Journals / Sosyal Güvence / 2026 / Sayı: 29

Adequacy of Turkish General Health Insurance Against Health Risks Caused by Climate Change

İklim Değişikliğinin Sebep Olduğu Sağlık Risklerine Karşı Türk Genel Sağlık Sigortasının Yeterliliği

Mehmet Akalın(SOSYAL GÜVENLİK KURUMU)0000-0002-5170-7503
Pages
1959–2005
Publication Date
2026-01-09
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The second part of the study discusses the adequacy of the assurances provided by Turkish General Health Insurance against health risks caused by climate change.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Although the risks posed by global warming and climate change are multifaceted, in terms of insurance, these risks are mostly approached in terms of compensation for material damages.
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Key Findings & Data:Therefore, risks such as death, illness, disability, increased health expenses and damage to health infrastructure caused by global warming and climate change are not taken into consideration much by private insurance representatives.
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Conclusion & Impact:The second part of the study discusses the adequacy of the assurances provided by Turkish General Health Insurance against health risks caused by climate change.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Küresel Isınma · İklim Değişikliği · Sağlık Riski

Abstract

Although the risks posed by global warming and climate change are multifaceted, in terms of insurance, these risks are mostly approached in terms of compensation for material damages. Therefore, risks such as death, illness, disability, increased health expenses and damage to health infrastructure caused by global warming and climate change are not taken into consideration much by private insurance representatives. However, the risks posed by global warming and climate change and that need to be compensated go far beyond material damages. Human health and well-being are risky issues that need to be considered and compensated at least as much as material damages. This study was conducted to provide a framework for understanding the potential effects of climate change on human health; to examine climate change risks, which are considered as risk elements within the scope of property and casualty insurance, within the scope of Turkish General Health Insurance; and to evaluate the adequacy of Turkish General Health Insurance against potential health risks caused by global warming and climate change. The study consists of two parts. The first part of the study focuses on the risks posed by climate change on human health. The second part of the study discusses the adequacy of the assurances provided by Turkish General Health Insurance against health risks caused by climate change.

Özet

Küresel ısınma ve iklim değişikliğinin oluşturduğu riskler çok yönlü olsa da sigortacılık açısından bu risklere çoğunlukla maddi zararların telafisi yönünden yaklaşılmaktadır. Bu yüzden küresel ısınma ve iklim değişikliğinin sebep olduğu ölüm, hastalık, iş göremezlik, artan sağlık harcamaları ve sağlık altyapısının zarar görmesi gibi riskler özel sigortacılık temsilcileri tarafından çok fazla dikkate alınmamaktadır. Ancak küresel ısınma ve iklim değişikliğinin ortaya çıkardığı ve telafi edilmesi gereken riskler maddi zararların çok ötesindedir. İnsan sağlığı ve refahı da en az maddi zararlar kadar dikkate alınması ve telafi edilmesi gereken riskli konulardır. Bu çalışma iklim değişikliğinin insan sağlığı üzerindeki potansiyel etkilerini anlayabilmek için bir çerçeve sunmak; mal ve kaza sigortası kapsamında risk unsuru olarak değerlendirilen iklim değişikliği risklerini Türk Genel Sağlık Sigortası kapsamında incelemek; türk Genel Sağlık Sigortasının küresel ısınma ve iklim değişikliğin sebep olduğu potansiyel sağlık riskleri karşısında yeterliğini değerlendirmek amacıyla yapılmıştır. Çalışma iki bölümden oluşmaktadır. Çalışmanın birinci bölümünde, iklim değişikliğinin insan sağlığı üzerinde oluşturduğu risklerin neler olduğu üzerinde durulmuştur. Çalışmanın ikinci bölümünde ise Türk Genel Sağlık Sigortası’nın iklim değişikliğinin sebep olduğu sağlık risklerine karşı sağladığı güvencelerin yeterliliği tartışılmıştır.

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Cite This Article

Akalın, M. (2026). Adequacy of Turkish General Health Insurance Against Health Risks Caused by Climate Change. Sosyal Güvence, Sayı: 29, 1959–2005. https://doi.org/10.21441/sosyalguvence.1629991

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References (164)

  1. Acharya, P., Boggess, B. ve Zhang, K. (2018). Assessing heat stress and health among construction workers in a changing climate: a review. International Journal of Environmental Research and Public Health, 15 (2): 247.
  2. APA (2023). How extreme weather events affect mental health. American Psychiatric Association https://www.psychiatry.org/patients-families/climate-change-and-mental-health-connections/affects-on-mental-health
  3. Arıcı, K. (2015) Türk sosyal güvenlik hukuku. Ankara: Gazi Kitabevi.
  4. Armstrong, B. K. ve Kricker, A. (2001). The epidemiology of UV induced skin cancer. Journal of Photochemistry and Photobiology B: Biology, 63(1–3), 8–18. https://doi:10.1016/S1011- 1344(01)00198-1
  5. Attila, i. ve Gülay, A. (2022). Türkiye’de genel sağlık sigortası’nın sürdürülebilirliği için zorunlu tamamlayıcı sağlık sigortası modeli önerisi. Uygulamalı Bilimler Fakültesi Dergisi, 4 (1): 17-40.
  6. AXA (2023). Future risks report. https://www-axa-com.cdn.axa-contento-118412.eu/www-axa-com/464f15a8-2d73-4d53-adeb-32ae9796a419_AXA_ Future+Risks_Report_2023_English.pdf
  7. Baer, H. ve Singer, M. (2009). Global warming and the political ecology of health: emerging crises and systemic solutions. Routledge.
