TY  - JOUR
T1  - Suriye Savaşı ve Halk Sağlığına Etkileri
TT  - Syrian War and Impacts on Public Health
AU  - İnandı, Tacettin
AU  - Kabacaoğlu Bilgin, Meryem
AU  - Canciğer Eltaş, Mehtap
PY  - 2018
DA  - September
Y2  - 2017
DO  - 10.17944/mkutfd.311230
JF  - The Medical Journal of Mustafa Kemal University
JO  - mkutfd
PB  - Hatay Mustafa Kemal University
WT  - DergiPark
SN  - 2149-3103
SP  - 90
EP  - 98
VL  - 9
IS  - 34
LA  - tr
AB  - Toplumsal barış sağlığın en temel belirleyicilerinden biridir. Barışın yerini şiddet ve güvensizliğin alması durumunda sağlık düzeyi göstergeleri hızla düşer. Bu yazıda Suriye Savaşı sonrasında, ortaya çıkan sağlık sorunların incelenmesi amaçlanmıştır. Elde edilen sonuçlar göstermektedir ki, savaş sonrasında hem Suriye’de hem de komşu ülkelerde bulaşıcı hastalıkların seyrinde önemli bir artış olmuştur. Ana çocuk sağlığı düzeyinde önemli gerilemeler olmuştur. Karşılanmamış gereksinimler nedeni ile sakatlıklar ve ölümler artmıştır. Altı yılda nüfusun %2’den fazlası ölmüş, %10’unda ciddi yaralanma görülmüştür. Yaşam süresi 20 yıl kısalmış, yaşam kalitesi düşmüştür. Toplum ruhsal açıdan sarsılmış ve örselenmiştir. Toplumsal barışın sağlanabilmesi için, başta sağlık çalışanları olmak üzere nedeni ne olursa olsun, her türlü şiddete karşı durmak, sorunların diyalog, tartışma, uzlaşı, ödün verme, özür dileme, hukuk, siyaset gibi barışçıl yollarla çözümü savunulmalıdır. Toplumsal barışın inşası sağlık çalışanlarının ve halk sağlığının temel konularından biri olmalıdır.
KW  - Halk sağlığı
KW  - Suriye savaşı
KW  - bulaşıcı hastalık
KW  - ruh sağlığı
N2  - Social peace one of the fundamental determinants of health. In the case of violence and insecurity, the indicators of health level drops rapidly. In this article, it is aimed to examine the emerging health problems after the Syrian War. The results show that there has been a significant increase in the prevalence of infectious diseases both in Syria and in neighboring countries after the war. There has been considerable decrease in the level of maternal health. Disabilities and deaths increased due to unmet needs. Over six years, more than 2% of the population died and 10% seriously injured. The life span has been shortened by 20 years, and the quality of life has decreased. Society has been shaken and spoiled in spirit. In order to ensure social peace, peaceful solutions such as dialogue, discussion, compromise, concession, apology, law, and politics should be defended, and any kind of violence should be rejected by healthcare workers. Building social peace must be one of the basic subjects of healthcare workers and public health.
CR  - Arab Spring. In: Wikipedia, the free encyclopedia [Internet]. 2016 [cited 2016 Jul 31]. Available from: https://en.wikipedia.org/w/index.php?title=Arab_Spring&oldid=732049036
CR  - About the Crisis | OCHA [Internet]. [cited 2016 Jun 4]. Available from: http://www.unocha.org/syrian-arab-republic/syria-country-profile/about-crisis
CR  - Sen K, Al-Faisal W, AlSaleh Y. Syria: effects of conflict and sanctions on public health. J Public Health. 2013;35(2):195–9.
