Introduction: The World Health Organization (WHO) reports that noise pollution leads to a variety of short-term and long-term health issues, including sleep disorders, cardiovascular diseases, impaired concentration, decreased performance at work and school, and hearing difficulties. It has been established that for every 10 dB increase in environmental noise, the incidence of heart attacks among individuals aged 65 and older increases by 3.9% compared to those living in quieter environments (Seidler, et al., 2016). Furthermore, it has been found that noise pollution exceeding 65 dB is directly related to hypertension among residents living along high-traffic roads. Objective: To assessing traffic load and noise pollution on the roads of Ulaanbaatar Materials and Methods: The study was a cross-sectional survey conducted to determine noise pollution at 15 locations along roads such as Sun Road, Peace Avenue, Ard-Ayush Street, and Ikh Toiruu. Measurements were taken during morning (7-9 AM), afternoon (12-2 PM), evening (5-7 PM), and night (11 PM-1 AM) using a Noise Meter, Sound Level Meter, and portable equipment. Measurements were conducted at one point 100-200 meters from the main road, with three repetitions to assess hearing levels. Statistical analysis was performed using SPSS-24 software, and the results were compared to the Air Quality Technical General Requirements MNS 4585:2016 standard (During the day (07:00-22:00), 60 dB(A), and at night (22:00 07:00), 45 dB(A)). Results: The measurement results revealed that the maximum noise value in the morning (7-9 AM) was 83 dB(A), the minimum noise value was 51 dB(A), and the average of the maximum noise values was 74.1±4.7 dB(A). The maximum noise value during the day was 97 dB(A), the minimum noise value was 47 dB(A), and the average of the maximum noise value was 74.4±6.9 dB(A). In the evening, the maximum noise value was 88 dB(A), the minimum noise value was 47 dB(A), and the average of the maximum noise value was 74.4±6.6 dB(A). For the night measurements, the maximum noise value was 86 dB(A), the minimum noise value was 49 dB(A), and the average of the maximum noise value was 69.4±7.7 dB(A).
When calculating the average noise pollution on weekdays and weekends, the average of the max and min values during the morning, evening, and night on weekdays was 0.59-4.33 dB(A) higher than that of the weekend. The average maximum value during the day on weekends was 2.79 dB(A) higher than that of weekdays. The number of vehicles participating in road traffic showed a strong positive correlation with environmental noise (Rxy=0.660, p=0.0001), and the number of times the horn was sounded also revealed strong positive correlation with environmental noise (Rxy=0.674, p=0.029). Conclusion The noise level along the main roads exceeds the permissible limits set by the "Air Quality. Technical General Requirements MNS 4585:2016" standard by 37 dB(A) during the day and by 41 dB(A) at night. The average maximum value during the day exceeds the standard by 14.6 dB(A). This indicates that Ulaanbaatar is experiencing noise pollution at levels that negatively affect the health of the urban population.

Background: Indoor air quality in schools is an important environmental health concern because children spend a substantial proportion of their time in classrooms and are particularly vulnerable to air pollutants. Objective: To assess common chemical, and biological pollutants in the indoor air of general education schools in Ulaanbaatar. Methods: A cross-sectional study was conducted from October 10, 2025, to March 1, 2026, in 16 purposively selected schools and 32 classrooms across six districts of Ulaanbaatar. PM2.5, PM10, CO₂, and microclimatic parameters were monitored continuously for seven days. Volatile organic compounds, formaldehyde, BTEX compounds, and radon were also measured. Airborne microorganisms were assessed using 160 air samples, and 160 surface swabs were collected. Results were compared with MNS 7106:2026, MNS 5484:2005, and MNS 6410:2018 standards. Results: The mean 24-hour concentrations of PM2.5 and PM10 were 25.2 and 36.1 µg/m³, respectively. PM2.5 exceeded the permissible level during winter and in schools located in apartment areas, whereas the mean PM10 concentration met the acceptable level. Total bacteria were detected in all air samples, with a mean concentration of 1,733.25 CFU/m³. Mould and fungi were detected in 56.3% of classrooms, and enteric bacteria were detected in 4.3% of surface swabs. Radon levels remained below the permissible limit, and pathogenic bacteria were not detected. Formaldehyde was detected in all samples, while total VOCs and toluene were detected in 81.3%; their mean concentrations remained within acceptable levels. In one classroom, the concentration of benzene was detected approximately 30 times higher the permissible level. Conclusion Although some indoor air-quality indicators met the relevant standards, PM2.5, total bacteria, mould and fungi, surface enteric bacteria, and benzene contamination require improvement and may pose health risks to children. Regular ventilation, improved cleaning and hygiene, proper maintenance of HEPA devices, and routine monitoring of particulate matter, mould, and VOCs are needed.

