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Deaths due to Intentional Explosions in Selected Governorates of Iraq from 2010 to 2013: Prospective Surveillance

Published online by Cambridge University Press:  30 October 2015

Oleg O. Bilukha ,
Eva Z. Leidman ,
Abdul-Salam Saleh Sultan  and
Syed Jaffar Hussain
Oleg O. Bilukha*
Affiliation:
Emergency Response and Recovery Branch, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GeorgiaUSA
Eva Z. Leidman
Affiliation:
Emergency Response and Recovery Branch, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GeorgiaUSA
Abdul-Salam Saleh Sultan
Affiliation:
Human Resources Training and Development Center, Ministry of Health, Baghdad, Iraq
Syed Jaffar Hussain
Affiliation:
World Health Organization, International Zone, UNAMI Compound, Baghdad, Iraq
*
Correspondence: Oleg Bilukha, MD, PhD Associate Director of Science Emergency Response and Recovery Branch Division of Global Health Protection Center for Global Health Building 2500, Mailstop E-22 2500 Century Parkway, NE Atlanta, Georgia 30345 USA E-mail: [email protected]
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Abstract

Introduction

The aim of this study was to describe the most recent trends and epidemiologic patterns of fatal injuries resulting from explosions in Iraq, one of the countries most affected by violence from explosive devices.

Methods

Iraqi Ministry of Health (MoH) routine prospective injury surveillance collects information on all fatal injuries recorded by coroners from physical examinations, police reports, and family members in eight governorates of Iraq: Baghdad, Al-Anbar, Basrah, Erbil, Kerbala, Maysan, Ninevah, and Al-Sulaimaniya. This study analyzed explosive-related fatal injuries that occurred from January 1, 2010 through December 31, 2013.

Results

Analysis included 2,803 fatal injuries. The number of fatal injuries declined from 2010 through 2012, followed by an increase in 2013. One-thousand one-hundred and one explosion-related fatalities were documented in 2013, more than twice as many as in 2012 or in 2011. Most fatalities were among men aged 20-39 years. Of all causalities, 194 (6.9%) were among females and 302 (10.8%) were among children aged less than 18 years. The majority of fatalities were caused by improvised explosive devices (IEDs): car bombs (15.3%), suicide bombs (4.0%), and other IEDs (29.6%). The highest number of fatalities occurred in streets and roads. Of all deaths, 95.6% occurred in three governorates: Baghdad, Ninevah, and Al-Anbar.

Conclusions

Explosives continue to result in a high number of fatal injuries in Iraq. Following a period of declining violence from explosives, in 2013, fatalities increased. Most explosion-related injuries resulted from IEDs; males aged 20-39 years were at greatest risk.

BilukhaOO, LeidmanEZ, SultanASS, HussainSJ. Deaths due to Intentional Explosions in Selected Governorates of Iraq from 2010 to 2013: Prospective Surveillance. Prehosp Disaster Med. 2015;30(6):586–592.

Keywords

explosionsfatal outcomeIraqmortalitypublic health surveillancewounds/injuries
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 30 , Issue 6 , December 2015 , pp. 586 - 592
Copyright
© World Association for Disaster and Emergency Medicine 2015 

