Situation of Non-Communicable Diseases in Mongolia Second WHO IUMSP International Seminar on the Public Health Aspects of Non Communicable Diseases Professor Khasag Altaisaikhan Lausanne Switzerland August 10-18, 2010 La

Mongolia is a huge, landlocked country, 1. 566 Mongolia is a huge, landlocked country, 1.566.500 sq km in area, about three times the size of France, almost as large as the Australian state, Queensland. Apart from the period of Mongol conquest under Chinggis khaan and Kublai khaan, Mongolia was until the 20th century about twice its present size. Population density 1.52 people per sq km. Mongolia divided in to 4 regions such as Western region /Altai mountine’s area/, Southern region /Gobi/, Central region /Khangai Mountain/ , Eastern region /stepped area/. Mongolia has a sharply continental climate, with temperatures ranging between -5 and -22 F (-15 and -30 C) in winter and +50 and +80 F (+10 and +30 C) in summer.

Population 2.767.000 Life expectancy : Male 63 Female 67 60 % urban 40 % rural

Leading Causes of Mortality in Mongolia 1989-2001 Epidemiologic transition

The comparing measurements between BMI and Serum Lipid levels in some ethnic groups of Asia /Mongolians, Koreans and Japanese/ Kh.Altaisaikhan et al., 2004 Serum Lipid levels Total cholesterol (mg/dl) Mongolians 185+ 3 P<0.001 Japanese 203+ 2 Koreans 199+ 2 LDL-C (mg/dl) 112+ 3 125+ 2 141+ 2 Triglyceride (mg/dl) 112+ 6 119+ 4 135+ 4

Main result of Step survey Smoking 27.6% Alcohol in moderate use 5% Current use of alcohol 0.7 % Unhealthy diet 72.5% Physical inactivity 23.1% Hypertension 28.1% Diabetes 6.3% Obesity 9.8%

Main result of Step survey 9 in every 10 people (90.6% of the surveyed population) had at least one risk factors for developing NCDs. One in every five people (20.7% of the surveyed population) had three and more risk factors or were at HIGH risk One in every two males aged 45 years and above were at high risk in developing NCDs.

National Program & Policy National program on NCD Prevention and control 2005 Subprogram on cancer prevention 2009 National strategy on diet and physical activity 2009 MCA Health Project 2009 Health Mongolian program 2005

Partnership WHO MOH MCC USA NGOs IDF Local goverments

Main achievements of National program on NCD prevention and control Awareness campaigns Capacity building WHO Local fellowships Equipment supply NCD labs in regional health centers Screening DM, HT and cancer

Local fellowship training

Health system reform High risk approaches Future plan Health system reform High risk approaches