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

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 • Scarlet fever • Measles • Tuberculosis • Meningococcal disease • Varicella • Mumps

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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%

VIRAL HEPATITIS MORBIDITY BY AGE GROUPS VIRAL HEPATITIS MORBIDITY BY AGE GROUPS ( Absolute numbers) (Morbidity per 10,000) 300 90000 80000 250 70000 200 60000 50000 150 40000 100 30000 20000 50 10000 0 0 0-1 2-4 5-9 10-14 15 < 15< 0-1 1-4 5-9 10-14 1979-1990 92.5 289.5 54.4 4.9 13.4 10492 83664 19332 8939 31657 1979-1990 14.9 110.1 70.7 5.4 9.5 1992-2003 1992-2003 864 27188 24588 11969 26630 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%

Phylogenetic relation HBV genotype HBV genotype of Mongolian strains dendrogram dendrogram NJ in complete (Mongolian (Mongolian genome strain in red) strain in red) DYNAMIC OF VIRAL HEPATITIS MORTALITY DYNAMIC OF VIRAL HEPATITIS MORTALITY (1979- (1979 -2003) 2003) 400 350 300 250 200 150 100 50 0 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 0-1 1 - 4 5 - 14 15 and older total

MORBIDITY OF VIRAL HIPATITIS C AND ITS TRENDS MORBIDITY OF VIRAL HIPATITIS C AND ITS TRENDS 1.8 1.6 1.4 1.2 1.0 0.8 0.6 0.4 0.2 0.0 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) 60 53.5 50 38.3 40 31.3 % 30 16.5 14.2 20 7.5 10 3.3 0 4-11 12-20 21-30 31-40 41-50 51-60 61+ Age groups