Turkish Journal of Public Health最新文献

{"title":"D vitamini ve Tip 2 diyabet","authors":"Arda Karagöl, Nazlı Atak","doi":"10.20518/TJPH.288397","DOIUrl":"https://doi.org/10.20518/TJPH.288397","url":null,"abstract":"Bu calismanin amaci, tip 2 diyabet ile D vitamini yetersizligi arasindaki olasi iliskinin degerlendirilmesidir. Tip 2 diyabet (T2D) morbidite ve mortalitesi giderek artmaktadir. T2D ve komplikasyonlarinin tedavisinde ilerleme kaydedilmesine ragmen, hastalik yukunun giderek artmasi, korunmada yeni yaklasimlarin gerekliligini ortaya koymaktadir. Ekolojik kanitlar, D vitamini yetersizliginin belirgin oldugu az gunes alan bolgelerde, diyabet sikliginin arttigini gostermistir. D vitamini son zamanlarda T2D’in etiyopatogenezi ve onlenmesinde giderek artan bir sekilde gundeme gelmektedir. Yetersizliginin T2D riskini arttirdigi belirtilmekle birlikte, nedensel iliski ile ilgili kanitlar, yeterli sayida yuksek kalitede randomize kontrollu calismalar bulunmadigi icin sinirlidir. Korunmada yasam bicimi ve davranislarinin degistirilmesi yuksek riskli bireylerde onemli bir yaklasimdir. Ek olarak 25(OH)D3 duzeyinin arttirilmasi da, T2D’in onlenmesi ve tedavisinde umut vadeden bir yaklasim olabilir. Bu konuda bazi onemli sonuclara ulasilmis olsa da ileriye donuk genis kapsamli calismalara gereksinim bulunmaktadir. Anahtar kelimeler: D vitamini, Tip 2 diyabet, D vitamini eksikligi, D vitamini yetersizligi, korunma","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"14 1","pages":"167-177"},"PeriodicalIF":0.0,"publicationDate":"2016-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67662354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of point of decision prompts on stair use from the perspective of health psychology","authors":"N. Taşkale","doi":"10.20518/THSD.62244","DOIUrl":"https://doi.org/10.20518/THSD.62244","url":null,"abstract":"Amac: Bu calisma guclu bir fiziksel aktivite olan merdiven kullanimini artirmada karar ani tesviklerini kullanan calismalari gozden gecirmektedir. Gerec ve Yontem: Bu derleme, 1995-2015 yillari arasinda yayimlanmis olan yuruyen merdiven yerine merdiven kullanmayi artirmayi inceleyen calismalari icermektedir. Arama “EbscoHOST”, “JSTOR”, “Medline”, “ProQuest”, “PsychInfo”, “Sage”, “ScienceDirect”, “TUBITAK ULAKBIM” ve “Wiley Online Library” veri tabanlarinda “merdiven, yuruyen merdiven, asansor, fiziksel aktivite, tanitim, uygulama” anahtar kelimeleri kullanilarak Turkce ve Ingilizce dilindeki yayinlarla gerceklestirilmistir. Bulgular: Karar ani tesvikleri ile merdiven kullanimini artirmayi amaclayan deneysel calismalarin gozden gecirilmesi, bu tesviklerin merdiven kullanimini artirmada basarili bir mudahale oldugunu gostermektedir. Bu tesvikler bir davranissal ipucu olarak islev gormekte ve mesajlar yarar, engel ve duyarlilik algilarini etkileyerek ve oz-etkinlik inanclarini yukselterek bireyleri merdiven kullanmaya yonlendirmektedir. Sonuc: Karar ani tesvikleri kullanimi merdiven kullanimini artirmada basarili bir yontemdir. Davranissal bir ipucu gorevi yapar. Bununla beraber,  mesajlarin alt gruplarin ozgul ihtiyaclarina hitap edebilmesi icin, bu tesviklerin kuramsal arka planini degerlendirecek calismalara gereksinim vardir. Anahtar Kelimeler: Merdiven kullanimi, karar ani tesviki, saglik davranisi kuramlari","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"14 1","pages":"95-114"},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mid-term assessment of a programme conducted in Izmir for improving oral health in pregnant women and reducing caries in children: changes in the level of knowledge of the mothers","authors":"Z. Öcek, E. Eden, M. Türk, Nurcan Çakır","doi":"10.20518/THSD.85690","DOIUrl":"https://doi.org/10.20518/THSD.85690","url":null,"abstract":"Amac: “Gebelerin Agiz-Dis Sagliginin Gelistirilmesi ve Curuksuz Cocuklar Programi”nin ilk asamasinin annelerin bilgi duzeylerindeki degisim araciligiyla degerlendirilmesi amaclanmistir.  