1.Respiratory Symptoms Associated with Household Indoor PM2.5 Exposure
Ulziimaa D ; ; Ulziikhutag B ; Ser-Od Kh ; Shatar Sh ; Myagmarchuluun S ; Enkhjargal G ; Gantuya D ; Munkh-Erdene L ; Khurelbaatar N ; Damdindorj B ; Davaalkham D
Mongolian Journal of Health Sciences 2026;91(1):116-123
Background:
Numerous studies have shown that air pollution is a serious public health threat and risk worldwide. Mongolia is the world leader in outdoor and indoor air pollution, and the morbidity and mortality caused by it are increasing every year. People spend most of their lives indoors, and it is necessary to regularly assess and study indoor air pollution.
Aim:
To study the concentration of PM2.5 particles in the indoor air of households in Ulaanbaatar and Darkhan cities in relation to some symptoms of respiratory diseases.
Materials and Methods:
The study was conducted using an analytical cohort design from October 2023 to July 2025, and the 4 districts of the central Ulaanbaatar city and Darkhan cities were included in the study. A total of 240 households were included in the study, including 48 households living in ger and house, 24 households living in apartments, and 48 households living in ger and house, and 24 households living in apartments from Ulaanbaatar city. A direct measurement device (PurpleAir) was installed in the households for 3-4 weeks to measure PM2.5 particles in the indoor air for 24 hours. After measuring PM2.5 particles in the indoor air of the household, data were collected through questionnaires from the participants aged 18-60 who participated in the study and underwent health examinations. The results were processed using STATA-19.0 and R programs.
Result:
213-239 households were selected for the study, including households living in 17-26 apartments, 42-58 houses, and 38-50 houses. The 24-hour average concentration of PM2.5 particles in the ambient air of households in Ulaanbaatar city was measured relatively higher in winter and summer than in households in Darkhan city. Among the districts of Ulaanbaatar city, the highest concentration of PM2.5 particles was measured in Songinokhairkhan district, and the lowest concentration was measured in Bayanzurkh district. Considering the cities by heating type, households with stoves are more polluted than households with centralized heating. In Darkhan city, the lowest concentration was measured in apartments (22.78-31.53 μg/m³), houses (44.53-68.17 μg/m³), and the highest concentration was measured in traditional felt houses (houses) (63.20-68.25 μg/m³). In Ulaanbaatar, PM2.5 concentrations were relatively high in all types of housing, including apartments (41.61-58.37 μg/m³), houses (79.22-92.50 μg/m³), and traditional felt dwellings (76.69-86.31 μg/m³). In the summer, PM2.5 concentrations in Darkhan were 3.10-10.03 μg/m³ in apartments, 7.67-14.37 μg/m³ in houses, and 7.98-17.90 μg/m³ in traditional felt dwellings (houses). The concentration of PM2.5 particles in the ambient air of the settlement is statistically significantly associated with shortness of breath, fatigue, weakness, muscle pain, nausea, palpitations, sneezing, runny nose, conjunctivitis, pain in the eye socket, tearing of the eyes, headache, fever, nasal congestion, cough, loss of appetite, sore throat, phlegm, wheezing, and chest pain.
Conclusion
The 24-hour average concentration of PM2.5 particles in indoor air in households in Ulaanbaatar and Darkhan cities is higher than the Mongolian standard during winter and is statistically significantly associated with some symptoms of respiratory diseases.
2.Investigating certain psychosocial health issues among peacekeeping operation participants
Ulziikhutag N ; ; Oyunsuren D ; Khishigsuren Z
Mongolian Journal of Health Sciences 2026;96(6):200-204
Background:
Peacekeeping operations (PKOs) demand not only high professional expertise but also immense physical and psychosocial endurance from military personnel. Comprehensively identifying the psychological health challenges and specific risk factors influencing combat stress is of paramount practical significance for maintaining unit combat readiness.
Aim:
This study aims to evaluate the changes in psychosocial health, personality traits, and underlying risk factors for combat stress among personnel during pre-deployment and active deployment phases.
Materials and Methods:
A prospective, two-phase longitudinal study was conducted during the pre-deployment training and the subsequent 6-month deployment in UNMISS, South Sudan. Data from 283 personnel who fully completed both phases were analyzed using SPSS via McNemar, Chi-square, Pearson correlation, and multivariable logistic regression.
Result:
Participants were predominantly male (92.9%) with a mean age of 28.9±5.8 years. During deployment, neurotic symptoms (33.9%), cognitive decline (15.9%), and sleep disturbances (15.2%) were highly prevalent. Female personnel demonstrated statistically significantly higher rates of neurosis, sleep disorders, and anxiety (p<0.05). Multivariable logistic regression analysis revealed that the presence of Post-Traumatic Stress Disorder (PTSD) symptoms significantly increased the risk of developing combat stress by 4.22 times (aOR=4.22, 95% CI: 1.36-13.16, p=0.013). Furthermore, a prior history of exposure to severe life stressors increased the odds of combat stress by 2.68 times (aOR=2.68, 95% CI: 1.01-7.11, p=0.048).
Conclusion
1. During peacekeeping operations, service members most frequently encounter environmental and domestic challenges related to health, animals, and insects (44.2–44.5%). Furthermore, high rates of anxiety symptoms (>72.0%) and neurotic symptoms (33.9%, significantly higher in women, p<0.05) were reported. Consequently, personnel highly prioritize psychological resilience (59.0%) and teamwork skills (57.6%) in real-world deployment settings.
