Her y\u0131l 150 bin ki\u015finin kansere yakaland\u0131\u011f\u0131 \u00fclkemizde y\u0131lda 9 ila 15 bin insan\u0131n mesleki kanser tan\u0131s\u0131 almas\u0131 beklenmelidir. Oysa ki T\u00fcrkiye\u2019de bug\u00fcne kadar mesleki kanser tan\u0131s\u0131 alm\u0131\u015f tek bir i\u015f\u00e7i dahi bulunmamaktad\u0131r<\/b><\/p>\n
ILO \u00e7al\u0131\u015fma ko\u015fullar\u0131na ba\u011fl\u0131 olarak bir \u00fclkede istihdam edilen n\u00fcfusun binde 4\u2019\u00fc ila binde 12\u2019sinde meslek hastal\u0131\u011f\u0131 beklenir tespitini yap\u0131yor. Yani son T\u00dc\u0130K verilerine g\u00f6re 30 milyon \u00e7al\u0131\u015fan\u0131n oldu\u011fu \u00fclkemizde 120 bin ila 360 bin \u00e7al\u0131\u015fan\u0131n meslek hastal\u0131\u011f\u0131na yakaland\u0131\u011f\u0131 varsay\u0131l\u0131yor. Ancak \u00fclkemizde her y\u0131l a\u00e7\u0131klanan SGK \u0130statistikleri\u2019ne bakt\u0131\u011f\u0131m\u0131zda meslek hastal\u0131\u011f\u0131 say\u0131s\u0131 500-600 civar\u0131nda ifade ediliyor\u2026 <\/i><\/p>\n
Oysa meslek hastal\u0131klar\u0131 \u00e7a\u011f\u0131n gizlenen bir salg\u0131n\u0131. Bu \u00f6yle bir salg\u0131n ki her y\u0131l t\u00fcm d\u00fcnyada 2 milyondan fazla, her g\u00fcn 5500, hatta her dakika 4 ki\u015finin \u00f6l\u00fcm\u00fcne neden olan bir salg\u0131nd\u0131r. \u00c7\u00fcnk\u00fc yine uluslararas\u0131 emek ve sa\u011fl\u0131k \u00f6rg\u00fctlerinin beklentilerine g\u00f6re meslek hastal\u0131klar\u0131ndan her y\u0131l i\u015f kazalar\u0131nda \u00f6lenlerin 6 kat\u0131ndan daha fazla \u00f6l\u00fcm oluyor. Ancak bu ger\u00e7ek d\u00fcnyada da \u00fclkemizde de gizleniyor\u2026<\/i><\/p>\n
\u0130stanbul \u0130\u015f\u00e7i Sa\u011fl\u0131\u011f\u0131 ve \u0130\u015f G\u00fcvenli\u011fi Meclisi de ge\u00e7en hafta 2013 y\u0131l\u0131nda ya\u015fam\u0131n\u0131 yitiren 1235 i\u015f\u00e7inin oldu\u011funu sadece 3\u2019\u00fc meslek hastal\u0131\u011f\u0131 nedeniyle ya\u015fam\u0131n\u0131 yitirdi\u011fini a\u00e7\u0131klad\u0131: Bir \u00e7ift\u00e7inin kene \u0131s\u0131rmas\u0131, tekstil i\u015f\u00e7isinin silikozis ve deri i\u015f\u00e7isinin akci\u011fer kanseri nedeniyle \u00f6l\u00fcm\u00fc\u2026 Ba\u015fka bir bilgi yoktu \u00e7\u00fcnk\u00fc meslek hastal\u0131klar\u0131 konusunda T\u00fcrkiye\u2019nin bir politikas\u0131 yok.<\/i><\/p>\n
A\u00e7\u0131klamada belirtilen deri i\u015f\u00e7isinin akci\u011fer kanseri nedeniyle \u00f6l\u00fcm\u00fcn\u00fcn resmi olarak meslek hastal\u0131\u011f\u0131 kabul edilip edilmeyece\u011fi bile bir muamma. \u00c7\u00fcnk\u00fc \u00fclkemizde resmen mesleki kanserden \u00f6len yok!<\/i><\/p>\n