Yontem: Bu egitim mudahalesi calismasi Izmir-Bornova Belediyesi’nin Mevlana, Naldoken, Altindag semtlerinde gerceklestirilmistir. Bu semtlerde yasayan ve 2013 Nisan-Haziran aylarinda gebe olan kadinlarin (n=289) %85.8’i (n=248) ilk asamaya katilmistir. 2014 yili Şubat-Mart aylarindaki ikinci asamaya %69.4’luk (172) katilim saglanabilmistir. Her iki asamada da once annelerin agiz-dis sagligi bilgileri 12 onerme araciligiyla olculmus, disleri muayene edilmis, dis fircalama teknigi ogretilmis, grup egitimi verilmistir. Her bir onermenin birinci ve ikinci asamada aldigi skorlarin ortalamalari bagimli orneklerde isaretli sira testi araciligiyla karsilastirilmistir. Bulgular: Yas ortalamasi 27.1±5.07 olan annelerin %20.3’unun egitimi ilkokulun altindadir, %26.2’sinin anadili Turkce degildir, %26.2’sinin sosyal, %11.6’sinin saglik guvencesi yoktur. Gebelerin dislerinin kalsiyum kaybi nedeniyle curudugu seklindeki yanlis onermenin skoru 3.90±0.89 iken, ikinci asamada ancak 3.56±1.31’ya dusebilmistir. Gebelikte diseti hastaligi ve sonuclariyla ilgili dogru onermelerin skorlari artmis, curuge yol acan davranislarla ilgili yanlis onermelerin skorlari azalmis, yeterlilik inancinda anlamli artis olmustur. “Dislerimin saglikli olmasi icin yapilmasi gerekenleri yerine getiriyorum” onermesinin skoru istatistiksel olarak anlamli bir artis gostermemistir. Sonuc: Program annelerin bilgi duzeylerini artirmis, ancak yanlis inanislar ve davranis degisimi acisindan yeterli sonuca ulasilamamistir. Sosyokulturel gelismeyle birlikte olmayan, sadece egitime dayali mudahaleler agiz-dis sagliginda sinirli bir degisim yaratabilmektedir. Anahtar Kelimeler: Gebelik, agiz-dis sagligi, saglik egitimi,  dis curugu","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"8 1","pages":"68-80"},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An investigation of an outbreak of gastroenteritis in the Tavsanli District of Kutahya Province, July 2014, a Case-Control Study","authors":"G. Barlas, Ebru Tozan, Yüksel Altuğ, Dilber Aktaş, F. Temel, G. Korukluoglu, M. B. Sucaklı","doi":"10.20518/THSD.31346","DOIUrl":"https://doi.org/10.20518/THSD.31346","url":null,"abstract":"Amac: Tavsanli ilcesi halk sagligi yetkilileri 18.06.2014 tarihinde 28’i hastanede yatarak tedavi gormus 684 gastoenterit hastasi oldugunu rapor etmislerdir. Inceleme,  salginin nedenini saptamak, bulas yolunu belirlemek ve kontrol onlemlerini uygulamak amaciyla yapilmistir. Yontem: Bu vaka-kontrol calismasinda 07–30 Haziran tarihleri arasinda R11, K52, A09 ICD-10 tani kodlu, kusma veya ishali (≥3/gun) olan, atak hizi en yuksek 5 mahallede ikamet eden, basit rastgele yontemle secilen 154 olasi olgu ve kontrolu incelenmistir. Kontroller, 1:1, yas grubu eslestirmesi yapilarak komsulardan secilmistir. Klinik ornekler ve sebeke suyu ornekleri incelenmistir. Bulgular: Atak hizi %3.3 olup vakalar tum ilceye yayilmistir. Baslica sikâyetler bulanti  (%88.9), ishal (%88.2), karin agrisi (%82.8) ve kusmadir (%71.8). Vakalar selden 6 gun sonra artmaya baslamis ve salgin egrisinde genis bir pik saptanmistir. Vakalarin  %66.9’u, kontrollerin ise %37.0’i mahalle cesme suyu (TRRMH=4.3 ,%95 GA:2.2-8.6), vakalarin %18’i kontrollerin %27’si siselenmis su icmistir (TRRMH=0.5, %95 GA:0.3-0,9). Bes adet diski orneginde Norovirus GI ve GII saptanmistir. Cevresel arastirmalarda ilcede 35 kontrolsuz mahalle cesmesi oldugu, bunlari besleyen su deposunun sel suyu ile tamamen dolmus oldugu ogrenilmistir. Su orneklerinde norovirus tespit edilememistir. Sonuc: Vakalarda norovirus saptanmasi, korunaksiz mahalle cesmesi deposunun taskin yasanan kanalin hemen yaninda bulunmasi ve calismada elde edilen bulgular, salginin olasi nedeninin siddetli yagis sonrasinda kontamine olan mahalle cesmelerinden su tuketilmesi oldugunu dusundurmektedir. Anahtar Kelimeler: Norovirus, eslesmis vaka-kontrol calismalari, su, ishal","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"14 1","pages":"81-94"},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67660805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of community health centers from the perspective of the