Violent Deaths of Iraqi Civilians, 2003–2008: Analysis by Perpetrator, Weapon, Time, and Location

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Background:
Armed violence is a major public health and humanitarian problem in Iraq. In this descriptive statistical analysis we aimed to describe for the first time Iraqi civilian deaths caused by perpetrators of armed violence during the first 5 years of the Iraq war: over time; by weapon used; by region (governorate); and by victim demographics.

Methods and Findings:
We analyzed the Iraq Body Count database of 92,614 Iraqi civilian direct deaths from armed violence occurring from March 20, 2003 through March 19, 2008, of which Unknown perpetrators caused 74% of deaths (n = 68,396), Coalition forces 12% (n = 11,516), and Anti-Coalition forces 11% (n = 9,954). We analyzed the subset of 60,481 civilian deaths from 14,196 short-duration events of lethal violence to link individual civilian deaths to events involving perpetrators and their methods. One-third of civilian violent death was from extrajudicial executions by Unknown perpetrators; quadratic regression shows these deaths progressively and disproportionately increased as deaths from other forms of violence increased across Iraq's governorates. The highest average number of civilians killed per event in which a civilian died were in Unknown perpetrator suicide bombings targeting civilians (19 per lethal event) and Coalition aerial bombings (17 per lethal event). In temporal analysis, numbers of civilian deaths from Coalition air attacks, and woman and child deaths from Coalition forces, peaked during the invasion. We applied a Woman and Child “Dirty War Index” (DWI), measuring the proportion of women and children among civilian deaths of known demographic status, to the 22,066 civilian victims identified as men, women, or children to indicate relatively indiscriminate perpetrator effects. DWI findings suggest the most indiscriminate effects on women and children were from Unknown perpetrators using mortar fire (DWI = 79) and nonsuicide vehicle bombs (DWI = 54) and from Coalition air attacks (DWI = 69). Coalition forces had higher Woman and Child DWIs than Anti-Coalition forces, with no evidence of decrease over 2003–2008, for all weapons combined and for small arms gunfire, specifically.

Conclusions:
Most Iraqi civilian violent deaths during 2003–2008 of the Iraq war were inflicted by Unknown perpetrators, primarily through extrajudicial executions that disproportionately increased in regions with greater numbers of violent deaths. Unknown perpetrators using suicide bombs, vehicle bombs, and mortars had highly lethal and indiscriminate effects on the Iraqi civilians they targeted. Deaths caused by Coalition forces of Iraqi civilians, women, and children peaked during the invasion period, with relatively indiscriminate effects from aerial weapons.

: Please see later in the article for the Editors' Summary

Vyšlo v časopise: Violent Deaths of Iraqi Civilians, 2003–2008: Analysis by Perpetrator, Weapon, Time, and Location. PLoS Med 8(2): e32767. doi:10.1371/journal.pmed.1000415
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pmed.1000415

Souhrn

Zdroje

1. CouplandR

2007 Security, insecurity and health. Bull World Health Organ 85 181 184

2. KrugEG

DahlbergLL

MercyJA

ZwiAB

LozanoR

2002 World report on violence and health. Geneva WHO 346

3. MurrayCJL

KingG

LopezAD

TomijimaN

KrugEG

2002 Armed conflict as a public health problem. BMJ 324 246 349

4. TamCC

LopmanBA

BornemiszaO

SondorpE

2004 Epidemiology in conflict – a call to arms. Emerg Themes Epidemiol 1 5

5. Landmine Action 2009 Explosive violence: the problem of explosive weapons. London Landmine Action 77

6. PedersenJ

2009 Health and conflict: a review of the links. Oslo Fafo 50

7. Geneva Declaration Secretariat 2008 Global burden of armed violence. Geneva Geneva Declaration Secretariat 174

8. United Nations Institute for Disarmament Research 2010 Explosive weapons: framing the problem. Background paper number 1 of the Discourse on Explosive Weapons (DEW) project, April 2010. Available: http://explosiveweapons.info/category/unidir/. Accessed 16 October 2010

9. LevyBS

SidelVW

2008 War and public health. 2nd edition. New York Oxford University Press 486

10. HicksMH

DardaganH

Guerrero SerdánG

BagnallPM

SlobodaJA

2009 The weapons that kill civilians — deaths of children and noncombatants in Iraq, 2003-2008. N Engl J Med 360 1585 1588

11. TabackN

CouplandR

2005 Towards collation and modeling of the global cost of armed violence on civilians. Med Confl Surviv 21 19 27

12. VerwimpP

2006 Machetes and firearms: the organization of massacres in Rwanda. J Peace Res 43 5 22

13. Iraq Body Count. Available: http://www.iraqbodycount.org. Accessed 13 January 2011

14. DardaganH

SlobodaJ

WilliamsK

BagnallP

2005 Iraq Body Count: a dossier of civilian casualties 2003-2005. Oxford Oxford Research Group 22

15. HicksMH

SpagatM

2008 The Dirty War Index: a public health and human rights tool for examining and monitoring armed conflict outcomes. PLoS Med 5 e243 doi:10.1371/journal.pmed.0050243