Introduction: According to the WHO, being exposed to loud noise for a long time can be very harmful to health. It can lead to heart and blood vessel problems, mental health issues, trouble sleeping, and hearing loss. Noise pollution has a negative effect on the brain and nervous system, and it can cause many problems. High-frequency noise, in particular, can disturb the central nervous system. This can lead to problems like poor concentration, more anxiety, and feeling mentally tired. Many studies around the world have shown that noise levels of ≥85 dB at work increase the risk of noise-induced hearing loss (NIHL) and tinnitus.In Ulaanbaatar, environmental noise pollution continues to grow due to population growth, construction, and urban planning. Therefore, it is important to find out whether environmental noise pollution is linked to mental and behavioral disorders, insomnia, nervous fatigue, high blood pressure, and hearing loss among the population. Goal: The aim of this study is to examine the prevalence of primary hypertension (I10), nervous fatigue (F48.0), sleep disorders (F51.0), and tinnitus (H83.3) caused by environmental noise among the population of Ulaanbaatar. Materials and Methods: A descriptive research design was applied to examine statistical data from the Center for Health Development regarding diseases related to noise pollution. Based on the 10th revision of the International Classification of Diseases (ICD-10), the study focused on conditions such as neurasthenia (F48.0), non-organic sleep disorders (F51), primary hypertension (I10), and hearing disorders (H83.3). The analysis included data recorded between 2014 and 2023 among the population of Ulaanbaatar city. Epidemiological analysis was performed using SPSS-24 software, and the results were calculated per 10,000 population. Ethical Considerations: This study did not receive any external funding or financial support from public or private organizations. It utilizes secondary data from the Health Development Center, which does not contain any personal information. Results: In 2014, the average age of individuals diagnosed with neurasthenia (F48.0) was 40.1±12.6 years; for non-organic sleep disorders (F51.0), it was 48.1±14.5 years; for noise-induced hearing disorders (H83.3), 47.2±12.7 years; and for primary hypertension (I10), the average age was 59.0±11.4 years. By 2023, the average age for primary hypertension had slightly decreased to 58.0±12.9 years. Since 2014, the number of cases of nervous fatigue, non organic sleep disorders, and hearing problems caused by noise has risen in Ulaanbaatar. In 2023, the average age of people with primary hypertension (I10) dropped to 58.0±12.9 years. Noise-related illnesses are common among people aged 40 to 60 in Ulaanbaatar, and this is lowering their quality of life. Conclusion Noise-related illnesses are being recorded among the 40–60 age group in Ulaanbaatar, which is negatively affecting their quality of life. It is urgently necessary to introduce measures for adequate protection of the population from the negative health effects of environmental noise.