  8. Balbus, J. M., ve Malina, C. (2009). Identifying vulnerable subpopulations for climate change health effects in the United States. Journal of Occupational and Environmental Medicine, 51(1), 33–37. doi:10.1097/JOM.0b013e318193e12e.
  9. Ballester, J. (2023). Heat-related mortality in europe during the summer of 2022. Nature Medicine, 29: 1857-1866.
  10. Barcellos, C., ve Lowe R. (2014). Expansion of the dengue transmission area in Brazil: The role of climate and cities. Tropical Medicine & International Health 19 (2): 159-68. doi: 10.1111/tmi.12227.
  11. Barreca, A. I. (2012). Climate change, humidity, and mortality in the United States. Journal of Environmental Economics and Management, 63(1), 19–34. https://doi:10.1016/j.jeem.2011.07.004.
  12. Batterman, S., Eisenberg, J., Hardin, R., Kruk, M. E., Lemos, M. C., Michalak, A. M. ve Wilson, M. L. (2009). Sustainable control of water-related ınfectious diseases: a review and proposal for ınterdisciplinary health-based systems research. Environmental Health Perspectives, 117(7), 1023-1032. doi:10.1289/ehp.0800423
  13. Belleville G., Ouellet, M.C. ve Morin, C. M. (2019). Post-traumatic stress among evacuees from the 2016 Fort McMurray wildfires: exploration of psychological and sleep symptoms three months after the evacuation. Int J Environ Res Public Health. 16:1604-1604.
  14. Bennett, A., Yukich, J., Miller J. M., Keating, J., Moonga H., Hamainza B. ve Kamuliwo M. (2016). The Relative Contribution of Climate Variability and Vector Control Coverage to Changes in Malaria Parasite Prevalence in Zambia 2006-2012. Parasites & Vectors, 9 (1): 431. doi: 10.1186/s13071-016-1693-0.
  15. Berman J.D, Ebisu, K., Peng, R.D., Dominici, F. ve Bell, M.L. (2017). Drought and the risk of hospital admissions and mortality in older adults in western USA from 2000 to 2013: a retrospective study. Lancet Planet. Health, 1(1):17–25
  16. Borchers A., N., Palmer, A.J., Bowman, D.M.J.S., Morgan, G.G., Jalaludin, B.B., ve F.H. Johnston. (2020). Unprecedented smoke-related health burden associated with the 2019–20 bushfires in eastern Australia. The Medical Journal of Australia, 6: 282–283.
  17. Brown, M.R.G., Agyapong, V., Greenshaw ve A.J. (2019). After the Fort McMurray wildfire there are significant increases in mental health symptoms in grade 7-12 students compared to controls. BMC Psychiatry, 19:18-37.
  18. Bryant, R.A., Gibbs, L. ve Gallagher, H.C. (2018). Longitudinal study of changing psychological outcomes following the Victorian Black Saturday bushfires. Aust. N. Z. J. Psychiatry, 52:542-551.
  19. Boyce, R., Reyes R., Matte, M., Ntaro, M., Mulogo, E., Metlay, J. P., Band L., ve Siedner, M. J. (2016). Severe flooding and malaria transmission in the Western Ugandan Highlands: implications for disease control in an era of global climate change. Journal of Infectious Diseases, 214 (9): 1403-10. doi: 10.1093/infdis/jiw363.
  20. Bowman D.M.J.S., Kolden, C.A., Abatzoglou, J.T., Johnston, F.H., van der Werf, G.R., Flannigan, M. (2020). Vegetation fires in the Anthropocene. Nat Rev Earth Environ. 1: 500-515.
  21. Buck, J. A. S. (2017). Public perception of health risks related to climate change in Broward County. Florida: Florida Atlantic University.
  22. Callahan, J. L. (2014). Writing literature reviews: a reprise and update. Human Resource Development
  23. Review, 13(3), 271–275. https://doi.org/10.1177/1534484314536705
  24. Cameron, P.A., Mitra, B. ve Fitzgerald, M. (2009). Black Saturday: the immediate impact of the February 2009 bushfires in Victoria, Australia. Med J Aust, 191:11-16.
  25. Centers for Disease Control and Prevention (2019). Wildfire smoke: a guide for public health officials. https://www.cdc.gov/air/wildfire-smoke/default.htm.
  26. Choi, A., ve K., Shveda. (2023). Wildfires in Canada Led to Dangerous Air Quality in Parts of the U.S. for the First Time: See the affected areas. https://edition.cnn.com/2023/09/17/us/air-quality-wildfire-pollution-allergy-dg/index.html
  27. Chowdhury, S., Hamada, Y. ve Ahmed., K.S. (2017). Prediction and Comparison of monthly ındoor heat stress (wbgt and phs) for rmg production spaces in Dhaka, Bangladesh. Sustainable Cities and Society 29: 41–57.
  28. CRED (Cent. Res. Epidemiol. Disasters). (2015). The human cost of natural disasters 2015: a global perspective. https://www.emdat.be/human_cost_natdis
  29. Crimmins, A., Balbus, J., Gamble, J. L., Beard, C. B., Bell, J. E., Dodgen, D. ve Ziska, L. (2016). The ımpacts of climate change on human health in the united states: a scientific assessment. U.S. Global Change Research Program, 312.
