E665 October 25, 2002 CAPACITY BUILDING PROJECT ON FOOD SAFETY AND QUALITY CONTROL OF DRUGS ENVIRONMENTAL MANGEMENT PLAN '4c4q 4 W- GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH OCTOBER 2002 Environment Plan, 25 Oct, 02 FI.LE GOR^Y ;AT, 0 FILE (S) No. CBP/ENVIRONMENT/2002 Govt. of India ACTION BY Ministry of Health and Family Welfare Department of Health COPY TO Nirman Bhawa l, New Delhi To Do ted 25.10.02 Ana C!tm.s Fibo.- Dr G.N.V Ramana, Sr Public Health Specialist, w World Bank, 70, Lodi Estate New Delhi Subject: - Environmental Management Plan for Capacity Buwldmg Project on Food Safety and Quahty Control of Drugs. SLr, I am forwarding a copy of the Environmental Management Plan for Capacity Building Project on Food Safety and Quality Control of Drugs for your review The Govt of India has no objection to the disclosure of these documents at the Bank, Public Information Centre The Environmental Plan wdl also be downloaded on the Ministry's website. A copy of the plan is also being shared with the participating States The budget for addressing the Environmental Issues has been estimated at Rs. 1.05 Millions. However, this will be suitably enhanced if durmg implementation of the plan further provision of funds, or new activities, are required Yours faithfully, (Deepak- Gupta) Joint Secretary 1. Background 1.1. Introduction The Government of India is strongly committed to improving the quality and safety of food and drugs in the country. The long term strategy includes creating common standards and approaches in the country and policy reforms related to existing government regulations, licensing, transparency and enforcement. A number of initiatives have been taken in last few years to improve the capacity of testing laboratones and to upgrade systems and procedures. To further support this exercise and to disseminate it umformly across all states in the country, the Ministry of Health and Family Welfare (MOHFW) of the Government of India has proposed the Food and Drug Capacity Buildmg Project, to the World Bank. One of the keys areas proposed within the Food and Drug Capacity Buildmg project relates to the upgradation of capacity and competency of the Central and State Food and Drugs testing laboratories. At the policy level, the project will allow the enhancement of the existmg set of laws and regulatory provisions to clearly and specifically address the handlmg and management of hazardous chemicals and biohazardous wastes used and generated In such Drug and Food Testing Laboratories An environmental management action plan will be implemented to minumize negative environmental impacts of current and future operations and to increase the overall safety at these laboratones. The project will allow for the enhanicemenit of the existing national Good Laboratory Practices (GLP) Guidelines with an environmental management health and safety component and standard Codes of Practice. The food and drug-testing laboratory undertake analytical work involving use of vanous chemicals though the quantities used are small. The chemical waste generated is mmimal and the only risk may be created by occasional spillage, splashes or broken glassware 1.2. Objectives The main objective is the development and implementation of a generic Environmental Management Action Plan which will enable review and mitigation of environmental nsks related to the up-gradation, construction and operation of laboratones, in a manner to ensure compliance with environmental requirements in India and compatibility with the mternational environmnental practices. 1.3. Methodology i) The MOHFW did a preliminary desk review of laboratories to be covered under this project Site visits to followmg 4 food and drug controt laboratories were undcrtaken * Food Research & Standardisation laboratory, Gaziabad (UP) * Central Indian Pharmacopuer laboratory, Rajnagar ( UP) * National Institute of Biologicals, Noida (UP) * Central drug research institute, Kasauli (HP) ii) Consultations were held with the key stakeholders mcluding MOHFW and laboratory staff, food anid drug regulatory personnel, environmental NGOs and the affected communities. iii) The MOHFW did a desk review of the existing policy framework for environmental protection and occupational safety and health in food and drug laboratories, which included the following existmg legislations in India mcludmg (a) Biomedical Waste (Management and Handlmig) Ruies-1998; (b) Environment Protection Act - 1986; (c) The Factones Environment Plan. 2S Oct. 02 2 existng legislations in India including (a) Biomedical Waste (Management and Handling) Rules-1998; (b) Environment Protection Act - 1986; (c) The Factones Act - 1948, and (d) Drugs and Cosmetics Act, (e) The Manufacture, Storage, and Import