Increased drug seizures in Hatay, Turkey related to civil war in Syria

Arslan, Muhammet Mustafa; Zeren, Cem; Çelikel, Adnan; Ortanca, Ibrahim; Demirkıran, Sümeyra

doi:10.1016/j.drugpo.2014.04.013

Cited by 23 publications

(16 citation statements)

References 5 publications

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“…26 Profesyonel olmayan kişilerin benzeri işlerde görev yapması da yeni sorunlara yol açabilmektedir. 23 Bu sıkıntıların yaşanmaması için, tercümanların gerekli bilgi ve tecrübeye sahip olup, gizlilik ve tarafsızlık ilkesine bağlı olmaları gerekmektedir. 23 Günde ortalama 3,4 hasta gibi az sayıda hastanın başvurması iletişimsizliği arttıracak zaman darlığı sorununun bulunmadığını düşündürmektedir.…”

Section: Introductionunclassified

Evaluation of Primary Health Care Services Which Is Provided to Refugees Within a Public Health Center.

Aygün¹,

Gökdemir²,

Bulut³

et al. 2016

TJFMPC

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Background:In recent years, so many people have left their counties because of the war or social, political and economic reasons. This study aims to evaluate the applications of Syrian refugees to a public health center to describe the health care provided to them. Method:The study is intended as a two-part in regard with the mixed design of the study. The first part planned as single-center, descriptive study to be performed with health records of the Syrian asylum seekers and refugees admitted İzmir-Karabaglar community health center within one year. In the second part semi-structured interviews with three doctors who were working in the same center, taking care of Syrian patients, was planned to understand their experiences and views on this service. For quantitative data SPSS for windows 20 program is used and descriptive analysis are performed. Thematic analysis was used for evaluating interviews. Results: 891 applications were made to Karabaglar community health center within one year and the median of the applicants was 4. The most prevalent reason for application was enfections (519; 58.2%) and the number of refugees who applied for preventive care was very low ( (90; 10.1%). The number of laboratory tests was 41 (4.6%) patients and the most requested test was urinary analysis. 502 (56.3%) application resulted with a prescription, the number of antibiotics and analgesics were the highest. Doctors who provide service were not satisfied with the care they give. They were having very deep communication problems related with both different cultur and language, hard time to understand patient and the disease. They stated that there is a need of different regulations. Conclusions: Refugees and asylum seekers do not receive the necessary health care they need. Physicians in primary care who take care of these people are thinking that they are not competent and not helpful for these patients. ÖZETGiriş: Son yıllarda milyonlarca insan, savaşlar başta olmak üzere siyasi, ekonomik ve sosyal sebeplerle öz vatanlarından ayrılarak yabancı ülkelere sığınmak zorunda kalmıştır. Çalışmamızda, sayıları gittikçe artan Suriyeli sığınmacıların, aldıkları birinci basamak sağlık hizmetlerini tanımlayabilmek amacı ile bir toplum sağlığı merkezine yapılan bir yıllık başvurular değerlendirilmiştir. Yöntem: Çalışma karma desende olup, iki aşamalı olarak tasarlanmıştır. İlk aşamada, İzmir-Karabağlar toplum sağlığı merkezine bir yıl içerisinde başvuran Suriyeli sığınmacı hastalara ait kayıtlardan elde edilen verilerle, tek merkezli, tanımlayıcı bir araştırma olarak planlanmıştır. İkinci bölümde ise, aynı birimde Suriyeli sığınmacılara, poliklinikte hizmet veren üç doktorla yarı yapılandırılmış görüşme yapılarak deneyimlerini ve görüşlerini aktarmaları istenmiştir. Kantitatif veriler, SPSS 20 programında değerlendirilerek tanımlayıcı analizler yapılmış, görüşmeler ise tematik analiz yöntemi ile değerlendirilmiştir. Bulgular: Karabağlar Toplum Sağlığı Merkezi'ne, bir yıl içerisinde yapılan başvuru sayısı 891 olup, ortanca yaş 4 olarak b...

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Section: Introductionunclassified

Evaluation of Primary Health Care Services Which Is Provided to Refugees Within a Public Health Center.

