A new study estimates violence-related mortality in Iraq between 2003 and 2006:
Background Estimates of the death toll in Iraq from the time of the U.S.-led invasion in March 2003 until June 2006 have ranged from 47,668 (from the Iraq Body Count) to 601,027 (from a national survey). Results from the Iraq Family Health Survey (IFHS), which was conducted in 2006 and 2007, provide new evidence on mortality in Iraq.
Methods The IFHS is a nationally representative survey of 9345 households that collected information on deaths in the household since June 2001. We used multiple methods for estimating the level of underreporting and compared reported rates of death with those from other sources.
Results Interviewers visited 89.4% of 1086 household clusters during the study period; the household response rate was 96.2%. From January 2002 through June 2006, there were 1325 reported deaths. After adjustment for missing clusters, the overall rate of death per 1000 person-years was 5.31 (95% confidence interval [CI], 4.89 to 5.77); the estimated rate of violence-related death was 1.09 (95% CI, 0.81 to 1.50). When underreporting was taken into account, the rate of violence-related death was estimated to be 1.67 (95% uncertainty range, 1.24 to 2.30). This rate translates into an estimated number of violent deaths of 151,000 (95% uncertainty range, 104,000 to 223,000) from March 2003 through June 2006.
Conclusions Violence is a leading cause of death for Iraqi adults and was the main cause of death in men between the ages of 15 and 59 years during the first 3 years after the 2003 invasion. Although the estimated range is substantially lower than a recent survey-based estimate, it nonetheless points to a massive death toll, only one of the many health and human consequences of an ongoing humanitarian crisis.
150,000 violent deaths in three years is a lot. You’ll recall that the Lancet study estimated about 655,000 excess deaths, which is a lot more. The two numbers aren’t directly comparable because excess deaths due to violence are only one component of all excess deaths (e.g., from preventable disease or other causes attributable to the war). Deaths due to violence rose from a very small 0.1 per 1000 person years in the pre-invasion period to about 1.1 per 1000py afterwards, or 1.67 adjusting for estimated underreporting. This is where the authors get their 151,000 number. The overall death rate rose from about 3.2 per 1000 person years to about 6, an increase of just over 2.8. Depending on whether you use the raw or adjusted estimated rate of violent death this would work out to an overall excess death total of just under 400,000 or just over 250,000. (But this is just a back-of-the-envelope calculation, as the overall death rate isn’t reported.)
Continue reading “Post-Invasion Deaths in Iraq”