Data by IMAGE shows generation of 11, 312 kg of refuse in April COVID-related biomedical waste generated in the State shot up from an average daily quantity of 1,452 kg in March last to 11, 312 kg in April this year, according to the estimates by the Indian Medical Association Goes Eco Friendly (IMAGE). The total daily average of biomedical waste (including COVID-related waste) recorded a massive spike since March last year. From a daily average of 34,078 kg in March, the waste generated reached 54, 512 kg in April this year. IMAGE, an initiative of the Kerala chapter of the Indian Medical Association, has been operating its Common Biomedical Waste Treatment and Disposal Facility at Palakkad from 2003 onwards.