Injury-related deaths before and during the Islamic State insurgency - Baghdad, Iraq, 2010-2015.
Assaults
Conflict
Explosions
Gunfire
Injury mortality
Interpersonal violence
Iraq
Islamic state
Traffic accidents
Unintentional injuries
Journal
Conflict and health
ISSN: 1752-1505
Titre abrégé: Confl Health
Pays: England
ID NLM: 101286573
Informations de publication
Date de publication:
2020
2020
Historique:
received:
19
02
2019
accepted:
28
01
2020
entrez:
27
2
2020
pubmed:
27
2
2020
medline:
27
2
2020
Statut:
epublish
Résumé
Following a period of low intensity conflict during 2009-2012, the emergence of the Islamic State of Iraq and Levant (or Islamic State) in 2013 was associated with a resurgence of violence in Baghdad, Iraq's capital and largest city. We evaluated trends in injury-related deaths in Baghdad before and during the Islamic State insurgency. Iraqi National Injury Mortality Surveillance System prospectively collects information on fatal injuries from governorate coroner offices using standardized reporting forms. Trained coroner clerks collect information on victim demographics, intention of injury and mechanism of injury during medical examinations using reports from police and families. We analyzed data on all deaths reported by the Baghdad Forensic Institute from January 1, 2010 to December 31, 2015. There were 17,555 injury-related deaths with documented intent and mechanism (range 2385-3347 per year): 6241 from gunfire (36%), 1381 explosions (8%), 1348 non-gunfire assaults (8%), 3435 traffic accidents (20%), and 5150 other unintentional injuries (29%). Rates of gunfire (23.45 per 100,000) and explosion (5.90 per 100,000) deaths were significantly higher in 2014 than in all other years during the review period ( During the study period, deaths from both gunfire and explosions in Baghdad peaked in 2014, corresponding with emergence of the Islamic State. Trends suggest a potential impact of insurgency-related activity on other injuries as evidenced by a decrease in the death rate from traffic accidents. The decreased traffic-related death rate could be from decreased vehicle and pedestrian activity during times of violence. Monitoring trends in injury mortality during conflict allows Iraq to identify priority injury causes to inform public health interventions.
Sections du résumé
Background
Following a period of low intensity conflict during 2009-2012, the emergence of the Islamic State of Iraq and Levant (or Islamic State) in 2013 was associated with a resurgence of violence in Baghdad, Iraq's capital and largest city. We evaluated trends in injury-related deaths in Baghdad before and during the Islamic State insurgency.
Methods
Iraqi National Injury Mortality Surveillance System prospectively collects information on fatal injuries from governorate coroner offices using standardized reporting forms. Trained coroner clerks collect information on victim demographics, intention of injury and mechanism of injury during medical examinations using reports from police and families. We analyzed data on all deaths reported by the Baghdad Forensic Institute from January 1, 2010 to December 31, 2015.
Results
There were 17,555 injury-related deaths with documented intent and mechanism (range 2385-3347 per year): 6241 from gunfire (36%), 1381 explosions (8%), 1348 non-gunfire assaults (8%), 3435 traffic accidents (20%), and 5150 other unintentional injuries (29%). Rates of gunfire (23.45 per 100,000) and explosion (5.90 per 100,000) deaths were significantly higher in 2014 than in all other years during the review period (
Conclusions
During the study period, deaths from both gunfire and explosions in Baghdad peaked in 2014, corresponding with emergence of the Islamic State. Trends suggest a potential impact of insurgency-related activity on other injuries as evidenced by a decrease in the death rate from traffic accidents. The decreased traffic-related death rate could be from decreased vehicle and pedestrian activity during times of violence. Monitoring trends in injury mortality during conflict allows Iraq to identify priority injury causes to inform public health interventions.
Identifiants
pubmed: 32099578
doi: 10.1186/s13031-020-0252-7
pii: 252
pmc: PMC7029473
doi:
Types de publication
Journal Article
Langues
eng
Pagination
8Commentaires et corrections
Type : ErratumIn
Informations de copyright
© The Author(s). 2020.
Déclaration de conflit d'intérêts
Competing interestsAll authors have completed the ICMJE uniform disclosure form and declare: no support from any organization for the submitted work; no financial relationships with any organizations that might have an interest in the submitted work in the previous 3 years; no other relationships or activities that could appear to have influenced the submitted work.
Références
BMC Public Health. 2010 Feb 20;10:83
pubmed: 20170527
PLoS Med. 2013 Oct;10(10):e1001533
pubmed: 24143140
Prehosp Disaster Med. 2017 Oct;32(5):548-555
pubmed: 28516826
Emerg Infect Dis. 2007 Nov;13(11):1625-31
pubmed: 18217543
Health Policy Plan. 2015 Feb;30(1):131-43
pubmed: 24362642
Bull World Health Organ. 2010 Nov 1;88(11):831-838C
pubmed: 21076564
J Emerg Med. 2008 Oct;35(3):329-35
pubmed: 17961956
Am J Public Health. 2014 Nov;104(11):e54-61
pubmed: 25211747
PLoS One. 2015 Aug 07;10(8):e0131834
pubmed: 26252879
JAMA Intern Med. 2017 Dec 1;177(12):1865-1868
pubmed: 28986599
Health Hum Rights. 2018 Dec;20(2):123-136
pubmed: 30568407
Natl Vital Stat Rep. 2011 Dec 29;60(3):1-116
pubmed: 24974587
Risk Anal. 2006 Feb;26(1):45-59
pubmed: 16492180
Int J Ment Health Syst. 2010 Oct 11;4:26
pubmed: 20937100
Am J Disaster Med. 2016 Winter;11(1):49-58
pubmed: 27649751
Lancet. 2004 Nov 20-26;364(9448):1857-64
pubmed: 15555665
Confl Health. 2016 Feb 24;10:2
pubmed: 26913063
Prehosp Disaster Med. 2015 Dec;30(6):586-92
pubmed: 26517290
Lancet. 2006 Oct 21;368(9545):1421-8
pubmed: 17055943
BMC Womens Health. 2013 Oct 10;13:37
pubmed: 24106885
Burns. 2012 Aug;38(5):772-5
pubmed: 22326976
Soc Sci Med. 2004 Aug;59(4):869-84
pubmed: 15177842