(c) pre-treat the laboratory waste, microbiological waste, blood samples and blood bags through disinfection or sterilisation on-site in the manner as prescribed by the World Health Organisation (WHO) or National AIDs Control Organisation (NACO) guidelines and then sent to the common bio-medical waste treatment facility for final disposal;

(c) pre-treat the laboratory waste, microbiological waste, blood samples and blood bags through disinfection or sterilisation on-site in the manner as prescribed by the World Health Organisation (WHO) guidelines on Safe management of wastes from health care activities and WHO Blue Book, 2014 and then sent to the Common bio-medical waste treatment facility for final disposal;

Before the amendment, the pre-treatment of the bio-medical wastes was carried on in the manner as prescribed by the WHO or the NACO guidelines.

But, after the amendment, such pre-treatment has to be carried out as per the WHO guidelines on Safe management of wastes from health care activities and the WHO Blue Book, 2014, the requirement to follow the NACO guidelines have been removed.

(d) phase out use of chlorinated plastic bags, gloves and blood bags within two years from the date of notification of these rules;

(d) phase out use of chlorinated plastic bags (excluding blood bags) and gloves by the 27^th March, 2019;

The Amendment Rules have extended the timeline to phase out use of chlorinated plastic bags from 28^th March, 2018 (two years from the date of notification of the Principal Rules i.e. 28^th March, 2016) to 27^th March, 2019.

However, this extension is not applicable to blood bags.

(i) establish a Bar-Code System for bags or containers containing bio-medical waste to be sent out of the premises or place for any purpose within one year from the date of the notification of these rules;

(i) establish a Bar-Code System for bags or containers containing bio-medical waste to be sent out of the premises or for the further treatment and disposal in accordance with the guidelines issued by the Central Pollution Control Board by 27^th March, 2019;

Provisions regarding further treatment and disposal in accordance with the guidelines issued by the Central Pollution Control Board has been inserted and also the timeline under the clause has been extended from 28^th March, 2017 (one years from the date of notification of the Principal Rules i.e. 28^th March, 2016) to 27^thMarch, 2019

(p) make available the annual report on its web-site and all the health care facilities shall make own website within two years from the date of notification of these rules;

(p) all the health care facilities (any number of beds) shall make available the annual report on its web-site within a period of two years from the date of publication of Bio-Medical Waste Management (Amendment) Rules, 2018

The timeline for health care facilities, irrespective of the number of beds, for making their annual reports available on their websites, is extended to two years from the date of publication of the Amendment Rules i.e., 16^th March, 2018

(8) Every occupier shall phase out use of non-chlorinated plastic bagswithin two years from the date of publication of these rules and after two years from such publication of these rules, the chlorinated plastic bags shall not be used for storing and transporting of bio-medical waste and the occupier or operator of a common bio-medical waste treatment facility shall not dispose of such plastics by incineration …

(8) Every occupier shall phase out use of chlorinated plastic bagswithin two years from the date of publication of these rules and after two years from such publication of these rules, the chlorinated plastic bags shall not be used for storing and transporting of bio-medical waste and the occupier or operator of a common bio-medical waste treatment facility shall not dispose of such plastics by incineration …

After the amendment, the clause deals with the phasing out of use of chlorinated plastic bags instead of non-chlorinated plastic bags.