ABSTRACT
Rationale@#Carbon monoxide (CO) is a colorless, odorless gas produced by carbon-containing substances, most commonly incomplete fuel and biomass combustion. Carbon monoxide deprives the human body of oxygen, leads to severe poisoning and death. In 2017, there were 137 new cases of carbon monoxide poisoning per 1,000,000 people worldwide, and 4.6 deaths per 1,000,000. The global incidence of carbon monoxide poisoning has remained steady over the previous 25 years, while mortality has decreased by 36-40%. Every year in Mongolia, 700-840 persons are hospitalized for carbon monoxide poisoning. Also, there has been a lack of study into the prevalence and causes of carbon monoxide poisoning and death.@*Goal@#Study the dynamics of morbidity and mortality cases caused by carbon monoxide poisoning in Mongolia.@*Objectives@#</br> To analyze the carbon monoxide poisoning morbidity recorded in Mongolia between 2016-2020. </br> To analyze the carbon monoxide poisoning mortality reported in Mongolia between 2016-2020.@*Material and Methods@#The survey was conducted utilizing data from outpatient and inpatient poisoning and deaths reported in 2016-2020 with the goal of studying carbon monoxide poisoning and mortality in Mongolia. Workplace exposure poisoning was excluded from quantitative data on carbon monoxide poisoning (fires, suicidal, accidental and domestic explosions, accidents, external effects).The statistics analysis was performed using 23 versions of the SPSS program, to estimate a distribution of new cases and fatalities per 10,000 population depended on age, sex, average number of hospital days, and standard error. ArcGIS version 10.8 was used to map the locations.@*Results@#Acute carbon monoxide poisoning. Carbon monoxide poisoning was 0.01-0.31 cases per 10,000 population during 2016 and 2018. Between 2019 and 2020, it increased to 1.5-1.9 cases per 10,000 population, with up to 37% of those admitted to hospitals. In the last five years, carbon monoxiderelated deaths have been reported in 0.1-0.3 cases per 10,000 population. The amount of hours firing of the households increases every year in September, when the colder season begins. Incidences of death and intentional poisoning were reported in Arkhangai, Uvurkhangai, Khuvsgulaimags, and Ulaanbaatar. The average age of poisoning patients admitted to the hospital was 33 ± 19.5 years old (minimum 2 months, maximum 81). In terms of gender, women registered for 58.4 (734) percent of all cases. The average number of days spent in the hospital was 3.4± 3.7 days.</br> Carbon monoxide poisoning-related mortality. During the previous five years (2016-2020), 353 people died in Mongolia as a result of carbon monoxide poisoning, although 1.4 percent, or five people, died in hospitals, one case in Bayan-Ulgii, Zavkhan, and Uvs aimags, and two cases in Ulaanbaatar. However, 98.6 percent of them died prematurely at home or in poisoned places due to a lack of access to health care. The average age of carbon monoxide poisoning deaths cases was 35 ± 19.9 years old, and 71.7 (253) percent were male. The Ulaanbaatar, Selenge, Uvs, and Dornod aimags had the lowest death rate of 0.08-0.21 per 10,000 population, while Khuvsgul and Arkhangai aimags had the highest death rate of 0.96-1.57 per 10,000 population.@*Conclusions@#Carbon monoxide poisoning among the population rises during the winter season, however, in the previous five years, 96.5 percent of cases have been poisoned accidentally, particularly 82.6 (1035) percent of cases reported in Ulaanbaatar. According to socioeconomic factors, 41.6 (529) of the cases were male, with an average age of 36.5±15.4 years.</br> During the preceding five years, carbon monoxide-related mortality in Mongolia was between 0.2 per 10,000 people. Without medical attention, 99.2% of cases died at the exposed location or area. The death rate in Khuvsgul aimags was low, whereas it was high in Ulaanbaatar city. The average age of premature deaths was 35±19.9 years, and 71.7 (253) percent were male.
