Gunduz Orhan, Bakar Coskun, Simsek Celalettin, Baba Alper, Elci Alper, Gurleyuk Hakan, Mutlu Merdiye, Cakir Ayse
a Department of Environmental Engineering, School of Engineering , Dokuz Eylul University , Izmir , Turkey.
Arch Environ Occup Health. 2015;70(1):35-46. doi: 10.1080/19338244.2013.872076.
The purpose of this research was to compare the causes of death in 5 villages situated in Simav Plain, Turkey, during 2005-2010 where different arsenic levels were detected in drinking water supplies. Since groundwater in Simav Plain had arsenic concentrations that ranged between 7.1 and 833.9 ppb, a two-phase research was formulated. In the first phase, public health surveys were conducted with 1,003 villagers to determine the distribution of diseases. In the second phase, verbal autopsy surveys and official death records were used to investigate the causes of death. In total, 402 death cases were found in the study area where cardiovascular system diseases (44%) and cancers (15.2%) were major causes. Cancers of lung (44.3%), prostate (9.8%), colon (9.8%), and stomach (8.2%) were comparably higher in villages with high arsenic levels in drinking water supplies. Furthermore, the majority of cases of liver, bladder, and stomach cancers were observed in villages with high arsenic levels.
本研究的目的是比较2005年至2010年期间位于土耳其锡马夫平原的5个村庄的死亡原因，这些村庄的饮用水供应中检测到不同水平的砷。由于锡马夫平原的地下水中砷浓度在7.1至833.9 ppb之间，因此制定了一个两阶段的研究。在第一阶段，对1003名村民进行了公共卫生调查，以确定疾病的分布情况。在第二阶段，使用口头尸检调查和官方死亡记录来调查死亡原因。在研究区域总共发现了402例死亡病例，其中心血管系统疾病（44%）和癌症（15.2%）是主要死因。在饮用水供应中砷含量高的村庄，肺癌（44.3%）、前列腺癌（9.8%）、结肠癌（9.8%）和胃癌（8.2%）的发病率相对较高。此外，大多数肝癌、膀胱癌和胃癌病例出现在砷含量高的村庄。
