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Original Article
Occupational Diseases in Mongolia: A Retrospective Analysis (1975–2023) with a 30-Year Trend Study
Sansartsetseg Tsendjav, Myagmarchuluun Sainnyambuu, Otgonbayar Damdinbazar, Ulzii-Orshikh Ragchaabazar, Gantugs Yundendorj
Ann Occup Environ Med 2026;e12.   Published online March 24, 2026
DOI: https://doi.org/10.35371/aoem.2026.38.e12    [Accepted]
AbstractAbstract PDF
Background
Occupational diseases represent a significant global public health challenge, yet reliable data from transitioning economies remain limited. This study aimed to analyze newly confirmed occupational disease cases in Mongolia over a 50-year period (1975–2023), identifying long-term trends and the prevalence of leading disease categories.
Methods
A retrospective, record-based study was conducted using quantitative data from 10,233 officially confirmed and compensated cases of occupational diseases resulting in an officially certified loss of labor capacity. Incidence rates per 100,000 workers were calculated for the 1992–2023 period. Leading diseases were classified by organ system, with focused analyses on respiratory diseases, occupational poisonings, and neurological disorders.
Results
Dust- and particulate-induced respiratory diseases accounted for the largest proportion of cases (57.3%), followed by occupational neurological disorders (16.2%) and occupational poisonings (7.9%). From 1992 to 2023, incidence rates among male workers were consistently 3–7 times higher than those among female workers. Analysis of exposure duration showed mean durations of 13.6 ± 4.9 years for silicosis (J62) and 20.7 ± 10.7 years for inorganic substance poisoning (T52). While respiratory diseases predominant historically, cases of occupational neurological diseases increased 1.9-fold after 2015.
Conclusions
Occupational neurological disorders are showing an increasing trend in Mongolia, reflecting a shift in the national occupational disease pattern. However, as the registry is based on the national compensation framework, these findings likely reflect recognized cases rather than the true epidemiological incidence, suggesting potential underreporting. Strengthening surveillance beyond the compensation system and improving diagnostic capacity for a broader range of work-related conditions are essential for effective prevention and policy development.

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Research Article
Environmental health survey for children residing near mining areas in South Gobi, Mongolia
Ulziikhishig Surenbaatar, Byoung-gwon Kim, Jeong-Wook Seo, Hyoun-Ju Lim, Jung-Yeon Kwon, Min-Kyung Kang, Enkhjargal Altangerel, Tsogtbaatar Byambaa, Suvd Batbaatar, Oyunchimeg Myagmardorj, Chul-Woo Lee, Young-Seoub Hong
Ann Occup Environ Med 2021;33:e10.   Published online March 31, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e10
AbstractAbstract PDF
Background

We evaluated the level and factors of heavy metal exposure to children residing in the Togttsetsii, Khanbogd, and Bayandalai soums of South Gobi province, Mongolia.

Methods

A total of 118 children aged 9–12 years were surveyed, and the level of heavy metal exposure in their bodies was investigated. Exposure was investigated by measuring concentrations of heavy metals such as cadmium, lead, and mercury in the blood; mercury concentration in the hair; and total arsenic in the urine.

Results

Blood cadmium concentration had geometric averages of 0.16 µg/L in the children from Bayandalai, 0.15 µg/L Tsogttsetsii, and 0.16 µg/L Khanbogd. Blood lead concentration showed a relatively higher geometric average of 7.42 µg/dL in the children from Bayandalai compared to 4.78 µg/dL and 5.15 µg/dL in those from Tsogttsetsii and Khanbogd, respectively. While blood mercury concentration was the highest in the children from Bayandalai, with a value of 0.38 µg/L, those from Tsogttsetsii and Khanbogd had similar concentrations of 0.29 µg/L and 0.29 µg/L, respectively. Hair mercury concentration was the highest in the children from Bayandalai, with a value of 78 µg/g, a particularly significant difference, with a concentration of 0.50 µg/g in those from Khanbogd. Urine arsenic concentration was the highest in the children from Khanbogd, with a value of 36.93 µg/L; it was 26.11 µg/L in those from Bayandalai and 23.89 µg/L in those from Tsogttsetsii.

Conclusions

The high blood lead concentration of children in Bayandalai was judged to be due to other factors in addition to mine exposure; the reason why blood and hair mercury concentration was higher in children from Bayandalai may have been due to exposure to many small-scale gold mines in the area. In the case of Khanbogd, it was estimated that the high arsenic level in urine was caused by the effect of mines.


Citations

Citations to this article as recorded by  
  • Mercury use in the artisanal and small-scale gold mining from 2001 to 2021: a review
    Cut Dian Nuryanty, Etty Riani, Zaenal Abidin, Surjono Hadi Sutjahjo, Agung Riyadi
    Toxicological & Environmental Chemistry.2024; 106(1-10): 182.     CrossRef
  • The impacts of mining on soil pollution with metal(loid)s in resource-rich Mongolia
    Václav Pecina, David Juřička, Josef Hedbávný, Martin Klimánek, Jindřich Kynický, Martin Brtnický, Renata Komendová
    Scientific Reports.2023;[Epub]     CrossRef
  • The Association Between Blood Lead Levels and Coronary Artery Calcium Score Determined by Using Coronary Computed Tomography Angiography
    Eunyoung Park, Suwhan Kim, Seunghyeon Cho, Hyeonjun Kim, Inho Jung, Jai-Dong Moon, Won-Ju Park
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Blood Lead Monitoring in a Former Mining Area in Euskirchen, Germany—Volunteers across the Entire Population
    Jens Bertram, Christian Ramolla, André Esser, Thomas Schettgen, Nina Fohn, Thomas Kraus
    International Journal of Environmental Research and Public Health.2022; 19(10): 6083.     CrossRef
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