and  disposal  faci inst alled by Healthcare Facilities.  Every healthcare facility, both bedded and non - bedded is required  to  take  authorization  from  concerned  State  Pollution  Control  Board  /  Poll Control Committee (SPCB/PCC) for management of Biomedical waste. As per annual report for the year 2018, there are 2,60,889 number of healthcare facilities generating about per day of Bio - medical Waste, out of which 528 MT of Bio - medical Waste is treated and disposed through either CBWTF or Captive disposal facility.

Common methods of treatment and disposal of bio - medical waste are by incineration/plasma pyrolysis/deep - burial for Yellow Category waste; autoclaving/microwaving/chemical  disinfection  for Red  Category waste;  sterilization  and shredding, disinfection followed by burial in concrete pit/recycling foundry/encapsulation for White Category sharps waste; and washing, disinfection followed by recycling for Blue Category glass waste.

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- (c): As  per  Annua l  report  information  received  from  State  Pollution  Control  Boards Pollution Control Committees (SPCBs/PCCs) for the year 2018, about 27427 instances o violations  under  Bio - medical  Waste  Management  Rules,  2016  were  reported  against Healthcare  Facilities (HCFs)  or  Common  Biomedical  Waste  Treatment  and  Disposal Facilities  (CBWTFs);  out  of  which  16,960  number  of  HCFs/CBWTFs  were  given  Show Cause Notices/Directions by concerned SPCB/PCCs for such violations. During the last years, SPCBs/PCCs have issued abo ut 46,442 nos of notices/directions to HCFs/CBWTFs.

Central  Pollution  Control  Board  conducted  random  inspection  of  HCFs/CBWTFs  to verify compliance and taken action under section 5 of Environment (Protection) Act, against 33 nos. of HCFs/CBWTF s during the year 2019.

- (d): Central  Pollution  Control  Board  has  been  following  up  with  all  SPCBs/PCCs  t ensure effective management of biomedical waste in States/UTs. CPCB has also prepar following guidelines to facilitate the stakeholders to ensurin g proper treatment and disposal of  Bio - medical  Waste  in  line  with  provisions  of  Bio - medical  Waste  Management  Rules, 2016;
- i. Revised  Guidelines  for  Common  Bio - medical  Waste  Treatment  and  Disposal Facilities.
- ii. Guidelines for Management of Healthcare Waste in Health Care Facilities as per Bio Medical Waste Management Rules, 2016
- iii. Guidelines for Bar Code System for Effective Management of Bio - Medical Waste
- iv. Guidelines for Handling of Biomedical Waste for Utilization
- v. Environmentally  Sound  Management  of  Mercury  Wast e  Generated  from  Health Care Facilities.
- vi. Guidelines  for  "Imposition  of  Environmental  Compensation  against  HCFs  and CBWTFs"
- vii. Guidelines  for Verification  of  Two  Seconds  Residence  Time  in  Secondary Combustion Chamber of the Biomedical Waste Incinerator

|   S.No | Name of State                       | Year 2016 Biomedical Waste Generation kg/day   | Year 2017 Biomedical Waste Generation kg/day   | Year 2018 Biomedical Waste Generation kg/day   |
|--------|-------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|
|      1 | Andaman Nicobar                     | 380                                            | 187                                            | 199.3                                          |
|      2 | Andhra Pradesh                      | 9898                                           | 10662.27                                       | 15144                                          |
|      3 | Arunachal Pradesh                   | 577.4                                          | 645.4                                          | 888.67                                         |
|      4 | Assam                               | 7925.8                                         | 8564.95                                        | 7820.67                                        |
|      5 | Bihar                               | 8827.69                                        | 33799.97                                       | 34812.9                                        |
|      6 | Chandigarh                          | 1994                                           | 2503                                           | 3188                                           |
|      7 | Chhattisgarh                        | 1988.85                                        | 1104.493                                       | 16096                                          |
|      8 | Daman &Diu and Dadra & Nagar Haveli | 253.9                                          | 322                                            | 331                                            |
|      9 | Delhi                               | 24996.44                                       | 24667.05                                       | 26757.5                                        |
|     10 | Goa                                 | 2660.34                                        | 874                                            | 1837.1                                         |
|     11 | Gujarat                             | 30296                                          | 29070                                          | 33706                                          |
|     12 | Haryana                             | 11171.02                                       | 11662.91                                       | 14217.88                                       |
|     13 | Himachal Pradesh                    | 1717.70                                        | 3018.3                                         | 2570.12                                        |
|     14 | Jharkhand                           | 12829.98                                       | 12498.04                                       | 12788.2                                        |
|     15 | J & K                               | 885.94                                         | 4618.58                                        | 4482.9                                         |
|     16 | Karnataka                           | 66468                                          | 67339                                          | 65621.2                                        |
|     17 | Kerala                              | 37773.45                                       | 40990                                          | 71976.14                                       |
|     18 | Lakshadweep                         | 80                                             | 423                                            | 527                                            |
|     19 | Madhya Pradesh                      | 12810                                          | 14824                                          | 15846.74                                       |
|     20 | Maharashtra                         | 71511.5                                        | 61918                                          | 62418                                          |
|     21 | Manipur                             | 367.49                                         | 529.14                                         | 1140.16                                        |
|     22 | Meghalaya                           | 972.97                                         | 1061.5                                         | 1432.87                                        |
|     23 | Mizoram                             | 440.09                                         | 747.63                                         | 830.74                                         |
|     24 | Nagaland                            | 751.48                                         | 626.5                                          | 631.75                                         |
|     25 | Orissa                              | 13795.34                                       | 14197.49                                       | 14564                                          |
|     26 | Puducherry                          | 5849.8                                         | 5400                                           | 4319.8                                         |
|     27 | Punjab                              | 14668                                          | 15203                                          | 15980.7                                        |
|     28 | Rajasthan                           | 21722.84                                       | 22502.57                                       | 22261.756                                      |
|     29 | Sikkim                              | 388.44                                         | 235.21                                         | 396.7                                          |
|     30 | Tamil Nadu                          | 43789.08                                       | 46818.8                                        | 47196.9                                        |
|     31 | Telengana                           | 13220                                          | 15719                                          | 16243                                          |
|     32 | Tripura                             | 1607                                           | 1607                                           | 1401.5                                         |
|     33 | Uttarakhand                         | 2557.32                                        | 2946                                           | 4111.39                                        |
|     34 | Uttar Pradesh                       | 37655                                          | 43554                                          | 46401                                          |
|     35 | West Bengal DGAFMS                  | 26858.76 27995.26                              | 29773.84 28470.21                              | 34123.62 6350.64                               |
|     36 | Total                               | 517685                                         | 559084                                         | 608616                                         |