Lok Sabha Question No. 145 (STARRED), answered on 2023-07-31
Subject: Disposal of Medical Waste
Ministry: ENVIRONMENT,  FORESTS AND CLIMATE CHANGE
Asked by: Pritam Gopinath Munde, Rahul Ramesh Shewale

## GOVERNMENT OF INDIA MINISTRY OF ENVIRONMENT, FOREST AND CLIMATE CHANGE

## LOK SABHA STARRED QUESTION No. 145

TO BE ANSWERED ON 31.07.2023

## Disposal of Medical Waste

## *145.   DR. PRITAM GOPINATHRAO MUNDE: SHRI RAHUL RAMESH SHEWALE:

Will the Minister of ENVIRONMENT, FOREST AND CLIMATE CHANGE be pleased to state:

- (a) the details of the medical waste output in the country during the last two years, Statewise, particularly in Odisha;
- (b) whether the Government has carried out any assessment of the pollution caused by PPE kits, masks and other materials used for the prevention of COVID-19 during the Corona period and if so, the details thereof;
- (c) whether  the  Government  is  aware  that  disposal  of  pharmaceutical  waste  and  the manufacturing practices undertaken can lead to antimicrobial resistance; and
- (d) if  so,  the  action  taken  by  the  Government  for  the  proper  disposal  and  treatment  of medical waste in view of the large threat it poses to environment and health?

## ANSWER

## MINISTER FOR ENVIRONMENT, FOREST AND CLIMATE CHANGE (SHRI BHUPENDER YADAV)

- (a) to (d) A Statement is laid on the Table of the House.

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## Statement referred to in reply to parts (a) to (d) of Lok Sabha Starred Question No. 145 to be answered on Monday, the 31 st  July, 2023 on 'Disposal of Medical Waste' by DR. PRITAM GOPINATHRAO MUNDE and SHRI RAHUL RAMESH SHEWALE

- (a) The Central Pollution Control Board (CPCB) has reported that about 651 Tonnes per day (TPD) and 678 TPD of Biomedical waste (BMW) was generated in the country  in  the  year  2020  and  2021  respectively,  out  of  which  15.3TPD  and 16.17TPD was generated in the state of Odisha in corresponding years. The State/ Union Territory wise BMW generation is placed at Annexure-A.
- (b) The CPCB had prepared guidelines for 'Handling, Treatment & Disposal of BMW generated during Treatment/ Diagnosis/ Quarantine of COVID-19 patients', which prescribes  for  collection,  treatment  and  disposal  of  PPE  kits,  masks  and  other materials used by COVID patients and doctors. The PPEs viz. goggles, face-shield, splash proof apron, plastic coverall, Hazmet suit, nitrile gloves etc. are categorised into  'Red  Category',  and  treated  through  Autoclave/  Microwave  followed  by shredding.  The  used  mask  (including  Triple  layer  mask,  N95  mask  etc.),  head cover/ cap, shoe-cover, disposable linen gown, non-plastic or semi-plastic coverall etc.  were  categorised  into  'Yellow  category',  and  treated  and  disposed  through incineration. The CPCB has developed an app, namely COVID19BMW, to track the  generation  of  COVID-19  BMW.  CPCB  has  reported  that  around  77708.07 tonnes  of  COVID-19  BMW  has  been  disposed  through  Common  Bio-Medical Waste Treatment Facilities (CBWTFs) during May-2020 to May, 2023.
- (c)&(d) The Government is aware about the challenges posed by anti-microbial resistance (AMR)  in  India.  Accordingly,  the  Ministry  of  Health  and  Family  Welfare  had formulated a National Action Plan (NAP) on Anti- Microbial Resistance (AMR), which  provides  a  roadmap  in  tackling  public  health  challenge  related  to  AMR through  involvement  of  stakeholders  in  AMR  containment.  The  containment strategy  involves  strengthening  the  monitoring  and  surveillance  of  antibiotic residues; collaborations with institutes for research in AMR; awareness, education and sensitization about AMR aspects; optimising antibiotics usage in humans and animals; promoting investment in AMR  activities; and, effective infection prevention and control.

ANNEXURE REFERRED TO IN PART (a) OF LOK SABHA STARRED QUESTION NO.145 DUE FOR REPLY ON 31/07/2023 REGARDING 'DISPOSAL OF MEDICAL WASTE' RAISED BY DR. PRITAM GOPINATHRAO MUNDE AND SHRI RAHUL RAMESH SHEWALE.

State/ UT wise Bio-medical Waste Generation in 2020 and 2021 (in Kg/Day)

| S.No.   | States/ Union Territory            |   Year 2020 |   Year 2021 |
|---------|------------------------------------|-------------|-------------|
| 1       | Andaman Nicobar                    |         536 |         543 |
| 2       | Andhra Pradesh                     |       25029 |       19720 |
| 3       | Arunachal Pradesh                  |         354 |         348 |
| 4       | Assam                              |        8236 |        8421 |
| 5       | Bihar                              |       27846 |       20549 |
| 6       | Chandigarh                         |        5729 |        5374 |
| 7       | Chhattisgarh                       |        7234 |        7907 |
| 8       | Daman &Diu and Dadra &Nagar Haveli |         450 |         554 |
| 9       | Delhi                              |       23200 |       25828 |
| 10      | Goa                                |        1273 |        1129 |
| 11      | Gujarat                            |       49492 |       52800 |
| 12      | Haryana                            |       19217 |       21436 |
| 13      | Himachal Pradesh                   |        3546 |        4130 |
| 14      | Jharkhand                          |        8407 |        7524 |
| 15      | J&K                                |        5942 |        7664 |
| 16      | Karnataka                          |       82604 |       77639 |
| 17      | Kerala                             |       40408 |       61136 |
| 18      | Ladakh                             |          43 |          35 |
| 19      | Lakshadweep                        |        1137 |          87 |
| 20      | Madhya Pradesh                     |       20009 |       19754 |
| 21      | Maharashtra                        |       82146 |       80314 |
| 22      | Manipur                            |         922 |        1166 |
| 23      | Meghalaya                          |        1557 |        1287 |
| 24      | Mizoram                            |         863 |         804 |
| 25      | Nagaland                           |         892 |        1007 |
| 26      | Odisha                             |       15304 |       16168 |
| 27      | Puducherry                         |        4360 |        4639 |
| 28      | Punjab                             |       16998 |       18490 |
| 29      | Rajasthan                          |       18912 |       19170 |
| 30      | Sikkim                             |         478 |         545 |
| 31      | Tamil Nadu                         |       35270 |       45216 |
| 32      | Telengana                          |       23810 |       24235 |
| 33      | Tripura                            |        3853 |        1940 |
| 34      | Uttarakhand                        |        7617 |        6891 |
| 35      | Uttar Pradesh                      |       64038 |       71264 |
| 36      | West Bengal                        |       43513 |       42287 |
| Total   | Total                              |      651225 |      678001 |

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