Dr.Co\u015fkun Can\u0131var\u2019\u0131n yaz\u0131s\u0131 bu noktada \u00f6nemli\u2026<\/i> Kanser vakalar\u0131n\u0131n en az y\u00fczde 10\u2019u mesle\u011fe ba\u011fl\u0131<\/b> \u00c7al\u0131\u015f\u0131rken onlarca kanserojene maruz kal\u0131yoruz<\/b> \u0130\u015f kollar\u0131nda en s\u0131k g\u00f6r\u00fclen kanserojenler ve ortaya \u00e7\u0131kan kanser t\u00fcrlerine bak\u0131ld\u0131\u011f\u0131nda, petrol end\u00fcstrisinde; polisiklik hidrokarbonlara ba\u011fl\u0131 skrotum kanseri, metal end\u00fcstrisinde; arsenik, nikel, krom, berilyuma ba\u011fl\u0131 sin\u00fcs ve akci\u011fer kanserleri, kimya end\u00fcstrisinde; vinil kloride ba\u011fl\u0131 karaci\u011fer kanseri, isopropil alkole ba\u011fl\u0131 paranazal sin\u00fcs kanseri, boya \u00fcretiminde benzidin ve naftilamine ba\u011fl\u0131 mesane kanseri, solvente ba\u011fl\u0131 akci\u011fer kanseri, benzene ba\u011fl\u0131 ilik kanseri, deri end\u00fcstrisinde deri tozu ve benzene ba\u011fl\u0131 burun ve ilik kanseri, tar\u0131mda pestisit maruziyetine ba\u011fl\u0131\u00a0 l\u00f6semi, lenfoma, pankreas, meme, over, testis kanseri[5]<\/a>, mobilya ve di\u011fer marangozluk i\u015flerinde odun tozuna ba\u011fl\u0131 burun kanseri, uzay end\u00fcstrisinde berilyuma ba\u011fl\u0131 akci\u011fer kanseri, cam end\u00fcstrisinde slika ve arseni\u011fe ba\u011fl\u0131 akci\u011fer kanseri, at\u0131k pil yok edilmesi gibi geri d\u00f6n\u00fc\u015f\u00fcm i\u015f kollar\u0131nda kadmiyum, arsenik maruziyetine ba\u011fl\u0131 mesane, karaci\u011fer ve akci\u011fer kanseri, d\u00f6k\u00fcmc\u00fclerde krom, nikele ba\u011fl\u0131 akci\u011fer, beyin ve mesane kanserleri, yol yap\u0131m i\u015f\u00e7ilerinde asfalt, zift ve g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131na ba\u011fl\u0131 cilt ve mesane kanserleri, kumlaman\u0131n oldu\u011fu t\u00fcm i\u015f kollar\u0131nda slikaya ba\u011fl\u0131 akci\u011fer kanseri, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131nda formaldehite ba\u011fl\u0131 sin\u00fcs ve burun kanserleri, X-Ray g\u00f6r\u00fcnt\u00fcleme \u00fcnitelerinde \u00e7al\u0131\u015fanlarda radyasyon maruziyeti, havayollar\u0131nda u\u00e7u\u015f ekibinde yer alan \u00e7al\u0131\u015fanlarda kozmik radyasyona ba\u011fl\u0131 beyin, kolon, mesane, cilt kanserleri gibi \u00f6rnekleri \u00e7o\u011faltarak\u00a0 y\u00fczlerce i\u015f kolunda onlarca kanserojenin olu\u015fturdu\u011fu mesleki kanser say\u0131labilir.[6]<\/a><\/p>\n Kansere kar\u015f\u0131 Avrupa program\u0131 kapsam\u0131nda, Finlandiya Mesleki Sa\u011fl\u0131k Enstit\u00fcs\u00fc taraf\u0131ndan CAREX isimli veri taban\u0131yla y\u00fcr\u00fct\u00fclen \u00e7al\u0131\u015fmada 139 karsinojen i\u00e7in 1990-1993 y\u0131llar\u0131 aras\u0131nda 55 sanayi sekt\u00f6r\u00fc incelemi\u015ftir. Bu \u00e7al\u0131\u015fmaya g\u00f6re 15 AB \u00fclkesinde \u00e7al\u0131\u015fanlar\u0131n y\u00fczde 23\u2019\u00fc