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Economic Issues Involved in Bio-Medical Waste Management & Role of Out Sourcing. Presentation By Maridi Eco Industries Pvt Ltd Bangalore. Legislation.
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Economic Issues Involved in Bio-Medical Waste Management & Role of Out Sourcing Presentation By Maridi Eco Industries Pvt Ltd Bangalore
Legislation Recognizing the hazardous nature of the Bio-Medical Waste, the Government and Pollution Control Boards under the guidelines of Ministry of Environment and Forests (MOUF) have promptly designed and issued guidelines to the hospitals to ensure a proper and safe disposal of bio-medical waste. Thus the rule called “BIO-MEDICAL WASTE” (Management & Handling ) RULE 1998 came into effect.
Duty of Occupier • It shall be the duty of every occupier of an institution generating bio-medical waste, which includes a hospital, nursing home, clinic, dispensary, veterinary institutions, and animal house, pathological laboratory, blood bank by whatever name called to take all steps to ensure that such waste is handled without any adverse effect to human health and the environment.
Current Scenario • Huge Growth in Waste Generation due to Industrialisation, Growing Urbanisation with influx of Rural population to Towns, High Standard of Living in Cities. • The Continuous Growth in IT Sector and Affordable Health Care has contributed to the growth. • The Bio-Medical Waste Management Sector Market Revenue (2008) is 8% of the Total Waste Management Revenue in India. • Expected Growth in next 5-6 years is around 20% (This is due to Strict Implementation of Bio-Medical Rule 1998).
Infrastructure Needed for Individual Setup : • Capital • Technology / Equipments • Space • Civil Infrastructure • Operation and Adherence to the Standards. • Maintenance (Preventive / Breakdown) • Record Keeping • Final Disposal
Issues Involved in Individual Setup: • Location of the Hospital (Clearance from the Authority) • Huge Capital Investments • Proper Operations of the Systems • Maintenance of the Systems (Spares, Services etc.,) • Final Disposal of Treated Waste.
Role of Common Facilities: • Transportation • Treatment • Final Disposal • Record Keeping • Backup Services (Training, Consumables etc.,)
Advantage of Common Facility over Individual Facilities: • Safe Locations • Participation of Private Sector in a Big way brings in the adequate technical expertise, Increases efficiency and improves customer services. • Brings in the capital required to make it effective Waste Management System. • The Facility can run as a Profit making center in long run with a Social commitment to protect the environment. • Brings the equilibrium between growth and environment protection. • It is a most economical option for all waste generators from Corporate Hospitals to Small Clinics. • Easy for Proper Monitoring by the authorities.
A Comparative Study of Economics involved in CBWTF V/s Individual setup: • A Case Study of an Hospital with 500 Bed Capacity. • Approximate quantity of Waste Generated Per Bed Per Day is around 0.5 Kgs • Approx total quantity of waste per day -250 Kgs.
Capital & Operating Expenses Analysis: • Total Capital Investment : Rs.33,00,000.00 • Assuming Simple Interest on Capital Investment is Rs.49,500.00 pm • Operating Expenses Rs.91,500.00 pm • Total Expenses - Rs.1,41,000.00 pm • Cost of joining a CBWTF- Rs.4.50x 500 Beds= Rs.2,250/- Day = Rs.2250/- x 30 Days =67,500/- pm • Approx - 52.12 % Lower than running their own facility.
Capital & Operating Expenses Analysis: • The Savings shown is only on Direct expenses but you can not put a value for the PEACE OF MIND. From all the possible issues connected with BMW Disposal formalities.
Bio-Medical Waste Disposal Cycle Legislation (BMW Rule) Common Facility (Transportation, Treatment And Disposal) Implement ting Authority (KSPCB) Waste Generator (Hospitals)
Conclusion : • Technically, Practically, Professionally and Environmentally CBWTF are most viable and effective option. • Extensive participation of Private sector should be the order of the day to achieve equilibrium between the Growth and Environmental Protection.
Conclusion : • Success of the CBWTF depends mainly on : • Proper and strict Implementation of BMW Rules. • Best Waste Segregation practices followed by the Waste Generators • Professional Commitment shown by the CBWTF operator towards Environment and Society.
Final Word: Who Says, Engineers and Doctors Don’t Supplement each Other… ?.. While You (Doctors) Concentrate on your Treatment. We Complement it with Ours.. . .