ABSTRACT
Introduction. Arterial hypertension (AH) is one of the main causes of the cardiovascular diseases (myocardial infarction and heart failure). Arterial hypertension leads to complications such as cerebral insult, myocardial infarction, coronary artery disease, renal dysfunction and heart failure [2]. In our country, AH composes 41.8% of the cardiovascular diseases. 52% of the mortality due to cardiovascular diseases results from AH and its complication – cerebral insults [4]. It is obvious in the world that obesity and overweight as main risk factors of the AH influence negatively on human body and affect health harmfully. There, in our country, some studies have been conducted on prevalence of the AH and obesity. But there is no study that reveals correlation between obesity and arterial hypertension, therefore, the study aimed to study it.Aim. The study aims to establish correlation between arterial hypertension and overweight/obesity among Mongolian people.Materials and Methods: In the study have been involved 3411 people aged of 15-64. Out of them 1674 (49%) were men and 1737 (51%) were women. AH classification was used according to the National Guidelines of the Arterial Hypertension for Mongolian adults. In the study outcome analysis, the statistical program SPSS-12.0 was used for data creating, checking, processing and compiling of the results. Difference in the parameters was evaluated by Chi quadrates.Results: Among people involved in the study, 29.3% had arterial hypertension and 70.7% had normal blood pressure. 18.6% of the total studied people had AH of I degree, 6.2% - AH of II degree and 4.5% - AH of III degree.By regions of AH prevalence, in Ulaanbaatar, AH was 30.2%, in the Western region - 29.4%, in the Khangai region - 28.3%, in the Central region - 28.2%, in the Eastern region - 29.8%. There was no significant difference in AH prevalence for the regions (ℵ2=11.715, p<0.469). For overweight, obesity, by regions, in the Central region and Ulaanbaatar, overweight and obesity rate was higher than in other regions. The highest rate of the overweight, obesity observed in the people aged of 35-44 years (29.7-38.6%) which are most active ages for employment.Conclusions:1. Arterial hypertension incidence frequency correlated with Body Mass Index.2. Arterial hypertension incidence becomes more frequent with increase in Body Mass Index.3. Risk of arterial hypertension is 1.8 more frequent in I degree, 4.2 more frequent in II degree, 19 more frequent III degree of the obesity.
ABSTRACT
Introduction. Arterial hypertension (AH) is one of the main causes of the cardiovascular diseases (myocardial infarction and heart failure). Arterial hypertension leads to complications such as cerebral insult, myocardial infarction, coronary artery disease, renal dysfunction and heart failure [2]. In our country, AH composes 41.8% of the cardiovascular diseases. 52% of the mortality due to cardiovascular diseases results from AH and its complication – cerebral insults [4]. It is obvious in the world that obesity and overweight as main risk factors of the AH influence negatively on human body and affect health harmfully. There, in our country, some studies have been conducted on prevalence of the AH and obesity. But there is no study that reveals correlation between obesity and arterial hypertension, therefore, the study aimed to study it. Aim. The study aims to establish correlation between arterial hypertension and overweight/obesity among Mongolian people. Materials and Methods: In the study have been involved 3411 people aged of 15-64. Out of them 1674 (49%) were men and 1737 (51%) were women. AH classification was used according to the National Guidelines of the Arterial Hypertension for Mongolian adults. In the study outcome analysis, the statistical program SPSS-12.0 was used for data creating, checking, processing and compiling of the results. Difference in the parameters was evaluated by Chi quadrates. Results: Among people involved in the study, 29.3% had arterial hypertension and 70.7% had normal blood pressure. 18.6% of the total studied people had AH of I degree, 6.2% - AH of II degree and 4.5% - AH of III degree. By regions of AH prevalence, in Ulaanbaatar, AH was 30.2%, in the Western region - 29.4%, in the Khangai region - 28.3%, in the Central region - 28.2%, in the Eastern region - 29.8%. There was no significant difference in AH prevalence for the regions (ℵ2=11.715, p<0.469). For overweight, obesity, by regions, in the Central region and Ulaanbaatar, overweight and obesity rate was higher than in other regions. The highest rate of the overweight, obesity observed in the people aged of 35-44 years (29.7-38.6%) which are most active ages for employment. Conclusions: 1. Arterial hypertension incidence frequency correlated with Body Mass Index. 2. Arterial hypertension incidence becomes more frequent with increase in Body Mass Index. 3. Risk of arterial hypertension is 1.8 more frequent in I degree, 4.2 more frequent in II degree, 19 more frequent III degree of the obesity.