Introduction: Total environment 24 % of all estimated global deaths are linked to the environment. As of 2022, Ulaanbaatar has a population of 1,691,800, vehicles 435,725, thermal power plants 4, market and shopping centers 111, factories 13,465, and 225 gas stations. Also, 1.5 million tons of waste are generated annually, 1135.6 tons of coal are used, and environmental pollution is increasing year by year. Therefore, it is necessary to investigate the heavy metal contamination of the soil of Ulaanbaatar city and protect the health of the population. Purpose: To determine heavy metals pollution in the soil of Ulaanbaatar city Materials and Methods: We used descriptive research design in this study. Secondary data from Meteorological and Environmental Monitoring Department was used. The content of heavy metals such as lead (Pb), mercury (Hg), chromium (Cr), and cadmium (Cd)) in the soil was evaluated in comparison with the maximum permissible amount specified in the MNS 5850:2019 standard. Statistical analyzing was calculated using SPSS-25 software, and p<0.05 was considered statistically significant. Results: The average concentration of heavy metals in the soil of residential areas of 9 districts of Ulaanbaatar city is cadmium 0.43 mg/kg (min=0, max=26.6), mercury 0.22 mg/kg (min=0, max=4), chromium 11.2 mg/kg ( min=0, max=1609.6), lead is 24.4 mg/kg (min=0, max=257.2). Cadmium concentration in soil Bagakhangai (25%), Baganuur (19.7%), Khan-Uul (18.9%), lead concentration in Nalaikh (8.3%), Bayanzurkh (5.4%), Chingeltei (3.3), mercury concentration in Baganuur ( 24.7%), Khan-Uul (18.4%), and chromium concentration in certain locations of Khan-Uul (4.7%) districts exceeded the standards, respectively. The concentration of soil cadmium (21.2%) and lead (7.7%) near the technical market, mercury concentration (26.3%) near the market and shopping center, and chromium concentration (58.9%) near the central treatment plant exceeded the maximum permissible levels. Conclusion Cadmium and mercury pollution were mainly detected in the heavy metal pollution of the soil of Ulaanbaatar city, and there is heavy metal pollution in certain locations of Baganuur and Khan-Uul districts. Heavy metal pollution is caused by activities such as technical markets, auto repair shops, markets, shopping centers, and treatment plants.

Introduction : Water is a vital resource for human existence and is essential for daily food processing, preparation, washing, hygiene, and sanitation. Furthermore, providing the population with safe drinking water is one of the pressing problems of the world and some regions.
In recent years, population density and the scale of commercial and industrial activities, as well as clean and dirty water consumption were increased in the capital city. As a result of these, ground and surface water resources are becoming scarce and polluted.
Therefore, assessment of daily drinking and residential water consumption of Ulaanbaatar should be determined to use drinking water properly in daily life and water loss. This study assessed the actual amount of households’ daily water consumption. Goal: The purpose of this study is to determine the daily consumption of drinking water for households in ger areas and apartments in Ulaanbaatar. Materials and Method: This study covers 30 households in ger areas and 15 apartment households, in Ulaanbaatar. Household members performed 6-10 types of measurements every day, within 7 days. As a result of these measurements, actual consumption of water quantity used for drinking and household purposes was calculated. Statistical analysis was done by SPSS Version 21 to calculate the true probability of difference between parameters. Result: 67.9% of the households in the ger areas were 4-5 family members. The average daily household consumption of drinking and domestic water were 68.3 ± 3.57 L (95% 61.3-75.3), the minimum consumption was 12 L, and the maximum was 227 L. Average of the household water consumption water was 97.6-108.9 liters during the weekends, and water consumption was statistically higher than weekdays (p=0.001; p=0.01).
The water consumption of residential households with 3 family members accounted for the majority (30.8%) in this study. The average daily consumption of drinking and domestic water was 297.67±19.7 liters. There was no statistically significant difference (p=0.96) in week. The average daily water consumption including drinking and residential was 270.3-335.97 L.
The total daily drinking and residential water consumption per person was 15.57 L for households in ger areas and 90 L for apartment households. Calculating the daily water consumption of households in ger areas, 60.3% of it is used for laundry, washing dishes, food preparation, washing face and hands, and clothes, 31% for drinking, and 8.7% for outdoor water use. While apartment households, approximately 94.1%, were used for household and 5.9% for drinking purposes. Research ethics approval : This study was discussed at the meeting of the Academic Council of the National Center for Public Health. In addition, this study was carried out according to the methods and methods discussed and approved at the meeting of the Medical Ethics Control Committee of the Ministry of Health (Resolution No. 08). Conclusion The total daily consumption of drinking and residential water per person were 15.57 litres for the households in the ger areas and 90 litres for the apartment households. It implies that it does not exceed the WHO recommendations