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References

1. Belmont, PJ, Schoenfeld, AJ, Goodman, G. Epidemiology of combat wounds in Operation Iraqi Freedom and Operation Enduring Freedom: orthopedic burden of disease. J Surg Orthop Adv. 2010;19(1):2-7.Google ScholarPubMed
2. Bellamy, RF, Zajtchuk, R. “Assessing the effectiveness of conventional weapons.” In: Zajtchuk R, (ed). Conventional Warfare: Ballistic, Blast, and Burn Injuries. Houston, Texas USA: Borden Institute; 1991: 53-82.Google Scholar
3. Owens, BD, Kragh, JF Jr., Wenke, JC, Macaitis, J, Wade, CE, Holcomb, JB. Combat wounds in operation Iraqi Freedom and Operation Enduring Freedom. J Trauma. 2008;64(2):295-299.Google ScholarPubMed
4. Mirza, FH, Parhyar, HA, Tirmizi, SZ. Rising threat of terrorist bomb blasts in Karachi--a 5-year study. J Forensic Leg Med. 2013;20(6):747-751.Google Scholar
5. Dodd, H, Perkins, R. An Explosive Situation: Monitoring Explosive Violence in 2012. London, United Kingdom: Action on Armed Violence; 2013.Google Scholar
6. Bogen, KT, Jones, ED. Risks of mortality and morbidity from worldwide terrorism: 1968-2004. Risk Anal. 2006;26(1):45-59.Google Scholar
7. Dodd, H, Perkins, R. Explosive Events: Monitoring Explosive Violence in 2013. London, United Kingdom: Action on Armed Violence; 2014.Google Scholar
8. Brevard, S, Champion, H, Katz, D. “Weapons effect. 2012.” In: Combat Casualty Care: Lessons Learned from OEF and OIF [Internet]. Falls Church, Virginia USA: Office of the Surgeon General Department of the Army, United States of America; 2012: 43-83.Google Scholar
9. British Broadcasting Corporation. Iraq Profile. BBC News Middle East. http://www.bbc.co.uk/news/world-middle-east-14542954. Accessed April 30, 2015.Google Scholar
10. Iraq Body Count (IBC). Iraqi deaths from violence 2003-2011: analysis and overview from Iraq Body Count. http://www.iraqbodycount.org/analysis/numbers/2011/. Accessed April 30, 2015.Google Scholar
11. Hagopian, A, Flaxman, AD, Takaro, TK, et al. Mortality in Iraq associated with the 2003-2011 war and occupation: findings from a national cluster sample survey by the University Collaborative Iraq Mortality Study. PLoS Med. 2013;10(10):e1001533.Google Scholar
12. Arango, T, Fahim, K, Hubbard, B. Rebels’ Fast Strike in Iraq was years in the making. The New York Times. Published June 14, 2014.Google Scholar
13. British Broadcasting Corporation. Iraq toll more than 1,000 in June. British Broadcasting Corporation. Published June 24, 2014.Google Scholar
14. Kluger, Y, Peleg, K, Daniel-Aharonson, L, Mayo, A. The special injury pattern in terrorist bombings. J Am Coll Surg. 2004;199(6):875-879.Google Scholar
15. Iraq Government. Death certificates: reporting and registration of births and applying for copies of birth certificate, (2013). http://www.egov.gov.iq/egov-iraq. Accessed April 30, 2015.Google Scholar
16. Al-Rabie, AS. Registration of Vital Events in Iraq. Atlanta, Georgia USA: International Institute for Vital Registration and Statistics, Centers for Disease Control and Prevention; 1980.Google Scholar
17. Medico-Legal Law No. (37) for the year 2013: Law Library Iraqi Local Governance; 2013. http://www.iraq-lg-law.org/ar/taxonomy/term/108. Accessed April 30, 2015.Google Scholar
18. Roberts, L, Lafta, R, Garfield, R, Khudhairi, J, Burnham, G. Mortality before and after the 2003 invasion of Iraq: cluster sample survey. Lancet. 2004;364(9448):1857-1864.CrossRefGoogle ScholarPubMed
19. Burnham, G, Lafta, R, Doocy, S, Roberts, L. Mortality after the 2003 invasion of Iraq: a cross-sectional cluster sample survey. Lancet. 2006;368(9545):1421-1428.CrossRefGoogle ScholarPubMed
20. Dodd, H, Perkins, R. Monitoring Explosive Violence: The EVP Dataset 2011. London, United Kingdom: Action on Armed Violence; 2012.Google Scholar
21. Central Organization for Statistics and Information Technology (COSIT). Section 2: Population Census. Annual Abstract of Statistics 2010-2011. http://cosit.gov.iq/AAS/section_2.php. Accessed April 30, 2015.Google Scholar
22. Al-Salhy, S, Arango, T. Sunni militants drive Iraqi Army out of Mosul. New York Times. Published June 10, 2014.Google Scholar
23. Ghazi, Y, Arango, T. Iraq Fighters, Qaeda Allies, claim Falluja as new state. New York Times. Published January 3, 2014.Google Scholar
24. Ghazi, Y, Arango, T. Qaeda-Aligned militants threaten key Iraqi cities. New York Times. Published January 2, 2014.Google Scholar
25. Yavuz, MS, Asirdizer, M, Cetin, G, Yavuz, MF, Cansunar, FN, Kolusayin, RO. Deaths due to terrorist bombings in Istanbul (Turkey). J Clin Forensic Med. 2004;11(6):308-315.Google Scholar
26. Bilukha, OO, Becknell, K, Laurenge, H, Danee, L, Subedi, KP. Fatal and non-fatal injuries due to intentional explosions in Nepal, 2008-2011: analysis of surveillance data. Confl Health. 2013;7(1):5.Google Scholar
27. Leibovici, D, Gofrit, ON, Stein, M, et al. Blast injuries: bus versus open-air bombings--a comparative study of injuries in survivors of open-air versus confined-space explosions. J Trauma. 1996;41(6):1030-1035.Google Scholar
28. Arnold, JL, Tsai, MC, Halpern, P, Smithline, H, Stok, E, Ersoy, G. Mass-casualty, terrorist bombings: epidemiological outcomes, resource utilization, and time course of emergency needs (Part I). Prehosp Disaster Med. 2003;18(3):220-234.Google Scholar
29. Ramasamy, A, Harrisson, SE, Clasper, JC, Stewart, MP. Injuries from roadside improvised explosive devices. J Trauma. 2008;65(4):910-914.Google Scholar
30. Ramasamy, A, Harrisson, S, Lasrado, I, Stewart, MP. A review of casualties during the Iraqi insurgency 2006--a British field hospital experience. Injury. 2009;40(5):493-497.CrossRefGoogle ScholarPubMed
31. Ramasamy, A, Hill, AM, Clasper, JC. Improvised explosive devices: pathophysiology, injury profiles, and current medical management. J R Army Med Corps. 2009;155(4):265-272.Google Scholar
32. Chivers, CJ. Why do bullets kill more soldiers in Iraq? The New York Times. Published 2009.Google Scholar
33. Checchi, F, Roberts, L. Documenting mortality in crises: what keeps us from doing better. PLoS Med. 2008;5(7):e146.Google Scholar
34. Checchi, F, Roberts, L. Network paper: interpreting and using mortality data in humanitarian emergencies. A primer for non-epidemiologists. Humanitarian Practice Network. 2005.Google Scholar
35. Burnham, G, Doocy, S, Dzeng, E, Lafta, R, Roberts, L. The Human Cost of the War in Iraq a Mortality Study, 2002-2006. Baltimore, Maryland USA: Bloomberg School of Public Health Johns Hopkins University; 2006.Google Scholar
36. Iraq Body Count (IBC). Iraqi deaths from violence in 2012. http://www.iraqbodycount.org/analysis/numbers/2012/. Accessed April 30, 2015.Google Scholar