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MINISTRY OF HEALTH

MONGOLIA

MERCURY FREE HEALTH CARE

INITIATIVES IN MONGOLIA

B.TSETSEGSAIKHAN (Ph.D.)

2011.03.15

MANILA, PHILIPPINES

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1. Structural changes

National Poison Information Center was

established in Public Health Institute in 2009

(staff 4 person) an (10 person from 2011)

Procurement of portable measurement devices

for measuring Hg in air, biological samples

Capacity building of the staff in Japan, Russia,

Thailand

National assessments of mercury health impact

based on the Global mercury assessment

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2. Baseline survey for mercury

containing devices in health care

facilities of Mongolia - 2010

578 departments of 38 government and privatehealth care facilities

38% of mercury containing devices werethermometers and 24% sphygmomanometers

Utilization period: 1-3 years

75% of HCF hadnt any regulation for safehandling, storage and disposal of Hgcontaining devices

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Baseline survey for mercury

containing devices in health care

facilities of Mongolia - 2010

Knowledge on health impact of the mercury

spillage from broken devices was not enoughamong medical workers

Safety manuals for handling, storage and

disposal of Hg containing devices, promotionalmaterials was not available

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Baseline survey for mercury

containing devices in health care

facilities of Mongolia - 2010

Mercury containing dental amalgam usage:

15 % of dental hospitals have been usingdental amalgam which is usually imported

from Russia, China

Absence of any special recommendation andrules for safe usage, storage of dental amalgam

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3. Legal aspects

The Joint Order #07/27 of the Minister of Healthand Director General of the National EmergencyManagement Agency from 11 January, 2011

to prohibit purchase of the mercury containingthermometer and sphygmomanometer and dentalamalgam starting from 15 Jan, 2011 and take allmeasures to reduce the usage of the previouslyobtained ones

safety rules for mercury containing devices

mercury spill guideline

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National Health care waste

management strategy

Approved in 2009

Supporting non burning technology

Establishment of centralized treatment facilityin 3 big cities

Procurement of non incinerating equipments,

such as autoclaves for appr. 120 provincialhospitals this year

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4. Training, promotion

The training of all medical officers in charge

of waste management

Preparation of the IEC materials and DVDmovie for mercury spillage

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Challenging issues

Information about the safe alternatives of the

mercury containing devices

Availability on the market

Storage of mercury waste at the HCF

Final disposal of hazardous waste