Bio Medical Waste Rules 1998 of India defines Biomedical Waste as any waste which is generated during the diagnosis, treatment or immunization of human beings or animals or in research activities pertaining thereto or in the production or testing of biological. Common producers of biomedical waste include hospitals, health clinics, nursing homes, medical research laboratories, offices of physicians, dentists, and veterinarians, home health care, and funeral homes.
Medical Care being vital for our life and health, the waste generated from its activities represents problem of global human world. Improper management has a direct impact on the societies, communities and health care workers reflecting the same on the environment too. Since the environment has direct threat of indiscriminate disposal of BMW or health institution waste definitely requires specific treatment and management prior to its absolute removal. It has emerged as an issue of major concern of environment besides being hazardous for human welfare. At present the concern has been redefined as *Worldwide Concern of Humanity* in light of far-reaching effects on human health and environment. Research oriented projections have proved its harmful effects to the environment being potential health hazard to the health care workers , public including natural beautifications around.
On the basis of threat to environment and human health, the World Health Organization has classified Medical Waste into eight categories viz General Waste, Pathological, Radioactive, Chemical , Infectious to potentially infectious waste, sharps , pharmaceuticals and pressurized containers. Since the sources of it include government and private hospitals /nursing homes , medical colleges, animal research centers, blood banks , autopsy centers, mortuaries and other production institutions besides clinical establishments, funeral services, animal and slaughter houses.
Bio-Medical Waste Management has been kick started at various levels of the state for better implementation of rules those govern the safety of environment and human health. But regulation overall has been unsatisfactory because of certain bridges those need to be bridged with proper guidelines of the scientific system. Its inadequate management has caused environmental pollution, unpleasant smell, growth and multiplications of vectors like insects, worms besides high risk infectious diseases from syringes and needs contaminated with human races.
In order to have well planned management of the bio medical waste to defend human health and environment, the process involves waste collection, segregation, transportation and storage, treatment & disposal, transport to final disposal site absolute disposal. The treatment and disposal involves various technological procedures like incineration, non-incineration, autoclaving, microwave irradiation, disinfection procedures and plasma pyrolysis being the state-of-the-art technology. The process has been given a start at the state level to realize safety of health and environment by involving private agencies too but result oriented structure needs collective scientific based conscience of realization too.
As a part to global strategy to defend environment and human health, the Government of Jammu & Kashmir took lead to implement and adhere to Global Waste Management Disposal mechanism. Taking measures to ensure implementation of laws and regulations of treating and managing the BMW productivity, like other parts of country, J&K also tried to evolve strategy of keeping environment safe with its living world of organisms. In H&ME Department incinerators were introduced at the levels of SMHS & GB Pant Hospitals which today dream to be made functional to reduce the threat of disowning responsibilities of being care takers of system. The incinerators are non-functional in the presence of human world that objected and stayed the utilization of scientific world. The levels of justice within human souls here speak volumes to defend environment & humanism around.
Realism of suffering keeps on touching the souls where youth own responsibility to defend the generations of living world around. Like other parts of the world our valley too has young soulful hearts to defend nature by nodding with the mechanism of choices. From our valley M/s Kashmir Healthcare Services, Lassipora Pulwama owned by Bashir Ahmad Bakshi trying to own responsibility of being part to the systematic nature, took lead in providing services to cater treatment and management of bio-medical waste. As a beginner, the young Bashir had to move from door to door with Open Refusal of Services for the government and private hospitals/establishments and diagnostic centres that shook him but tireless efforts yielded results after efforts of crisis and management. Ultimately today the unit holder caters around two hundred government and private hospitals but with meager income to defend his investment and management system of unit. It matters while invested soul feels difference of opinion to deal and take on board the scattered choices of Bio-Medical Waste Productivity.
While critics explore the possibilities, the intellectual components project that government at least has to provide a separate budget head where the things are re-designed to establish the mechanism of facilitating to sustain environment and human health. In order to streamline BMW Management, it needs funds where the utilization can serve the purpose as otherwise using funds out of miscellaneous quota lead to stressful management practices. It has to be done at an earliest before environment or humanism suffers for want of justice. Let the collective conscience serve the purpose by a consensus of joining hands to project productivity of services with human eye to feel environmental justifications.
Though the safe disposal of biomedical waste is now a legal requirement in India every person who has the control over the institution or its premises is duty bound to take all necessary steps as per the rules to ensure that waste generated is handled without any adverse effect to human health and environment but yet individually all have to prove being human. Implementation of the rules and regulations definitely shall seek obedience on the part of every stakeholder but it all needs is character from individual to collective conscience that is being reflected at various institutional levels on war footing but technicalities and professionalism has yet to gear up to defend environment and its living world.
The author is a writer and artist and also serves as Public Relations officer to directorate of Health Services Jammu and Kashmir.