The Estimated Number of Occupational Diseases and Work-Related Diseases in Turkey

Objective: The number of occupational diseases are lower than expected in Turkey. We aimed to estimate the number of occupational diseases, work-re-lated diseases, and deaths due to occupational exposures by using interna-tional estimations of attribution of workplace in this descriptive study.Materials and Methods: The attributable fraction values to occupation for selected diseases and deaths were compiled from the literature. Information on these diseases and deaths in Turkey was obtained from national burden of disease studies and statistics of Turkish Statistical Institute. The estimat-ed number of occupational diseases, work-related diseases and deaths due to occupational exposures were calculated by using the number of diseas-es and deaths in Turkey and by the fraction of occupational exposures by us-ing literature.Results: Based on the data of national burden of disease studies in Turkey; 321,868 musculoskeletal disorders, 79,232 to 95,845 circulatory system dis-eases, 38,994 to 56,992 chronic obstructive pulmonary diseases, 14,563 to 19,858 asthma cases, 29,550 hearing losses, and 4,902 to 16,341 cancer cas-es are estimated to be work-related. According to the Turkish Statistical Institute data, the number of deaths due to occupational causes was esti-mated to be 8,143 in circulatory system diseases; 1,913 in malignant tu-mors; and 2,130 in respiratory system diseases. However, the lowest and the highest number of occupational diseases announced by the Social Security Institution between 2007 and 2016 is 371 and 1,208, respectively.Conclusion: There are deficiencies in the diagnosis and reporting of occu-pational diseases. In order to plan and implement preventive actions, data should be reported in a large scale and reliable manner.

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Alagüney ME, Yıldız AN. Meslek hastalıkları - tanım ve sıklığı, Yıldız AN, Sandal A, editörler. Meslek hastalıkları işle ilgili hastalıklar (seçilmiş başlıklarda), Ankara: Hacettepe üniversitesi yayını; 2018. s. 3-5.

Hämäläinen P, Takala J, Kiat TB. Global estimates of occupation-al accidents and work-related illnesses 2017. Ministry of Social Affairs and Health Finland: Workplace Safety and Health Institute.

Leigh J, Macaskill P, Kuosma E, et al. Global burden of disease and injury due to occupational factors. Epidemiology (Cambridge, Mass). 1999;10(5):626-31.

Leigh JP. Economic burden of occupational injury and illness in the United States. Milbank Q. 2011; 89(4): 728–772.

Takala J, Hamalainen P, Saarela KL, et al. Global estimates of the burden of injury and illness at work in 2012. Journal of occupa-tional and environmental hygiene. 2014;11(5):326-37.

SGK. İş Kazası ve Meslek Hastalıkları İstatistikleri. Erişim: 06 Ocak 2019, https://tuisag.com/yillik-is-kazalari-istatistikleri/

Çalışma Gücü Ve Meslekte Kazanma Gücü Kaybı Oranı Tespit İşlemleri Yönetmeliği Resmi Gazete, 27021, 11 Ekim 2008.[

SGK. Sosyal Güvenlik Kurumu İstatistik Yıllıkları. Erişim: 21 Mayıs 2018, http://www.sgk.gov.tr/wps/portal/sgk/tr/kurumsal/istatistik/sgk_istatistik_yilliklari.

Aw T, Gardiner K, Harrington J. Occupational health: Pocket con-sultant. Oxford: Blackwell Publishing 2007.

Ünüvar N, Mollahaliloğlu S, Yardım N. Türkiye hastalık yükü çalışması 2004. TC Sağlık Bakanlığı, Refık Saydam Hıfzıssıhha Merkezı Başkanlığı, Hıfzıssıhha Mektebi Müdürlüğü 1Basım Ankara: Aydoğdu Ofset Matbaacılık San ve Tic Ltd Şti. 2006:1-56.

T.C Sağlık Bakanlığı. (2017). Sağlık İstatistikleri Yıllığı. Erişim: 21 Mayıs 2018, https://dosyasb.saglik.gov.tr/Eklenti/13183,sy2016turkcepdf.pdf?0

Türkiye Halk Sağlığı Kurumu. (2017). Türkiye Kanser İstatistikleri. Erişim: 21 Mayıs 2018, https://hsgm.saglik.gov.tr/tr/kanser-istatis-tikleri/yillar/495-2014-y%C4%B1l%C4%B1-t%C3%BCrkiye-kans-er-istatistikleri.html

TÜİK. (2016). Türkiye İstatistik Kurumu Ölüm Nedeni İstatistikleri. Erişim: 21 Mayıs 2018, http://www.tuik.gov.tr/PreTablo.do?alt_id=1083

Concha-Barrientos M, Nelson DI, Driscoll T, et al. Selected oc-cupational risk factors. Comparative quantification of health risks: global and regional burden of disease attributable to se-lected major risk factors Geneva: World Health Organization. 20 0 4;1651- 801.

