Özet:

The objective is to assess regional inequalities in injuries and deaths caused by occupational diseases and work accidents in Turkey. Method: The study on the ecological type was conducted with a retrospective examination of the 12 year period of occupational safety and health data from 2000 to 2011. The data source is the statistical years of the Social Security Authority (SGK) and the Social Insurance Authority (SSK). The data of injury and death of compulsory insurers are recorded in the province. The data is converted into regional data in accordance with the Statistical Regional Units Classification (IBBS). Injury incidence rate, mortality and fatality rates are calculated from this data. To indicate regional inequalities, the risk ratio, the risk difference, the risk attributed to society (PAR) and the percentage (PAR%) are calculated. In Turkey, between 2000 and 2011, an average of 74,215 people were injured and 1,092 died per year due to work. In Turkey between 2000-2011 the rate of professional injuries incidence increased by 58, the rate of mortality decreased by 27.3%, while the rate of mortality increased by 73.4%. The risk difference in fatality, which is an absolute inequality indicator, increased from 50.9 in 2000 to 128.0 in 2011. If there were no regional inequalities, the number of work-related deaths between 2000 and 2011 would have fallen to 6,511. Result: Regional inequalities in wounds and deaths due to occupational accidents and occupational diseases are evident. In Turkey, the records of occupational illnesses and work accidents are insufficient and all incidents are not. Therefore, when assessing the occupational safety and health status, the fatality rate should also be taken into account. Abstract Objective: To evaluate the injuries and deaths due to occupational diseases and occupational accidents in Turkey with respect to inter-regional inequalities. Methods: This ecological type of study was conducted between the years of 2000-2011 by examining the occupational safety and health data for the 12 years retrospectively. The data sources were the statistical year books from Social Security Institution (SSI) and Social Insurance Institution (SII). The data for the injuries and deaths of the compulsory insured individuals were recorded on a city basis. The set of data created by cities have been put into regional data categories with respect to the Nomenclature of Territorial Units For Statistics (IBBS). Occupational injury incidence, mortality and fatality rates have been calculated based on the present data. To show the regional inequalities risk ratio, risk differences, absolute population attributable risks (PAR) and the ratio (PAR%) have been calculated. Results: 74,215 people were injured and 1,092 died due to occupational accidents between 2000-2011. During the 12 year period the injury incidence rate decreased by 58%, the mortality rate by 27.3% but the fatality rate increased by 73.4%. The risk difference of the fatality rate which is an indicator of absolute inequality has risen to 128.0 in 2011 from the 50.9 rate in 2000. If there were no regional inequalities the number of deaths between 2000-2011 would go down to 6,511 from 13,099. Conclusions: Regional inequalities are present for injuries and deaths due to occupational accidents and diseases. There is a dearth of records on occupational diseases and accidents in Turkey and very few of the incidents are being. Therefore, the mortality rate should be taken into consideration, when the occupational safety and health status are being examined. Keywords: Occupational injury, occupational diseases, mortality, fatality

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