Details:

Alternative Title:
Am J Disaster Med
Publisher's site:
http://dx.doi.org/10.5055/ajdm.2016.0224
Personal Author:
Bilukha, Oleg O. ; Sultan, Abdul-Salam Saleh ; Hassan, Ahmed ; Hussain, Syed Jaffar ; Leidman, Eva
Bilukha, Oleg O. ; Sultan, Abdul-Salam Saleh ; Hassan, Ahmed ; Hussain, Syed Jaffar ; Leidman, Eva Less -
Description:
Objective

After several years of relative stability in Iraq, the emergence of the Islamic State militant group has spurred a resurgence of violence. This study explores the impact of the conflict on the overall injury profile to estimate the proportion of injury fatalities related to conflict and better understand how violence has affected nonconflict-related injuries.

Design

Routine prospective injury surveillance operated by the Iraqi Ministry of Health.

Setting

Surveillance data were collected from coroner offices in eight pilot governorates: Al-Anbar, Baghdad, Basrah, Erbil, Kerbala, Maysan, Ninevah, and Al-Sulaimaniya.

Participants

We analyzed all fatalities from external injury causes recorded between January 1, 2010 and December 31, 2013. Analysis included 32,664 fatal injuries.

Results

Of all injury fatalities reported, 27.1 percent were conflict-related fatalities, approximately the same proportion as road traffic-related fatalities (24.4 percent) and other unintentional injuries (27.5 percent). The proportion of fatalities from conflict was approximately three times higher among males than females (33.0 percent and 10.3 percent, respectively) and four times higher among adults than children (29.8 percent and 7.3 percent, respectively). The total number of injury fatalities remained stable between 2010 and 2012; an increase in injury fatalities in 2013 was driven primarily by increases in fatalities from both interpersonal violence and conflict.

Conclusions

From 2010 to 2013, nearly one in four injury fatalities in Iraq was attributable to conflict, a notably higher proportion than other conflict-affected countries in the region. The overall profile of nonconflict injuries in Iraq is also distinct from other countries of similar socioeconomic level that have not experienced violence.


Subject:
[+]
Accidents, Traffi Mortality
Adolescent
Adult
Aged
Aged, 80 And Over
Age Distribution
Burns/mortality
Cause Of Death
Child
Child, Preschool
Drowning/mortality
Electric Injuries/mortality
Explosive Agents
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Prospective Studies
Sex Distribution
Suicide
Violence
War-Related Injuries/mortality
Wounds, Gunshot/mortality
Wounds, Stab/mortality
Wounds And Injuries/mortality
Young Adult

Source:
Am J Disaster Med. 11(1):49-58.
Pubmed ID:
27649751
Pubmed Central ID:
PMC5436617
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
Iraq
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:67beab3ed60d1649a51820a9bf63c5b870be23ced7f06d30abbdc3158b8c9c05
File Type:

Supporting Files

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