This study evaluated the epidemiological aspects of 150-200 deaths per 100 million railway passengers annually in Turkey by analyzing data about railway related casualties between January 1997-December 2003. The results show that train-pedestrian accidents caused the highest number of mortality & level crossing accidents caused the highest number of casualties. Suicide attempts had the highest morality ratio in railway related accidents. The majority of fatalities & injuries occurred in males, in the age group of 25-60 years. (21 refs)