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655,000 post-invasion Iraq excess deaths

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The top British medical journal The Lancet has just published a further report from a team headed by Johns Hopkins scientists that estimates 655,000 post-invasion avoidable deaths (excess deaths) in Occupied Iraq.

For the actual article by Dr Gilbert Burnham et al see: http://www.thelancet.com/webfiles/images/journals/lancet/s0140673606694919.pdf .

WHO data on "annual per capita medical expenditure" (see: http://www.who.int/whr/2006/annex/06_annex3_en.pdf ) reveal that the "annual per capita medical expenditure" in 2003 was $26 (in Occupied Afghanistan), $64 (in Occupied Iraq), $2,874 (in Occupier Australia), $2,399 (in Occupier UK) and $5,711 (in Occupier US). This data unequivocally reveals that the huge post-invasion avoidable mortality in the Occupied Iraqi and Afghan Territories (about 2.7 million as of October 2006; for the September 2006 figures and documentation see: http://mwcnews.net/content/view/9357/26/ ) is largely due to gross violation of international law by the Occupiers through non-provision of requisite life-sustaining requisites as required by the Geneva Conventions (see: http://www.unhchr.ch/html/menu3/b/92.htm ).

Whether an Iraqi child dies violently from Coalition bombs and bullets or from deprivation due to deliberate Coalition "passive genocide", the end result is the same and the moral culpability the same, As top international bioethicist Professor Peter Singer (formerly of Monash University, Melbourne and now at Princeton) has stated : "[those] who deliberately leave a baby to die when they have the awareness, the ability, and the opportunity to save the baby's life, are just as morally responsible for the death as they would be if they had brought it about by a deliberate , positive action."

Articles 55 and 56 of the Geneva Conventions relative to the Protection of Civilian Persons in Time of War (1950) are worth reading in this connection (see: http://www.unhchr.ch/html/menu3/b/92.htm ):

"Article 55. To the fullest extent of the means available to it, the Occupying Power has the duty of ensuring the food and medical supplies of the population; it should, in particular, bring in the necessary foodstuffs, medical stores and other articles if the resources of the occupied territory are inadequate …

Article 56. To the fullest extent of the means available to it, the Occupying Power has the duty of ensuring and maintaining , with the cooperation of the national and local authorities, the medical and hospital establishments and services, public health and hygiene in the occupied territory, with particular reference to the adoption and application of the prophylactic and preventive measures necessary to combat the spread of contagious diseases and epidemics. Medical personnel of all categories shall be allowed to carry out their duties …"

The total post-invasion avoidable mortality in Occupied Iraq has been estimated in various ways based on data from authoritative sources (UN, UNICEF, MIT-funded Johns Hopkins medical scholars) as outlined below.

1. Avoidable mortality (excess mortality, deaths that did not have to happen) is the difference between the actual deaths in a country and the deaths expected for a peaceful, decently-run country with the same demographics. From UN Population Division Data (see: http://esa.un.org/unpp/ and http://globalavoidablemortality.blogspot.com/ ) the post-invasion avoidable deaths in Occupied Iraq and Occupied Afghanistan (as of October 2006) are 563,000 and 2,090,000, respectively, for a total of 2,653,000 avoidable deaths; by way of comparison, the corresponding post-invasion under-5 infant mortality figures are 437,000 and 1,665,000, respectively, for a total of 2,102,000 deaths (i.e. about 80% of the total avoidable mortality). Iraq Body Count (see: http://www.iraqbodycount.net/ ) estimates that 44,000 – 49,000 Iraqi civilians have died violently post-invasion in Iraq.

2. Another way of estimating post-invasion Iraqi deaths due to war is from under-5 infant mortality figures reported and regularly updated by UNICEF (see: http://www.unicef.org/infobycountry/index.html ). Detailed analysis of infant mortality and avoidable mortality for every country in the world since 1950 reveals that for Third World countries "under-5 infant mortality" is about 0.7 times the "total "avoidable mortality" (see MWC News: http://mwcnews.net/content/view/5872/26/ ). Checking the latest data on the UNICEF website we see that 122,000 under-5 year old infants die each year (12 months) in Occupied Iraq from which one can readily calculate 639,000 post-invasion avoidable deaths in Occupied Iraq.