  30. Coates, S. J., Enbiale, W., Davis, M. D. P. ve Andersen, L. K. (2020). The effects of climate change on human health in Africa, a dermatologic perspective: a report from the International Society of Dermatology Climate Change Committee. International Journal of Dermatology, 59(3), 265–278. doi:10.1111/ijd.14759
  31. Coopersmith. E. J., Bell, J. E., Benedict, K., Shriber, J., McCotter O., ve Cosh, M.H. 2017. Relating coccidioidomycosis (valley fever) incidence to soil moisture conditions. GeoHealth, 1(1):51–63
  32. Copernicus (2024). ERA5. Credit: copernicus climate change service/ECMWF. https://climate.copernicus.eu/
  33. Copernicus (2023a). Unprecedented temperature anomalies; 2023 on track to be the warmest year on record. https://climate.copernicus.eu/copernicus-september-2023-unprecedented-temperature-anomalies#:~:text=This%20
  34. Copernicus (2023b). A record-breaking boreal wildfire season. https://atmosphere.copernicus.eu/record-breaking-boreal-wildfire-season
  35. Çevre ve Şehircilik Bakanlığı. (2024). İklim değişikliğine uyum stratejisi ve eylem planı 2024-2030. https://iklim.gov.tr/db/turkce/icerikler/files/%C4%B0klim%20De%C4%9Fi%C5%9Fikli%C4%9Fine%20Uyum%20Stratejisi%20ve%20Eylem%20Plan_%202024-2030.pdf
  36. De Gruijl, F. R., Van Kranen, H. J. ve Mullenders, L. H. F. (2001). UV-induced DNA damage, repair, mutations and oncogenic pathways in skin cancer. Journal of Photochemistry and Photobiology B: Biology, 63(1–3), 19–27. doi:10.1016/S1011-1344(01)00199-3
  37. Delany-Crowe, T., Marinova, D., Fisher, M., McGreevy, M. ve Baum, F. (2019). Australian policies on water management and climate change: Are they supporting the sustainable development goals and improved health and well-being? Globalization and Health, 15(1), 1–15. doi:10.1186/s12992-019-0509-3
  38. Delpla, I., Jung, A.V., Baures, E., Clement, M. ve Thomas, O. (2009). Impacts of climate change on surface water quality in relation to drinking water production. Environ. Int., 35(8):1225-33.
  39. Deschênes, O., ve Greenstone, M. (2011). Climate change, mortality, and adaptation: Evidence from annual fluctuations in weather in the US. American Economic Journal: Applied Economics, 3(4), 152-185. https://doi:10.1257/app.3.4.152.
  40. Evci Kiraz, E. D. (2019). İklı̇m değı̇şi̇klı̇ği̇nı̇n insan sağlığına etkı̇leri̇. T.C. Çevre ve Şehircilik Bakanlığı Çevre Yönetimi Genel Müdürlüğü, İklimIn Projesi, Modüller Serisi 14, 59.
  41. Epstein, P. R. (2000). Is global warming harmful to health? Scientific American, 283(2), 50-57.
  42. Eurostat (2024). Health. https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Category:Health
  43. Falkenmark, M., Rockström, J. (2008). Building resilience to drought in desertification-prone savannas in Sub-Saharan Africa: the water perspective. Nat. Resour. Forum, 32(2):93–102
  44. Fann, N., Brennan, T., Dolwick, P., Gamble, J. L., Ilacqua, V., Kolb, L. ve Ziska, L. (2016). Air quality ımpacts. The impacts of climate change on human health in the United States: A Scientific Assessment. Washington, DC. doi:10.7930/J0GQ6VP6
  45. Finlay S.E., Moffat, A, Gazzard, R., Baker, D. ve Murray, V. (2012). Health impacts of wildfires. PLoS Curr. 4:e4f959951cce2c-e4f959951cce2c.
  46. Francisco de Souza, H. (2023,17 July.). Impact of the 2022 European Heat Wave: Over 60,000 deaths recorded. News Medical. https://www.news-medical.net/news/20230717/Impact-of-the-2022-European-heat-wave-Over-60000-deaths-recorded.aspx
  47. Freeman L. (2017). Environmental change, migration, and conflict in Africa: a critical examination of the interconnections. J. Environ. Dev. 26(4): 351-74.
  48. Friedlingstein P. (2023). Global carbon budget 2023. Earth System Science Data. 15(12): 5301-5369.
  49. Ford, H. ve Wright, J. (1994). Bacterial meningitis in Swaziland: an 18 month prospective study of its impact. J. Epidemiol. Community Health, 48(3): 276-80.
  50. Gasparrini, A., Guo, Y. ve Hashizume, M. (2015). Mortalité attribuable au froid et à la chaleur: Analyse multi-pays. Environnement, Risques et Sante, 14(6), 464-465. https://doi.org/10.1016/S0140-6736(14)62114-0
  51. George, A., M., Ansumana, R., de Souza, Dziedzom, K., Vettakkara, K.M. N., Zumla A. ve Bockarie M., J. (2024). Climate Change and the Rising Incidence of Vector-Borne Diseases Globally. International Journal of Infectious Diseases, 139:143-145. doi: 10.1016/j.ijid.2023.12.004
  52. George, A. M., Kargbou A., Wadsworth R., ve Kangbai, J. B. (2023). Trends and Seasonal Variations for Confirmed Malaria Cases for Sierra Leone for 2012-2020. SM Journal of Public Health & Epidemiology. 6 (4): 1-4.
  53. Gibbs, L., Nursey, J., ve Cook, J. (2019). Delayed disaster impacts on academic performance of primary school children. Child Dev, 90:1402-1412.
