The Lancet has today released online a report (Roberts, Lafta, Garfield, Khudhairi & Burnham) into civilian deaths in Iraq since March 2003, when coalition forces invaded Iraq. The summary (free registration required) states:
The risk of death was estimated to be 2·5-fold (95% CI 1·6-4·2) higher after the invasion when compared with the preinvasion period. Two-thirds of all violent deaths were reported in one cluster in the city of Falluja. If we exclude the Falluja data, the risk of death is 1·5-fold (1·1-2·3) higher after the invasion. We estimate that 98000 more deaths than expected (8000-194000) happened after the invasion outside of Falluja and far more if the outlier Falluja cluster is included. The major causes of death before the invasion were myocardial infarction, cerebrovascular accidents, and other chronic disorders whereas after the invasion violence was the primary cause of death. Violent deaths were widespread, reported in 15 of 33 clusters, and were mainly attributed to coalition forces. Most individuals reportedly killed by coalition forces were women and children. The risk of death from violence in the period after the invasion was 58 times higher (95% CI 8·1-419) than in the period before the war.Making conservative assumptions, we think that about 100000 excess deaths, or more have happened since the 2003 invasion of Iraq. Violence accounted for most of the excess deaths and air strikes from coalition forces accounted for most violent deaths.
The full report (pdf) is available here.
Juan Cole, Professor of History at the University of Michigan and a respected commentator on Middle East affairs, reflects:
The troubling thing about these results is that they suggest that the US may soon catch up with Saddam Hussein in the number of civilians killed. ...The methodology of this study is very tight, but it does involve extrapolating from a small number and so could easily be substantially incorrect. But the methodology also is standard in such situations and was used in Bosnia and Kosovo.
I think the results are probably an exaggeration. But they can't be so radically far off that the 16,000 deaths previously estimated can still be viewed as valid. I'd say we have to now revise the number up to at least many tens of thousand--which anyway makes sense. The 16,000 estimate comes from counting all deaths reported in the Western press, which everyone always knew was only a fraction of the true total. (I see deaths reported in al-Zaman every day that don't show up in the Western wire services).
The most important finding from my point of view is not the magnitude of civilian deaths, but the method of them. Roberts and Burnham find that US aerial bombardments are killing far more Iraqi civilians than had previously been suspected. This finding is also not a surprise to me. I can remember how, on a single day (August 12), US warplanes bombed the southern Shiite city of Kut, killing 84 persons, mainly civilians, in an attempt to get at Mahdi Army militiamen. These deaths were not widely reported in the US press, especially television. Kut is a small place and has been relatively quiet except when the US has been attacking Muqtada al-Sadr, who is popular among some segments of the population there. The toll in Sadr City or the Shiite slums of East Baghdad, or Najaf, or in al-Anbar province, must be enormous.
I personally believe that these aerial bombardments of civilian city quarters by a military occupier that has already conquered the country are a gross violation of the Fourth Geneva Convention of 1949, governing the treatment of populations of occupied territories.
