Department of Public Health, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Koca Mustafa Paşa Mahallesi, Cerrahpaşa Caddesi No:53, 34096 Fatih, Istanbul, Turkey.
Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
BMC Public Health. 2019 Jan 3;19(1):9. doi: 10.1186/s12889-018-6342-4.
Carbon-monoxide (CO) poisoning is a substantial cause of preventable mortality. In Turkey, no nationwide data are being collected nowadays. In our study, we aimed to assess the trend in deaths related to CO exposure in all provinces of Turkey in a 10-year period by using the records of a news agency which collects the news from the majority of the national newspapers, local newspapers and television channels.
In this study, 27,881 news items that were released between January 2008 to December 2017 which included keywords of "poisoning" and "death" or "carbon monoxide" and "death" were evaluated. 2667 non-fire related deaths were used in the final analyses.
In a 10-year period, the risk of CO-related death in Turkey was 0.35/100000. 1371 (51.4%) of the victims were male and the median age of the patients was 45 years (range, 15 days-108 years). Most of the deaths occurred ≥50 years of age. Stoves were the predominant source [n = 2096 (78.6%)]. There was a stagnating trend of CO-related deaths. Most of the incidents occurred in winter. The Middle Anatolian region was of the highest risk in CO-related mortality.
In conclusion, CO poisoning is still a considerable public health concern in Turkey. Results of our study showed that stoves are still frequently being used and are the cause of death especially in rural areas with lower socioeconomic status. A better organized, nationwide surveillance and management approaches are needed to demonstrate the true burden CO related morbidity and mortality as well as its prevention in Turkey.
一氧化碳（CO）中毒是可预防死亡的一个重要原因。目前，土耳其没有进行全国性的数据收集。在我们的研究中，我们旨在通过使用一家新闻机构的记录来评估过去 10 年土耳其所有省份与 CO 暴露相关的死亡趋势，该新闻机构从大多数全国性报纸、地方报纸和电视频道收集新闻。
在这项研究中，评估了 2008 年 1 月至 2017 年 12 月期间发布的包含关键词“中毒”和“死亡”或“一氧化碳”和“死亡”的 27881 条新闻报道。最终分析中使用了 2667 例非火灾相关死亡。
在过去 10 年中，土耳其 CO 相关死亡的风险为 0.35/100000。1371 名（51.4%）受害者为男性，患者的中位年龄为 45 岁（范围为 15 天至 108 岁）。大多数死亡发生在年龄≥50 岁的人群中。炉子是主要来源[n=2096（78.6%）]。CO 相关死亡呈停滞趋势。大多数事件发生在冬季。中安纳托利亚地区 CO 相关死亡率最高。
总之，CO 中毒仍然是土耳其一个相当大的公共卫生问题。我们的研究结果表明，炉子仍然经常被使用，尤其是在社会经济地位较低的农村地区，是导致死亡的原因。需要更好地组织全国性的监测和管理方法，以证明 CO 相关发病率和死亡率以及其在土耳其的预防工作的真实负担。
