How to establish our own biowaste treatment plant to be managed by state IMA?

Implementation of Swasth Bharat Abhiyan in health sector

IMA plans to have hospitals free of bio-medical wastes through a common facility

Situation analysis

• Per bed biomedical wastes: 250 grams per day
• Total Bed strength in the country: 28.89 Lakhs (Central Bureau of Health Intelligence)
• Total biomedical waste generated per day in country: 7.22 Lakh Kilograms
• Existing facilities for managing biomedical waste in a professional manner:
• Only a few states have proper biomedical waste management systems, even in these states, total beds are not covered, for example in Delhi only about 50% of the beds are covered properly. 

Why and How?

• To reduce hospital acquired infection, for clean hospital environment and prevention of multi drug resistant organisms, scientific biomedical waste disposal is essential
• The process begins at the bed side of the patient where the waste has to be categorised, segregated and disposed in different containers. Needle has to be burned before disposal.
• All these process goes a long way in universal precautions against infectious diseases and hospital acquired infections.

Drug resistance

• Newer antibiotic molecules have not been discovered in last 30 years, only modifications of the existing molecules have been tried out. Multidrug resistant microbials is a real threat. The recent New Delhi metallo-beta-lactamase 1 strain is a stark example. So the need for scientific biomedical waste disposal needs no further emphasis.
• IMA Kerala state has pioneered a centralised biomedical disposal concept and is effectively carrying this out, covering the total bed strength of the state- both private as well as government.

The operational part

• Free land has to be acquired from government for this purpose
• Bio medical waste management unit should be declared tax free

Components of the plant

For 15,000 beds, the biomedical waste production= 250gm per bed * 15,000 beds= 3750 kg

• Autoclave
  • At 200 kg per autoclave per cycle of 90 minutes(including preparation and rest period), 2 autoclaves and one stand-by is required

• Incinerator
  • One Incinerator can autoclave 250kg per hour; at this rate (10 hrs per day working)- two incinerators plus one stand-by is required
• Effluent treatment plant- One
• Shredding unit- One
• Hydraulic compressor- One
• Recycling Unit/sell for recycling
• Needle pits

Land requirement
Minimum 5 acres of land

Financial requirements

• Minimum 3 crore investment apart from land
• Loan facility should be available

Financial feasibility

• At INR 10 per day, for 15,000 beds, for one month, 45 lakhs is the expected revenue
• Running cost: INR 6 per bed
  • Vehicle
  • Electricity
  • Water
  • Diesel
  • Man power
  • Financial cost
• Profit: 18 lakhs per month
• Income from sale of scrap: 500,000 per month, for 15,000 beds, approx
• If the running is outsourced, 80% of the profit goes to the agency (except scrap, 20% to IMA; approximately 8.6 lakhs, amounting to 1 Cr profit per year
• Headquarters share: 50%, amounting to 50 Lakhs per year