Water and Wastewater Treatment For Hospitals - Sangeetha Subramanian Medicall conference, 2011 Chennai.

Fluid control equipments, Chennai 600006. www.flu-con.com

Water Requirement in Deepam Hospitals, Tambaram. (70 Beds - fully Occupied 7/24)
Bore Well/Private Sources (50,000 lts) 10,000 lts per day 30,000 40,000 lts per day 20,000 lts per day

Recycle Water

Fresh Water

Treated Water (DM,RO,UV)

Non Contact Purpose

Floor Wash, Landscaping, Flushing

Contact Purpose

Laboratories
Glass ware, Reagent Preparation, Diagnostic test

Canteen
Drinking, Food Preparation, Utensils Washing

Purified Water
Operation theater, Dialysis Unit

Bathing & Cleaning, Linen & Laundry cleaning

Cost Analysis
Deep Bore well/Tube well R.O System U.V System Capital Cost (INR) 50,000 2,50,000 4,00,00 - 7,00,000 50,000

Plant O&M Water cost

Recurring Cost(INR) 4 lakhs 7 lakhs per annum 1000 per 12,000 lit tank

* - Recurring cost can be significantly brought down by proper professional input at initial planning stage.

WATER USAGE AND RECOVERY SYSTEM FOR HOSPITALS

Fresh Water tank
Treated Water tank

Municipal Sewage

Treatment Plant

Garden

Hospital Wards/ Beds

Operation Theater 150 lpd

Out Patient/ Reception

Laboratory Services

Radiology/ oncology unit

Linen/ Services Area

Kitchen/ Canteen

100 lpd Sterilizing & Disinfection agents, pathogens, organic wastes, human tissues, blood

50 lpd

50 lpd

50 lpd 100 lpd

100 lpd

Organic wastes, pathogens, antibiotics

Organic Wastes

Organic wastes, pathogens, sterilizing, & Disinfection Agents

Spent liquid isotopes, photo developers, X-ray Developers.

Detergents, organic wastes

Food Wastes, Detergents

Solid Waste Treatment

Physico-chemical Treatment

Biological Treatment

Typical STP layout for hospitals

Chimney

Bio Scrubber Air Bar Screen

Chlorine Dosing Pump

Tube Settler Equalization Tank

To Recycle Water Tank

Chlorine Dosing Tank

PSF

ACF

Aeration Tank
Blower

Filter Press

Filtrate to Head Works

Skid Mounted Water Treatment Plant

Concern Areas and Solutions

Odor issues Bio scrubber

Plant O & M break down issues Contamination of treated water line and fresh water line

Operate on contractual basis Separate tanks and piping from planning stage

Hygiene

Depends on maintenance

Dolphin Hotels, Hyderabad, STP

STP LOCATED IN BASEMENT OF HILTON HOTEL NEW DELHI

Need for Onsite Sewage Treatment

Liquid wastes in hospitals no strict guidelines unlike Biomedical wastes handling. Governmental Regulations becoming increasingly strict Hospital accreditation Fresh water expenses Untreated sewage hauling expenses Land Cost

Effluent limits suggested by CPCB

Parameter pH Suspended solids Oil and grease BOD COD Bioassay test Permissible limit 6.5 to 9 100 10 30 25 90% survival of fish in 100% treated effluent for 4 days Mg/l Mg/l Mg/l Mg/l Unit

Size of hospital and onsite STP requirement

DPCC TNPCB KSPCB 500 beds or more more than 50 beds/ dwelling units 200 beds or more(Mangalore).

project delivery mechanism for optimizing project cost and quality

Civil Technology Design & Engineering Bought outs Technology Integration Planning and technology selection is usually the most critical step Requires indepth understanding of technology and design factors Design & Engineering to reduce project cost and implementation risks Optimization of project design for streamlining project implementation Civil and bought out portion entirely outsourced to dedicated local contractors Technology Integration involves: Piping electrical Instrumentation Allows to optimize project construction time and quality Ensures that designer is ultimately responsible for quality performance Higher plant operation efficiency Continued client interaction Least downtime Higher efficiency due to in-depth understanding of assets created Preparation of AMP (asset management plans) for optimizing O&M activities Operation & Maintenance

About Us and Our Associates

Fluid control equipments Chennai based company involved in manufacture of water and wastewater treatment equipments for more than 35 years Spans Enviro Delhi based consultancy firm involved in environmental engineering consultancy and plant design for more than 30 years Hydrosoil engineers Chennai based hydro-geological engineers with more than 20 years experience in bore wells and tube wells, water testing and analysis