  54. Gladstone, R. (2019, 5 Temmuz). U.N. aid chief warns of looming ‘horror’ as Somalia again faces famine. New York Times. https://www.nytimes.com/2019/06/05/world/africa/africa-famine-united-nationssomalia.html
  55. Gleick PH. 2014. Water, drought, climate change, and conflict in Syria. Weather Clim. Soc. 6(3):331-40
  56. Government of Canada. (2022, 26 Haziran). Surviving the Heat: The impacts of the 2021 western heat dome in Canada. https://science.gc.ca/site/science/en/blogs/science-health/surviving-heat-impacts-2021-western-heat-dome-canada
  57. Guo, Y., Gasparrini, A., Li, S., Sera, F., Vicedo-Cabrera, A. M., de Sousa Zanotti Stagliorio Coelho, M., ve Tong, S. (2018). Quantifying excess deaths related to heatwaves under climate change scenarios: A multicountry time series modelling study. PLoS Medicine, 15(7). https://doi.org/10.1371/journal.pmed.1002629
  58. Güzel, A., Okur, A. R., Caniklioğlu, N. (2021). Sosyal güvenlik hukuku. İstanbul: Beta Basım Yayım.
  59. Haluza, D., Simic, S., Höltge, J., Cervinka, R. ve Moshammer, H. (2014). Connectedness to nature and public (Skin) health perspectives: Results of a representative, population-based survey among austrian residents. International Journal of Environmental Research and Public Health, 11(1), 1176–1191. doi:10.3390/ijerph110101176
  60. Hansen, A., Bi, P., Nitschke, M., Ryan, P., Pisaniello, D. ve Tucker, G. (2008). The effect of heat waves on mental health in a temperate Australian City. Environmental Health Perspectives, 116(10), 1369–1375. https://doi:10.1289/ehp.11339.
  61. Ho, H. C., Knudby, A., Walker, B. B. ve Henderson, S. B. (2017). Delineation of spatial variability in the temperature–mortality relationship on extremely hot days in Greater Vancouver, Canada. Environmental Health Perspectives, 125(1), 66–75. https://doi.org/doi:10.1289/EHP224
  62. Hoegh-Guldberg, O., Jacob, D., Taylor, M., Bindi, M., ve Brown, S., (2018). Impacts of 1.5°C global warming on natural and human systems. (ed.) V. Masson-Delmotte, P. Zhai, H.O. Pörtner, D. Roberts, J. Skea In Global warming of 1.5°C: an IPCC special report on the impacts of global warming of 1.5°C above pre-industrial levels and related global greenhouse gas emission pathways, in the context of strengthening the global response to the threat of climate change,, et al., pp. 175–311. Rep., Intergov. Panel Clim. Change, Geneva. https://www.ipcc. ch/site/assets/uploads/sites/2/2019/06/SR15_Full_Report_High_Res.pdf
  63. Honda, Y., Kondo, M., McGregor, G., Kim, H., Guo, Y. L., Hijioka, Y., … Kovats, R. S. (2014). Heat-related mortality risk model for climate change impact projection. Environmental Health and Preventive Medicine, 19(1), 56–63. https://doi:10.1007/s12199-013- 0354-6.
  64. Howard, M.J., Brillman, M.D., ve Burkle, F.M. (1996). Infectious disease emergencies in disasters. Emerg Med Clin North Am. 14:413–428. doi: 10.1016/s0733-8627(05)70259-5.
  65. IFRC (Int. Fed. Red Cross Red Crescent Soc.). (2020). What is a disaster? IFRC. https://www.ifrc.org/ en/what-we-do/disaster-management/about-disasters/what-is-a-disaster/
  66. IPCC (2022). Climate Change 2022: Impacts, Adaptation, and Vulnerability. Contribution of Working Group II to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change [H.-O. Pörtner, D.C. Roberts, M. Tignor, E.S. Poloczanska, K. Mintenbeck, A. Alegría, M. Craig, S. Langsdorf, S. Löschke, V. Möller, A. Okem, B. Rama (eds.)]. Cambridge University Press. Cambridge University Press, Cambridge, UK and New York, NY, USA, 3056 pp., doi:10.1017/9781009325844.
  67. IPCC (2014). Climate change 2014: synthesis report. ed. RK Pachauri, LA Meyer. İn Contribution of Working Groups I, II and III to the fifth assessment report of the Intergovernmental Panel on Climate Change, Rep., Intergov. Panel Clim. Change, Geneva.
  68. IPCC (2013). Climate Change 2013: The Physical Science Basis. (eds.) Stocker, T.F., D. Qin, G.-K. Plattner, M. Tignor, S.K. Allen, J. Boschung, A. Nauels, Y. Xia, V. Bex and P.M. Midgley (eds.) in Contribution of Working Group I to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge University Press, Cambridge, United Kingdom and New York, NY, USA, 1535 pp, doi:10.1017/CBO9781107415324.
  69. Kaulfus, A.S., Nair, U., Jaffe, D., Christopher, S.A., Goodrick, S. (2017). Biomass burning smoke climatology of the United States: implications for particulate matter air quality. Environ Sci Technol.51:11731-11741.
  70. Keim M.E. (2020). The epidemiology of extreme weather event disasters (1969–2018). Prehosp. Disaster Med. 35(3):267-71.
  71. Kovats, R. S. ve Hajat, S. (2008). Heat stress and public health: A critical review. Annual Review of Public Health (29):41-55. Annu Rev Public Health. https://doi.org/10.1146/annurev.publhealth.29.020907.090843
  72. Kulkarni, M. A., Rachelle, E. D., Debora, C. K., Robert, D. K., Andrew, T., Eliningaya, J. K., Natacha, P., ve Franklin, W. M. (2016). 10 years of environmental change on the slopes of Mount Kilimanjaro and its associated shift in malaria vector distributions. Frontiers in Public Health (4): 281. https://doi.org/10.3389/ fpubh.2016.00281.