yani 32 milyon i\u015f\u00e7i \u00e7al\u0131\u015f\u0131rken karsinojenlere maruz kalmaktad\u0131r. Uluslararas\u0131 Kanser Ara\u015ft\u0131rma Ajans\u0131\u2019n\u0131n (IARC) verilerine g\u00f6re akci\u011fer kanseri s\u0131kl\u0131\u011f\u0131 y\u0131llar i\u00e7erisinde y\u00fcksek gelir grubunda d\u00fc\u015ferken, d\u00fc\u015f\u00fck gelir gruplar\u0131 aras\u0131nda giderek artt\u0131. \u00c7al\u0131\u015fma ortam\u0131nda karsinojenlere maruz kalman\u0131n y\u00fcksek gelir gruplar\u0131 ile d\u00fc\u015f\u00fck gelir gruplar\u0131 aras\u0131ndaki kanser s\u0131kl\u0131\u011f\u0131 fark\u0131n\u0131n \u00fc\u00e7te birinden sorumlu oldu\u011funu, bu oran\u0131n akci\u011fer ve mesane kanserinde y\u00fczde elliye yak\u0131n olabilece\u011fini belirtmektedirler.[7]<\/a><\/p>\n Bilimin g\u00fcndeminde mesleki ve \u00e7evresel kanserojenler yok<\/b> T\u00fcrkiye\u2019de mesleki kanser tan\u0131 say\u0131s\u0131: S\u0131f\u0131r<\/b> Kanserle m\u00fccadelenin en \u00f6nemli aya\u011f\u0131 kapitalizmle m\u00fccadeledir<\/b> * Dr. Co\u015fkun Can\u0131var<\/b> <\/p>\n [1]<\/a> DS\u00d6 \u2013 D\u00fcnya Kanser Raporu 2008<\/p>\n<\/div>\n [2]<\/a> \u00a0\u201cMesleki Kanserler Kay\u0131tlara Ge\u00e7miyor\u201d Prof. Dr. \u0130smail \u00c7elik (medikalakademi.com \u2013 21 Aral\u0131k 2010)<\/p>\n<\/div>\n [3]<\/a> Mesleksel Kanserler \u2013 Marie-Anne Mengeot (\u00c7eviri Edit\u00f6r\u00fc: Meral T\u00fcrk)<\/p>\n<\/div>\n [4]<\/a> age<\/p>\n<\/div>\n
\nMesle\u011fe ba\u011fl\u0131 olu\u015fan kanserler, meslek hastal\u0131klar\u0131na ve kansere ba\u011fl\u0131 \u00f6l\u00fcmlerin en \u00f6nemli nedenleri aras\u0131nda yer almaktad\u0131r. Mesleki karsinojen maruziyetinin olu\u015fturdu\u011fu kanserler t\u00fcm kanserlerin y\u00fczde 6 ila 10\u2019undan sorumlu tutulmaktad\u0131r. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn D\u00fcnya Kanser Raporu\u2019na g\u00f6re 2008 y\u0131l\u0131nda d\u00fcnya genelinde 12,4 milyon yeni kanser vakas\u0131 ve 7.6 milyon kanser nedenli \u00f6l\u00fcm meydana geldi. D\u00fcnya n\u00fcfusu ve kanser oranlar\u0131ndaki art\u0131\u015f birlikte de\u011ferlendirildi\u011finde 2030 y\u0131l\u0131nda 26,4 milyon ki\u015finin kanser tan\u0131s\u0131 alaca\u011f\u0131 ve kansere ba\u011fl\u0131 17 milyon \u00f6l\u00fcm ger\u00e7ekle\u015fece\u011fi tahmin edilmektedir.[1]<\/a> \u00dclkemizde ise her y\u0131l 150 bin ki\u015fi kansere yakalanmaktad\u0131r. Bu rakamlar kapsam\u0131nda de\u011ferlendirildi\u011finde d\u00fcnyada her y\u0131l bir milyonun \u00fczerinde, \u00fclkemizde ise her y\u0131l 10 binin \u00fczerinde ki\u015fi i\u015fyerinde maruz kald\u0131\u011f\u0131 kanserojenlere ba\u011fl\u0131 kansere yakalanmaktad\u0131r.[2]<\/a><\/p>\n
