Registered morbidity and trend Registered morbidity and trend of - - PDF document

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Registered morbidity and trend Registered morbidity and trend of infections diseases in of infections diseases in Mongolia Mongolia I. Respiratory infections Pertussis Diphtheria Rubella Erithema infectiosa

SLIDE 1

Registered morbidity and trend Registered morbidity and trend

f infections diseases in
f infections diseases in

Mongolia Mongolia

Diphtheria
Erithema infectiosa
Measles
Meningococcal disease
Mumps
Pertussis
Rubella
Scarlet fever
Tuberculosis
Varicella
I. Respiratory infections

SLIDE 2

Diphtheria
Erithema infectiosa
Measles
Meningococcal disease
Mumps
Pertussis
Rubella
Scarlet fever
Tuberculosis
Varicella
I. Respiratory infections
Diphtheria
Erithema infectiosa
Measles
Meningococcal disease
Mumps
Pertussis
Rubella
Scarlet fever
Tuberculosis
Varicella
I. Respiratory infections

SLIDE 3

Diphtheria
Erithema infectiosa
Measles
Meningococcal disease
Mumps
Pertussis
Rubella
Scarlet fever
Tuberculosis
Varicella
I. Respiratory infections
Diphtheria
Erithema infectiosa
Measles
Meningococcal disease
Mumps
Pertussis
Rubella
Scarlet fever
Tuberculosis
Varicella
I. Respiratory infections

SLIDE 4

Diphtheria
Erithema infectiosa
Measles
Meningococcal disease
Mumps
Pertussis
Rubella
Scarlet fever
Tuberculosis
Varicella
I. Respiratory infections
Diphtheria
Erithema infectiosa
Measles
Meningococcal disease
Mumps
Pertussis
Rubella
Scarlet fever
Tuberculosis
Varicella
I. Respiratory infections

SLIDE 5

Diphtheria
Erithema infectiosa
Measles
Meningococcal disease
Mumps
Pertussis
Rubella
Scarlet fever
Tuberculosis
Varicella
I. Respiratory infections
Diphtheria
Erithema infectiosa
Measles
Meningococcal disease
Mumps
Pertussis
Rubella
Scarlet fever
Tuberculosis
Varicella
I. Respiratory infections

SLIDE 6

Diphtheria
Erithema infectiosa
Measles
Meningococcal disease
Mumps
Pertussis
Rubella
Scarlet fever
Tuberculosis
Varicella
I. Respiratory infections
Diarrheal infections
Food poisoning
Hepatitis A
Salmonellosis
Shigellosis
Typhoid fever
II. Enteric infections

SLIDE 7

Diarrheal infections
Food poisoning
Hepatitis A
Salmonellosis
Shigellosis
Typhoid fever
II. Enteric infections
Diarrheal infections
Food poisoning
Hepatitis A
Salmonellosis
Shigellosis
Typhoid fever
II. Enteric infections

SLIDE 8

Diarrheal infections
Food poisoning
Hepatitis A
Salmonellosis
Shigellosis
Typhoid fever
II. Enteric infections
Diarrheal infections
Food poisoning
Hepatitis A
Salmonellosis
Shigellosis
Typhoid fever
II. Enteric infections

SLIDE 9

Diarrheal infections
Food poisoning
Hepatitis A
Salmonellosis
Shigellosis
Typhoid fever
II. Enteric infections
Gonococcal infections
HIV/AIDS
Syphilis
Trichomoniasis
III. STD

SLIDE 10

Gonococcal infections
HIV/AIDS
Syphilis
Trichomoniasis
III. STD
Gonococcal infections
HIV/AIDS
Syphilis
Trichomoniasis
III. STD

SLIDE 11

Gonococcal infections
HIV/AIDS
Syphilis
Trichomoniasis
III. STD
Erysepelas
Scabies
Tetanus
IV. Skin infections

SLIDE 12

Erysepelas
Scabies
Tetanus
IV. Skin infections
Erysepelas
Scabies
Tetanus
IV. Skin infections

SLIDE 13

Anthrax
Brucellosis
Plague
Rabies
Tick-born borreliosis
Tick-born encephalitis
Tick-born rikketsiosis
V. Zoonotic infections
Anthrax
Brucellosis
Plague
Rabies
Tick-born borreliosis
Tick-born encephalitis
Tick-born rikketsiosis
V. Zoonotic infections

