Bilukha Oleg O, Sultan Abdul-Salam Saleh, Hassan Ahmed, Hussain Syed Jaffar, Leidman Eva
Emergency Response and Recovery Branch, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Human Resources Training and Development Center, Ministry of Health, Baghdad, Iraq.
Am J Disaster Med. 2016 Winter;11(1):49-58. doi: 10.5055/ajdm.2016.0224.
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.
Routine prospective injury surveillance operated by the Iraqi Ministry of Health.
Surveillance data were collected from coroner offices in eight pilot governorates: Al-Anbar, Baghdad, Basrah, Erbil, Kerbala, Maysan, Ninevah, and Al-Sulaimaniya.
We analyzed all fatalities from external injury causes recorded between January 1, 2010 and December 31, 2013. Analysis included 32,664 fatal injuries.
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.
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.
在伊拉克经历数年相对稳定之后，伊斯兰国激进组织的出现促使暴力事件再度激增。本研究探讨冲突对整体受伤情况的影响，以估算与冲突相关的受伤死亡比例，并更好地了解暴力如何影响与冲突无关的伤害。
由伊拉克卫生部开展的常规前瞻性伤害监测。
监测数据收集自八个试点省份的验尸官办公室，这些省份分别是：安巴尔、巴格达、巴士拉、埃尔比勒、卡尔巴拉、迈桑、尼尼微和苏莱曼尼亚。
我们分析了2010年1月1日至2013年12月31日期间记录的所有因外部伤害致死的案例。分析涵盖32,664例致命伤害。
在所有报告的伤害死亡案例中，27.1%为与冲突相关的死亡，这一比例与道路交通相关死亡（24.4%）及其他意外伤害（27.5%）大致相同。冲突导致的死亡比例在男性中约为女性的三倍（分别为33.0%和10.3%），在成年人中约为儿童的四倍（分别为29.8%和7.3%）。2010年至2012年期间，伤害死亡总数保持稳定；2013年伤害死亡人数增加主要是由于人际暴力和冲突导致的死亡人数增加。
2010年至2013年期间，伊拉克近四分之一的伤害死亡可归因于冲突，这一比例明显高于该地区其他受冲突影响的国家。伊拉克非冲突伤害的总体情况也与其他未经历暴力的类似社会经济水平国家不同。