centers’ leading physicians","authors":"M. E. Gökler, Egemen Ünal, R. Aydın, G. Emiral, S. Metintaş, B. IŞıklı, M. Önsüz","doi":"10.20518/thsd.34735","DOIUrl":"https://doi.org/10.20518/thsd.34735","url":null,"abstract":"Amac: Calismada, Toplum Sagligi Merkezi (TSM) sorumlu hekimlerinin gorusleriyle TSM’lerin genel ozelliklerinin belirlenmesi amaclandi. Gerec ve Yontem: Calisma, Turkiye’deki TSM sorumlu hekimleri (n=971) ile yapilan kesitsel tipte bir arastirmadir. Sorumlu hekimlerin Turkiye’deki dagilimi NUTS bolgeleri esas alinarak yapildi. Hazirlanan anket formu, hekimlerin sosyo-demografik ve mesleki ozelliklerini, TSM’lerin fiziksel olanaklarini ve TSM hekimligi ile ilgili dusuncelerini sorgulamaktaydi. Bulgular: Toplam 611 (%62.9) TSM sorumlu hekimine ulasildi. Calismaya katilan hekimlerin %66.6’si erkekti; %81.3’u ilce merkezlerinde gorev yapmakta iken %37.8’inin ilk gorev yeri TSM’lerdi. Calisma grubunda ortalama hekimlik suresi 8.1±7.7 yil, TSM hekimligi calisma suresi ise ortalama 2.2±1.9 yildi. TSM sorumlu hekimlerinin %63.8’i TSM hekimliginin sayginligi, %43.9’u gelecegi, %76.6’si sorumluluklarina gore yetkileri ve %64.2’si gorevinde kalici olmak konularinda olumsuz bir degerlendirme icindedir. Hekimlerin %43.7’si TSM personelini sayica, %57.3’u nitelik acisindan yeterli gormezken, %68.9’u TSM’nin fiziksel olanaklarini yeterli bulmamaktadir. Sonuc: TSM’lerle ilgili politikalarin gelistirilmesi gereklidir. Anahtar Kelimeler: Toplum Sagligi Merkezleri, saglik hizmetleri, sorumlu hekim","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"26 1","pages":"56-67"},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67660906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The situation of being supported and conformed to the tobacco control law by the people serving in coffee houses, cafes and restaurants in Kayseri","authors":"E. Balcı, A. Öztürk, İskender Gün, Ş. Şarlı","doi":"10.20518/THSD.67154","DOIUrl":"https://doi.org/10.20518/THSD.67154","url":null,"abstract":"Objective: In this study it was aimed to reveal the opinions about smoking ban of the employers and employees in coffee houses, cafes and restaurants and their situation of being affected from the ban and the effects of smoke-free workplaces on smoking. Method: It is a cross-sectional type research done over 1161 individuals serving in 405 coffee houses, cafes and restaurants in Kayseri in October 2010. This survey including 25 questions was applied to people interviewing personally. Results: 41.4% of the individuals who took part in this survey fully supported the ban, 45.8% supported partly and 12.8% stated that they were completely against the ban. The rate of supporting the ban was significantly lower among those working in coffee houses, having smoking habits, working in places with no outdoor area and those who are employers or responsible for the workplace. 44.4% of the individuals pointed out that the number of their customers decreased after the legal regulation. 37.2% of stated that the rate of their customers unchanged and 5.2% pointed out that it increased after the regulation, 13.1% did not express an opinion. The rate of the individuals who stated that the number of their customers decreased was higher among those who work in places which don’t have outdoor area and work in coffee houses. 16.0% of the individuals stated that their customers always had positive look to the ban, 58.8% them pointed out that their customers got accustomed to it despite the earlier negative reactions. It has been found out the number of the cigarettes they smoke has decreased significantly both in workplace and daily compared before the legal regulation. Conclusion: It can be seen that these result have started to give positive impacts one year after the legal regulation although the support has not reached the desired level yet. The support to the regulation is thought to increase with making employees and particularly those who think smoking indoors may not be harmful conscious of possible effects of passive