\nMesle\u011fe ba\u011fl\u0131 kanser kavram\u0131 18. y\u00fczy\u0131lda baca temizleyicilerinde g\u00f6r\u00fclen skrotum kanserleri, sonras\u0131nda boya \u00fcretiminde \u00e7al\u0131\u015fan i\u015f\u00e7ilerde g\u00f6r\u00fclen mesane kanserleri gibi tipik \u00f6rneklerle t\u0131p literat\u00fcr\u00fcne girmi\u015ftir. II. D\u00fcnya Sava\u015f\u0131 sonras\u0131 asbestin yayg\u0131n kullan\u0131m\u0131yla mesleki kanserler inkar edilemez boyutlara ula\u015fm\u0131\u015ft\u0131r. Kanserlerin y\u00fczde ka\u00e7\u0131n\u0131n mesle\u011fe ba\u011fl\u0131 oldu\u011funa y\u00f6nelik \u00e7al\u0131\u015fmalarda farkl\u0131 sonu\u00e7lar elde edilmi\u015ftir. 1981 y\u0131l\u0131nda iki \u0130ngiliz epidemiyolog Richard Doll ve Julian Peto yapt\u0131klar\u0131 \u00e7al\u0131\u015fmada t\u00fcm kanserlerin sadece y\u00fczde 4\u2019\u00fcn\u00fcn mesle\u011fe ba\u011fl\u0131 oldu\u011funu iddia etmi\u015flerdir. American Journal of \u0130ndustrial Medicine dergisinin Kas\u0131m 2006 say\u0131s\u0131nda yay\u0131nlanan bir makalede Richard Doll ile \u00e7ok uluslu kimya end\u00fcstrisi aras\u0131ndaki finansal ba\u011flant\u0131lar ortaya \u00e7\u0131kart\u0131lm\u0131\u015ft\u0131r. Bu ve benzeri bir\u00e7ok \u00f6rnek sermayenin mesleki maruziyetlerin \u00fczerini kapatmak i\u00e7in sergiledi\u011fi \u00e7abay\u0131 g\u00f6stermektedir. Oysa ki 2001 y\u0131l\u0131nda Finlandiyal\u0131 ara\u015ft\u0131rmac\u0131lar\u0131n yapt\u0131\u011f\u0131 bir \u00e7al\u0131\u015fmada mesleksel kanserlerin oran\u0131 y\u00fczde 8 (erkeklerde y\u00fczde 14 kad\u0131nlarda y\u00fczde 2) olarak belirtilmi\u015ftir. Ayn\u0131 \u00e7al\u0131\u015fmada erkeklerde akci\u011fer kanserinin y\u00fczde 29\u2019u, l\u00f6semilerin y\u00fczde 18\u2019i, mesane kanserlerinin y\u00fczde 14\u2019\u00fc ve pankreas kanserlerinin y\u00fczde 12\u2019si mesleksel nedenlere ba\u011flanmaktad\u0131r.(3) Bug\u00fcn i\u00e7in \u00fclkelerin kapitalistle\u015fme s\u00fcre\u00e7leri ve \u00e7evresel etkenlerle de\u011fi\u015fmekle beraber mesleki kanserin t\u00fcm kanserler i\u00e7indeki pay\u0131 erkeklerde y\u00fczde 10, kad\u0131nlarda y\u00fczde 6 olarak belirtilmektedir. Kad\u0131nlarda mesleki kanser oranlar\u0131n\u0131n erkeklere nazaran d\u00fc\u015f\u00fck seyretmesi kimyasal karsinojenlerin yo\u011fun oldu\u011fu i\u015f kollar\u0131nda a\u011f\u0131rl\u0131kl\u0131 olarak erkek i\u015f\u00e7ilerin \u00e7al\u0131\u015f\u0131yor olmas\u0131na ba\u011flanmaktad\u0131r. Ancak kad\u0131nlar\u0131n \u00fccretlendirilmeyen ev i\u015f\u00e7ili\u011fi esnas\u0131nda \u00f6zellikle temizlik malzemelerine maruziyete ba\u011fl\u0131 olu\u015fan riskler mesleki kanser de\u011ferlendirilmesinin d\u0131\u015f\u0131nda b\u0131rak\u0131lmaktad\u0131r. Fransa\u2019da yap\u0131lm\u0131\u015f