Infectious Diseases Dynamics Infectious Diseases Dynamics in - PDF document

NIID, Japan, Tokyo, 2011.11.24 Infectious Diseases Dynamics Infectious Diseases Dynamics in Mongolia in Mongolia Prof Prof. P . P.Nymad .Nymadawa wa, MD , MD, PhD , PhD, DSc( DSc(Med), Med), President, M President, Mongo ngolian lian Academy of Academy of Medic Medical Sc al Sciences, iences, Vice-President, Vice-President, Mon Mongol golian ian Academy of Academy of Sciences, Sciences, Scientif Scientific D ic Director, rector, Nati Nationa onal Influenza Influenza Center, N Center, NCCD, CCD, Mon Mongol golia ia NIID, Japan, Tokyo, 2011.11.24 Infectious Diseases Dynamics Infectious Diseases Dynamics in Mongolia in Mongolia 1. Introduction: country and scientific Introduction: country and scientific 1. research coordination research coordination 2. General dynamics of infectious diseases General dynamics of infectious diseases 2. 3. Surveillance of influenza and influenza Surveillance of influenza and influenza- -like like 3. illnesses illnesses 4. Influenza research Influenza research 4. 5. Measles, Rubella, Mumps, Varicella Measles, Rubella, Mumps, Varicella- -Zoster Zoster 5. 6. Areas to collaborate with NIID, Japan Areas to collaborate with NIID, Japan 6. Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 2

NIID, Japan, Tokyo, 2011.11.24 MONGOLIA HISTORICAL AND CONTEMPORARY MONGOLIA HISTORICAL AND CONTEMPORARY Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 3 NIID, Japan, Tokyo, 2011.11.24 GEOGRAPHICAL DIVERSITY AND GEOGRAPHICAL DIVERSITY AND ADMINISTRATIVE DIVISIONS OF MONGOLIA ADMINISTRATIVE DIVISIONS OF MONGOLIA Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 4

NIID, Japan, Tokyo, 2011.11.24 GEOGRAPHICAL DIVERSITY OF MONGOLIA 1 GEOGRAPHICAL DIVERSITY OF MONGOLIA 1 Mongolian Steppe Dornod (East) Aimak (Province), Mongolia Altai Mountains (over 5,000 meters above sea level), Bayan-Ulghei Aimak, West Mongolia Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 5 NIID, Japan, Tokyo, 2011.11.24 GEOGRAPHICAL DIVERSITY OF MONGOLIA 2 GEOGRAPHICAL DIVERSITY OF MONGOLIA 2 Gobi Desert South Mongolia Winter of Lake Khubsughul North Mongolia Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 6

NIID, Japan, Tokyo, 2011.11.24 WINTER (JANUARY) MEAN TEMPERATURE WINTER (JANUARY) MEAN TEMPERATURE DISTRIBUTION OVER MONGOLIA (IN DISTRIBUTION OVER MONGOLIA (IN ° °C) C) National Meteorological Service, Ulaanbaatar, Mongolia, 2001 Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 7 NIID, Japan, Tokyo, 2011.11.24 SUMMER (JULY) MEAN TEMPERATURE SUMMER (JULY) MEAN TEMPERATURE DISTRIBUTION OVER MONGOLIA (IN ° °C) C) DISTRIBUTION OVER MONGOLIA (IN National Meteorological Service, Ulaanbaatar, Mongolia, 2001 Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 8

NIID, Japan, Tokyo, 2011.11.24 DISTRIBUTION OF YEARLY DISTRIBUTION OF YEARLY MEAN PRECIPITATION OVER MONGOLIA MEAN PRECIPITATION OVER MONGOLIA National Meteorological Service, Ulaanbaatar, Mongolia, 2001 Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 9 NIID, Japan, Tokyo, 2011.11.24 POPULATION DENSITY IN MONGOLIA (2000) POPULATION DENSITY IN MONGOLIA (2000) 1 dot = 500 people Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 10

