With the aim of assessing, among others, the coronary morbidity and mortality in the past 26-month period the last survey of the Turkish Adult Risk Factor Study was conducted in August, 2002. Epidemiological methods applied were as previously described. In a total of 1545 individuals of the cohort residing in five regions of Turkey, 983 men and women were examined. Furthermore, information was obtained in 439 persons, and death was ascertained in 16 men and 14 women. Twelve new deaths of coronary origin were diagnosed at a follow-up exceeding 2850 person-years. Estimated annual all-cause mortality amounted to 10.5 per mille, coronary mortality to 4.2 per mille. In the age-bracket 45-74 years, total mortality was 9.8 and coronary mortality 4.6 per mille. A total of 35 cases of new fatal and nonfatal coronary heart disease (CHD) corresponded to an annual rate of 14.1 per mille. Moreover, 287 men and women aged 36 to 66 years were randomly selected from 11 communities to be included in the survey's cohort for future follow-up. Coronary and overall mortality appeared to be slightly less than anticipated since year 2000, an observation that might originate from greater difficulty in complete identification of death cases in the larger cities.