2. Logistic regression analysis demonstrated that the primary independent predictors increasing service members’ risk of exposure to combat stress are a personal history of severe life stressors (aOR = 2.68, p=0.048) and the presence of post-traumatic stress disorder (PTSD) symptoms (aOR = 4.22, p=0.013).
3.Comparative study of outdoor and indoor air pollution in Ulaanbaatar and Darkhan cities
Davaalkham D ; ; Ulziikhutag B ; Batzorig B ; ; Ser-Od Kh ; ; Nyamsuren B ; ; Yerkebulan M ; ; Enkhjargal G ; ; Shatar Sh ; ; Myagmarchuluun S ; ; Gantuya D ; ; Ulziimaa D ; ; Buyantushig B ; ; Jargalsaikhan G ; ; Anujin M ; Maralmaa E ; Khurelbaatar N ; ; Damdindorj B ;
Mongolian Journal of Health Sciences 2026;93(3):107-113
Background:
Ambient and household air pollution remain leading risk factors for global morbidity and mortality. Exposure to fine particulate matter (PM₂.₅) is associated with increased risks of cardiovascular and respiratory diseases, as well as lung cancer, metabolic and neurological disorders, and immune dysfunction. In urban areas of Mongolia, air pollution reaches critical levels during the winter season. Although improved solid fuels have been introduced in recent years, their impact on both outdoor and indoor air quality remains insufficiently characterized.
Aim:
To compare outdoor and household air pollution levels in Ulaanbaatar and Darkhan cities.
Materials and Methods:
Outdoor air pollution data for Ulaanbaatar were obtained from fixed monitoring stations of the National Agency for Meteorology and Environmental Monitoring for the period 2014–2026, with seasonal comparisons performed. For indoor air quality assessment, a longitudinal study was conducted among 240 households (apartments, houses, and traditional gers) in Ulaanbaatar and Darkhan from 2023 to 2026. PM₂.₅ concentrations were measured using real-time sensors (PurpleAir sensor), deployed for 14–21 days per season (winter and summer) in each household, recording data at 10-minute intervals over 24-hour periods.
Result:
Between 2014 and 2026, the 24-hour mean concentrations in Ulaanbaatar were 60.5 µg/m for PM₂.₅, 117.3 µg/m for PM₁₀, 37.3 µg/m for NO₂, 41.8 µg/m for SO₂, and 27.5 µg/m for O₃. While particulate matter levels showed a decreasing trend following the introduction of improved fuels, SO₂ concentrations increased, and overall pollution levels remained higher than those observed in Darkhan. Indoor PM₂.₅ concentrations were higher in Ulaanbaatar compared to Darkhan (60.7±86.1 vs 48.4±96.7 µg/m). Significant differences were observed by housing type (p<0.0001), with higher concentrations in households using solid fuels (houses and gers) and lower levels in apartments. These findings indicate substantial variability in indoor air pollution by city, housing type, and season, with persistently elevated exposure levels.
Conclusion
Outdoor air pollutant concentrations in Ulaanbaatar, including particulate matter, NO₂, and SO₂, exceed national standards and WHO guideline values by 1–4 times. Indoor PM₂.₅ pollution is higher in Ulaanbaatar than in Darkhan and varies significantly by housing type and season, indicating a high and heterogeneous exposure burden among urban populations.
4.An Overview Study of Air Pollution in Ulaanbaatar City
Ulziikhutag B ; Enkhjargal G ; Buyantushig B ; Jargalsaikhan G ; Eelin Kh ; Ulziimaa D ; Damdindorj B ; Khurelbaatar N ; Davaalkham D
Mongolian Journal of Health Sciences 2025;85(1):263-266
Background:
According to the World Health Organization (WHO), air pollution was responsible for 8.1 million deaths
globally in 2021, making it the second leading cause of death, including among children under 5 years old. Air pollution
is also linked to a range of diseases such as stroke, chronic obstructive pulmonary disease, lung cancer, and asthma. In
Ulaanbaatar, the capital of Mongolia, the average daily concentration of PM2.5 particles in the air reaches 750 μg/m3
during winter, which is 50 times higher than the WHO’s recommendation, making it one of the most polluted cities in
the world. Air pollution continues to pose a significant public health challenge not only in Mongolia but also in many
countries globally. However, there is a lack of comprehensive research and studies that summarize and review the existing
work in this field.
Aim:
To summarize and review thematic works on air pollution conducted by researchers from Mongolian universities.
Materials and Methods:
A systematic review and analysis were performed on thematic works by researchers who completed their master’s and doctoral degrees in the field of air pollution between 2011 and 2024.
Results:
In terms of the type of master’s and doctoral dissertations, 76.0% (n=19) were master’s theses and 24.0% (n=6)
were doctoral dissertations. Among the total number of works included in the study, 36.0% (n=9) focused on the health
effects of air pollution, while 64.0% (n=16) addressed other related areas. Some studies indicated that PM2.5 levels in
the air between 2011 and 2024 were 1-6 times higher than the Mongolian standard, with the highest levels observed from
November to February and the lowest in July. Additionally, some studies suggested a reduction in PM2.5 levels following
the introduction of improved fuel in Ulaanbaatar. Air pollution was found to increase the risk of respiratory and cardiovascular diseases, as well as cancer, and to contribute to reduced fetal weight.
Conclusion
When examining thematic studies on air pollution conducted by state-owned universities in Mongolia, the
primary focus has been on the composition, concentration, and health impacts of air pollution. Going forward, research
aimed at mitigating air pollution should be driven by collaborative efforts and leadership from universities, with the results being effectively communicated to policymakers.
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