16. International Committee of the Red Cross 2010 International humanitarian law. Available: http://www.icrc.org/eng/ihl. Accessed 2 November 2010

17. SlimH

2007 Killing civilians: method, madness and morality in war. London Hurst & Company 319

18. CarpenterRC

2006 Recognizing gender-based violence against civilian men and boys in conflict situations. Security Dialogue 37 83 103

19. Human Rights Watch 2005 A face and a name: civilian victims of insurgent groups in Iraq. 17(9). Available: http://www.hrw.org/en/reports/2005/10/02/face-and-name. Accessed 2 February 2010

20. Convention on the Rights of the Child, 1989 Geneva: UN Office of the High Commissioner for Human Rights. Available: http://www2.ohchr.org/english/law/crc.htm. Accessed 2 February 2010

21. HafezMM

2006 Suicide terrorism in Iraq: a preliminary assessment of the quantitative data and documentary evidence. Stud Confl Terror 29 591 619

22. HashimAS

2006 Insurgency and counter-insurgency in Iraq. London Hurst & Company 482

23. ChehabZ

2006 Iraq ablaze: inside the insurgency. London I.B. Tauris & Co Ltd 277

24. GreenP

WardT

2009 The transformation of violence in Iraq. Brit J Criminol 49 609 627

25. AlwanHK

JihadST

2006 Iraq's Tigris River yields hundreds of corpses. Available: http://abcnews.go.com/International/print?id=2539854. Accessed 2 February 2010

26. United Nations Small Arms Review Conference 2006 International instrument to enable States to identify and trace, in a timely and reliable manner, illicit small arms and light weapons. A/CONF.192/15. Available: http://www.un.org/events/smallarms2006/pdf/international_instrument.pdf. Accessed 2 February 2010

27. CouplandRM

MeddingsDM

1999 Mortality associated with use of weapons in armed conflicts, wartime atrocities, and civilian mass shootings: literature review. BMJ 319 407 410

28. CouplandRM

SamnegaardHO

1999 Effect of type and transfer of conventional weapons on civilian injuries: retrospective analysis of prospective data from Red Cross hospitals. BMJ 319 410 412

29. GrossmanD

1995 On killing: the psychological cost of learning to kill in war and society. New York Back Bay Books/Little, Brown and Company 366

30. KahlCH

2007 In the crossfire or the crosshairs? Norms, civilian casualties, and U.S. conduct in Iraq. Int Secur 32 7 46

31. SchmittMN

2005 Precision attack and international humanitarian law. International Review of the Red Cross 87 445 466

32. WalzerM

1977 Just and unjust wars. New York Basic Books 179 186

33. United Nations Security Council 2009 Report of the Secretary-General on the protection of civilians in armed conflict. S/2009/277. 27 p. Available: http://www.un.org/Docs/sc/sgrep09.htm. Accessed 26 January 2010

34. PapeRA

2005 Dying to win: the strategic logic of suicide terrorism. New York Random House 335

35. GambettaD

2006 Epilogue to the paperback edition.

GambettaD

Making sense of suicide missions Oxford Oxford University Press 301 333

36. PedahzurA

2005 Suicide terrorism. Cambridge Polity Press 202

37. Moore S (29 November 2005) Killings linked to Shiite militias in Iraqi police force. Los Angeles Times. Available: http://www.latimes.com/news/nationworld/nation/ny-la-woiraq1129,0,1756028,full.story. Accessed 4 November 2010

38. RougL

2006 Targeted killings surge in Baghdad. Available: http://articles.latimes.com/2006/may/07/world/fg-civilians7. Accessed 2 February 2010

39. CarpenterRC

2006 Innocent women and children: gender, norms and the protections of civilians. Burlington (Vermont) Ashgate Publishing Company 217

40. United Nations Assistance Mission for Iraq 2010 UNAMI Human Rights Report, 1 July-31 December 2009. Available: http://www.uniraq.org/documents/UNAMI_Human_Rights_Report16_EN.pdf. Accessed 16 October 2010

41. Government of Iraq 2005 Iraq living conditions survey 2004, Volume I: Tabulation Report, Volume II: Analytical Report. Baghdad: Ministry of Planning and Development Cooperation. Available: http://www.reliefweb.int/rw/RWB.NSF/db900SID/KHII-6CC44A?OpenDocument. Accessed 2 February 2010

42. Human Rights Watch 2003 Hearts and minds: post-war civilian deaths in Baghdad caused by U.S. forces. 15(9). Available: http://www.hrw.org/en/reports/2003/10/20/hearts-and-minds. Accessed 2 February 2010

43. FreedbergSJJr

2007 Shoot/don't shoot? National Journal. Available: http://www.nationaljournal.com/njmagazine/nj_20071013_6.php. Accessed 2 February 2010