3. A further way has been to consider the initial report by Dr Les Roberts et al (2004) in The Lancet in which they estimated a post-invasion annual death rate of 12.3 persons per 1,000 of population (see: http://www.zmag.org/lancet.pdf ; for critical comment see Wikipedia: Wikipedia article ). Subtracting the annual death rate in impoverished but peaceful neighbouring Syria and Jordan (about 4 deaths per 1,000 of population per year) we get a post-invasion annual avoidable death rate of 8.3 per 1,000. This yields an estimated post-invasion avoidable mortality of 791,000.

4. The present Burnham et al (2006) estimate from a cross-sectional cluster sample survey is of 655,000 post-invasion avoidable deaths (see: http://www.thelancet.com/webfiles/images/journals/lancet/s0140673606694919.pdf ).

There is remarkable agreement between all these estimates that derive from four (4) quite distinct data sets. The only major concern with the analysis is the very high proportion of avoidable deaths attributed to violence in the latest Burnham et al. (2006) study.

Data sets #1, #2 and #3 have been around for several years but have been assiduously ignored in an act of egregious holocaust-denial by racist, lying Mainstream media and politicians. The Coalition leaders complicit in this continuing atrocity – particularly Bush and Blair – should be arraigned on war crimes before the International Criminal Court (see: http://www.countercurrents.org/us-polya211205.htm and http://www.countercurrents.org/arts-pinter081205.htm ).

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3.1
{"commentId":326179,"authorDomain":"djehuty"}

This seems to be a very authoritative study, and it's also a complete outrage. The US hasn't got much excuse to remain in Iraq when it's clearly failing its basic duty to the inhabitants.

{"commentId":326179,"threadId":"47326","contentId":"396817","authorDomain":"djehuty"}
  • 6 votes
Reply#1 - Thu Oct 12, 2006 3:44 AM EDT
{"commentId":326257,"authorDomain":"ISPY"}

The Study checks out. The Number in trhe title is the maximum and even if we take the minimum it is strill horrific. 1 in 40 people have been killed.

{"commentId":326257,"threadId":"47326","contentId":"396817","authorDomain":"ISPY"}
  • 5 votes
Reply#2 - Thu Oct 12, 2006 7:58 AM EDT
{"commentId":326280,"authorDomain":"PamelaDrew"}

It is outrageous and here in America the war is a footnote in the television news and civilian deaths barely mentioned. They prefer to give the Americans lost on a given day and never focus on the totals. Hopefully more people are noticing the omissions.

{"commentId":326280,"threadId":"47326","contentId":"396817","authorDomain":"PamelaDrew"}
  • 4 votes
Reply#3 - Thu Oct 12, 2006 8:21 AM EDT
{"commentId":326623,"authorDomain":"firsty"}

give or take.

{"commentId":326623,"threadId":"47326","contentId":"396817","authorDomain":"firsty"}
    Reply#4 - Thu Oct 12, 2006 11:57 AM EDT
    {"commentId":326990,"authorDomain":"Fady"}

    I grew up in Lebanon and I remember an old joke running around the Middle East: There are 40 million Iraqis; 20 million people, and 20 million portraits of Saddam.

    Maybe the Johns Hopkins folks counted these portraits as part of the census.

    a) Numbers do not add up.
    b) Cannot make an omelet without breaking eggs.
    c) Long term view boys. Keep your eyes on the long term.

    {"commentId":326990,"threadId":"47326","contentId":"396817","authorDomain":"Fady"}
    • 1 vote
    Reply#5 - Thu Oct 12, 2006 3:15 PM EDT
    {"commentId":327426,"authorDomain":"gpolya"}

    I feel compelled to respond to Fady's variously dismissive and incorrect comments.

    The Johns Hopkins researchers are top medical epidemiologists (at least a dozen years of high level professional training each); they are located in a top department (which recently scored a Nobel Prize) in a top US university; they are tops in their field (they established the excess deaths from the Congo conflict using the same expert methodology; they have been lavishly praised by one of Australia's top medical epidemiologists); their scientific paper was peer reviewed and published in one of the very top medical journals.

    (a) the whole point of my article is that the numbers do add up; simple bald contradiction by Bush, his Australian lackey Howard, his war criminal generals or anyone else does not suffice; the estimate of 655,000 post-invasion avoidable deaths made by Dr Gilbert Burnham et al (2006) is very simlar to 3 other estimates made from 3 completely different sets of data.

