Md. Code Regs. 10.06.06.06

Current through Register Vol. 51, No. 18, September 6, 2024

Section 10.06.06.06 - Alternative Treatment Systems

A. Except as provided in §B of this regulation, a person may not use a method for treatment of special medical waste other than those set forth at Regulations .04A(2) and .05B of this chapter.

B. Criteria for Alternative Treatment System. A person may use a method for treatment of special medical waste that complies with the following standards for treatment and microbial test procedures:

(1) The method inactivates vegetative bacteria, fungi, parasites, lipophilic or hydrophilic viruses, and mycobacteria at a 6 log reduction or greater;

(2) The method inactivates bacterial spores at a 4 log reduction or greater; and

(3) The tests have been performed on a representative from each of the following microbial groups:

(a) Staphylococcus aureus (ATCC 6538) or Pseudomonas aeruginosa (ATCC 15422);

(b) Candida albicans (ATCC 18804) or Penicillium chrysogenum (ATCC 24791);

(c) Polio 2 or Polio 3 or MS-2 Bacteriophage, (ATCC 15597-B1);

(d) Cryptosporidium spp. oocysts or Giardia spp. cysts;

(e) Mycobacterium terrae, Mycobacterium phlei, or Mycobacterium bovis (BCG) (ATCC 35743); and

(f) Bacillus stearothermophilus (ATCC 7953) or Bacillus subtilis (ATCC 19659).

C. A person may not use a method for treating of special medical waste that:

(1) Creates a threat to health or safety; or

(2) Violates applicable federal and State environmental laws or regulations.

Md. Code Regs. 10.06.06.06

Regulations .06 adopted as an emergency provision effective September 30, 1988 (15:22 Md. R. 2547); emergency status expired March 29, 1989; adopted permanently effective May 1, 1989 (16:8 Md. R. 909)
Regulation .06B amended effective December 20, 1993 (20:25 Md. R. 1947)
Regulations .06 adopted effective September 1, 2004 (31:16 Md. R. 1254)
Regulation .06A amended effective November 6, 2006 (33:22 Md. R. 1732)