CR  - Casualties of the Syrian Civil War. In: Wikipedia, the free encyclopedia [Internet]. 2016 [cited 2016 Jul 29]. Available from: https://en.wikipedia.org/w/index.php?title=Casualties_of_the_Syrian_Civil_War&oldid=731928341
CR  - editor IBME. Report on Syria conflict finds 11.5% of population killed or injured. The Guardian [Internet]. 2016 Feb 11 [cited 2016 Jul 30]; Available from: https://www.theguardian.com/world/2016/feb/11/report-on-syria-conflict-finds-115-of-population-killed-or-injured
CR  - Sahloul MZ, Monla-Hassan J, Sankari A, Kherallah M, Atassi B, Badr S, et al. War is the Enemy of Health. Pulmonary, Critical Care, and Sleep Medicine in War-Torn Syria. Ann Am Thorac Soc. 2016 Feb;13(2):147–55.
CR  - Cousins S. Under attack: Aleppo’s hospitals. The Lancet. 2014;384(9939):221–222.
CR  - Cousins S. Syrian crisis: health experts say more can be done. The Lancet. 2015;385(9972):931–934.
CR  - Bu kez Antep: Suriyeli mülteci kampında 30 çocuğa cinsel istismara tutuklama [Internet]. Diken. 2016 [cited 2016 Jul 31]. Available from: http://www.diken.com.tr/bu-kez-antep-suriyeli-multecilerin-kaldigi-kampta-30-cocuga-cinsel-istismara-tutuklama/
CR  - Statement by Dr Nata Menabde, Executive Director, WHO office at the UN. Dünya Sağlık Örgütü; 2016.
CR  - Savas N, Arslan E, İnandı T, Yeniçeri A, Erdem M, Kabacaoğlu M, et al. Syrian refugees in Hatay/Turkey and their influence on health care at the university hospital. Int J Clin Exp Med. 2016;9(9):18281–18290.
CR  - UNICEF Syria Crisis Situation Report - February 2016.pdf.
CR  - Sommerfelt T, Taylor MB. The big dilemma of small soldiers: recruiting children to the war in Syria. 2015 [cited 2016 Jul 31]; Available from: http://www.academia.edu/download/36655808/BigDilemmaSmallSoldiersFeb2015.pdf
CR  - Reese Masterson A, Usta J, Gupta J, Ettinger AS. Assessment of reproductive health and violence against women among displaced Syrians in Lebanon. BMC Womens Health. 2014;14:25.
CR  - Web 2 Days Ago Via. The Response to Syrian Refugee Women’s Health Needs in Lebanon, Turkey and Jordan and Recommendations for Improved Practice by Goleen Samari [Internet]. Humanity In Action. [cited 2016 Jul 31]. Available from: http://www.humanityinaction.org/knowledgebase/583-the-response-to-syrian-refugee-women-s-health-needs-in-lebanon-turkey-and-jordan-and-recommendations-for-improved-practice
CR  - Alsaba K, Kapilashrami A. Understanding women’s experience of violence and the political economy of gender in conflict: the case of Syria. Reprod Health Matters. 2016;24(47):5-17. DOI: https://doi.org/10.1016/j.rhm.2016.05.002
CR  - Zawati HM. Sectarian War in Syria Introduced New Gender-Based Crimes [Internet]. Rochester, NY: Social Science Research Network; 2016 Feb [cited 2016 Jul 31]. Report No.: ID 2733359. Available from: http://papers.ssrn.com/abstract=2733359
CR  - Strong J, Varady C, Chahda N, Doocy S, Burnham G. Health status and health needs of older refugees from Syria in Lebanon. Confl Health [Internet]. 2015 Dec [cited 2016 Jun 15];9(1). Available from: http://www.conflictandhealth.com/content/9/1/12
CR  - Doocy S, Lyles E, Roberton T, Akhu-Zaheya L, Oweis A, Burnham G. Prevalence and care-seeking for chronic diseases among Syrian refugees in Jordan. BMC Public Health [Internet]. 2015 Dec [cited 2016 Jul 20];15(1). Available from: http://www.biomedcentral.com/1471-2458/15/1097
CR  - Birch M, In Salvage J, Rowson M, Melf K and Wilmen A (eds). The public health effects of war. In: The Medical Peace Work textbook, 2nd edition, Course 3: War, weapons and conflict strategies.