    (b) Western countries (or indeed any countries) should not be making omelletes of other countries; it is illegal, violates the UN Charter, is in violation of international law and also violates US law (which takes on board treaties signed by the US);

    (c) The short term view according to UNICEF (see: http://www.unicef.org/infobycountry/index.html ) is that in the Occupied Iraqi and Afghan Territories 0.5 million under-5 year old infants die every year, 1,300 each day and one (1) every minute - as Pamela Drew comments: "outrageous".

    Those who knowingly ignore, deny, excuse, minimize, obfuscate, advocate, support or effect gross abuse of Children have crossed the line separating decent humanity from those involved in gross human rights abuse.

    The long-term view according to Bush himself is minmizing the threat of terrorism to the US (although the reality is that Bush and his cronies benefit enormously from terrorism - something that may well explain their outrageous terrorism-exacerbating conduct in gross violation of both national and international interests); America's top intelligence agencies have recently concluded that the Iraq war has increased the threat to the US and the West.

    By continuing the illegal Iraq War Bush and his cronies are ignoring expert US intelligence advice; exacerbating the threat to the US; ignoring expert medical epidemiologists and thus knowingly continuing both active and passive genocide as defined by the UN Genocide Convention; violating the US constitution; imposing a mounting cost on the US - 2,500 US soldiers killed, 20,000 wounded and an all-up cost to the US of $1-2 trillion according to US Economics Nobel Laureate Professor Joseph Stiglitz of Columbia; Bush's warped priorities are estimated to have caused the avoidable deaths of 0.1 million under-5 year old American infants during his Administration.

    Of course by his crude, dishonest, knee-jerk repudiation of the expert Johns Hopkins report, Bush is not just simply lying (again), he is also guilty of "holocaust denial" - something that is profoundly offensive and evil and which is a criminal offence in Israel, France, Belgium, Austria, Switzerland and Germany in relation to the Jewish Holocaust. If denial of the Jewish Holocaust is anti-Jewish anti-Semitism then Bush's flagrantly dishonest denial of the horrendous excess deaths in the Iraq War is anti-Arab anti-Semitism.

    Bush is manifestly unfit for public office. How many Americans have to die (not to mention Iraqis, Afghans, Palestinians, whose next?) before this bizarre, world-threatening warmonger is impeached?

    {"commentId":327426,"threadId":"47326","contentId":"396817","authorDomain":"gpolya"}
    • 4 votes
    #5.1 - Thu Oct 12, 2006 7:55 PM EDT
    {"commentId":327686,"authorDomain":"kingtaj"}

    Gideon, your make several good arguments, but unfortunately they are tainted by your sensationalism. Speaking as one of the many centrist Americans, I am constantly turned off by anti-Bush or otherwise liberal arguments that use defamatory or sensational statements to make their points. It reminds me of a married couple that thinks being louder and more menacing will help persuade their spouse of the merits of their argument. Rather, sensational statements that are clearly emotionally charged tend to turn me away, and I often dismiss the proclaimer as irresponsible.

    The point I am trying to make here is that many left-leaning arguments have very strong positions but are often made in ways that are abrasive to those of us who are attempting to maintain a logical and objective perspective. My advice to people who are against George Bush are to make your points without the name calling and the accusations that have clearly not been established as precedence. Instead, use historical comparisons, legal claims that have some precedence, and demonstrations or evidence of other negative effects. Then acknowledge the positive aspects that may oppose your views. By coming off as a well rounded, well reasoned writer, it is much easier for someone like me who tends to stand towards the center, to empathize with you views.

    {"commentId":327686,"threadId":"47326","contentId":"396817","authorDomain":"kingtaj"}
    • 2 votes
    #5.2 - Thu Oct 12, 2006 11:37 PM EDT
    {"commentId":327734,"authorDomain":"firsty"}

    we've had 6yrs of mild criticism of bush et al. if you cant already see that he's a lying, treasonous, war profiteer, well, there is only so much one can do.

    many realists are simply running out of moderate words to use to try to describe the real state of affairs. after all, it was bush himself who said that he's sticking to using "cut and run" to describe dissenters' position on the war because, as he said, they have a better vocabulary than he does.

    our vocabulary is also limited. if you choose to side with bush's limited vocabulary instead of our limited vocabulary (sarcasm), thats not something we have much control over. but i wish you well with your continued efforts for well-rounded criticism of these sorts of things.

