Lok Sabha Question No. 1478 (UNSTARRED), answered on 2016-03-04
Subject: Bio-Medical Waste
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KIRTI VARDHAN SINGH

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

## LOK SABHA UNSTARRED QUESTIO N NO. 1478 TO BE ANSWERED ON 4 TH MARCH, 2016

## BIO - MEDICAL WASTE

## 1478. SHRI KIRTI VARDHAN SINGH:

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

- (a) the quantum of bio -medical waste generated by Government and private hospitals in Metro and Tier II cities in the country along with the system that has been put in place for its
- (b)  whether  the  Gov ernment  proposes      to  cancellation  of  licences  of  private  hospitals adhering to the disposal system of bio - medical waste;
- (c) if so, the number of hospitals whose licences have been cancelled, State/UTwise; and
- (d) the steps being taken by the Government for the proper disposal of biomedical wastes?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a) to (c): Since, Health is a State subject, no data is maintained Centrally. However Sta te - wise  bio - medical  waste  generation  scenario  complied  by  the  Central  Pollution  Contr Board  (CPCB)  on  the  basis  of  information  provided  by  the  State  Pollution  Control  Boa (SPCBs)/Pollution  Control  Committees  (PCCs)  and  Director  General  Armed  Forces  Me dical Services  (DGAFMS)  for  the  year  2013,  is  484271Kg/day.    CPCB  has  informed  that,  if  an Health care facility (HCF) (including Government or Private Hospitals) violates the provis the Bio - Medical Waste (Management & Handling) Rules, 1998 as amend ed, action is required to be taken under Section 5 of the Environment (Protection) Act, 1986.  State -wise list of violations and the actions initiated by the SPCBs/ PCCs against the HCFs/ Common Bio - medical Waste Treatment Facilities (CBWTFs) and as report ed for the year 2013 is at Annexure.
- (d)  Government  has  taken  various  steps  for  ensuring  proper  treatment  and  disposal  of -medical waste in the country, some of them are as follows:
-  Government of India have notified the Bio - Medical  Waste  (Management  & Handling) Rules, 1998 under the Environment (Protection) Act, 1986 and further amended in t year 2000 and 2003.
-  CPCB has also prepared the following guidelines relating to management of Bio - Medical Waste:
- a) Common Bio - Medical Waste Treatment Facilities (C BWTFs).
- b) Design & Construction of Bio - Medical Waste incinerators.
- c) Disposal  of  Bio - Medical  Waste  generated  during  Universal  Immunization Programme.
- d) Guidelines for Environmentally Sound Management of Mercury Waste generated from the Health Care Facilities; a nd

The above guidelines are circulated to all State Pollution Control Board/Pollution Committee  for  its  implementation  and  the  same  is  also  uploaded  at  CPCB  website  i http://www.cpcb.nic.in/guidelines.php for access of various stake - holders to help in complying the standards stipulat4ed in the BMW Rules.

-  CPCB developed a 40 minutes video film on bio - medical waste management in order to generate awareness about the safe management of bio - medical waste and is available on CPCB website at link http://www.cpcb.nic.in/Biomedicl docu.php.
-  A check list for verification of compliance by Health Care Facilities & Common B -medical  waste  Treatment  Facilities  (CBWTFs)  prepared  &  circulated  to  all  the  St Pollution  Control  Board/Pollution  Control  Committees  and  Director  General  Armed Forces Medical Services.
-  In order to encourage setting up of common treatment facilities for bio - medical wastes, Ministry of Environment, Forest & Climate Change is implementin g a Central Sector Scheme  to  provide  financial  assistance  for  setting  up  of  Common  Treatment  an Disposal Facilities for bio - medical waste, on Public Private Partnership (PPP) basis. For establishment of CBWTFs upto 25% of the total project cost would be p rovided as the central assistance. In the case of North -Eastern State, upto 50% of the total project cost would be provided as central assistance - subject to 25% of the project cost is contributed by the Stat and UT Government/ SPCB concerned and the bala nce 25% of the project cost  is  contributed  by  the  entrepreneur.  The  central  assistance  would  be  limite maximum of Rs. 1 Crore. In case of NE States, the central assistance would be limit a maximum or Rs. 2 Crores.
-  CPCB  regularly  carrying  out  ins pection  of  AFHCEs  falling  under  the  jurisdiction  of Director  General  Arms  Forces  Medical  Services  as  required  by  the  rules  an recommendations  are  communicated  to  Director  General  Armed  Forces  Medical Services (DGAMFs) periodically for carrying out necessa ry improvement. During the last  eight  year  i.e.  Feb.  2008  to  Feb.  2016,  CPCB  inspected  59  no.  of  AFHCEs  a recommendations communicated to the DGAFMS for ensuring necessary improvements.
-  CPCB has carried out inspections of the 68 nos. of Health Care Faci lities (HCFs) located in the State of Delhi, Haryana, Rajasthan and Uttar Pradesh and inspection & monito of 13 nos. of Common Bio - Medical Waste Treatment Facilities (CBWTFs) in the State of Haryana as a follow up of orders of Hon'ble National Green Tr ibunal, New Delhi and submitted reports to Hon'ble Nation Green Tribunal.
-  CPCB Organized  five  'Interaction  meet'  with  the  concerned  SPC Bs/PCCs  and  the CBWTFs  operators  of  North  Eastern  &  Northern  States,  Northern  &  Central  Zone, Southern States, Western Zone as well as Central Zone during the financial years 2 -2015.
-  During  the  last  six  years,  CPBC  is  frequently  conducting  visits  to  various  HCFs CBWTFs in the country to verify the status of compliance to the Bio -Medical Waste (Management & Handling) Rules, 1998 & CPCB guidelines and also Direction under section  5  of  the  Environment  (Protection)  Act,  1986  were  issued  to  55  nos. HCFs/CBWTFs for violation of provision of BMW Rules.
-  CPCB Organized  workshop/trainings  on  Bio -Medical  Waste  Management  at  G oa, Lucknow, Guwahati & Bhubaneshwar for various stake - holders during the year 2010 -2011 and also sponsored to Mizoram SPCB for organizing a workshop on bio - medical waste  management  to  the  stake - holders  located  in  the  State  of  Mizoram,  during  the financial year 2011 - 2012.