of Hazardous Chemical Rules (1989) and (f) Hazardous Wastes (Management and Handling) Rules (1989) * mtemational legislations and guidelines mcluding WHO documents * Good Laboratory Practices (GLP) guidelmes for Drug Quality Testmg Laboratones developed by MOBIFW * Critena for Laboratory Accreditation, National Accreditations Board for Testing and Calibration of laboratones, Department of Science and Technology 2. Situation Analysis 2.1 The site visits and stakeholder consultations revealed the following. * Most of the laboratories are small, with few workers with minimal amount of materials usage and waste generation * The volume of waste generated is small, but varied due to the different types of chemicals used. Combined waste water parameters vary from laboratory to laboratory * There is lack of awareness regarding waste management and in most laboratories, there is no proper segregation of waste * Laboratones do not keep records of quantity and quality of waste generated • Wastewater audit and monitoring systems are lacking * There are some basic standards for safe management of hazardous chemical matenals and wastes * Better operational practices and segregation at source can reduce waste generation. * There is need to enhance the skills and capacity of most laboratory staff in environmental health and safety management * There is need for updating, standardizing and enforcing existing laws and improved coordination with regulatory agencies 2.2 Review of National legal and regulatory frameworks 2.2.1 The Environmental (Protection) Act, 1986 This Act is designed to protect environment from air and water pollution The Act has provisions to prevent contamination of soil from improper hazardous waste disposal and from leakage, spills or leaching of chemicals. This Act categorically mentions effluent discharge standards for different categories of industries. While there are general standards for discharge of environmental pollutants m Inland surface water, public sewer, land and marine in Schedule-lof the Act, there are no separate standards mentioned for food and drug control laboratories. 2.2.2 The Biomedical Waste (Management and Handling) Rules (1998) These rules, which were partly amended in 2000, apply to all persons who generate, collect, receive, store, transport, treat, dispose, or handle biomedical waste m any form. Bio-medical waste is defined as any waste, which is generated during the diagnosis, treatment or immunization of human beings or aniimals or in research activities pertaimng thereto or in the production or testmg of biological, and including categories mentioned in Schedule I Schedule I describes the different categories of biomedical waste as detailed below.- Environment Plan, 25 Oct, 02 3 SCHEDULE I CATEGORIES OF BIOMEDICAL WASTES Option Waste Category Treatment & Disposal Category No 1 Human Anatomical Waste Incineration'/deep bunal2 (Not (human tissues, organs, body parts) Apphcable) Category No. 2 Ammal Wastes Incuieration'/deep bunal2 (animal tissues, organs, body parts carcasses, bleeding parts, fluid, blood and expenrmental ammals used in research, waste generated by veterinary hospitals, discharge from hospitals, animal houses) Category No. 3 Microbiology and Biotechnology Waste (wastes from laboratory cultures, stocks or specimens of local autoclaving/ micro-organisms, live or attenuated vaccines, human and microwaving/incineration animal cell culture used in research and infectious agents from research and industrial laboratories, wastes from the production of biologicals, toxins, dishes and devices used for the transfer of cultures) Category No. 4 Waste Sharps disinfections (chemical (needles, syringes, scalpels, blades, glass, etc, that may treatment3)/autoclaving/ cause puncture or cuts. This includes both used and microwave/& mutilation/ unused sharps) shredding4 Category No. 5 Discarded Medicines and Cytotoxic Drugs mcineration'/destruction (wastes comprismg outdated, contaminated and discarded and drugs disposed m medicines) secured landfills Category No. 6 Soiled Waste (items contaminated with blood and body fluids including cotton dressings, soiled plaster casts, incineration'/autoclaving/m lines, beddings, other matenal contaminated with blood) icrowavmg Category No. 7 Solid Waste (wastes generated from disposable items, disinfections (chemical other than waste sharps, such as tubmgs, catheters, treatment3)/autoclaving/ intravenous sets, etc) microwave/& mutilation/ shredding4 Category No. 8 Liquid Waste disinfections (chemical (waste generated from laboratory and washmg, cleaning, treatment3) and discharge housekeeping and dismnfecting activities) into drains Category No 9 Incmeration Ash disposal in municipal (Not (ash from incineration of any biomedical