1.Lung cancer is a public health dilemma
Unurjargal Ts ; Enkhjargal A ; Khorolsuren L ; Burmaajav B
Mongolian Medical Sciences 2023;203(1):44-52
Lung cancer has the highest mortality rate in the world and is the most common cancer type in Asiancountries. In developed countries, new cases and lung cancer among women tend to increase, while in less developed countries, the death rate of this cancer is high and its prevalence is higher among males.
Moreover, in many studies conducted in recent years worldwide, a sample of the studies containing early detection, diagnosis, and treatment that can be implemented at the national level was translated and compiled.
Improvement of public health education, availability of health care services, an increase of human resource capacity, implementation of early detection programs among the public, and early detection with a reduced dose of KTG among the target group are expectations of the public health sector. Special attention should be paid to issues such as reducing smoking among the people of Mongolia, immediately solving the problem of air pollution in central areas, assessing and reducing the risk factors of occupational diseases of mining workers, and introducing modern methods of treatment and diagnosis in health care services. The time has come to take multifaceted measures to prevent lung cancer, which has a high global disease burden and economic burden, with public participation.
2.Current status of lung cancer in the population of Ulaanbaatar
Onorjargal Ts ; Enkhjargal A ; Khorolsuren L ; Dolgormaa N ; Munkhzul Sh Sh ; Burmaajav B
Mongolian Medical Sciences 2023;205(4):38-46
Introduction:
Lung cancer is the leading cause of cancer-related deaths in the world, and half of all new cases
(59.6%) are recorded in Asia. Smoking remains the leading cause of death from lung cancer and
COPD, followed by air pollution. Therefore, in Ulaanbaatar, where the population concentration is high
and air pollution is high, there is a need to study the new cases and deaths of lung cancer in detail.
Purpose:
It is aimed to evaluate the prevalence of new cases and deaths of lung cancer among the population
of Ulaanbaatar.
Materials and Methods:
This study analyzed new cases and deaths diagnosed with lung cancer from 2013 to 2023 in the city of
Ulaanbaatar using a single-moment design of descriptive research. The quantitative data of the study
included the diseases recorded using the International Classification of Diseases X (ICD-10) and lung
cancer codes C-33 and C-34. The numerical data collected during the research were processed in the
Microsoft Office Excel-13 program and processed using the IBM SPSS Statistics 23 program.
Results:
A review of the newly registered lung cancer epidemic in Ulaanbaatar from 2014-2022 has observed
an increase in the number of new cases recorded in Songinokhairkhan, Sukhbaatar, Khan-Uul, and
Baganuur districts in those years and in recent years in the Bayanzurkh and Sukhbaatar districts. Men
were three times more likely than women to develop lung cancer, with new cases and deaths highest
in the 55-69 age group. The cancer diagnosis was diagnosed using imaging devices. Of the total
cases diagnosed, 9 out of every 10 people diagnosed are diagnosed later, or 3.4 per cent, and 69.5
per cent are diagnosed with jumping stages.
Conclusion
Although the number of new cases and deaths among the population of Ulaanbaatar is
relatively lower than the national average, there has been an increasing trend in recent years.
3.Outcomes of COVID-19 Immunization Among Healthcare Workers
Dashpagam O ; Davaalkham D ; Burenjargal B ; Tselkhaasuren B ; Baigal V ; Shatar Sh ; Khorolsuren L ; Tsogtsaikhan S
Mongolian Journal of Health Sciences 2025;87(3):191-198
Background:
The first case of COVID-19 was reported in our country on November
11, 2020. As of 2023, a total of 869,385 cases and 2,128 deaths have been
recorded nationwide. The World Health Organization (WHO) has recommended
that countries use 15 vaccines from 11 manufacturers listed for emergency use.
The WHO has advised low-income member states to prioritize vaccinating healthcare
workers and other high-risk populations vulnerable to severe illness and
death from COVID-19. The main goal of the coronavirus vaccination program is to
prevent infection, complications, and death among priority target groups, such as
healthcare workers and other populations at high risk of severe illness. The effectiveness
of the vaccination is measured by its ability to reduce the risk of illness,
hospitalization, and death from COVID-19-related complications among vaccinated
individuals. While extensive research is being conducted globally to develop,
evaluate, and assess the effectiveness and outcomes of COVID-19 vaccines,
there has been limited research focused on these outcomes within our country.
This gap highlights the need for and serves as the basis of the present study.
Аim:
To assess the risk of infection, hospitalization, and associated risk factors among
healthcare workers vaccinated against COVID-19, and to examine the factors that
influence these risks.
Materials and Methods:
A This follow-up study was conducted over an 80-week
period—at weeks 12, 24, and 48—from February 23, 2021, to December 31, 2022.
The study involved healthcare workers from Ulaanbaatar city and the aimags of
Bayankhongor, Orkhon, Bulgan, Dundgovi, Darkhan-Uul, and Dornod. The study
was conducted over a period of 1.5 years (80 weeks) following the administration
of the first two doses of the COVID-19 vaccine. Data were collected from participants
at three time points: before vaccination, after the second dose, and after
each booster dose. A structured questionnaire comprising 7 sections and 49 questions
was used for data collection, and the results were analyzed using SPSS version
26.0.
Results:
Of the total respondents, 574 (60%) worked in direct contact
with infected individuals in the 'red zone,' while 370 (40%) worked in the 'yellow
zone.' Additionally, 250 participants (27.1%) were healthcare workers from Ulaanbaatar
city, and 674 (72.9%) were from rural areas. In our observational study, the
risk of new infections among healthcare workers increased over time, rising from
38.4% at week 24 to 59.6% by week 80. Hospitalizations also increased during the
follow-up period: 24 cases (2.6%) were recorded at week 12, 160 (17.3%) at week
24, 202 (21.9%) at week 48, and 204 (22.1%) by week 80. Among frontline workers
in rural areas, those in Bayankhongor and Orkhon aimags exhibited a lower
risk of infection compared to their counterparts in other aimags.
Conclusion
In
our follow up study, an increase in the duration since primary immunization was
associated with a higher risk of new infection among workers, rising from 38.4%
at 24 weeks to 59.6% at 80 weeks post-vaccination. Administration of additional
(booster) immunizations was associated with a reduced risk of subsequent infection.
COVID-19 vaccination was associated with a reduced risk of complications
necessitating hospitalization. Employment in rural settings and designated red
zones was identified as a risk factor for incident infections, hospitalizations, and
reinfections.