In terms of mortality and morbidity and disability burns are emerging as a major child health problem in Mongolia. This trend is similar to many other developing and low incoming countries. To develop effective burn prevention programmes, information on its prevalence and etiology are necessary. To describe the epidemiology of child burns in UB, identify the trends of burn occurrence, the vulnerable population and etiology. Descriptive statistic and one-way analysis of variance were employed. The study was carried out to analyze the prevalence, mortality and current etiology of pediatrics burns in Ulaanbaatar during 10 years (2004-2013). The overall incidence rates of death were 26.3 per 100000 person-years. The male-to-female ration of incidence rate for children younger than 5 years was 1.1. There was also significantcorrelation between age groups and aetiology of burns.(P<0.0001). Analyses showed that younger children were more vulnerable to scald injury. The etiological subgroups of scalding were scalding with hot drinks/food and scalding with hot water meant for household. Flame was the most common etiology of burn for children up of 5 years and almost all other age groups.

Background: A water supply sufficiency and quality standard has been still important object of the priority issues of countries, regions as well as the Worldwide. In December, 2003, the General Assembly of the UN announced to worldwide a decade named as "Water for life" with duration of 2005 - 2015. Public Health Institute of Mongolia,2 Health Sciences University of Mongolia Background: A water supply sufficiency and quality standard has been still important object of the priority issues of countries, regions as well as the Worldwide. In December, 2003, the General Assembly of the UN announced to worldwide a decade named as "Water for life" with duration of 2005 - 2015. Ensure environmental sustainability objective 6.16 within MDGs of Mongolia proposed to decrease a share of inhabitants without safe drinking water, and a share of inhabitants not provided by an improved sanitation infrastructure, respectively. After Mongolia shifted to a market economy system, production rapidly developed, and rapid increasing of mining, population centralization in urban areas and use of the chemical elements were basic and necessary conditions to study an arsenic content in drinking water of Gobi provinces. Goal: To determine arsenic content in drinking water of Gobi provinces and provide a hygienic assessment. Materials and Methods: Research study designed by cross-section methods and analyzed one action data. In total of 62 soumsfrom five Gobi provinces (namely Gobi-Altai, Gobisumber, Dornogobi, Dundgobi, and Umnugobi) were selected as a research sites. Samples are taken according to the standard MNS ISO 5667-2:2001 from total of 142 deep drilled wells amongst 62 selected soums. According to the ISO-MNS 11885:2007 standard, arsenic content (As) were tested in the samples by using Optical Emission Spectrometer with brand name of Varian 720 -ESICP. Test analyses were assessed after comparison with the content level of arsenic in drinking water standard of Mongolia as coded MNS 900:2005 and the recommended levels stated in "Guidelines for drinking water quality", developed by the WHO. Results: Arsenic contents were presented 106 samples, represented 74.6 percent of the total samples from the 142 deep drilled wells in the selected sites of 62 soums among 5 Gobi provinces. In additionally, existing arsenic contents in 22 samples were 15.4 percent of the selected samples counted 1 to 6 times higher than the drinking water standard of Mongolia as coded MNS 900:2005 and the recommended levels stated in "WHO - Guidelines for drinking water quality". Total drinking water arsenic contents across the selected 5 Gobi provinces were statistical mean 0.0084 ± 0.0009 mg/l. Conclusion: 15.4 percent arsenic contents in drinking water in Gobi provinces were greater than the drinking water standard of Mongolia as coded MNS 900:2005 and the recommended levels stated in "WHO - Guidelines for drinking water quality".

Carbon monoxide comes up from the combustion of gas, wood and coal during the industrial processes and since it’s a tasteless, odorless, colorless gas it can be absorbed into body in a short time resulting acute intoxication.The result of planned inspection with laboratory analysis at Ore industrial workshops and fields located in Darkhan-Uul province conducted by Specialized Inspection Place in 2013 was higher than the permissible level which is indicated in Mongolian national standard of occupational hygiene MNS4990-2000 by 60.2 mg/m3 and was higher than the short time permissible exposing level which is indicated Occupational Safety and Health Agency (OSHA) of USA by 20 ppm, therefore we predicted that there is a pollution of carbon monoxide in present industry and conducted this study.For the determination of carbon monoxide exposure by workshops and departments, the average level of CO for workers was 17 mg/m3, maximum was 57.3 mg/m3, the average level was for dayworkers 44.9 mg/m3, for night workers it was 102mg/m3 and maximum was 427 mg/m3 in RIW. Identifying level of exposure by the type of workers, for servicemen were 96.2-427 mg/m3 for welders was 46.4 mg/m3 and mechanics was 140.5mg/m3 which were higher than others.Comparing the results of present study with the permissible level of Mongolian national standard of occupational hygiene MNS4990-2000, was higher by 50-120mg/m3 and with the 8 hours of time weighted average (TWA) of Occupational Safety and Hygiene Agency (OSHA), was higher by 20-80 ppm.