  73. Lin, S., Hsu, W.H., Van Zutphen, A. R., Saha, S., Luber, G. ve Hwang, S.A. (2012). Excessive heat and respiratory hospitalizations in New York State: estimating current and future public health burden related to climate change. Environmental Health Perspectives, 120(11), 1571-1577. https://doi.org/10.1289/ehp.1104728
  74. Lynch K.M., Lyles, R.H. Waller, L.A., Abadi, A.M., Bell, J.E., ve Gribble, M.O. (2020). Drought severity and all-cause mortality rates among adults in the United States: 1968-2014. Environ. Health, (19):52
  75. Li, B., Sain, S., Mearns, L. O., Anderson, H. A., Kovats, S., Ebi, K. L., ve Patz, J. A. (2012). The impact of extreme heat on morbidity in Milwaukee, Wisconsin. Climatic Change, 110(3-4), 959-976. https://doi.org/10.1007/s10584-011-0120-y
  76. Li, T., Horton, R. M. ve Kinney, P. L. (2013). Projections of seasonal patterns in temperaturerelated deaths for Manhattan, New York. Nature Climate Change, 3(8), 717-721. https://doi.org/10.1038/nclimate1902
  77. Limaye, V. S. S. (2015). Climate change impacts on population health: Modeling exposures to extreme heat and air pollution. Wisconsin: The University of Wisconsin-Madison.
  78. Luhby, T. (2023, 20 Temmuz). Extreme heat will drive up health care costs by $1 billion each summer, study finds. CNN. https://edition.cnn.com/2023/07/20/politics/extreme-heat-health-care-costs/index.htm
  79. Martin-Latry, K., Goumy, M. P., Latry, P., Gabinski, C., Bégaud, B., Faure, I. ve Verdoux, H. (2007). Psychotropic drugs use and risk of heat-related hospitalisation. European Psychiatry, 22(6), 335–338. https://doi:10.1016/j.eurpsy.2007.03.007.
  80. Masson-Delmotte, V., Zhai, P., ve Pörtner, H. O. (2018). Global warming of 1,5°C: Special Report. Geneva: Intergovernmental Panel on Climate Change.
  81. McCarthy, J. J., Canziani, O. F., Leary, N. A., Dokken, D. J. ve White, K. S. (2001). Climate change 2001: impacts, adaptation, and vulnerability: contribution of Working Group II to the third assessment report of the Intergovernmental Panel on Climate Change. Cambridge University Press.
  82. McFarlane A.C., ve Van Hooff, M. (2009). Impact of childhood exposure to a natural disaster on adult mental health: 20-year longitudinal follow-up study. Br J Psychiatry. 195:142-148.
  83. McMichael, A. J., Wilkinson, P., Kovats, R. S., Pattenden, S., Hajat, S., Armstrong, B., ve Nikiforov, B. (2008). International study of temperature, heat and urban mortality: The “ISOTHURM” project. International Journal of Epidemiology, 37(5), 1121-1131. https://doi.org/10.1093/ije/dyn086
  84. Meinhardt, P. L. (2006). Recognizing waterborne disease and the health effects of water contamination: A review of the challenges facing the medical community in the United States. Journal of Water and Health, 4(1):27-34. doi:10.2166/wh.2006.0041
  85. Mercan, Y. (2016). Kırklareli’nde 2010-2014 Yılları Arasında Kardiyovasküler ve Solunum Sistemi Hastalıkları Nedeni İle Acil Polikliniklere Başvuruların ve Ölümlerin Hava Kirliliği ve Meteorolojik Parametreler İle İlişkisi[Yayımlanmamış doktora tezi]. İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü
  86. Miles, M. B. ve Huberman, A. M. (1984). Qualitative data analysis: a source book of new methods. London: SAGE Publications.
  87. Mills, D., Schwartz, J., Lee, M., Sarofim, M., Jones, R., Lawson, M., ve Deck, L. (2015). Climate change impacts on extreme temperature mortality in select metropolitan areas in the United States. Climatic Change, 131(1), 83–95. https://doi.org/10.1007/s10584-014-1154-8
  88. Mora, C., McKenzie, T., Gaw, I. M., Dean, J. M., Hammerstein, H., Knudson, T. A., ve Setter, R. O. (2022). Over half of known human pathogenic diseases can be aggravated by climate change. Nature Climate Change, 12: 869-75. https://doi.org/10.1038/s41558-022-01426-1
  89. Mosley, L, M. (2015). Drought impacts on the water quality of freshwater systems; review and integration. Earth-Sci. Rev. 140:203-14.
  90. Munro, A., Kovats, R.S., Rubin, G.J., Waite, T.D. ve Bone, A. (2017). Effect of evacuation and displacement on the association between flooding and mental health outcomes: a cross-sectional analysis of UK survey data. Lancet Planet. Health, 1(4):134–41.