waste) landfill applicable) Category No 10 Chemical Waste disinfections (chemical (chemicals used in production of biologicals, chemicals treatment3)and discharge used m disinfection, as insecticides, etc) into drams for hquids and I secured landfill for solids l There will no chemical pretreatment before incineration. Chlorinatedplastics shall not be incinerated 2Deep burial shall be an opton available only in towns with populanon less tian five lakhs and in rural areas 3Chemicals treatment using at least 1% hypo chlonte solution orany other equivalent chemical reagent It must be ensured that chemical treatment ensures disinfections 4Mutilation/shredding must be such so as to prevent unauthorized reuse. Environment Plan, 25 Oct, 02 4 Food and Drug Testing Laboratories are likely to produce wastes m many of the 10 categories listed above The correct classification and proper segregation of biomedical wastes (hazardous and non-hazardous general wastes) is essential and should be the responsibilitv of the staff of the laboratory. The Biomedical Waste Rules do not cover safety, traning and occupational health aspects of the food and drug laboratories. 2.2.3 TheHazardous Wastes (Management and Handling) Rules (1989) These regulations include requirements governing waste classification, accumulation, disposal. record-keepung and emergency preparedness. Hazardous waste management requirements are dependent upon the type and quantity of vastes generated by the laboratones. Most laboratones generate hazardous waste and, therefore, are subject to these rules The Rules specify hazardous waste in 10 categories and regulatory quantities are indicated for each category. These Rules do not specifically mention the hazardous waste generated m food and drug testing laboratories. 2.2.4 T7heManufacture, Storage and lmport of Hazardous Chemical Rules (1989) - The rules address storage and handling of flammable liquids and of compressed gases and communicating chemical hazards in the laboratones The rules require the communication of all chemical hazards to employees in the laboratories These rules do not address the handlmg of hazardous chemicals with reference to their transportation and movement. 2.2.5 The Factories Act, 1948 This law specifically focuses on occupational health and safety and identifies the need for Material Safety Data Sheets (MSDS). The basic provisions for safe workplace provided for under this Act can be applied as a baseline, but needs to be updated to reflect current understanding of health and safety issues and the myriad of new chemicals in use in manufacturing and the food and drug industry 2.2.6 Drugs and Cosmetics Ac & Rules The provisions under this Act are applicable to drug manufacturng units and provide guidelines on 'good manufacturing practices'. But this Act does not mention enviromnental plans or have any significant reference on health and safcty in thc laboratories. There is a passing reference to first aid, but with no details 22.7 Good Laboratory Practices (GLP), MOHFW The GLP Guidelines for Drug Tcstmg Laboratones focuses on procedures, practices, techmnques of drug testing. The GLP guidelines do not cover the food labs The National Accreditation Board for Testing and Calibration Laboratones (NABL) establishes cnteria for laboratory accreditation The focus is on mamtaining good environmental conditions related to standards for accuracy of testing The GLP and accreditation standards for laboratories do not contain guidelnes for environmental management of Food and Drug Testng Laboratories. Environment Plan. 25 Oct. 02 5 2.2.8 Conclusion Though the existing laws m India have established standards on occupational health, safety. waste management and general environmental protection for manufacturing units, they do not provide specifically for environmental health and safety in Drug and Food quality testing laboratones Laboratones present unique working conditions, even though the quantities of chemicals used and amount of wastes generated are relatively small. The disposal of hazardous chemicals, empty contamers and bottles and wastewater are issues which need to be addressed since mdiscrinmate use, storage, handling and disposal can have senous implications for the health of the public and of the environment. 