bir \u00e7al\u0131\u015fmada, kad\u0131nlar\u0131n \u00e7o\u011funlukta oldu\u011fu ev ve bireysel bak\u0131m hizmet sekt\u00f6r\u00fcnde \u00e7al\u0131\u015fanlar\u0131n y\u00fczde 28\u2019i formol ve klorlu solvent gibi karsinojenlere maruz kald\u0131\u011f\u0131 saptanm\u0131\u015ft\u0131r. Bu maddeler ise meslek hastal\u0131klar\u0131 mevzuat\u0131nda yer almamaktad\u0131r. Mesleki kanser denildi\u011finde ku\u015fkusuz asbeste ba\u011fl\u0131 olu\u015fan kanserler felaketin boyutunu en \u00e7arp\u0131c\u0131 \u015fekilde ortaya koyan \u00f6rneklerdendir. ILO rakamlar\u0131na g\u00f6re d\u00fcnyada her y\u0131l 100 bin ki\u015fi i\u015fyerindeki asbest maruziyeti nedeniyle \u00f6lmektedir.[3]<\/a><\/p>\n
\nUluslararas\u0131 Kanser Ara\u015ft\u0131rma Ajans\u0131 (IARC) 1971 y\u0131l\u0131nda kansere neden olma potansiyeli olan maddeleri 5 kategoride s\u0131n\u0131fland\u0131rm\u0131\u015ft\u0131r. Yakla\u015f\u0131k 100 kadar madde insan i\u00e7in kanserojen olarak de\u011ferlendirilmi\u015f (Grup I) ve bunlar\u0131n 60 tanesinin \u00e7al\u0131\u015fma ortam\u0131nda bulundu\u011fu saptanm\u0131\u015ft\u0131r. Bunlar aras\u0131nda asbest, arsenik, nikel, krom, benzen, iyonize radyasyon, slika, odun tozu, formaldehit, vinil klorid, berilyum, etilen oksit, kadmiyum en fazla maruz kal\u0131nanlar olarak say\u0131labilir.[4]<\/a><\/p>\n
\nKanserle m\u00fccadelenin en \u00f6nemli ve ilk basama\u011f\u0131 ku\u015fkusuz kanser nedenlerinin ayd\u0131nlat\u0131lmas\u0131d\u0131r. Kanser etiyolojisine y\u00f6nelik ara\u015ft\u0131rmalar, t\u0131p end\u00fcstrisinin etkisinde olu\u015fturulan bireysel-biyolojik hastal\u0131k ve sa\u011fl\u0131k anlay\u0131\u015f\u0131 \u00e7er\u00e7evesinde uzun y\u0131llar ki\u015fisel fakt\u00f6rler \u00fczerine yo\u011funla\u015fm\u0131\u015ft\u0131r. Kanser hastal\u0131\u011f\u0131n\u0131n ki\u015finin riskli davran\u0131\u015flar\u0131 sonucu ortaya \u00e7\u0131kt\u0131\u011f\u0131 alg\u0131s\u0131 toplumda ve t\u0131p alan\u0131nda ge\u00e7erli k\u0131l\u0131nm\u0131\u015ft\u0131r. Bu alg\u0131n\u0131n s\u00fcrd\u00fcr\u00fclebilirli\u011finin sa\u011flanabilmesi i\u00e7in sigara, beslenme ve genetik fakt\u00f6rler gibi kanser etkenleri ki\u015finin sadece kendi tercihleri ve kendi yazg\u0131s\u0131na ba\u011fl\u0131 g\u00f6sterilmekte ve sonras\u0131nda da kanserle m\u00fccadele erken tan\u0131, sigara b\u0131rakma, do\u011fru beslenme ve spor gibi ki\u015fisel \u00f6nerilere indirgenebilmektedir. Bu sayede kanser etiyolojisinde \u00e7ok \u00f6nemli bir yere sahip olan \u00e7evresel fakt\u00f6rler ve mesleki maruziyet toplumun ve bilimin g\u00fcndeminden d\u00fc\u015f\u00fcr\u00fclmektedir. (Tamamen ki\u015fiselmi\u015f gibi kabul edilen sigara, beslenme, tan\u0131da gecikme gibi