CR  - Al-Salem WS, Pigott DM, Subramaniam K, Haines LR, Kelly-Hope L, Molyneux DH, et al. Cutaneous Leishmaniasis and Conflict in Syria. Emerg Infect Dis. 2016 May;22(5):931–3.
CR  - Salman IS, Vural A, Unver A, Sacar S. Cutaneous leishmaniasis cases in Nizip, Turkey after the Syrian civil war. Mikrobiyol Bul. 2014;48(1):106–13.
CR  - Turhanoglu M, Alp ES, Bayindir BF. [A nine-year evaluation of cutaneous leishmaniasis patients in Diyarbakir Training and Research Hospital, Turkey]. Mikrobiyol Bul. 2014;48(2):335–340.
CR  - Özbilgin A, Çulha G, Uzun S, Harman M, Topal SG, Okudan F, et al. Leishmaniasis in Turkey: first clinical isolation of Leishmania major from 18 autochthonous cases of cutaneous leishmaniasis in four geographical regions. Trop Med Int Health TM IH. 2016 Jun;21(6):783–91.
CR  - Alawieh A, Musharrafieh U, Jaber A, Berry A, Ghosn N, Bizri AR. Revisiting leishmaniasis in the time of war: the Syrian conflict and the Lebanese outbreak. Int J Infect Dis. 2014 Dec;29:115–9.
CR  - Salman IS, Vural A, Unver A, Saçar S. Cutaneous leishmaniasis cases in Nizip, Turkey after the Syrian civil war. Mikrobiyoloji Bül. 2014 Jan;48(1):106–13.
CR  - Turhanoglu M, Alp Erdal S, Bayindir Bilman F. [A nine-year evaluation of cutaneous leishmaniasis patients in Diyarbakir Training and Research Hospital, Turkey]. Mikrobiyoloji Bül. 2014 Apr;48(2):335–40.
CR  - Inci R, Ozturk P, Mulayim MK, Ozyurt K, Alatas ET, Inci MF. Effect of the Syrian Civil War on Prevalence of Cutaneous Leishmaniasis in Southeastern Anatolia, Turkey. Med Sci Monit Int Med J Exp Clin Res. 2015;21:2100–4.
CR  - Clinical and histopathological characteristics of cutaneous Leishmaniasis in Sanliurfa City of Turkey including Syrian refugees Koçarslan S, Turan E, Ekinci T, Yesilova Y, Apari R - Indian J Pathol Microbiol [Internet]. [cited 2016 Jun 8]. Available from: http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2013;volume=56;issue=3;spage=211;epage=215;aulast=Ko%E7arslan
CR  - Progress Toward Polio Eradication — Worldwide, 2013–2014 [Internet]. [cited 2016 Jul 28]. Available from: http://www.cdc.gov/MMWR/preview/mmwrhtml/mm6321a4.htm
CR  - Akil L, Ahmad HA. The recent outbreaks and reemergence of poliovirus in war and conflict-affected areas. Int J Infect Dis [Internet]. [cited 2016 Jun 14]; Available from: http://www.sciencedirect.com/science/article/pii/S1201971216310682
CR  - Syria: Measles Epidemic Reveals Growing Humanitarian Needs [Internet]. MSF USA. 2013 [cited 2016 Aug 3]. Available from: http://www.doctorswithoutborders.org/news-stories/press-release/syria-measles-epidemic-reveals-growing-humanitarian-needs
CR  - WHO | Measles Surveillance Data [Internet]. WHO. [cited 2016 Jun 14]. Available from: http://www.who.int/immunization/monitoring_surveillance/burden/vpd/surveillance_type/active/measles_monthlydata/en/
CR  - Petersen E, Baekeland S, Memish ZA, Leblebicioglu H. Infectious disease risk from the Syrian conflict. Int J Infect Dis. 2013 Sep;17(9):e666–7.