2.3. Review of International Guidelines 2.3.1 Safe Management of wastes from health-care activities (1999), WHO While the focus of this guideline is on establishments providing direct health care scrvices, much of the material on chemical wastes and bio-hazardous waste management would be applicable or could be adapted to address similar wastes in laboratories In particular this would be useful in Sharps Management Guidelmes, General guidelines for large and small facility waste planning and Chemical waste / laboratory waste sections 2.3.2 Environmental Management Gutide for Small Laboratories, May 2000 - United States Environmental Protection Agency: This guide provides a specific approach to envuronmental management systems, and is designcd for laboratories m the U.S and elsewhere that typically do not have a person employed as an environmental manager. These laboratories include research laboratones for healthcare, and those that do commercial testing for healthcare, food, mdustrial hygiene, waste This guide, with its emphasis on designing systems and supportmg pollution prevention, make it an ideal resource to establish a national guide for GEMPL (Good Environmental Management Practices in Laboratones). 2.3.3. Manuals on health and safety guidelines for laboratories: National Institute of Environmental Health Sciences (NIEHS), USA While these manuals focus on larger laboratories, elements of some of the guidelines may be appropriate to extract for reference in the Food and Dnig laboratones. 2.3.4. Laborator yProcedures Manual, US. Food and Drug Administration (FDA) This manual is designed for field laboratones and mav be an appropriate reference tool It focuses on worker safeguards against laboratory hazards (biologlcal and chemical) Such worker safety practices are also generally appropriate anid aligned with environmental safeguards. 2.3.5. Conclusion: Some of the interational standards may not be appropnate to conditions in Indian laboratonrs However, some of the manuals, in particular those from FDA and EPA, are directed to smaller laboratories. which could probably be rephcated in many of the state laboratones under the framework of this program. The MOHFW considers that such mternational guides provide good reference materials and a basis for developing specific manuals and protocols for the food and drug laboratories Environilmen! Plan, 2s Oct, 02 6 3. Environmental Impacts The proper identification of the environnental impacts related to laboiatory operation and construction activities is important so as to dcfinc effective mitigation and management practices This has a beneficial effect not onlv on overall environmental performance but also on the safety and health of the laboratory personnel and related communitv. Laboratories present umque workmg conditions and envirornent even though the quantitv of chemicals used is small. Even chemicals that are generally considered to be benign have the potential to be hazardous under specific circumstances 3.1 Environmental Impacts related to Laboratory Construction Somc of thc cnvironmental impacts associated xvith laboratory construction arc hsted below 3.1.1 Water Pollution Construction activitics generatc waste water from wash-pits, whcel washing, equipment clcaling, etc which can be a source of water pollution if the drainage system is ineffective Additionallv the large ntumber of temporary construction workers will generate sanitarv waste, which if not properly managed, can Also if there is no arrangement to handle the samtary waste, it could pollute the surface/under-ground water. There is the added risk of mosquito breedmg, if water around the construction site is allowed to stagnate. 3.1.2AirPollution Dust generated during the process of cutting and filling earth and improper burming causes air pollution. Fly ash is also generated during cement mixing 3.1.3 Noise Pollution Noise pollution due to operation of different types of equlpment and machinery durmg construction activities may disturb the surroundmg premises, including residential dwellmgs, schools, hospitals etc 3.1.4 Construction design issues Some of the environmental nsks associated with poor design of laboratones are e lmpropcr design of fioonng may lead to falls, slippage, retention of infectious matenal ctc * Absence of separate waste movement comdor may cause occupational health hazard e Inadequate and poor qualitv of dnnking water could be a health hazard * Insufficient ventilation and absence of natural lighting may adversely affect health and energy efficiency • Improper design of fire safety system could result in leakage of hazardous matenals 3.2 Environmental Impacts related to Laboratory Operation Somne of the enviromneintal unpacts associated with regular laboratory operations are hsted below. 3.2.1 Water Pollution The food and drLg laboratories use a xvide range of chemicals, dismfectants and sample drLgs Direct release, without treatment and segregation of any of these chemicals and hazardous wastes to the drain without treatment can contaminate and corrode the waste water svstem and create health nsks for the general public, directly or mdirectly. Such pollution is also detnmental to aquatic life and the manne environment :i:v i:ot