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@#BACKGROUND. Tn 2016, determination on the extent of disability degree, assessment of further allowance terms of people were 5.1% of total population nationwide and most of them commission of disability assessment and hospital-labor identification determined cause of disabilities such as ordinary disorders, home and industrial accidents, profession related diseases and Social Insurance and Social Welfare fund grants disability pension. Total budget for these pensions were 158.9-252.4 billion MNT during last 5 years and it was 1.6 fold increased if compared to previous years. For nationwide consideration of disability by percent, 41% of total disabled people completely disabled and 59% of them incompletely disabled. There is a need to improve regulatory framework and suitable job employment for disabled people, rehabilitation for affected organ systems and treatment of insured people and others illnesses to get healthy. PURPOSE: To study extent of disability degree among population of Songinokhairkhan district during last 5 years. MATERIALS AND METHODS: We performed document analyzing method. For statistical analyzes we used data analyzing software Stata 22.0. RESULTS: For percentage of disability among population of Songinokhairkhan district during last 5 years showed 3.20% in 2012, 3.22% in 2013, 3.60% in 2014, 3.85% in 2015 and 3.66% in 2016 respectively. By gender status, dominantly males were affected or 2.85% of total population and females were 1.98% affected in average status of last 5 years. By education level, there were mainly secondary or uneducated people. By social and employment status, unemployed people dominantly affected. CONCLUSION: There is a tendency that may increase criteria in study of disability prevalence, circumstance and etiology during last 5 years. Average of last 5 years, extent on disability degree and assessment of further allowance terms of newly determination was 6.5% and people who extended their terms were 79.5% and 14% of them cancelled. Total amount of money spent for disabled people during last 5 years was 18.8 billion which increased by 55% from previous budget of 8.29 billion.
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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.
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There is a little information about weight excess of school materials in Ulaanbaatar, Mongolia. The aim of this study was to study of the weight of backback and the ergonomic effects of backpack carriage on school students in Ulaanbaatar. This cross-sectional study was performed in the city of Ulaanbaatar in 2015. Two hundred fourteen school students participated in study. Nordic Musculoskeletal Questionnaire was used, asking about complaints of neck, shoulders, upper and lower back. Length and weight of the children were determined. Backpacks were weighed and the relative weight of the backpack was calculated.In this study, first and second grades students carried proportionately heavier backpacks than older students and more than 10% of their weight. Musculoskeletal complaints were reported by about 79% of school students. The (relative) weight of backpacks was not related to complaints of neck, shoulders, upper and lower back.
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Machinery Repair Plant (MRP) of Erdenet Mining Corporation (EMC) is the subject of this research in order to determine the labor conditions and illnesses of the employees at the metallurgical plant.MRP’s function is to smelting and processing metals for milling, producing, repairing or restoring metal structures of machineries or equipment. MRP employs 639 employees for 185 working places and 568 equals to 88.6% of them have been working n the abnormal condition which reveals that the plant has hard conditions of labor.The research was performed using retrospective research method in fact modeling; and made an evaluation on measurements of 2008-2014, performed by the occupational health laboratory covering 185 working places at MRP; occupational diseases occurred to 639 employees; and perspective status of temporarily invalidity. Electronic logging data base for Occupational Diseases and temporary invalidity at the EMC was used for categorization and conclusion according to the International category of 10 diseases. Research results of labor conditions: As to measurements made between 2008 and 2014 on the working places at MRP, dust concentration reached up to 18mg/m3 and that was excessive than the corresponding average by 9 times of measurements. Results from occupational disease survey: 137 employees have been affected by the occupational diseases at the MRP for the last 27 years. 39, which is a large amount, out of 137 were affected by bronchadenitis caused by dust. Results from temporary invalidity survey: 2293 occurrences were recorded in relation to temporary invalidity at MRP between 2008 and 2012 and the percentage of injuries or toxicities and certain disorders caused by outsources is 15.6%. Reviewing the survey results, common occurrences are bronchadenitis caused by dust, spinal neural inflammations and chronic inflammation caused by dust toxicities, and the large percentages are occupied by temporary invalidity, injuries or toxicities and certain disorders caused by outsources, respiratory organ and system disorders. It shows that those of diseases and disorders are dependent to the working place environments and labor conditions.
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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.
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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).
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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.
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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.
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BACKGROUND: Tuberculosis (TB) morbidity and mortality has been one of the pressing issues in the health sector of our country. In Mongolia, 2 people out of 1000 people developed tuberculosis annually, which leads to becoming one of the 7 countries with high TB morbidity among 37 countries of the Western Pacifi c Region.OBJECTIVE: The aim of the study is to have the baseline to understand and measure knowledge, attitudes and practices regarding tuberculosis among non-tuberculosis health care workers including family group practitioners, nurses and specialized doctors at the primary, secondary and tertiary health care level of Mongolia.MATERIALS AND METHOD: Cross-sectional descriptive qualitative study. Self-admitted questionnaire were performed for 572 health care workers. Total of 4 aimags/provinces and 3 districts were randomly selected. Selenge, Darkhan-Uul, and Khentii aimags are regions with high tuberculosis burden, Dornogobi and Orkhon aimags are with low Tuberculosis incidence and prevalence in 2008.Altogether 572 doctors and health professionals from selected health facilities were involved in survey questionnaire and 39.9% (228 people) of respondents were working at the primary level, 31.3% (179 people) in secondary level, and 28.8% (165 people) in the tertiary level health facility, respectively. Altogether 23 focus group discussions were organized, involving 130 people.RESULTS: Around 98.6% of respondents answered that TB is spread when infected person coughs and sneezes. However, one of every three respondents answered TB can be transmitted when sharing cups, dishes and other cooking utensils with the infected person, one in every ten people–shaking hands with the infected person, and one in every four people–through mother to child transmission. Such misconception is common among the health professionals, especially among nurses of the secondary and tertiary level health facilities. Around 47.6% or 272 people answered correctly that TB patients have symptoms such as coughing for 2 weeks and longer, develop sputum with blood traces, fever and sweating during night sleep, and loss of weight. However, there is some misunderstanding among the doctors and nurses such as there are skin rashes. When doctors and nurses where asked which form of TB is the infectious one, 86.9% answered correctly that TB with positive smear test is infectious. On assessing the knowledge, attitude and practice on TB treatment, about 93.4% of the respondents answered that treatment shall be done by anti-TB drugs and this result is equally strong among health professionals at all service delivery levels (p=0.075). However, there are some misconceptions among the nurses that TB patients should buy anti-TB drugs from the pharmacies, try traditional medicines and follow religious rituals. This should be paid further attention and issues covering TB should be included in their curriculum. Every second person knows the treatment continuation period of drug susceptible TB patient, which is relatively low knowledge level. According to survey results, every second person knows what DOTS stand for. In other words, 55.4% of the respondents identifi ed correctly what is DOTS, and 13.8% answered that it is a combination of anti-TB drugs, 3 .3% - as TB treatment method, 5.6% - as combination of TB reduction measures, and 2.2% answered that they don’t know.CONCLUSION: Many misunderstandings were found in the fi eld of transmission, BCG vaccination, treatment and anti-TB drugs. There is a need to provide training for non-TB medical doctors and nurses.