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  Home >> Cleanliness >>  Common Healthcare waste Appropriate Management Plant  (CHAMP)



Common Healthcare waste Appropriate Management Plant  

Healthcare Establishments Waste Management and Education Programme 

The Common Biomedical Waste Treatment Facility at Gulbarga is called Common Healthcare waste Appropriate Management Plant (CHAMP). 

- CHAMP at Gulbarga caters to all Healthcare Establishments (HCEs) of Gulbarga city and will extend its services to other HCEs in the district and neighbouring districts as well.

- The facility at present treats over 2 tonnes of biomedical waste per day from about 400 HCEs having over 2000 beds and also from 300 non-bedded establishments.

- The facility aims at collection, transportation, storage, treatment and disposal of biomedical waste from about 10,000 beds in the northern districts of Karnataka.
HEWMEP Gulbarga achieves the following in the HCEs and the CHAMP facility

  •  Waste minimization 
  •  Segregation at source 
  •  Collection
  •  Storage  
  •  Transportation 
  •  Treatment 
  •   Disposal of biomedical waste in an eco-friendly and technologically sound way
  •  Training of the staff involved in BMWM 
  •  Creation of public awareness
  • Economically viable management of the CHAMP facility.
The facility has­
a)       Two specially fabricated vehicles for the transportation of biomedical waste from the HCEs to the facility
b)      On site cold storage facility for storing the bio medical waste in a safe manner before treatment
c)       Treatment facilities like the Incinerator, two Modified Autoclaves, a Metal Sharps Manager and an ETP for treatment of waste water generated at the facility
d)      Secured landfill, deep burial pits and composting pits for disposal of the waste after treatment
e)       Eco friendly techniques like using wax coated paper bags for collection and treatment of soiled waste to facilitate its sterilization and composting, solar water heater and reuse of treated waste water for plantation at the site and sale of sterilized, cleaned and shredded waste for supplementing the system.
How CHAMP was achieved in Gulbarga
Following Committees were formed for HEWMEP Gulbarga with help from the District Administration, medical and paramedical establishments and the Government of Karnataka.
• District Implementation Committee headed by Divisional Commissioner, Gulbarga which further administered the
  •             Common Facility Committee headed by the Deputy Commissioner, Gulbarga
  •             Building and Purchase Committees headed by Chief Engineer, CEE and INEP Coordinator respectively
• State level Technical and Finance Committees comprising of experts from the Indian Institute of Science (IISC), Karnataka Health Systems Development Plan (KHSDP), INEP and CEE.
Treatment at the CHAMP Site at Gulbarga
Treatment at the CHAMP site, Gulbarga will be done as per the Schedule 1 &2 of Rule 5 of Biomedical Waste (Management and Handling) Rules, 1998 and subsequent amendments thereof taken along with CPCB guidelines.
To ensure the efficacy of the treatment, the project will aim at achieving 100 % segregation of waste at source i.e. at the HCEs and other medical and research establishments.
Details of the equipment, treatment and disposal 
  • Incinerator of capacity 50 kgs /hr for treatment of waste under category 1 & 2
  • Modified Autoclaves, 2 in number of capacity 100 kg /hr each for treatment of waste under category 3,4,6 and 7
  • Metal Sharps Manager, 1 in number for treatment of metal sharps which is part of category 4
  • Land filling for incinerator ash, hazardous chemicals and radioactive waste (categories 5, 9 and 10)






50 kg / hr capacity Incinerator at the CHAMP site

Incineration for treating infectious wastes
Controlled burning of wastes at high temperatures is called incineration and in Gulbarga this is carried out in a double chambered incinerator of 50kg/hour capacity with fully equipped pollution control devices in accordance with the latest guidelines issued by the CPCB in September 2003.
Waste is burnt in the primary chamber at 800-850°C and volatile gases emitted are again burnt in the secondary chamber at 1050 -1100°C (residence time of 2 seconds).
Maintenance of high temperatures as specified with immediate quenching with water is ensured through a PLC operated procedure to prevent formation of toxic gases such as dioxins and furans. The cycle time is of about 1 hour. The volume is significantly reduced with assured sterilization and destruction of microorganisms being envisaged.  

Treatment of Metal Sharps in Metal Sharps Manager
Steam is applied inside a double-walled jacket under pressure to attain the required temperature of 121°C or 135°C and maintain the same for the specified time for assuring 4 to 61og sterilization.
Waste to be sterilized, collected in different categories and colour coded liners, is fed into the chamber where it gets mixed, dehydrated, sterilized and mutilated.
The waste is internally agitated and fragmented to attain a high level of sterilization. Steam sterilization combined with dehydration, results in dry waste, substantially reduced in weight and volume.
This method is used to treat pathological waste including microbiological waste, infectious plastics and infectious glass in separate batches.

100 kg / hr each - Modified Autoclaves

Shredder of the Autoclave Unit

Disinfected waste is automatically fed into the shredder, which mechanically mutilates the sterilized items of different categories into small unrecognizable pieces while being washed with hot water from the solar water heater to ensure shredding, cleaning to prevent re-infection and preventing particulate matter pollution
The sterilized, cleaned and shredded waste is then stored before being sold for recycling. 