44. MatosRI

HolcombJB

CallahanC

SpinellaPC

2008 Increased mortality rates of young children with traumatic injuries at a US Army combat support hospital in Baghdad, Iraq, 2004. Pediatrics 122 e959 e966

45. Coalition to Stop the Use of Child Soldiers 2008 Child Soldiers: Global Report 2008. London, UK Coalition to Stop the Use of Child Soldiers 418

46. United Nations OSRSG/CAAC 2008 Report: visit of the Special Representative for Children & Armed Conflict to Iraq and the region. Available: http://www.un.org/children/conflict/english/index.html. Accessed 29 October 2010

47. CondraLN

FelterJH

IyengarRK

ShapiroJN

2010 The effect of civilian casualties in Afghanistan and Iraq. Working Paper 16152, NBER Working Paper Series Cambridge (Massachusetts) National Bureau of Economic Research

48. DaponteBO

2007 Wartime estimates of Iraqi civilian casualties. International Review of the Red Cross 89 943 957

49. HarbomL

SundbergR

2008 States in armed conflict 2007. Uppsala Uppsala University Press 204

50. UrlacherBR

2009 Wolfowitz conjecture: a research note on civil war and news coverage. International Studies Perspectives 10 186 197

51. Iraq Family Health Survey Study Group 2008 Violence-related mortality in Iraq from 2002 to 2006. N Engl J Med 358 484 493

52. ThomsONT

RonJ

2007 Public health, conflict and human rights: toward a collaborative research agenda. Confl Health 1 11

53. JohnsonNF

SpagatM

GourleyS

OnnelaJ

ReinertG

2008 Bias in epidemiological studies of conflict mortality. J Peace Res 45 653 663

54. Guerrero SerdánG

2009 The effects of the war in Iraq on nutrition and health: an analysis using anthropometric outcomes of children. Discussion Papers in Economics 09/01, Royal Holloway College, University of London. Available: http://www.rhul.ac.uk/economics/Research/WorkingPapers/pdf/dpe0901.pdf. Accessed 2 February 2010

55. SpiegelPB

SalamaP

2000 War and mortality in Kosovo, 1998-99: an epidemiological testimony. Lancet 355 2204 2209

56. BurnhamG

LaftaR

DoocyS

RobertsL

2006 Mortality after the 2003 invasion of Iraq: a cross-sectional cluster sample survey. Lancet 368 1421 1428

57. KlugerY

PelegK

Daniel-AharonsonL

MayoA

2004 The special injury pattern in terrorist bombings. J Am Coll Surg 199 875 879

58. NasirK

HyderAA

ShahbazCM

2004 Injuries among Afghan refugees: review of evidence. Prehosp Disast Med 19 169 173

59. ShapiraSC

Adatto-LeviR

AvitzourM

RivkindAI

GertsenshteinI

2006 Mortality in terrorist attacks: a unique model of temporal death distribution. World J Surg 30 2071 2077

60. MeddingsDR

1997 Weapons injuries during and after periods of conflict: retrospective analysis. BMJ 315 1417 1420

61. BowleyDM

DegiannisE

WestabyS

2005 Thoracic injury.

MahoneyPF

RyanJM

BrooksAJ

SchwabCW

London Springer 241 269 Ballistic trauma: a practical guide. 2nd edition.

62. MoseleyTM

2003 Operation Iraqi Freedom – by the numbers. South Carolina: United States Central Command Air Forces (USCENTAF). Available: http://www.globalsecurity.org/military/library/report/2003/uscentaf_oif_report_30apr2003.pdf. Accessed 27 January 2010

63. United States Central Command Air Forces 2008 2004-2008 combined forces air component commander airpower statistics. Available: http://www.afa.org/edop/2009/2004-08CFACCstats123108.pdf. Accessed 27 January 2010

64. United States Central Command Air Forces 2009 Combined forces air component commander 2004-2009 airpower statistics. Available: http://www.afcent.af.mil/shared/media/document/AFD-091103-001.pdf. Accessed 4 November 2010

65. CordesmanAH

2008 Air combat trends in the Afghan and Iraq wars. Washington (D.C.): Center for Strategic & International Studies. Available: http://csis.org/files/media/csis/pubs/080318_afgh-iraqairbrief.pdf. Accessed 27 January 2010

66. WikiLeaks 2010 The Iraq war logs. Available: http://warlogs.wikileaks.org/. Accessed 22 October 2010

67. CameronE

SpagatM

HicksMH

2009 Tracking civilian casualties in combat zones using civilian battle damage assessment ratios. British Army Review 147: 87-93. Available: http://www.amsus.org/images/stories/podcast/2009BritishArmyReviewCBDAR.pdf. Accessed 17 October 2010

68. World Health Organization 2009 Iraq mental health survey 2006/7 report. Office of the WHO representative in Iraq. Available: http://www.emro.who.int/iraq/surveys_imhs.htm. Accessed 2 February 2010