smoking to their own health. Key words: Smoking ban, support, coffee house, restaurant, passive smoking","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"14 1","pages":"23-31"},"PeriodicalIF":0.0,"publicationDate":"2016-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of compliance with regulations on the sale of pesticides in shops in the Southeastern Anatolia Region in Turkey","authors":"Burcu Kara, Z. Şimşek","doi":"10.20518/THSD.11703","DOIUrl":"https://doi.org/10.20518/THSD.11703","url":null,"abstract":"Amac: Guneydogu Anadolu Bolgesi’nde (GAP) pestisit satis yerlerinin yasal duzenlemeler acisindan uygunlugunu degerlendirmektir. Gerec ve Yontem: Tanimlayici nitelikteki bu arastirmada, 2013 yilinda GAP Bolgesi'ndeki 342 isyerinden 326’sina ulasilmistir. Satis yerlerinin yasal duzenlemelerde belirlenmis olan kisi ve ortam ozelliklerine uygunlugunu saptamak icin, her isyeri ziyaret edilerek gozlem yapilmis ve soru kagitlari uygulanmistir. Bulgular: Isyerlerinin %90.2'si perakende, %9.2'si toptanci ve perakende, %0.6'si bayidir. Calisanlarin %96.9'u erkektir. %16.8’i ilkogretim ikinci kademe ve alti mezunu, %27.4'u lise ve dengi, %55.8'i ise universite ve uzerinde egitim almistir. Calisanlarin %48.5'i yasal duzenlemelerle tanimlanan uygun meslektendir. Isyerlerinin %81.3'unun etrafinda ev ve isyeri bulundugu, isyerlerinin %68.8'inde cok zehirli raf ve bolmelerde ''cok zehirli bitki koruma urunleri'' ifadesi bulunmadigi, satis yerlerinin %57.3'unde ilaclamada kullanilan koruyucu ekipmanlarin satilmadigi saptanmistir. Arastirmada yasal duzenlemelere tam uygun satis yeri saptanmamistir. Calisanlarin %88.1'i maksimum rezidu miktarini, %86.8'i ilaclama sonrasi bekleme suresini, %27.9'u insanlarda meydana getirdigi saglik sorunlarini bilmemektedir. Calisanlarin %64.3'u pestisitlerin insan sagligina etkilerine iliskin egitim aldiklarini bildirmislerdir. Sonuc: Arastirma bulgulari, pestisit satis yerlerinin yasal duzenlemelere uygunluk acisindan denetimlerinin ve satis elemanlarinin saglik egitimlerinin yapilmasinin gerekliligini ortaya koymaktadir. Anahtar Kelimeler: Pestisit, satis yeri, yasal duzenlemeler, Guneydogu Anadolu Bolgesi","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"14 1","pages":"32-42"},"PeriodicalIF":0.0,"publicationDate":"2016-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67660964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causes and prevalence of consanguineous marriage, child health, happiness in relationships and life satisfaction among the women in Hatay","authors":"T. Inandi, N. Savaş, E. Arslan, Arif Yeniçeri, Mehmet Erdem, E. Durmaz, Ersin Peker, Ömer Alışkın","doi":"10.20518/THSD.08098","DOIUrl":"https://doi.org/10.20518/THSD.08098","url":null,"abstract":"Amac: Bu calisma Hatay’da akraba evliligi sikligini, nedenlerini ve bunlarin cocuk sagligina, kadinlarin iliskilerindeki mutluluk duzeyine ve yasam doyumuna etkilerini degerlendirdi. Yontem: Kesitsel nitelikteki arastirmada evreni, Hatay’da yasayan evli, bosanmis ya da esi olmus kadinlar olusturdu. Calisma orneklemi cok asamali orneklemle secilen 584 kadin idi. Veriler yuz yuze anket formu ile Nisan-Mayis 2014’te kadinlarin evlerinde toplandi. Olcum araci olarak kullanilan soru kâgidi ‘kisisel bilgiler, dogurganlik bilgileri, hastalik ve engellilik durumu, evlilik bilgileri, sosyal ve ekonomik faktorler, evlilik sekli uzerine dusunceler, iliskilerde mutluluk olcegi ve yasam doyum olcegi’ bolumlerini icerdi. Bulgular: Akraba evliligi sikligi %34.4 idi ve dusuk ogrenim duzeyi,  dusuk ekonomik durum ve dusuk gelirle iliskili idi (p 0.05). Sonuc: Hatay’da akraba evliligi cok yaygindir; dusuk ekonomik durum ve ogrenim duzeyiyle iliskilidir. Cocuk sagligi uzerine olumsuz etkileri vardir. Anahtar Kelimeler: Akraba evliligi, cocuk olumleri, mutluluk, doyum, evlilik sekilleri","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"14 1","pages":"43-55"},"PeriodicalIF":0.0,"publicationDate":"2016-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67660914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A