Treatment of Metal Sharps in Metal Sharps Manager
In individual HCEs, puncture proof, mild steel, metal sharps containers with a keyhole, help separate the needles from syringes which drop automatically into the container. 
A protected opening in the same for dropping the blades, canula needles, disposable lancets and sutures directly into the container help in collecting the other metal sharps from the HCEs.

10 kgs / hr capacity Metal Sharps Manager for waste metal sharps
The containers fit snugly on top of a hopper in the metal sharps manager machine which is kept in the facility, wherein the metal sharps in the containers drop into the hopper and are mutilated and sterilized with dry heat in hot air oven at 164'C for one and half hours after which it is stored in puncture proof boxes before selling to recyclers.

Discarded Medicines, Cytotoxic Drugs and Incineration Ash
Category 5 comprises of outdated, contaminated and discarded medicines and cytotoxics and they have to be disposed carefully in secured landfills.
Category 8 consists of liquid wastes, category 9 of incineration ash and category 10 of other chemical wastes. Category 9 and 10 have to be disposed safely in secured landfills and category 8 from the facility is treated in the ETP
The above-mentioned waste are segregated at source, stored and transported in black coloured plastic liners and disposed in the secured landfill constructed inside the facility for the said purpose as per the BMWM Rules, 1998.
Deep Burial at the CHAMP site

Deep Burial is the stand by option in case of failure of incinerator for Category 1 and 2 infectious waste. A deep burial pit as per BMWM Rules is constructed at the site for the above purpose and is used as stand by during breakdown or long duration maintenance of the incinerator.

Composting at the site
Category 3 and 6 waste consisting of soiled waste like bandages, cotton, swabs, plaster casts, microbiological waste etc., after autoclaving and shredding are put into the compost pits specially constructed for this purpose.
The compost is utilized for the plantation at the site and for the afforestation work inside the facility.
ETP at the site

The liquid effluent from the condensation of quenching water in the incinerator, autoclaves, washing of sterilized waste in the shredders, room washings, washing of the transport vehicles is treated in the liquid Effluent Treatment Plant (ETP) using the principle of oxidation ponds. The settled sludge from these tanks is periodically removed, composted and used for plantation in the facility.
the treated water is also used for plantation at the facility.

Education & Training on Biomedical Waste Management

Education and Training is an integral component of HEWMEP and hence appropriate educational material in English-Hindi and English-Kannada have been developed and distributed to all HCEs and training done accordingly. Training of HCE personnel is being done at different levels. This includes doctors, nurses, administrators, paramedical personnel, housekeeping, engineering, kitchen and laundry staff; ayahs, ward boys, security staff, gardeners, rag pickers, sorters, reprocessors and staff in different departments and areas in the hospitals which are involved in BMWM.
Different types of educational material approved by WHO, MoEF> GoI and INEP. GoK, are being prepared, published and distributed during training workshops.

Scope of the HEWMEP Gulbarga Project
The HEWMEP Gulbarga project caters to all the HCEs of Gulbarga city. The facility will expand its services to the HCEs of taluks of the Gulbarga district and the nearby Bidar district, with the provision of grant from the GoK along with transport vehicles for transportation of bio medical waste from these distant places.
The biomedical waste from the taluks of Gulbarga district and from the nearby districts would be transported to the facility and treated at a reasonable cost. The cost of the treatment and disposal to be borne by the users (i.e. HCEs) is to be mutually fixed. The service charges are exclusive of the cost of liners and other containers which are borne by the respective HCEs according to their requirements.
Since the Guidelines of CPCB suggest that there should be one facility for every 10,000 beds, it would be best if the CHAMP facility at Gulbarga is provided adequate electricity, water and transportation vehicles to cater to 10,000 beds in the northern districts of Karnataka which will prove economical to both the government and the facility.

For further information, you may contact Center for Environment Education, Gulbarga Field Office, Divisional Commissioners Office Premises, Aiwan-E-Shahi, Gulbarga- 585102 Karnataka

Phone: 08472-255273 (O) E-mail: 

H.O.: Center for Environment Education, Nehru Foundation for Development, Thalrej Tekra, Ahmedabad 380054 India

HEWMEP Gulbarga

Through the Healthcare Establishments Waste Management and Education Programme (HEWMEP) Gulbarga, the aim of CEE and INEP, GoK has been:
- To create awareness among the general public regarding Bio-Medical Waste (BMW), its hazards and methods of mitigation
- To train healthcare workers regarding methodology of proper Bio-Medical Waste Management (BMWM) in their Health Care Establishments (HCEs)
- To set up a completely operational, model, common facility for Bio-medical Waste Collection, Transportation, Treatment and Disposal facility in Gulbarga
- To run the Common Healthcare waste Appropriate Management Plant (CHAMP) so created, in an environmentally sustainable and economically viable manner
- To prepare Educational materials regarding Bio-Medical Waste Management and disseminate them through training programmes, workshops and the media to other common facilities and entrepreneurs.

About CEE

Center for Environment Education (CEE) is a Center for Excellence supported by the Ministry of Environment and Forests (MoEF), Government of India. Through its various projects and programmes, CEE creates environmental awareness amongst general public, youth, women, children, students, governmental and non­governmental organizations, decision makers, industry and others.


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