The prevalence and type of congenital cleft of the lip and palate in mongolia, affiliation of the patients Background: The prevalence of congenital cleft lip and palate is different internationally. There are some research papers which identifying the rate of this abnormality in Mongolia, the latest one shown the result that one cleft case for 1072 live births (Ayanga GN et all, 2012). Aim: to determine/update the prevalence and types of congenital cleft lip and palate in Mongolia Materials and methods: we include the data from all cleft patients who were born between 01 of January, 2011-31 of December, 2021 to this survey retrospectively. We used the e-history for cleft patients, which developed by the department of Maxillofacial surgery since 2011. Results: Totally 1308 cleft patients included to our survey. The prevalence is one cleft cases for 652 live births in Mongolia, and 34,1% is cleft of the lip, 41,4% is cleft of the lip and palate, and 24,5% is cleft palate only of all cases. Also the rate was differently among provinces, as one for 429 live births in Khuvsgul province, and one for 1223 live births in Uvs province. Conclusions: the prevalence of cleft lip and palate in Mongolia 1000:1.5 or one for 652 live births. The highest rate established in Khuvsgul province, and the lowest in Uvs province.

A child’s career aspirations are based on a number of external factors such as ethnicity, gender, age, income, family influence and socioeconomic status. These factors are interrelated and given varying degrees of importance culturally, for example, in the UK, white British parents tend to have high aspirations for their daughters whereas, in Pakistani and Bangladeshi families, daughters are expected to marry, not excel in their education or career. High school students of secondary education in terms of gender, 34432 studentsenrolled in high school who are studying in 46.47% of men and women are 53.52% of the high school, there are changes in the gender disparity. This study is conducted due to Millennium Development Goal 3 is to eliminate gender disparity in education by 2015. This study was conducted among General Education School students of Ulaanbaatar city in 2015. Three hundred twenty four school students participated in this study. The cross sectional study was conducted with 294 high school students.Thirty high school students participated in focus group interview. This study was used qualitative and quantities design.Of the respondents, 47.6% were male and 52.4% female. 79.3% of high school students have chosen a career and 20.7% of high school students have not chosen yet. We are evaluated in career choice with a focus on a gender issue. P = 0.0001 whether there are statistically significant and career choice have different in men and women gender.In this study, 20.7 percent of high school students do not choose career due to a lack of information,do not give the professional advice from the school for them. Thus, schools need to introduce if possible considering the foreign experience, lesson of career choice is reflected in the school curriculum.

BACKGROUND:Acute inflamed process in gallbladder stand no more in the list of contraindication for its laparoscopicremoval, although specifity of operational technics need to be elaborated in details.PURPOSE:The purpose of the study to determine feasibility and specifity of laparoscopic cholecystectomy.METHODS AND MATERIALS:Based on standard instructions three holes were punched on the front wall of the abdominal cavity forinsertion of fibroscopic instrument, Olympus-2008, Model-Uni 3, input-120/240V, 50/60Hz, 150VA. Patientselection included 108 individuals hospitalized during 2009-2013 in the department of urgent surgery, IIIShastin Clinical Hospital.RESULTS:Average ages of the patients were 38. Clinical diagnosis based on signs and symptoms revealed at thephysical examination confirmed by echosonographic investigation for final diagnosis. Specificity of surgicaltechnics were incision and infusion of large amount of antibiotic solution into the inflamed gallbladder at theinoculation; use blunt edge for inoculation of the duct and artery of gallbladder; switching to open surgeryin case of revealed massive enzymatic infiltration and adhesive scars.CONCLUSION: Laparoscopic cholecystoectomy is feasibility operative procedure having advantages anddisadvantages, requiring necessary preventive measures of the complications.