SLIDE 14

Anthrax
Brucellosis
Plague
Rabies
Tick-born borreliosis
Tick-born encephalitis
Tick-born rikketsiosis
V. Zoonotic infections
Anthrax
Brucellosis
Plague
Rabies
Tick-born borreliosis
Tick-born encephalitis
Tick-born rikketsiosis
V. Zoonotic infections

SLIDE 15

Anthrax
Brucellosis
Plague
Rabies
Tick-born borreliosis
Tick-born encephalitis
Tick-born rikketsiosis
V. Zoonotic infections
Anthrax
Brucellosis
Plague
Rabies
Tick-born borreliosis
Tick-born encephalitis
Tick-born rikketsiosis
V. Zoonotic infections

SLIDE 16

Anthrax
Brucellosis
Plague
Rabies
Tick-born borreliosis
Tick-born encephalitis
Tick-born rikketsiosis
V. Zoonotic infections
Hepatitis B
Hepatitis C
Neonatal sepsis
VII. Blood
VII. Blood-
born infections

born infections

SLIDE 17

Hepatitis B
Hepatitis C
Neonatal sepsis
VII. Blood
VII. Blood-
born infections

born infections

Hepatitis B
Hepatitis C
Neonatal sepsis
VII. Blood
VII. Blood-
born infections

born infections

SLIDE 18

REGISTERED MORBIDITY OF VIRAL HEPATITIS REGISTERED MORBIDITY OF VIRAL HEPATITIS AND ITS TRENDS AND ITS TRENDS

HBsAg detection, 1971 HepB vaccine usage, 1987

MORBIDITY OF VIRAL HEPATITIS B AND ITS TRENDS MORBIDITY OF VIRAL HEPATITIS B AND ITS TRENDS

Inclusion of HepB vaccine into National EPI, 1991 Introduction of Penta vaccine, 2005

Morbidity per 10,000 Trend 95%

SLIDE 19

VIRAL HEPATITIS MORBIDITY BY AGE GROUPS VIRAL HEPATITIS MORBIDITY BY AGE GROUPS

(Absolute numbers) (Morbidity per 10,000)

10000 20000 30000 40000 50000 60000 70000 80000 90000

1979-1990 10492 83664 19332 8939 31657 1992-2003 864 27188 24588 11969 26630 0-1 1-4 5-9 10-14 15<

50 100 150 200 250 300

1979-1990 92.5 289.5 54.4 4.9 13.4 1992-2003 14.9 110.1 70.7 5.4 9.5 0-1 2-4 5-9 10-14 15 <

HBV genotypes in Mongolia HBV genotypes in Mongolia

J.Oyunbileg, et al, 1998 D-100% J.Oyunbileg, et al, 2001 D-100% E.Alisteg, et al, 2001 D -100% M.Takahashi, et al, 2004 D -95%, F-4.5% B.Tsatsralt-Od, et al, 2005 (chronic liver disease), D -88.8%, C- 6.0%, C/D 3.4%, A-0.9%, B-0.9%, B.Tsatsralt-Od, et al, 2006 (acute hepatit) D-98.5% , A- 1.5% D.Davaalham, et al, 2006 (children) D-93%, A -5.3% , A/D -1.7% Z.Odgerel, et al, 2006 D-100% S.Ihaz, et al, 2006 (children) D -100% B.Tsatsralt-Od, et al, 2007 (children) D-91.3% , A- 8.7%, Ts.Oyunsuren, et al, 2010 D-98.4%, A-0.3%, C/D-03%

SLIDE 20

Phylogenetic relation

f Mongolian strains

NJ in complete genome

HBV genotype HBV genotype dendrogram dendrogram (Mongolian (Mongolian strain in red) strain in red)

50 100 150 200 250 300 350 400 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003

0-1 1 - 4 5 - 14 15 and older total

DYNAMIC OF VIRAL HEPATITIS MORTALITY DYNAMIC OF VIRAL HEPATITIS MORTALITY (1979 (1979-

2003)

2003)

SLIDE 21

MORBIDITY OF VIRAL HIPATITIS C AND ITS TRENDS MORBIDITY OF VIRAL HIPATITIS C AND ITS TRENDS

0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 1998 2001 2004 2007 2010 2013 2016 2019 Morbidity in 10,000 population Trends 95%

SERUM ANTI SERUM ANTI-

HCV PREVALENCE IN MONGOLIA

HCV PREVALENCE IN MONGOLIA (by ELISA, O.Baatarkhuu, HSUM, 2002)

3.3 7.5 14.2 16.5 31.3 38.3 53.5

10 20 30 40 50 60 % 4-11 12-20 21-30 31-40 41-50 51-60 61+ Age groups