258
J. R. S. Selvan Christyraj et al.
serve as disease transmitters of infections. Therefore it was necessary to adopt inflectional control measures to ensure the safety protocols of the public. NBU provides
guidelines for infection control inorder to manage the risk due to biomedical waste
generated during Ebola or the procedures involved in the decontamination of unit
after patients discharge, waste disposal, surface cleaning and tarnsportation of highly
infectious waste [36]. The U.S. Department of Transportation (DOT) defines the
wastes generated from Ebola patients as category “A” infectious substances. The
Category B components have to be segregated and packaged properly with regulated
markings. Then these bio-wastes have to be transported to the common area of treatment and disposal units in an appropriate leak-proof container in line with medical
waste management rules. NBU uses autoclave sterilization process for Ebola solid
bio-wastes. After completion of autoclave sterilization, the EVD wastes are packed in
a disposable bag (green linen bags) with proper labelling as category B medical waste.
Liquids bio-wastes are treated with suitable chemical disinfectants. After the evacuation of the patients, decontamination process such as surface cleaning, ultraviolet
germicidal irradiation (UVGI), gas or vapour disinfectants is employed to manage
the spread of infections. From all these above inferences NBU was considered as the
best place to provide health care to infectious diseases.
10.5.5 Controlling of Infectious COVID-19
Healthcare Facilities or hospitals having quarantine wards for COVID-19 patients
should mandatorily follow these paces to guarantee safe management and discarding
of biomedical waste generated in treatment process. As per BMWM Rules, 2016 and
CPCB guidelines [37], the segregation of waste should be performed in a separate
colour-coded bags/bins/containers in order to reduce the effects due to improper
management of bio-medical wastes.
1. Usage of two-layered bags for collection of discarded things from quarantine
wards, to guarantee more protection.
2. Separately collect the biomedical waste from CBWTF and stored in collection bin
(bags/containers) and labelled as “COVID-19 Waste” for the easy identification
of CBWTF authorities. The resultant wastes from bin should be handed over to
authorized staff and then it can be shifted to CBWTF collection van for disposal.
3. To collect the used PPEs in isolation wards such as goggles, face-shield, Hazmat
suit and gloves and wastes like eppendorf tubes, plastic vials, vacutainers and
plastic cryovials into red colour bags.
4. Yellow colour bag should be used to collect N95 mask, head and shoe covers,
non-plastic or semi-plastic coverall and linen Gown.
5. Usage of black colour Polypropylene bags for general waste.
6. Maintain separate records of waste generation and management in different
quarantine centres.
7. Labelling of “COVID-19 Waste” on trolleys, vehicles and collection bins.
J. R. S. Selvan Christyraj et al.
serve as disease transmitters of infections. Therefore it was necessary to adopt inflectional control measures to ensure the safety protocols of the public. NBU provides
guidelines for infection control inorder to manage the risk due to biomedical waste
generated during Ebola or the procedures involved in the decontamination of unit
after patients discharge, waste disposal, surface cleaning and tarnsportation of highly
infectious waste [36]. The U.S. Department of Transportation (DOT) defines the
wastes generated from Ebola patients as category “A” infectious substances. The
Category B components have to be segregated and packaged properly with regulated
markings. Then these bio-wastes have to be transported to the common area of treatment and disposal units in an appropriate leak-proof container in line with medical
waste management rules. NBU uses autoclave sterilization process for Ebola solid
bio-wastes. After completion of autoclave sterilization, the EVD wastes are packed in
a disposable bag (green linen bags) with proper labelling as category B medical waste.
Liquids bio-wastes are treated with suitable chemical disinfectants. After the evacuation of the patients, decontamination process such as surface cleaning, ultraviolet
germicidal irradiation (UVGI), gas or vapour disinfectants is employed to manage
the spread of infections. From all these above inferences NBU was considered as the
best place to provide health care to infectious diseases.
10.5.5 Controlling of Infectious COVID-19
Healthcare Facilities or hospitals having quarantine wards for COVID-19 patients
should mandatorily follow these paces to guarantee safe management and discarding
of biomedical waste generated in treatment process. As per BMWM Rules, 2016 and
CPCB guidelines [37], the segregation of waste should be performed in a separate
colour-coded bags/bins/containers in order to reduce the effects due to improper
management of bio-medical wastes.
1. Usage of two-layered bags for collection of discarded things from quarantine
wards, to guarantee more protection.
2. Separately collect the biomedical waste from CBWTF and stored in collection bin
(bags/containers) and labelled as “COVID-19 Waste” for the easy identification
of CBWTF authorities. The resultant wastes from bin should be handed over to
authorized staff and then it can be shifted to CBWTF collection van for disposal.
3. To collect the used PPEs in isolation wards such as goggles, face-shield, Hazmat
suit and gloves and wastes like eppendorf tubes, plastic vials, vacutainers and
plastic cryovials into red colour bags.
4. Yellow colour bag should be used to collect N95 mask, head and shoe covers,
non-plastic or semi-plastic coverall and linen Gown.
5. Usage of black colour Polypropylene bags for general waste.
6. Maintain separate records of waste generation and management in different
quarantine centres.
7. Labelling of “COVID-19 Waste” on trolleys, vehicles and collection bins.