    {"commentId":327734,"threadId":"47326","contentId":"396817","authorDomain":"firsty"}
    • 1 vote
    #5.3 - Fri Oct 13, 2006 12:20 AM EDT
    {"commentId":327774,"authorDomain":"gpolya"}

    KingTaj- thank you for your sensible comment. In general I would agree with your suggested approach.

    However there comes a point at which "excessive diplomatic politeness" (which is certainly not offered to the world's 1 billion or so Muslims by typically Islamophobe Western politicians who routinely link them to "terrorism") becomes "lying by omission".

    Thus, for example, a person who deliberately goes to war on false pretexts and continues a horrendous war when his top intelligence agencies tell him it is endangering the national interests could be fairly described as a "warmonger".

    If refusing service to an Arab in a restaurant is anti-Arab anti-Semitism, what do you call killing 655,000 Arabs?

    Bush only permits a level of "annual per capita medical expenditure" in Iraq of US$64 as compared to US$5,711 in Occupier US - a situation that is associated with about 122,000 under-5 infant deaths per annum in Occupied Iraq (current population 27 million) as compared to 1,000 in Occupier Australia (population 20 million) (see UNICEF: http://www.unicef.org/infobycountry/index.html ) .

    How do you accurately describe such actions?

    Since this is a "linguistic" and "literary" question we should turn for advice to America's and the World's leading expert on linguistics, Professor Noam Chomsky who has described Bush America as the world's number one terrorist state (and that's before Bush invaded Iraq) (see his book "September 11", Allen & Unwin, Sydney 2001). He evidently still holds this view (e.g. see: http://www.nigeriavillagesquare1.com/2004/07/hegemony-or-survival-by-noam-chomsky.html ).

    Since it is a "literary" or "word usage" question we could also turn to a recent Literature Nobel Laureate for his opinion. The 2005 Nobel Laureate for Literature, British playwright Harold Pinter, in his Nobel Prize acceptance speech entitled "Art, Truth and Politics" (delivered by videotape on 8 December 2005; see: http://www.countercurrents.org/arts-pinter081205.htm) accused US President George Bush and UK Prime Minister Tony Blair of war crimes in Iraq. After detailing the huge human cost of decades of violent US interventions in Central and South America, Harold Pinter described the invasion of Iraq as "an act of blatant state terrorism" and called for the arraignment of Bush and Blair before the International Criminal Court, declaring: "How many people do you have to kill before you qualify as a mass murderer and a war criminal? One hundred thousand? More than enough, I would have thought."

    655,000? Much more than enough, I would have thought.

    {"commentId":327774,"threadId":"47326","contentId":"396817","authorDomain":"gpolya"}
    • 2 votes
    #5.4 - Fri Oct 13, 2006 1:27 AM EDT
    {"commentId":329017,"authorDomain":"Rigbee"}

    KingTaj, you are my Hero of the Day.

    {"commentId":329017,"threadId":"47326","contentId":"396817","authorDomain":"Rigbee"}
    • 1 vote
    #5.5 - Fri Oct 13, 2006 6:26 PM EDT
    Reply
    {"commentId":326998,"authorDomain":"firsty"}
    c) Long term view boys. Keep your eyes on the long term.

    imagine reading that as an iraqi citizen.

    fighting in their streets instead of ours.

    for the long term benefits.

    that we control.

    whats a few hundred thousand dead iraqis compared to the long term guarantees that we're providing them, huh?

    {"commentId":326998,"threadId":"47326","contentId":"396817","authorDomain":"firsty"}
    • 1 vote
    Reply#6 - Thu Oct 12, 2006 3:20 PM EDT
    {"commentId":327497,"authorDomain":"regbarc"}

    The study asked X number of families if any of their relatives had been killed, then extrapolated the responses to get the 655,000. I think the original number of the survey is 1800. So, the data isn't an official body county by any means, it's an estimate based on extrapolation from a much smaller number.

    IOW, I don't trust it. Once they get the body count, I'll take it seriously.

