Istanbul - Public Services

Public Services

Main article: Utilities in Istanbul Further information: Telecommunications in Turkey and Health care in Turkey

Istanbul's first water supply systems date back to the city's early history, when aqueducts (such as the Valens Aqueduct) deposited the water in the city's numerous cisterns. At the behest of Suleiman the Magnificent, the Kırkçeşme water supply network was constructed; by 1563, the network provided 4,200 cubic meters (150,000 cu ft) of water to 158 sites each day. In later years, with the aim of responding to the ever-increasing public demand, water from various springs was channeled to public fountains, like the Fountain of Ahmed III, by means of supply lines. Today, Istanbul has a chlorinated and filtered water supply and a sewage treatment system managed by the Istanbul Water and Sewerage Administration (İSKİ).

The Silahtarağa Power Station, a coal-fired power plant along the Golden Horn, was the sole source of Istanbul's electricity between 1914, when its first engine room was completed, and 1952. Following the founding of the Turkish Republic, the plant underwent a number of renovations to accommodate the city's increasing demand; its capacity grew from 23 megawatts in 1923 to a peak of 120 megawatts in 1956. Capacity proceeded to decline until the Silahtarağa Power Station reached the end of its economic life and shut down in 1983. The state-run Turkish Electrical Authority (TEK) briefly—between its founding in 1970 and 1984—held a monopoly on the generation and distribution of electricity, but now the authority—since split between the Turkish Electricity Generation Transmission Company (TEAŞ) and the Turkish Electricity Distribution Company (TEDAŞ)—competes with private electric utilities.

The Ottoman Ministry of Post and Telegraph was established in 1840 and the first post office, the Imperial Post Office, opened near the courtyard of Yeni Mosque. By 1876, the first international mailing network between Istanbul and the lands beyond the vast Ottoman Empire had been established. Sultan Abdülmecid I issued Samuel Morse his first official honor for the telegraph in 1847, and construction of the first telegraph line—between Istanbul and Edirne—finished in time to announce the end of the Crimean War in 1856. A nascent telephone circuit began to emerge in Istanbul in 1881 and after the first manual telephone exchange became operational in Istanbul in 1909, the Ministry of Post and Telegraph became the Ministry of Post, Telegraph, and Telephone. Of course, Istanbul's telecommunications infrastructure has developed substantially in the century since. GSM cellular networks arrived in Turkey in 1994, with Istanbul among the first cities to receive the service. Today, mobile and landline service is provided by a number of private companies, after Türk Telekom, which split from the Ministry of Post, Telegraph, and Telephone in 1995, was privatized in 2005. Postal services remain under the purview of what is now the Post and Telegraph Organization (retaining the initialism PTT).

In 2000, Istanbul had 137 hospitals, of which 100 were private. Turkish citizens are entitled to subsidized healthcare in the nation's state-run hospitals. As public hospitals tend to be overcrowded or otherwise slow, private hospitals are preferable for those who can afford them. Their prevalence has increased significantly over the last decade, as the percentage of outpatients using private hospitals increased from 6 percent to 23 percent between 2005 and 2009. Many of these private hospitals, as well as some of the public hospitals, are equipped with high-tech equipment, including MRI machines, or associated with medical research centers. Turkey has more hospitals accredited by the U.S.-based Joint Commission than any other country in the world, with most concentrated in its big cities. The high quality of healthcare, especially in private hospitals, has contributed to a recent upsurge in medical tourism to Turkey (with a 40 percent increase between 2007 and 2008 alone). Laser eye surgery is particularly common among medical tourists, as Turkey is known for specializing in the procedure.