## Annexure

## State - wise details of no. of HCFs/CBWTFs violating the provisions of BMW Rules (as reported for the year 2013 by the SPCBs and PCCs)

| Sr. No.   | State/UT and DGAFMS                  | No. of HCFs/CBWTFs violating the provisions of BMW Rules as per Annual Report-2013   | Total No. of Show notices/Directions issued defaulter HCFs/CBWTFs as per Annual Report- 2013   |
|-----------|--------------------------------------|--------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------|
| 1         | Andaman & Nicobar                    | Nil                                                                                  | Nil                                                                                            |
| 2         | Andhra Pradesh                       | 482                                                                                  | 450                                                                                            |
| 3         | Arunachal Pradesh                    | Nil                                                                                  | Nil                                                                                            |
| 4         | Assam                                | Nil                                                                                  | Nil                                                                                            |
| 5         | Bihar                                | 48                                                                                   | 48                                                                                             |
| 6         | Chandigarh                           | 72                                                                                   | Nil                                                                                            |
| 7         | Chhattisgarh                         | 26                                                                                   | 26                                                                                             |
| 8         | Daman & Diu and Dadra & Nagar Haveli | Nil                                                                                  | Nil                                                                                            |
| 9         | Delhi                                | INP                                                                                  | INP                                                                                            |
| 10        | Goa                                  | 01                                                                                   | 01                                                                                             |
| 11        | Gujarat                              | 44                                                                                   | 44                                                                                             |
| 12        | Haryana                              | Nil                                                                                  | 242                                                                                            |
| 13        | Himachal Pradesh                     | 54                                                                                   | 54                                                                                             |
| 14        | Jharkhand                            | 26                                                                                   | 113                                                                                            |
| 15        | J&K                                  | 729                                                                                  | 144                                                                                            |
| 16        | Karnataka                            | 1233                                                                                 | 1233                                                                                           |
| 17        | Kerala                               | 136                                                                                  | 134                                                                                            |
| 18        | Lakshadweep                          | Nil                                                                                  | Nil                                                                                            |
| 19        | Madhya Pradesh                       | 191                                                                                  | 130                                                                                            |
| 20        | Maharashtra                          | 757                                                                                  | 602                                                                                            |
| 21        | Manipur                              | Nil                                                                                  | Nil                                                                                            |
| 22        | Meghalaya                            | INP                                                                                  | 97                                                                                             |
| 23        | Mizoram                              | Nil                                                                                  | Nil                                                                                            |
| 24        | Nagaland                             | INP                                                                                  |                                                                                                |
| 25        | Odisha                               | 54                                                                                   | 52                                                                                             |
| 26        | Puducherry                           | 08                                                                                   | 10                                                                                             |
| 27        | Punjab                               | 177                                                                                  | 179                                                                                            |
| 28        | Rajasthan                            | 334                                                                                  | 428                                                                                            |
| 29        | Sikkim                               | Nil                                                                                  | Nil                                                                                            |
| 30        | Tamilnadu                            | 69                                                                                   | 69                                                                                             |
| 31        | Telangana                            | Combined data is given for Andhra Pradesh and Telangana State S.No.2                 | Combined data is given for Andhra Pradesh and Telangana State S.No.2                           |
| 32        | Tripura                              | Nil                                                                                  | Nil                                                                                            |
| 33        | Uttarakhand                          | 11                                                                                   | INP                                                                                            |
| 34        | Uttar Pradesh                        | 2783                                                                                 | INP                                                                                            |
| 35        | West Bengal                          | 659                                                                                  | 335                                                                                            |
| Total     | Total                                | 7894                                                                                 | 4391                                                                                           |

Note: INP :

Information Not Provided for the year 2013 by the respective SPCB/PCC.