gastroenteritis outbreak investigation, NIGDE city center, March 2014","authors":"Ebru Tozan, P. Duman, Hanife Demet Elbasan, Ömür Aktepe, F. Sezen, F. Temel, G. Korukluoglu, M. B. Sucaklı","doi":"10.20518/THSD.83892","DOIUrl":"https://doi.org/10.20518/THSD.83892","url":null,"abstract":"Objective: In Nigde city center, during 18–30 March 2014, 1288 acute gastroenteritis cases were admitted to hospitals and family health centers. We investigated to identify the cause, mode of transmission, implement control measures, prevent future outbreaks. Methods: In case-control study to test the hypothesis “The source of this outbreak is contaminated tap water”, we reviewed health records for ICD-10 codes (A09, R11, K52) during 18–30 March. We defined probable case as onset of vomiting or diarrhea among 0-14 age-group resident of 15 neighborhoods with highest attack rates.. We compared 88 case-patients and randomly selected age-group-matched neighborhood controls. We tested clinical specimens, water samples. Results: Main symptoms of probable cases were diarrhea (80.7%), abdominal pain (84.1%), nausea (89.8%), vomiting (84.1%), fever (55.7%). When drinking only bottled water was taken as reference, drinking only tap water was 6.5 times higher in case patients (OR adj =6.5, 95%Cl=2.1–19.1). Of the 6 stool specimens, 4 tested positive for rotavirus. Water samples were positive for Escherichia coli, coliform bacteria. Free chlorine level was zero ppm in 5 of 7 samples. Conclusions: Contaminated tap water caused this rotavirus outbreak. The point of contamination couldn’t be identified. We recommended, drinking tap water chlorination, monitoring should be done regularly to prevent waterborne outbreaks. Key words : Water, Diarrhea, Case-Control Studies, Rotavirus, Outbreaks.","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"149 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2016-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital exposure as a risk factor for the transmission of measles: A case-control study in Turkey.","authors":"S. Çoban, S. Topal, F. Temel, Muharrem Öncül, B. Zhu, L. Akın","doi":"10.20518/THSD.67473","DOIUrl":"https://doi.org/10.20518/THSD.67473","url":null,"abstract":"Objective: During a nationwide measles epidemic in 2013, we conducted an investigation in Sanliurfa province to assess risk factors for measles infections. Methods: In a case-control design, we compared the history of hospital exposures for 189 randomly selected laboratory-confirmed patients (aged <15 years) residing in the central district and control-individuals matched for neighbourhood and age. We estimated the effectiveness of the vaccine (VE). Results: For infants from 0-11 months, 53.8% of the case and 23.8% of the controls had visited a hospital during one the month prior to the onset of the case’s rash (ORadj=3.7, 95% CI=1.6–8.6). For children from 1–6 years, 48.2% of the cases  and 14.3% of the controls visited a hospital during one month prior to the onset case’s rash (ORadj=5.5,95% CI=2.5–12.8) and  59.7% of cases had not completed one dose of measles vaccine  by 12 months, compared with  14.7% of controls (ORadj=7.4,95% CI=2.1–26.9; VE=86%,95% CI=52-96%). For children from 7– 14 years, 53.8% of the cases had not completed one dose of measles vaccination by age 12 months, compared with 15.4%  of controls (ORadj=6.7,95% CI=1.7–26.6; VE=85%, 95% CI=41-96%). Conclusion: We conclude that the hospitals facilitated measles transmission during this epidemic. We recommend triage febrile patients and patients with a rash in healthcare settings, and strengthening measles vaccination programme.. Keywords: Measles; Measles Vaccine; Nosocomial Infections; Risk Factors; Case Control Study","PeriodicalId":30432,"journal":{"name":"Turkish Journal of Public Health","volume":"444 1","pages":"13-22"},"PeriodicalIF":0.0,"publicationDate":"2016-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67661251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}