CR  - Cousins S. Experts sound alarm as Syrian crisis fuels spread of tuberculosis. BMJ. 2014 Dec 3;349:g7397.
CR  - Cookson ST, Abaza H, Clarke KR, Burton A, Sabrah NA, Rumman KA, et al. Impact of and response to increased tuberculosis prevalence among Syrian refugees compared with Jordanian tuberculosis prevalence: case study of a tuberculosis public health strategy. Confl Health. 2015;9:18.
CR  - Birch M. The Medical Peace Work Textbook. In: MPW Course 3: War, Weapons and Conflict Strategies [Internet]. 2. Edition. London,England; 2012 [cited 2016 Jul 20]. p. 86–7. Available from: http://www.medicalpeacework.org/fileadmin/user_upload/ebooks/mpw_course3_2012.pdf
CR  - Kilzieh N, Rastam S, Ward KD, Maziak W. Gender, Depression and Physical Impairment: An Epidemiologic Perspective From Aleppo, Syria. Soc Psychiatry Psychiatr Epidemiol. 2010 Jun;45(6):595–602.
CR  - Gammouh OS, Al-Smadi AM, Tawalbeh LI, Khoury LS. Chronic Diseases, Lack of Medications, and Depression Among Syrian Refugees in Jordan, 2013–2014. Prev Chronic Dis [Internet]. 2015 Jan 29 [cited 2016 Jul 21];12. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310712/
CR  - Önen C, Güneş G, Türeme A, Ağaç P. Bir Mülteci Kampında Yaşayan Suriyelilerde Depresyon Ve Anksıyete Durumu. 2014 [cited 2016 Jul 20]; Available from: http://www.asosjournal.com/Makaleler/105916345_307%20C%C4%B0HAN%20%C3%96NEN.pdf
CR  - Naja WJ, Aoun MP, El Khoury EL, Abdallah FJB, Haddad RS. Prevalence of Depression in Syrian Refugees and the Influence of Religiosity. Compr Psychiatry. 2016 Jul;68:78–85.
CR  - Yeniçeri A, İnandı T, (Tez Danışmanı). Hatay’da Yaşayan Suriyeli Sığınmacılarda Travma Sonrası Stres Bozukluğu Ve Depresyon. [Hatay]: Mustafa Kemal Üniversitesi; 2017.
CR  - Alpak G, Unal A, Bulbul F, Sagaltici E, Bez Y, Altindag A, et al. Post-traumatic Stress Disorder Among Syrian Refugees in Turkey: A Cross-sectional Study. Int J Psychiatry Clin Pract. 2015 Jan 2;19(1):45–50.
CR  - Sirin SR, Sirin LR. The Educational and Mental Health Needs of Syrian Refugee Children. Migration Policy Institute. 2015;13.
CR  - Kéri S. Suffering Has No Race or Nation: The Psychological Impact of the Refugee Crisis in Hungary and the Occurrence of Posttraumatic Stress Disorder. Soc Sci. 2015 Nov 12;4(4):1079–86.
CR  - Jefee-Bahloul H, Moustafa MK, Shebl FM, Barkil-Oteo A. Pilot assessment and survey of syrian refugees’ psychological stress and openness to referral for telepsychiatry (PASSPORT Study). Telemed J E-Health Off J Am Telemed Assoc. 2014 Oct;20(10):977–9.
CR  - Weissbecker I. Displaced Syrians in Za’atari Camp: Rapid Mental Health and Psychosocial Support Assessment [Internet]. International Medical Corps; 2012. Available from: www.InternationalMedicalCorps.org
UR  - https://doi.org/10.17944/mkutfd.311230
L1  - https://dergipark.org.tr/en/download/article-file/597300
ER  -