In terms of mortality and morbidity and disability burns are emerging as a major child health problem in Mongolia. This trend is similar to many other developing and low incoming countries. To develop effective burn prevention programmes, information on its prevalence and etiologyare necessary. To describe the epidemiology of child burns in UB, identify the trends of burn occurrence, thevulnerable population and etiology. Descriptive statistic and one-way analysis of variance were employed. The study was carried out to analyze the prevalence, mortality and current etiology of pediatrics burns in Ulaanbaatar during 10 years (2004-2013). The overall incidence rates of death were 26.3 per 100000 person-years. The male-to-femaleration of incidence rate for children younger than 5 years was 1.1. There was also significantcorrelation between age groups and aetiology of burns.(P<0.0001). Analyses showed that younger children were more vulnerable to scald injury. The etiological subgroups of scalding were scalding with hot drinks/food and scalding with hot water meant for household. Flame was the most common etiology of burn for children up of 5 years and almost all other age groups.

Asbestos is a human carcinogen, and prohibited to use in 55 countries. Thermal power plants, construction industries, locomotive repair shops and analytical laboratories in Mongolia use asbestos as thermal insulation material. This study investigated exposure to airborne asbestos in workplaces. Total of 85 air sampleswere collected from thermal power plants (n=4), locomotive repairshop (n=1), construction renovation workplace (n=1), construction material shop (n=1) and analytical laboratory (n=1).The air samples were collected and analyzed by NIOSH 7400 and 7402 standard analytical methods. The average of airborne asbestos concentration (0.72f/cm3) in the workplaces was 7.2 times higher than the occupational exposure limit (0.1f/cm3). Exposure to airborne asbestos was exceeded in insulation workplaces of the thermal power plants and locomotive repairshop.Airborne asbestos was detected from construction renovation worksite, construction material shop and analytical laboratory, but did not exceeded the occupational exposure level.

Noise exposure is one of most common health hazards at workplace. But,there is very limited data of about occupational exposure to noise at workplaces in Mongolia. This study evaluated noise exposure among the workers. In pilot study, noise pressure level was measured for 103 Mechanical factory and office workers forfull work shifts by A-weighting scale. Personal noise dosimeters, Etymothic R-200DW7 were used to measure noise level. Average noise pressure levels ofworkers were 87.56 dBA in mechanical factory, 86.29 dBA in mechanical shop and 90.24 dBA in casting shop. Noise levels in the casting shop were exceeded by 1.29-5.24 dB for Recommended Exposure Level (REL).

This study investigated adverse effect of ergonomics risk factor among office staffs. Total of 224 workers participated in the study from 780 workers of Oyu Tolgoi Company, Ulaanbaatar, Mongolia. The study participants had signs of red numbness and fatigue (77%), back pain and discomforts (55%), discomforts of wrist, palm (25%), and shoulder and elbow (42%) for last 6 months. Moreover, they participants had signs of red numbness and fatigue (62%), back pain and discomforts (41%), discomforts of wrist, palm (18%), and shoulder and elbow (37%) for last oneweek.

IntroductionThere are an estimated 246 million people with diabetes mellitus globally and this figure is predictedto rise to 380 million by 2025, with the most rapid growth in developing countries, among the workingage group of the population.Now in Mongolia, the more than half of population live in cities and settlements, following thisurbanization the population`s diet and lifestyle has been changed to more western style and morepeople affected by diabetes mellitus.Diabetic retinopathy is the most common chronic and devastating complication of diabetes whichleads to visual impairment and blindness. Diabetic retinopathy develops in nearly all persons withtype 1 diabetes and in more than 77% those with type 2 who survive over 20 years with disease. Thecurrent estimates of the prevalence of diabetic retinopathy vary in different countries. The WHO hasestimated that diabetic retinopathy is responsible for 4.8% of 37 million cases of blindness throughoutthe world.Significant independent predictors of proliferative diabetic retinopathy determined by multivariableanalysis were fasting plasma glucose level, duration diabetes, plasma cholesterol, systolic bloodpressure and therapeutic regimen.In recent years a number of randomized clinical trials have shown that interventions to improvemetabolic control, careful monitoring and treatment reduce late diabetic complications.GoalTo establish the prevalence, severity and risk factors of diabetic retinopathy type 2 diabetic patientsin Ulaanbaatar.Materials and MethodsThe study conducted by cross sectional study. Randomly selected 235 patients type 2 diabetic patientsfrom Bayanzurh districts of city Ulaanbaatar. Participants provided a detailed medical and personalhistory, underwent an ocular examination including funduscopy. Fasting blood glucose-FBG, totalcholesterols, triglyceride, HDL were determined by methods of laboratory in venous plasma.ResultsThe prevalence of diabetic retinopathy among people with type 2 diabetes was 37.4%. The prevalencenon-proliferative diabetic retinopathy was 17% (40), pre-proliferative diabetic retinopathy was 8.1%(19), and of proliferative diabetic retinopathy was 12.3 %( 29).The mean age of participants with diabetic retinopathy was 57.4 years (range 26-79). The meanage of participants with non-diabetic retinopathy was 53.6 years (range 26-76). The prevalence of diabetic retinopathy did not vary significantly with age. Retinopathy was positively associated with alonger reported duration of diabetes and with higher fractions of blood glucose (p<0.05).Progression of diabetic retinopathy positively associated with high level fasting blood glucose (6.2mmol/l), total cholesterol (4.5 mmol/l), systolic pressure (130 mm Hg) diastolic pressure (90 mm Hg),triglyceride (2.2 mmol.l) and low level HDL (1.1 mmol/l).ConclusionRisk factors for diabetic retinopathy were found to be high level of blood glucose, longer duration ofdiabetes. Diabetes poor control was significantly associated with progression of diabetic retinopathy.