  91. Naghavi, M., Abajobir, A. A., Abbafati, C., Abbas, K. M., Abd-Allah, F., Abera, S. F., ve Murray, C. J. L. (2017). Global, regional, and national age-sex specifc mortality for 264 causes of death, 1980-2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet, 390(10100), 1151-1210. https://doi.org/10.1016/S0140-6736(17)32152-9
  92. NASA. (2024). Climate change. https://science.nasa.gov/climate-change/
  93. NOAA. (2020). Billion-dollar weather and climate disasters: overview. https://www.ncdc.noaa.gov/billions/
  94. OECD. (2024a). Health statistics 2024. OECD national accounts database. https://www.oecd.org/en/data/datasets/oecd-health-statistics.html
  95. OECD. (2024b, 18 Kasım). Health at a glance: Europe 2024 state of health ın the EU cycle. https://www.oecd.org/en/publications/health-at-a-glance-europe-2024_b3704e14-en.html
  96. OECD. (2023a, 7 Kasım). Health at a glance: OECD indicators, OECD publishing. https://www.oecd.org/en/publications/health-at-a-glance-2023_7a7afb35-en.html
  97. OECD. (2023b) Health Statistics 2023. OECD national accounts database.
  98. https://www.oecd.org/health/health-data.htm
  99. OGM. (2024). Türkiye’nin Orman varlığı. Orman Genel Müdürlüğü. https://www.ogm.gov.tr/tr/ormanlarimiz/Turkiye-Orman-Varligi
  100. Orhan, E. ve Kıyak, M. (2015). Özel hastanelerde tamamlayıcı sağlık sigortasının işleyişi ve sorunları. Research Journal of Business and Management, 2(3), 308-322.
  101. Page, L. A., Hajat, S., Sari Kovats, R. ve Howard, L. M. (2012). Temperature-related deaths in people with psychosis, dementia and substance misuse. British Journal of Psychiatry, 200(6), 485-490. https://doi:10.1192/bjp.bp.111.100404.
  102. Paterson, D. L., Wright, H. ve Harris, P.N.A. (2018). Health risks of flood disasters. Clin. Infect. Dis. 67(9):1450-1454.
  103. Paul, J. ve Criado, A. R. (2020). The art of writing literature review: What do we know and what do we need to know? International Business Review, 29(4), 101717. https://doi.org/10.1016/j.ibusrev.2020.101717
  104. Portier, C., Thigpen Tart, K., Carter, S., Dilworth, C., Grambsch, A., Gohlke, J., ve Whung, P.Y. (2010). A human health perspective on climate change: a report outlining research needs on the human health effects of climate change. Environmental Health Perspectives. https://doi.org/10.1289/ehp.1002272
  105. Quintero-Herrera, L. L., Ramírez-Jaramillo V., Bernal-Gutiérrez, S., Cárdenas-Giraldo, E. V., Guerrero Matituy, E. A., Molina-Delgado, A. H. ve Montoya-Arias C. P. (2015). Potential impact of climatic variability on the epidemiology of dengue in Risaralda Colombia, 2010-2011. Journal of Infection and Public Health 8 (3): 291-7. https://doi.org/10.1016/j.jiph.2014.11.005.
  106. Ritchie, H. ve Roser, M. (2018, 8 Temmuz). Causes of Death-Our World in Data. OurWorldInData. https://ourworldindata.org/causes-ofdeath?utm_source=newsletter&utm_medium=email&utm_campaign=covid_bytes_daily _newsletter.
  107. Romanello, M. (2023). The 2023 Report of the lancet countdown on health and climate change: The imperative for a health-centred response in a world facing irreversible harms. The Lancet. https://doi.org/10.1016/S0140-6736(23)01859-7
  108. Ryti, N. R. I., Guo, Y. ve Jaakkola, J. J. K. (2016, 1 Ocak). Global association of cold spells and adverse health effects: A systematic review and meta-analysis. Environmental Health Perspectives. Public Health Services, US Dept of Health and Human Services. https://doi:10.1289/ehp.1408104
  109. Ryti, N.R., Guo, Y. ve Jaakkola J.J. (2016). Global association of cold spells and adverse health effects: a systematic review and meta-analysis. Environ Health Perspect. 124(1):12-22. https:// doi.org/10.1289/ehp.1408104.
  110. Sağlık Bakanlığı (2022). İstatistik bülteni. https://dosyasb.saglik.gov.tr/Eklenti/48054/0/siy202205042024pdf.pdf
  111. Salahi-Moghaddam, A., Khoshdel, Dalaei, A. H., Pakdad, K., Nutifafa, G. G. ve Sedaghat, M. M. (2017). Spatial Changes in the Distribution of Malaria Vectors During the Past 5 Decades in Iran. Acta Tropica, 166: 45-53. https://doi.org/10.1016/j. actatropica.2016.11.001.
  112. Salas, R. N., Slutzman, J. E., Sorensen, C., Lemery, J. ve Hess, J. J. (2019). Climate change and health: an urgent call to academic emergency medicine. Academic Emergency Medicine, 26(7), 837-840. https:// doi.org/10.1111/acem.13657
  113. Saulnier, D.D., Brolin Ribacke, K., Von Schreeb, J. (2017). No calm after the storm: a systematic review of human health following flood and storm disasters. Prehosp. Disaster Med. 32(5):568-579.
  114. Semenza, J. C. (2023). Waterborne diseases that are sensitive to climate variability and climate change. New England Journal of Medicine 389: 2175-87. https://doi.org/10.1056/NEJMra2300794.
  115. Schrempf, M., Haluza, D., Simic, S., Riechelmann, S., Graw, K. ve Seckmeyer, G. (2016). Is multidirectional UV exposure responsible for increasing melanoma prevalence with altitude? A hypothesis based on calculations with a 3D-human exposure model. International Journal of Environmental Research and Public Health, 13(10). https://doi.org/10.3390/ijerph13100961
  116. SGK (2024), Genel sağlık sigortası. Sosyal Güvenlik Kurumu, https://www.sgk.gov.tr/Content/Post/742c02df-68e1-422c-a387-fa2e4326b015/Genel-Saglik-Sigortasi-nedir-2023-01-25-11-25-46
  117. SGK (2023). İstatistik bülteni. https://www.sgk.gov.tr/Istatistik/Yillik/fcd5e59b-6af9-4d90-a451-ee7500eb1cb4/
  118. Shi, Z. (2018). Impact of Climate Change on the Global Environment and Associated Human Health. OALib, 05(10):1-6 https://doi.org/10.4236/oalib.1104934
  119. Smith, K., Woodward, A., Campbell-Lendrum, D., Chadee, D., Honda, Y., Liu, Q., ve Butler, C. (2014). Human health: impacts, adaptation, and co-benefits. Cambridge 157 University Press.