Kocabaş A. Kronik Obstrüktif Akciğer Hastaliği Epidemiyolojisi Ve Risk Faktörleri. TTD Toraks Cerrahisi Bülteni. 2010;1(2):105-13.

Tan J, Bernstein JA. Occupational asthma: an overview. Current allergy and asthma reports. 2014;14(5):431.

Rushton L. The Global Burden of Occupational Disease. Current environmental health reports. 2017;4(3):340-8.

Türkiye Akciğer Kanseri Derneği. (2016). Akciğer Kanseri Yol Haritası. Erişim: 05 Haziran 2018, http://takd.org.tr/AkcigerYolHaritasiTRbasimVERSIYONU.pdf

Steenland K, Burnett C, Lalich N, et al. Dying for work: The magnitude of US mortality from selected causes of death associ-ated with occupation. Am. J. Ind. Med. 2003; 43(5):461–482.

Nurminen M, Karjalainen A. Epidemiologic estimate of the proportion of fatalities related to occupational factors in Finland. Scandinavian journal of work, environment & health. 2001;27(3):161-213.

Rushton, L, Hutchings SJ, Fortunato L, et al. Occupational cancer-burden in Great Britain. Br. J. Can. 2012; 107:3–7.

ÇSGB. (2012). Dünyada Ve Ülkemizde Meslek Hastalıkları. Erişim: 21 Mayıs 2018, http://www.hisam.hacettepe.edu.tr/calistaysu-num/HavvaRanaGuven.pdf

TÜİK. (2014). İş Kazaları ve İşe Bağlı Sağlık Problemleri. Erişim: 11 Haziran 2018, http://www.tuik.gov.tr/jsp/duyuru/upload/yayin-rapor/2013_ISKAZALARI_VE_SAGLIK_PROBLEMLERI_RAPORU.pdf

Hastings D. Annual local area Labour Force Survey 2003/04. Labour Market Trends, 2005;111: 21-32.

Purdue MP, Hutchings SJ, Rushton L, et al. The proportion of can-cer attributable to occupational exposures. Annals of epidemiol-ogy. 2015;25(3):188-92.

İş Sağlığı Ve Güvenliği Alanında İşbirliği Protokolü . (2010). Erişim: 25 Haziran 2018, file:///C:/Users/Asus/Downloads/20130920161750_0%20(1).pdf

ÇSGB Strateji Geliştirme Başkanlığı. Bakanlığımız Ve Bağlı-İlgili Kuruluşlarınca Yürütülen Projeler. Erişim: 25 Haziran 2018, https://www.csgb.gov.tr/media/2041/proje_2011.pdf

Meslek Hastalıklarımızı Neden Tanıyamıyoruz? Şimşek C. Erişim: 25 Haziran 2018, http://www.dergikaratahta.com/files/3/13.pdf

Ozer A, Yakupogullari Y, Beytur A, et al. Risk factors of hepatitis B virus infection in Turkey: A population-based, case-control study: Risk Factors for HBV Infection. Hepatitis monthly. 2011;11(4):263.

Türkiye Halk Sağlığı Kurumu. (2017). Türkiye’de Verem Savaşı 2016 Raporu. Erişim: 25 Haziran 2018, https://hsgm.saglik.gov.tr/depo/haberler/verem-savas-raporu-2016-2017/Turkiyede Verem Savasi 2016 Raporu.pdf

Fritschi L, Driscoll T. Cancer due to occupation in Australia. Australian and New Zealand journal of public health. 20 0 6;30 (3): 213 - 9.

Deschamps F, Barouh M, Deslee G, et al. Estimates of work-re-lated cancers in workers exposed to carcinogens. Occupational Medicine. 2006;56(3):204-9.

Espina C, Straif K, Friis S, et al. European Code against Cancer 4th Edition: Environment, occupation and cancer. Cancer Epidemiology. 2015; S84-92.

Morrell S, Kerr C, Driscoll T, et al. Best estimate of the magni-tude of mortality due to occupational exposure to hazardous substances. Occupational and Environmental Medicine 1998; 55: 63 4 – 6 41.

Rubinstein S, Wang C, Qu W. Occupational risk and chronic kid-ney disease: a population-based study in the United States adult population. International journal of nephrology and renovas-cular disease. 2013; 6:53. nephrology and renovascular disease. 2013; 6: 53.