Mapping of carbon monoxide related death risk in Turkey: a ten-year analysis based on news agency records

Abstract

BackgroundCarbon-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.MethodsIn 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.ResultsIn 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 45years (range, 15days-108years). Most of the deaths occurred 50years 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.ConclusionsIn 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.