IntroductionThe workplace is an important site which can influence physical, mental, economic and social aspects of people’s wellbeing. In the globalized market a vital condition for success is healthy, professional and motivated human resources. With the increasing awareness of this factor in the public and private enterprises, the concept of health promoting workplace is gaining a growing significance.GoalTo study health promoting activities in the workplace and assess knowledge and attitude of employers on health promotion.Materials and MethodsA cross-sectional study design was used and the data was collected using quantitative and qualitative methods. A thermal power plant, beverage manufacture, construction company and a mining company were selected for the study.ResultsIn terms of measurements of parameters of the working conditions, the average temperature was higher than required in the occupational hygiene standard (26.60C) and the air humidity was within standard level (30-70%). The workers of the thermal power plant, construction company and mining company are exposed to hand-arm and whole-body vibrations. The highest noise level was 96 dB(A) in the mechanical and repair shops of the mining company which exceeds the occupational hygiene standard. All companies had staff members who responsible for occupational safety, but only 3 had health care service providers for workers. Each company has its own policies to control and prevent workplace hazards and to promote workers health, but these activities were not implemented adequately. Conclusion:Employers, managers and employees have reasonable understanding of workplace health promotion. However, systematic training and counseling are required to improve the activities aimed at protection and promotion of the health of the employees. There is an acute need for systematic and comprehensive implementation of healthy workplace programs. Among others, improvement of the physical environment and ergonomics of every workstation, and availability of health services are also necessary. Environment for promotion and sustenance of healthy behavior in the employees need to be developed for the employees.

IntroductionThe aimag health statistics of 2009 shows that the cancer morbidity is 24.94 per 10000 populations,which is 1.6 times and the cancer mortality is 21.48 per 1000, 1.8 times higher than the national average respectively. Therefore, this research was carried out to study the KAP on breast and cervical cancers among the women of Sukhbaatar aimag for planning and implementation of actions meeting their needs.MethodologyIn total 570 women from Bayandelger, Dariganga, Ongon, Munhkhaan and Erdenetsagaan soums and 2 baghs of the aimag centre were involved in the study by random sampling.ResultsIn the study involved 570 women of 6 soums of Sukhbaatar aimag. The average age of the women is 33 1.0. Women with university education are 21.4%, with complete secondary education 44.3%, with incomplete secondary education 3.3%, with primary education 7.7%, and uneducated was 1.1%. Herding women composed 22.8% of the participants. The knowledge related to the age of the participants demonstrate higher level of knowledge on cancer among 35-44 year old women. By thereasons of involvement in the breast screening, 68% have not been examined in last 5 years, 10% have visited voluntarily and the rest participated as it was organised by their employees or by chance. The average score of the knowledge on cervical cancer was 7.8 or 30%. The women themselves assessed their knowledge on cervical cancer as poor. The responses given by respondents in the study of the signs of the cancer also demonstrate low level of knowledge. Also the women’s knowledge on early detection of the cancer is insufficient. The knowledge, attitude and practicce of local women concerning breast/cervical cancer, the factors affecting the screening, current needs and the level of health education were defined by this study and the findings of the study show that it is necessary to focus on improving the KAP of the target population on preventive acctivities and participation in screening and enhancement of related trainings.Conclusions:1. The knowledge of the women on breast and cervical cancers is generally low.2. The sources of information on the causes of breast and cervical cancers are scarce.1. The insufficient KAP towards screening and poor preventive behavior negatively affect early diagnosing of breast/cervical cancer.