fakt\u00f6rlerin de asl\u0131nda sosyoekonomik durum, yani ait olunan toplumsal s\u0131n\u0131f ile de do\u011frudan ili\u015fkili oldu\u011funun ayr\u0131ca alt\u0131 \u00e7izilmesi gerekir.) \u00c7evresel ve mesleki maruziyetlerin kanser geli\u015fimindeki rol\u00fcn\u00fcn akademinin g\u00fcndeminde yer bulamamas\u0131 ve kanserle m\u00fccadele programlar\u0131nda bu fakt\u00f6rlerle m\u00fccadelenin geri planda kalmas\u0131 kapitalist \u00fcretim ili\u015fkilerinin bilime ve kamusal yap\u0131lanmalara ne denli n\u00fcfuz etti\u011finin a\u00e7\u0131k bir g\u00f6stergesidir. Prof. Dr. Onur Hamzao\u011flu\u2019nun Dilovas\u0131\u2019nda yapm\u0131\u015f oldu\u011fu \u00e7al\u0131\u015fma ve sonu\u00e7lar\u0131n\u0131 bas\u0131nla payla\u015fmas\u0131 sonras\u0131 maruz kald\u0131\u011f\u0131 sald\u0131r\u0131 bu konuda verilebilecek en \u00e7arp\u0131c\u0131 \u00f6rneklerdendir. Onur Hamzao\u011flu\u2019nun yapm\u0131\u015f oldu\u011fu \u00e7al\u0131\u015fmada; Dilovas\u0131\u2019nda sanayinin olu\u015fturdu\u011fu \u00e7evre kirlili\u011fine ba\u011fl\u0131, yeni do\u011fum yapm\u0131\u015f kad\u0131nlar\u0131n anne s\u00fct\u00fcnde, \u00e7ocuklar\u0131n d\u0131\u015fk\u0131 ve kan\u0131ndan al\u0131nan \u00f6rneklerde al\u00fcminyum, kadmiyum, \u00e7inko, kur\u015fun gibi metaller y\u00fcksek oranda saptanm\u0131\u015ft\u0131r. \u00c7al\u0131\u015fman\u0131n bas\u0131nda yer almas\u0131yla belediyeden \u00fcniversiteye, siyasi iktidar\u0131n bakanlar\u0131ndan fabrika patronlar\u0131na kadar sermeyenin borazanl\u0131\u011f\u0131n\u0131 yapan t\u00fcm \u00e7evrelerin sald\u0131r\u0131ya ge\u00e7mesi a\u00e7\u0131k bir \u015fekilde g\u00f6stermi\u015ftir ki s\u00f6z konusu olan sermayenin \u00e7\u0131karlar\u0131 oldu\u011funda kapitalizm t\u00fcm kurumlar\u0131 insan sa\u011fl\u0131\u011f\u0131n\u0131 hi\u00e7e sayabilmektedir. Kocaeli \u00dcniversitesi T\u0131p Fak\u00fcltesi Halk Sa\u011fl\u0131\u011f\u0131 Anabilim Dal\u0131 taraf\u0131ndan y\u00fcr\u00fct\u00fclen \u201cDilovas\u0131 Beldesi \u00d6l\u00fcm Nedenleri \u00c7al\u0131\u015fmas\u0131\u201d sonu\u00e7lar\u0131na g\u00f6re eldeki kay\u0131tlar\u0131n \u0131\u015f\u0131\u011f\u0131nda 1995-2004 y\u0131llar\u0131 aras\u0131nda ger\u00e7ekle\u015fen \u00f6l\u00fcmlerin y\u00fczde 32,3\u2019\u00fc kanser nedeniyledir.[8]<\/a> Bu rakam T\u00fcrkiye genelinde kanser nedeniyle \u00f6l\u00fcm oranlar\u0131n\u0131n iki kat\u0131ndan fazlad\u0131r. A\u00e7\u0131k\u00e7a g\u00f6r\u00fclmektedir ki kapitalist \u00fcretim ili\u015fkileri, gerek i\u015fyerlerinde yaratt\u0131\u011f\u0131 risklerle gerekse olu\u015fturdu\u011fu \u00e7evre kirlili\u011fi ile artan kanser oranlar\u0131n\u0131n ba\u015fl\u0131ca nedenidir.<\/p>\n
