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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