  120. Stanke, C., Kerac, M., Prudhomme, C., Medlock J., ve Murray, V. (2013). Health effects of drought: a systematic review of the evidence. PLOS Curr. Disasters, 5(5). https://doi.org/10.1371/currents.dis. 7a2cee9e980f91ad7697b570bcc4b004
  121. Struchiner, C. J., Rocklöv J., Wilder-Smith A., ve Massad E. (2015). Increasing Dengue Incidence in Singapore over the Past 40 Years: Population Growth, Climate and Mobility. PLoS One, 10 (8). https://doi.org/10.1371/journal.pone.0136286.
  122. Su, Glenn ve Sia, L. (2008). Correlation of Climatic Factors and Dengue Incidence in Metro Manila, Philippines. Ambio,37 (4): 292-2944. https://doi.org/10.1579/0044-7447(2008)37[292:cocfad]2.0.co;2.
  123. Swain D.L., Langenbrunner, B., Neelin, J.D., ve Hall, A. (2018). Increasing precipitation volatility in twenty-first-century California. Nat Clim Chang, 8:427-433.
  124. Swiss, R. (2023, 9 Agustos). Severe thunderstorms account for up to 70% of all ınsured natural catastrophe losses in first half of 2023. Swiss Re ınstitute estimates. https://www.swissre.com/press-release/Severe-thunderstormsaccount-for-up-to-70-of-all-insured-natural-catastrophe-losses-in-first-half-of-2023-Swiss-Re-Institute-estimates/ cea79f3c-6486-41a8-9c6e-09df260efe30
  125. Sözer, A. N. (2020). Türk Genel Sağlık Sigortası. İstanbul: Beta Basım Yayım.
  126. Spano D., Armiento M., Aslam M.F., Bacciu V., Bigano A., Bosello F., Breil M., Butenschön M., Cadau M., Cogo E., Colelli F. P., Costa Saura J.M., Dasgupta S., De Cian E., Debolini M., Didevarasl A., Ellena M., Galluccio G., Harris R., Johnson K., Libert A., Lo Cascio M., Lovato T., Marras S., Masina S., Mercogliano P., Mereu V., Mysiak J., Noce S., Papa C., Phelan A.S., Pregagnoli C., Reder A., Ribotta C., Sano M., Santini A., Santini M., Sartori N., Sini E., Sirca C., Tharmananthan R., Torresan S., ve Trabucco A. (2021). G20 Climate Risk Atlas. Impacts, policy and economics in the G20, https://doi.org/10.25424/cmcc/g20_climaterisk
  127. Stockwell, C.E., Jayarathne, T., ve Cochrane, M.A. (2015). Field measurements of trace gases and aerosols emitted by peat fires in Central Kalimantan, Indonesia, during the 2015 El Niño. Atmos Chem Phys, 16:11711-11732.
  128. Stolk, E. A. ve Rutten Frans, F. H. (2005). The health benefits basket in the Netherlands. European Journal of Health Economics, 22(2), 53-57.
  129. Stone, B. (2023). How Blackouts During Heat Waves Amplify Mortality and Morbidity Risk. Environmental Science & Technology, 57 (22): 8245-8255. https://pubs.acs.org/doi/10.1021/acs.est.2c09588
  130. Tao, Z., He, H., Sun, C., Tong, D., ve Liang, X. Z. (2020). Impact of fire emissions on U.S. air quality from 1997 to 2016 a modeling study in the satellite era. Remote Sens, 12:913-913.
  131. The Geneva Association (2018). Climate Change and the insurance industry: Taking actions as risk managers and investors. https://www.genevaassociation.org/research-topics/ extreme-eventsand-climate-risk/climate-change-and-insurance-industrytaking-action
  132. The Geneva Association (2020). An investigation into the insurability of pandemic risk. https://www.genevaassociation.org/publication/socio-economic-resilience/investigation-insurability-pandemic-risk
  133. The Geneva Association. (2021a). Climate change risk assessment for the insurance industry. https://www.genevaassociation.org/sites/default/files/research-topics-document-type/pdf_public/climate_risk_web_ final_250221.pdf
  134. The Geneva Association. (2021b). Climate change litigation: Insights into the evolving global landscape. https://www.genevaassociation.org/research-topics/climate-change-and-emerging-environmental-topics/climate-litigation
  135. The Geneva Association. (2021c). Climate change litigation: Classification and implications for insurers. https://www.genevaassociation.org/sites/default/files/climate_litigation_04-07-2021.pdf
  136. The Geneva Association. (2022a). Anchoring climate change risk assessment in core business decisions in insurance.https://www.genevaassociation.org/research-topics/climate-change-and-emerging-environmental-topics/ climate-change-risk-3-report
  137. The Geneva Association. (2022b). Nature and the ınsurance ındustry: Taking action towards a nature-positive economy. https://www.genevaassociation.org/publication/climate-change-and-environment/nature-and-insurance-industry-report 46 The Geneva Association. 2023.
  138. Thomson, M., ve Stanberry, L. (2022). Climate change and vectorborne diseases. New England Journal of Medicine, 387(21):1969-1978.