NIID, Japan, Tokyo, 2011.11.24 Mongolian Academy of Sciences (MAS): Mongolian Academy of Sciences (MAS): Mission and Function • Mission: to ensure scientific basis of the sustainable socio-economic development of the country • Function: - development science and technology policy, - advisory functions to the NCST and to the Government, - coordination of scientific research activities, - evaluation and assessment of scientific research results of the Government-funded projects, - development of collaboration with scientific research institutions, organizations and communities at international and bi-laterial levels, - conducting scientific research on basic sciences and priority areas. Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 11 NIID, Japan, Tokyo, 2011.11.24 Mongolian Academy of Sciences (MAS): Mongolian Academy of Sciences (MAS): Structure General Assembly (MAS) NCST President /Presidium MoECS Subassembly of Engineering Chemistry and Mathematics Subassembly of Biological Subassembly of Social and Subassembly of Physics, Mongolian Academy of Mongolian Academy of Humanitarian Sciences Subassembly of Earth Agricultural Sciences Medical Sciences and Technology Sciences Sciences Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 12

NIID, Japan, Tokyo, 2011.11.24 Mongolian Academy of Medical Sciences (MAMS): Mongolian Academy of Medical Sciences (MAMS): Mission and Function • Mission: to ensure scientific basis of an evidence-based medical and health services to the entire population of the country • Function: - development science and technology policy of medical sciences and health services, - advisory functions to the MoH and to the Government, - coordination of scientific research activities within the sector and with other sectors of scientific activities, - evaluation and assessment of scientific research results of the Government- funded projects, - development of collaboration with scientific research institutions, organizations and communities at international and bi-laterial levels, - conducting scientific research on basic sciences and priority areas. Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 13 NIID, Japan, Tokyo, 2011.11.24 Mongolian Academy of Medical Sciences (MAMS): Mongolian Academy of Medical Sciences (MAMS): Structure MAMS General Assembly MAS President /Presidium MoH Medicine and Pharmacy Branch of Public Health Branch of Traditional Branch of Biomedical Branch of Clinical Sciences Sciences Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 14

NIID, Japan, Tokyo, 2011.11.24 National Center of Communicable Diseases (NCCD): National Center of Communicable Diseases (NCCD): Structure Structure MoH MoECS Scientific Director General, Council Administration NCCD MAMS Council Dept. Administration Deputy Directors Dept. Statistics and EWAR NIC Division of Epidemiological Surveilance Dept. Finance and Planing Division of Out-patient Services Dept. General Supply Division of In-Patient Services Dept. Drug Supply Division of TB Dept. Nursing Division of Laboratory Services Dept. Health Education Division of HIV-AIDS/STD Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 15 NIID, Japan, Tokyo, 2011.11.24 Infectious Diseases Dynamics Infectious Diseases Dynamics in Mongolia in Mongolia 1. Introduction: country and scientific Introduction: country and scientific 1. research coordination research coordination 2. General dynamics of infectious diseases General dynamics of infectious diseases 2. 3. Surveillance of influenza and influenza Surveillance of influenza and influenza- -like like 3. illnesses illnesses 4. Influenza research Influenza research 4. 5. Measles, Rubella, Mumps, Varicella Measles, Rubella, Mumps, Varicella- -Zoster Zoster 5. 6. Areas to collaborate with NIID, Japan Areas to collaborate with NIID, Japan 6. Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 16

NIID, Japan, Tokyo, 2011.11.24 EPIDEMIOLOGICAL TRANSITION IN MONGOLIA EPIDEMIOLOGICAL TRANSITION IN MONGOLIA (Percentage of disease groups in mortality causes) 60 Diseases of Respiratory System 50 Diseases of Circulatory System 40 Diseases of Digestive System 30 % Communicable Diseases 20 Neoplasms 10 Injury and Poisoning 0 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 17 NIID, Japan, Tokyo, 2011.11.24 INFECTIOUS DISEASES INCIDENCE AND CONTROL INFECTIOUS DISEASES INCIDENCE AND CONTROL IN MONGOLIA IN MONGOLIA (incidence rate of total registered infectious per 10,000 population in 1952-2010) 800 Polio vaccine BCG in Cities (1946) (1962) 700 DTP vaccine (1965) Smallpox vaccine (1923) Measles vaccine (1974) 600 Live plague vaccine in per 10 000 population endemic sites (1944) BCG for all newborns (1987) 500 Hep B (1991) Penta- vaccine: 400 HepB+Hib MMR +DTP (2009) (2005) 300 200 100 0 1920 1923 1926 1929 1932 1935 1938 1941 1944 1947 1950 1953 1956 1959 1962 1965 1968 1971 1974 1977 1980 1983 1986 1989 1992 1995 1998 2001 2004 2007 2010 Prof. P.Nymadawa, MD, PhD, DSc(Med), MAMS, Mongolia 18