\nKanser hastalar\u0131n\u0131n y\u00fczde 6 -10\u2019unun mesleki nedenlere ba\u011fl\u0131 kanser oldu\u011fu verisinden hareketle her y\u0131l 150 bin ki\u015finin kansere yakaland\u0131\u011f\u0131 \u00fclkemizde y\u0131lda 9 ila 15 bin insan\u0131n mesleki kanser tan\u0131s\u0131 almas\u0131 beklenmelidir. Oysa ki T\u00fcrkiye\u2019de bug\u00fcne kadar mesleki kanser tan\u0131s\u0131 alm\u0131\u015f tek bir i\u015f\u00e7i dahi bulunmamaktad\u0131r. T\u00fcrkiye\u2019de meslek hastal\u0131klar\u0131 tan\u0131 sistemi de\u011ferlendirildi\u011finde t\u0131bbi tan\u0131 sisteminin olmad\u0131\u011f\u0131, meslek hastal\u0131klar\u0131 rakamlar\u0131n\u0131n maluliyet belirleme s\u00fcreci tamamlanm\u0131\u015f olgular oldu\u011fu g\u00f6r\u00fcl\u00fcr. Ayr\u0131ca bir i\u015f\u00e7inin meslek hastal\u0131\u011f\u0131 tan\u0131s\u0131 alabilmesi i\u00e7in \u00f6ncelikle sigortal\u0131 olmas\u0131 gerekmektedir. Sigortal\u0131 i\u015f\u00e7iler i\u00e7inse meslek hastal\u0131\u011f\u0131 tan\u0131s\u0131 almak adeta i\u015f\u00e7inin bireysel olarak kararl\u0131 bir m\u00fccadelesi sonucunda m\u00fcmk\u00fcn olabilmektedir. Tan\u0131 sonras\u0131nda ise i\u015fyerinde hastal\u0131k nedeni olan \u00e7al\u0131\u015fma bi\u00e7imlerinin ortadan kald\u0131r\u0131lmas\u0131 bir yana tan\u0131 alan i\u015f\u00e7iyi i\u015fsizlik sorunu beklemektedir. T\u00fcm bu zorluklara ek olarak \u2018tan\u0131 koyucularda\u2019 mesleki kanser gibi bir tan\u0131 i\u00e7in kanser nedeni olan sigara, genetik ve \u00e7evresel fakt\u00f6rlerin tamam\u0131yla d\u0131\u015flanmas\u0131 gerekti\u011fi gibi bir anlay\u0131\u015f\u0131n hakim oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcrse hen\u00fcz mesleki kanser tan\u0131s\u0131 alm\u0131\u015f bir i\u015f\u00e7i dahi olmamas\u0131n\u0131n baz\u0131 nedenleri g\u00f6r\u00fclm\u00fc\u015f olur. Oysa ki mesleki fakt\u00f6rler di\u011fer fakt\u00f6rlerle birle\u015fti\u011finde kanser riskini kat ve kat artt\u0131rd\u0131\u011f\u0131 bilinmektedir. Mesleki kanser tan\u0131s\u0131 i\u00e7in mesleki etkenler d\u0131\u015f\u0131nda t\u00fcm nedenlerin d\u0131\u015flanmas\u0131n\u0131n gerekti\u011fini savunmak hem bilimsel de\u011fildir hem de i\u015f\u00e7i kar\u015f\u0131t\u0131 konumlan\u0131\u015f\u0131n yans\u0131mas\u0131d\u0131r. Ba\u015fta meslek hastal\u0131klar\u0131 t\u0131bbi tan\u0131 sisteminin kurulmas\u0131 olmak \u00fczere t\u0131p e\u011fitiminden, akademinin ve t\u00fcm hekimlerin konuya ilgisi ve bak\u0131\u015f a\u00e7\u0131s\u0131na kadar bir\u00e7ok ba\u015fl\u0131k meslek hastal\u0131klar\u0131 tan\u0131 s\u00fcrecinde \u00f6nemlidir. Ku\u015fkusuz tan\u0131 s\u00fcrecinin \u00f6n\u00fcndeki en b\u00fcy\u00fck engel, i\u015f\u00e7ilerin sa\u011fl\u0131\u011f\u0131n\u0131 ve di\u011fer t\u00fcm haklar\u0131n\u0131 hi\u00e7e sayan siyasi iktidar ve devlet organizasyonunun sermaye yanl\u0131s\u0131 politikalar\u0131d\u0131r.<\/p>\n