  139. Tuncay A. C. ve Ekmekçi, Ö. (2021). Sosyal Güvenlik Hukuku Dersleri, İstanbul: Beta Basım Yayım.
  140. Trenberth K.E., Dai, A., Van Der Schrier, G., Jones, P.D. ve Barichivich, J. (2014). Global warming and changes in drought. Nat. Clim. Change, 4(1):17-22.
  141. TÜİK (2024). Adrese dayalı nüfus kayıt sistemi sonuçları. https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2023-49684
  142. TÜİK (2013). Sağlık harcamaları istatistikleri. https://data.tuik.gov.tr/Bulten/Index?p=Saglik-Harcamalari-Istatistikleri-2022-49676
  143. Urbanski, S. P., Hao W. M., ve Baker, S. (2009). Chemical composition of wildland fire emissions. Dev Environ Sci, 8:79-108.
  144. US EPA. (2015). Health Effects of UV Radiation, Sun Safety. EPA. https://www.epa.gov/sunsafety/health-effects-uv-radiation.
  145. USAID (US Agency Int. Dev.) (2020). Disaster year in review 2019. https://cred.be/sites/default/ files/CC58.pdf
  146. Waite, T.D., Chaintarli, K., Beck, C.R., Bone, A., ve Amlôt, R., (2017). The English national cohort study of flooding and health: cross-sectional analysis of mental health outcomes at year one. BMC Public Health, 17:129
  147. WHO (2025b). Climate change. https://www.who.int/health-topics/climate-change#tab=tab_1
  148. WMO (2024). State of climate services report showcased at COP29. https://wmo.int/media/update/state-of-climate-services-report-showcased-cop29
  149. WHO (2023a, 12 Ekim). Climate change and health. https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health
  150. WMO (2023b, 17 Mayıs). Global temperatures set to reach new records in next five years. https://public.wmo.int/en/media/press-release/global-temperatures-set-reach-new-records-next-five-years
  151. WHO. (2021). Climate change and health messaging for COP26. World Health Organization. https://doi:10.1039/9781839160431-00353
  152. Wong, C. (2023a). Climate change ıs also a health crisis-these graphics explain why. Nature, 624:14-5. https://www.nature.com/articles/d41586-023-03804-x.
  153. Wong. C. (2023b). Extreme heat harms health-what is the human body’s limit? Nature, https://www.nature.com/articles/d41586-023-02482-z
  154. Woolf, S. (2023, 27 Haziran). The health care costs of extreme heat. Center for american progress. https://www.americanprogress.org/article/the-health-care-costs-of-extreme-heat/
  155. WWA. (2023, 25 Temmuz). Extreme heat in North America, Europe and China in July 2023 made much more likely by climate change. World Weather Attribution https://www.worldweatherattribution.org/ extreme-heat-in-north-america-europe-and-china-in-july-2023-made-much-more-likely-by-climate-change/
  156. Xiang, J., Hansen, A., Liu, Q. Tong, M. X., Liu, X., Sun, Y., ve Cameron, S. (2018). Association between malaria ıncidence and meteorological factors: a multi-location study in China, 2005-2012. Epidemiology and Infection, 146 (1): 89-99. https://doi: 10.1017/ S0950268817002254.
  157. Xiao, Y., ve Watson, M. (2019). Guidance on conducting a systematic literature review. Journal of Planning Education and Research, 39, 93-112. https://doi.org/10.1177/0739456X17723971
  158. Xuan, L. T. T., Pham, V. H., ve Do, T. T. (2014). Estimates of meteorological variability in association with dengue cases in a coastal city in northern Vietnam: An ecological study. Global Health Action, 7: 23119. https://doi:10.3402/gha.v7.23119.
  159. Vardoulakis, S., Dear, K., Hajat, S., Heaviside, C., Eggen, B. ve McMichael, A. J. (2015). Comparative assessment of the effects of climate change on heat- and cold-related mortality in the United Kingdom and Australia. Environmental Health Perspectives, 122(12), 1285–1292. doi:10.1289/ehp.1307524
  160. Vins, H., Bell, J., Saha, S., ve Hess, J. (2015). The mental health outcomes of drought: a systematic review and causal process diagram. Int. J. Environ. Res. Public Health, 12(10):13251-75.
  161. Vulnerable Twenty Group. 2022. New Health Data Show Unabated Climate Change Will Cause 3.4 Million Deaths Per Year by Century End. 12 November. https://www.v-20.org/ new-health-data-shows-unabated-climate-change-will-cause-3.4-million-deaths-per-year-by-century-end
  162. Zacharias, S., Koppe, C. ve Mücke, H. G. (2014). Influence of heat waves on ischemic heart diseases in Germany. Climate, 2(3), 133-152.
  163. Zhang, B. (2023). Comparison of particulate air pollution from different emission sources and ıncident dementia in the US. JAMA Internal Medicine, 183 (10): 1080-1089.
  164. Hoegh-Guldberg, O., Jacob, D., Taylor, M., Bindi, M., ve Brown, S., (2018). Impacts of 1.5°C global warming on natural and human systems. (ed.) V. Masson-Delmotte, P. Zhai, H.O. Pörtner, D. Roberts, J. Skea In Global warming of 1.5°C: an IPCC special report on the impacts of global warming of 1.5°C above pre-industrial levels and related global greenhouse gas emission pathways, in the context of strengthening the global response to the threat of climate change,, et al., pp. 175–311. Rep., Intergov. Panel Clim. Change, Geneva. https://www.ipcc. ch/site/assets/uploads/sites/2/2019/06/SR15_Full_Report_High_Res.pdf