1.Relationship between meteorological parameters and some intestinal infectious diseases
Otgonbayar D ; Tsegmid S ; Suvd B ; Norolkhoosvren B ; Gomboluudev P ; Burmaajav B
Mongolian Medical Sciences 2021;196(2):63-68
Introduction:
Mongolia is one of the most vulnerable countries to climate change due to its geographical location,
climate conditions, level of development and lifestyle of the population.
The “Impact of Climate Change on Drinking Water, Health and Adaptability” study report has shown
that climate change is affecting the quality and composition of drinking water, drying up many rivers
and lakes and reducing groundwater levels.
There was a strong positive correlation between precipitation and air temperature and dysentery,
diarrhea and salmonellosis, while there was a strong negative correlation between precipitation, air
temperature and viral hepatitis.
Goal:
The goal of the study was to reveal correlation between meteorology parameters and some intestinal
infectious diseases and human health in Mongolia.
Material and Methods:
We evaluated climate and certain morbidity (intestinal infections) indicators for the last 15 years
(2005-2019) using descriptive survey methods. The methodology of the survey has developed and
discussed at the Scientific Council meeting of NCPH, 12th of Oct, 2020. The methodology of the
survey has developed and discussed at Medical Ethics Reviews Committee of MOH on 23rd. of June,
2021.
Results:
On the other hand, the average air temperature has intensively risen for the last three decades
since 1990 with the warmest average temperature between 2001-2010, whereas the coldest average
temperature has been observed between 1951-1960. In 2005-2009, the prevalence of intestinal
infections per 10.000 population was 0.8 cases of salmonellosis, 11.2 cases of dysentery, 0.2
cases of diarrhea, and 39.0 instances of hepatitis A. Throughout 2015 and 2019, the prevalence of
salmonellosis fell by 0.1 per 10.000 population, dysentery by 2.9, diarrhea by 0.1, and hepatitis A by
0.1.
Conclusion
A seasonal trend in intestinal infections was observed (p<0.001). Strong positive correlation was
found between high temperature and some intestinal infections (hepatitis А, dysentery, salmonellosis)
respectively.
2.Health professional’s knowledge, attitude and practice (KAP) on air pollution
Otgonbayar D ; Tsegmid S ; Suvd B ; Oyun-Erdene O ; Buuveidulam A ; Zolzaya D ; Oyunchimeg D ; Chinzorig B ; Amartuvshin Ts ; Enkhtuya P ; Narantuya D
Mongolian Medical Sciences 2020;193(3):54-58
Introduction:
Soum and family health care centers (primary health care centers) provide public health services to
reduce the negative effects of air pollution on health. In order to decrease the risk factors due to air
pollution, it is crucial for health professionals, who are providing health care services to the public,
to have the knowledge, attitude and practice to give an advice for residents on how to protect their
health from air pollution. The “Air pollution and child health” report from WHO recommended that
responsibility of health professionals must include knowing the latest information on air pollution,
doing a research, spreading the knowledge, educating families and community and learning from
them as well, proposing solutions, and finding a solution for policy developers and decision makers
in other sectors. Therefore, we conducted this survey with purpose to determine the long-term effects
of air pollution on population psychology and lifestyle and to evaluate the level of knowledge, attitude,
and practice of health professionals on how to protect a health from air pollution.
Goal:
Evaluate the level of knowledge, attitude, and practice of health professionals on air pollution.
Material and Methods:
In 2019, this study conducted a cross-sectional design and collected quantitative and qualitative
data. 88.4% of (n=532) health professionals from 48 secondary health care centers (SHCC) and 64
family health care centers (FHCC), which are agents that implement UNICEF project, in Bayanzurkh,
Songinokhairkhan districts and Bayankhongor aimag were participated in the survey.
Results:
97.4% of the participants agreed that air pollution has negative effects on human health. 99.5% of
participants did not know the Mongolian standard for the acceptable level of air pollutant particulate
matter (PM) and 73.1% of all participants did not receive information about air quality index. 82.1% of
participants regularly give prevention advice with the purpose of protecting maternal and child health
from air. The participants who worked for more than 21 years and who are older than 51 years old
were more likely to give advice (p<0.05). As for the reasons for not giving advice about air pollution
for protecting the maternal and child health, 29.2% of participants answered the service time is not
enough, and 22.9% mentioned the lack of knowledge and information. 30.5% (162) of participants were not satisfied with their skill to give an advice on how to protect maternal and child health from
air pollution. 86.8% of participants indicated that they did not receive proper training on air pollution
and prevention from air pollution.
Conclusion
There is a need to provide training and information on how to protect maternal and child health from
air pollution for health professionals.