\nMesleki kanserlerin nedenleri de\u011ferlendirilirken kanserojen maddelerin yaratt\u0131\u011f\u0131 riskler kadar \u00e7al\u0131\u015fma ko\u015fullar\u0131n\u0131n yaratt\u0131\u011f\u0131 stres ve t\u00fckenmi\u015fli\u011fin de kanser geli\u015fiminde \u00f6nemli bir pay\u0131 oldu\u011funu unutmamak gerekir. Bu \u00e7er\u00e7evede T\u00fcrkiye\u2019de kapitalist \u00e7al\u0131\u015fma bi\u00e7imlerinin her y\u0131l on binlerce insan\u0131n kansere yakalanmas\u0131na neden oldu\u011funu s\u00f6ylemek m\u00fcmk\u00fcnd\u00fcr. Buna ra\u011fmen T\u00fcrkiye\u2019de bug\u00fcne kadar bir tane dahi mesleki kanser tan\u0131s\u0131 konulmam\u0131\u015f olmas\u0131 i\u015f\u00e7i sa\u011fl\u0131\u011f\u0131 konusunda devlet organizasyonunun sermaye yanl\u0131s\u0131 tutumunun a\u00e7\u0131k g\u00f6stergesidir. Bu \u00e7er\u00e7evede de\u011ferlendirildi\u011finde ba\u015fta sendikalar olmak \u00fczere t\u00fcm emek \u00f6rg\u00fctlerine i\u015f\u00e7i sa\u011fl\u0131\u011f\u0131 m\u00fccadelesinde \u00f6nemli g\u00f6revler d\u00fc\u015fmektedir. \u2018Modern t\u0131p\u2019 ve egemen akademi anlay\u0131\u015f\u0131, sermayenin kontrol\u00fcnde mevcut \u00fcretim ili\u015fkilerinin yeniden ve yeniden \u00fcretimiyle me\u015fguld\u00fcr. Toplumsal yarar\u0131 hedefleyen bilimsel bilgi \u00fcretim s\u00fcrecinin geli\u015ftirilmesi, toplumcu bilim insanlar\u0131n\u0131n zor ama \u00f6nemli bir g\u00f6revidir. Mesleki kanserler \u00f6zelinde ve genel olarak bak\u0131ld\u0131\u011f\u0131nda t\u00fcm i\u015f kollar\u0131nda i\u015f\u00e7i sa\u011fl\u0131\u011f\u0131n\u0131 tehdit eden \u00e7al\u0131\u015fma ko\u015fullar\u0131na kar\u015f\u0131 en sert s\u0131n\u0131f m\u00fccadelesi zeminin olu\u015fturulmas\u0131 gerekmektedir. \u0130\u015f\u00e7i sa\u011fl\u0131\u011f\u0131 konusunu devlete b\u0131rakmak veya konuyu tazminat hukukundan ibaret alg\u0131lamak s\u0131n\u0131f m\u00fccadelesinin en \u00f6nemli mevzilerinden birisini burjuvaziye teslim etmek anlam\u0131na gelmektedir. \u00dcretim ara\u00e7lar\u0131n\u0131n ger\u00e7ek sahipleri i\u015f\u00e7iler olarak \u00fcniversitelerden fabrikalara, tarlalardan holding binalar\u0131na, in\u015faatlardan tersanelere, at\u00f6lyelerden hastanelere k\u0131sacas\u0131 \u2018\u00e7al\u0131\u015f\u0131rken hastaland\u0131\u011f\u0131m\u0131z ve can verdi\u011fimiz\u2019 t\u00fcm alanlarda, i\u015f\u00e7i sa\u011fl\u0131\u011f\u0131n\u0131 s\u0131n\u0131f m\u00fccadelesinin temel ta\u015flar\u0131ndan birisi haline getirmeliyiz.<\/p>\n
\n\u0130stanbul \u0130\u015f\u00e7i Sa\u011fl\u0131\u011f\u0131 ve \u0130\u015f G\u00fcvenli\u011fi Meclisi<\/b><\/p>\n