Koç University, School of Medicine, Infectious Diseases Department, Istanbul, Turkey.
Atılım University, Faculty of Medicine, Ankara, Turkey.
Clin Microbiol Infect. 2020 Mar;26(3):307-312. doi: 10.1016/j.cmi.2019.06.022. Epub 2019 Jul 5.
Since 2011, the conflict in Syria has led to over five million refugees. Turkey hosts the highest number of Syrian refugees in the world. By February 2019 over 3.6 million people had fled to Turkey to seek safety. Only 6.1% of Syrian refugees live in temporary shelters. Owing to the disrupted healthcare services, many children coming from the conflict zones are less likely to have received vaccination. In temporary shelters immunization coverage is >95% and the refugee population is receptive to vaccination.
The objective of this study was to review the infectious diseases situation among Syrian refugees in Turkey.
We have reviewed the reports and studies provided by the governmental and non-governmental organizations and obtained more detailed data from the Ministry of Health in Turkey.
Between 2012 and 2016, 1 299 209 cases of respiratory tract infection and 158 058 episodes of diarrhoea with 59 bloody diarrhoeas were reported; 1354 hepatitis A cases and 108 active tuberculosis cases were detected and treated in the temporary shelters for Syrian refugees. Overall in Turkey, 7794 cutaneous leishmaniasis have been reported.
Since the influx of Syrian refugees, there has been an increase in cases of leishmaniasis and measles. No significant increase was detected for tuberculosis, other vector-borne infections, and healthcare associated or sexually transmitted infections. The Syrian refugees can be considered as a vulnerable group in Turkey due to their living and working conditions. Based on available data and our detailed analysis, the numbers show a stable situation regarding infectious diseases.
自 2011 年以来，叙利亚冲突导致超过 500 万难民。土耳其是世界上收容叙利亚难民人数最多的国家。截至 2019 年 2 月，已有超过 360 万人逃到土耳其寻求安全。只有 6.1%的叙利亚难民居住在临时避难所。由于医疗服务中断，许多来自冲突地区的儿童不太可能接受疫苗接种。在临时避难所，免疫接种覆盖率>95%，难民人口愿意接受疫苗接种。
本研究旨在回顾土耳其境内叙利亚难民的传染病情况。
我们审查了政府和非政府组织提供的报告和研究，并从土耳其卫生部获得了更详细的数据。
2012 年至 2016 年间，报告了 299209 例呼吸道感染病例和 158058 例腹泻病例，其中 59 例为血性腹泻；在叙利亚难民临时避难所发现并治疗了 1354 例甲型肝炎病例和 108 例活动性肺结核病例。在土耳其，共报告了 7794 例皮肤利什曼病。
自叙利亚难民涌入以来，利什曼病和麻疹的病例有所增加。结核病、其他媒介传播感染以及与医疗保健相关或性传播感染没有显著增加。由于其生活和工作条件，叙利亚难民可被视为土耳其的一个弱势群体。根据现有数据和我们的详细分析，传染病数量显示出稳定的情况。