Aygün¹,

Gökdemir²,

Bulut³

et al. 2016

TJFMPC

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“…However, use of alcohol may have increased in recent years: a study among Syrian refugees to Iraq found that about half of the respondents had more than five alcoholic drinks per week (Berns, 2014). Figures on the use of illegal drugs are not available, but may have increased due to the greater production and trade of illegal drugs as a result of the crisis (Arslan, 2015). A worrying trend is the use of synthetic stimulants such as fenethylline ('Captagon'), a drug that is popular throughout the Middle East and that is produced in Syria and neighbouring countries (Rahim et al 2012).…”

Section: Alcohol and Drugsmentioning

confidence: 99%

Mental health and psychosocial wellbeing of Syrians affected by armed conflict

Hassan

Ventevogel

Jefee-Bahloul

et al. 2016

Epidemiol Psychiatr Sci

426

423

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Aims. This paper is based on a report commissioned by the United Nations High Commissioner for Refugees, which aims to provide information on cultural aspects of mental health and psychosocial wellbeing relevant to care and support for Syrians affected by the crisis. This paper aims to inform mental health and psychosocial support (MHPSS) staff of the mental health and psychosocial wellbeing issues facing Syrians who are internally displaced and Syrian refugees.Methods. We conducted a systematic literature search designed to capture clinical, social science and general literature examining the mental health of the Syrian population. The main medical, psychological and social sciences databases (e.g. Medline, PubMed, PsycInfo) were searched (until July 2015) in Arabic, English and French language sources. This search was supplemented with web-based searches in Arabic, English and French media, and in assessment reports and evaluations, by nongovernmental organisations, intergovernmental organisations and agencies of the United Nations. This search strategy should not be taken as a comprehensive review of all issues related to MHPSS of Syrians as some unpublished reports and evaluations were not reviewed.Results. Conflict affected Syrians may experience a wide range of mental health problems including (1) exacerbations of pre-existing mental disorders; (2) new problems caused by conflict related violence, displacement and multiple losses; as well as (3) issues related to adaptation to the post-emergency context, for example living conditions in the countries of refuge. Some populations are particularly vulnerable such as men and women survivors of sexual or gender based violence, children who have experienced violence and exploitation and Syrians who are lesbian, gay, bisexual, transgender or intersex. Several factors influence access to MHPSS services including language barriers, stigma associated with seeking mental health care and the power dynamics of the helping relationship. Trust and collaboration can be maximised by ensuring a culturally safe environment, respectful of diversity and based on mutual respect, in which the perspectives of clients and their families can be carefully explored.Conclusions. Sociocultural knowledge and cultural competency can improve the design and delivery of interventions to promote mental health and psychosocial wellbeing of Syrians affected by armed conflict and displacement, both within Syria and in countries hosting refugees from Syria.

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“…Although it seemed to have conservative and religious residents, intravenous drug abuse is surprisingly common due to possible illegal border drug trade. According to 2012 statistics drug abuse rate is nearly 1% which is quite high compared to overall population in Turkey [13]. In a study, which is related to risk factors of hepatitis, C in a border city of Southern Anatolia in Turkey it was found that risk factors might vary compared to overall country.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Risk Factors Frequencies of Hepatitis C in Two Provinces

Dagli¹

2016

J Infect Dis Preve Med

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Risk factors for transmission routes of hepatitis C virus (HCV) may vary in countries like Turkey which has geographical, cultural and socioeconomical differences among regions. In this study data from two provinces of Turkey were analysed to evaluate and compare the risk factors frequencies of HCV. From 2007 through 2014, a total of anti-HCV positive 90 patients from Bursa Yuksek Ihtisas Research and Training Hospital located in the west region of Turkey and 100 patients from Kilis State Hospital located in the south east part were included in the study to compare risk factors of HCV infection. Patients were questioned about history of dental treatment, hospitalization, blood transfusion, surgical operation and intravenous drug use which are major risk factors for transmission of HCV. Overall history of previous dental treatment was the most prevalent risk factor in both provinces followed by hospitalization, blood transfusion and operation. The use of intravenous drugs was higher in Kilis with a statistically significant difference. In every patient at least one risk factor was present. Although Kilis has a conservative community and lower socio economical level, this unexpected observation may be related to reflections of border trade of drugs on society. Thus preventive measures should be taken, considering socioeconomical differences among regions.

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Increased drug seizures in Hatay, Turkey related to civil war in Syria

Cited by 23 publications

References 5 publications

Evaluation of Primary Health Care Services Which Is Provided to Refugees Within a Public Health Center.

Evaluation of Primary Health Care Services Which Is Provided to Refugees Within a Public Health Center.

Mental health and psychosocial wellbeing of Syrians affected by armed conflict

Comparison of Risk Factors Frequencies of Hepatitis C in Two Provinces

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