Cavit Işık YAVUZ, Çiğdem ÇAĞLAYAN, Nilay ETİLER, Onur HAMZAOĞLU

Th e causes of deaths in an industry-dense area: example of Dilovası (Kocaeli)

Amaç: Son bir kaç dekattır sanayi kaynaklı kimyasal kirleticiler, toplumda mortalite hızını ve morbidite paternini değiştirmiş, yeni hastalıkların ortaya çıkmasına neden olmuştur. Bu çalışma, Kocaeli’nde, özellikle kimya, metal ve metal ürünleri, enerji ile makine ve endüstriyel ürünler sektörünün ağırlıklı olarak üretim, depolama ve transfer alanı olarak kullanmakta olduğu Dilovası Beldesindeki 2004 yılı ölümlerinin nedenlerinin saptanması amacıyla gerçekleştirilmiştir. Yöntem ve gereç: Bu kesitsel çalışma Dilovası’ndaki ölümleri saptamak amacıyla dört kamu kurumuna ait sekiz ayrı belge/kayıt taranmıştır. İkameti Dilovası’nda olanlar ve ölümü 2004 yılı içinde gerçekleşenler çalışma kapsamına alınmıştır. Bulgular: Ölenlerin % 33’ü bir sağlık kurumu tarafından tanılanmış kanser hastası olup, ölümleri buna bağlı gerçekleşmiştir. Ölümlerde 10 yıl ve daha uzun süredir Dilova’sında yaşayanlarda kanser nedeniyle ölme riskinin 10 yıldan az yaşayanlara göre 4.4 (CI: 1,05-21,3) kat daha fazladır. Bu, yaş gruplarına ve sigara içme durumuna göre değişmemiştir. Sonuç: Dilovası’nda kanserden ölme sıklığı Türkiye ve dünya verilerinden üç kat daha fazla olduğu için, bu durum, öncelikli müdahale edilmesi gereken bir halk sağlığı sorunudur.

Endüstri yoğun bölgede yaşayanlarda ölüm nedenleri: Dilovası örneği (Kocaeli)

Aim: Chemical pollutants caused by the industry have changed both mortality rates and morbidity patterns causing new illnesses over the last few decades. Th is study aimed to determine the causes and characteristics of deaths related to cancer in 2004 in Dilovası, Kocaeli, which was mainly used as a production, storage, and transfer area for a variety of industries, such as chemical, metal and metal products, energy, and machinery. Materials and methods: In this cross-sectional study, death records of 8 diff erent registry/record screenings belonging to 4 public institutions in Dilovası in 2004 were investigated. Th e study population included deaths in 2004 and those whose residencies were in Dilovası. Results: Th irty-three percent of the deaths were caused by cancer, which was diagnosed by a health institution. Th e risk of death due to cancer was 4.4 (CI: 1.05-21.3) times higher for people who have lived in Dilovası for more than 10 years than the ones who lived there for less than 10 years. Th is did not change according to age groups and smoking status. Conclusion: As the proportion of deaths caused by cancer is 3 times higher than both the national and world data records, the situation in Dilovası is a public health problem that should be dealt with as soon as possible.

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