    {"commentId":327497,"threadId":"47326","contentId":"396817","authorDomain":"regbarc"}
    • 3 votes
    Reply#7 - Thu Oct 12, 2006 8:41 PM EDT
    {"commentId":327757,"authorDomain":"gpolya"}

    RegBarc - you quite correct to be sceptical in general and more or less correct in your statement of the methodology (except that it must be added that the 1849 households were randomly selected). These are expert medical epidemiologists, their methodology and assertions have been peer-reviewed for one of the world's top medical journals.

    However in this special case there is a regime of brutal, war criminal Occupiers that (in the words of US General Tommy Franks in relation to civilian deaths) "don't do body counts") (see: http://www.iraqbodycount.net/ ) and only permits a level of "annual per capita medical expenditure" in Iraq that is US$64 as compared to US$5,711 in Occupier US - a genocidal situation that is associated with about 122,000 under-5 infant deaths per annum in Occupied Iraq (current population 27 million) as compared to 1,000 in Occupier Australia (population 20 million) (see UNICEF: http://www.unicef.org/infobycountry/index.html ) .

    There is some urgency to get a reasonably reliable extrapolated estimated of avoidable mortality in Iraq because on current UNICEF figures US occupation is associated with 122,000 under-5 infant deaths annually, 334 daily, 14 every hour - in 10 days the "body count" is greater than the number of people who died on 9/11.

    The whole point of my article was that the estimate of 655,000 post-invasion avoidable deaths made by Dr Gilbert Burnham et al (2006) is very similar to 3 other estimates made from 3 completely different sets of data.

    You will be waiting a long time for "the body count". And further, evil occurs because of good men doing nothing.

    I have been a properly sceptical scientist for 4 decades and take the remarkable numerical correspondence of 4 independent estimates of post-invasion Iraq avoidable deaths from 4 separate data sets (all about 0.6 million) as grounds for urgent action for cessation of the carnage.

    As a properly sceptical scientist I don't believe in Heaven and Hell but surely wish for the existence of the latter for Bush and those still supporting his thoroughly evil war policies on the basis of these 4 independent, mutually- corroborating, scientist-supplied estimates of 0.6 million post-invasion Iraqi avoidable deaths.

    {"commentId":327757,"threadId":"47326","contentId":"396817","authorDomain":"gpolya"}
    • 2 votes
    #7.1 - Fri Oct 13, 2006 12:56 AM EDT
    Reply
    {"commentId":328712,"authorDomain":"abenton"}

    Sorry, but similar reports in the past year had numbers extremely more low than this, with almost the same scientific process, something about this doesnt clear right with me.

    {"commentId":328712,"threadId":"47326","contentId":"396817","authorDomain":"abenton"}
    • 2 votes
    Reply#8 - Fri Oct 13, 2006 3:32 PM EDT
    {"commentId":329117,"authorDomain":"djehuty"}

    Please read Gideon's two following seeds which back up these numbers.

    {"commentId":329117,"threadId":"47326","contentId":"396817","authorDomain":"djehuty"}
    • 1 vote
    Reply#9 - Fri Oct 13, 2006 7:57 PM EDT
    {"commentId":331889,"authorDomain":"ROBNC"}
    {"commentId":331889,"threadId":"47326","contentId":"396817","authorDomain":"ROBNC"}
      Reply#10 - Mon Oct 16, 2006 8:39 AM EDT
      {"commentId":331891,"authorDomain":"ROBNC"}
      {"commentId":331891,"threadId":"47326","contentId":"396817","authorDomain":"ROBNC"}
        #10.1 - Mon Oct 16, 2006 8:42 AM EDT
        Reply
        {"commentId":432523,"authorDomain":"joeduck"}

        Gideon -

        The discrepancy with Iraq Body Count - a careful count of reported deaths - must be addressed for the John Hopkins report to attain the credibility it may, or may not, deserve. Also the discrepancy with the UN Study of living conditions in Iraq. The method I've described below will address this issue VERY clearly, in fact definitively, and it is extremely conspicuous that the John Hopkins team refuses to do this, especially given what is at stake in the debate over what the USA will do in Iraq in the coming years. Death counts as high as John Hopkins' almost totally undermine the argument for "staying" in Iraq.

        The issue that keeps me very skeptical of the John Hopkins approach are that researchers say they viewed death certificates in 92% of the cases, yet those who issue certificates (mostly morgues and hospitals) appear to have counts about 1/10th of what John Hopkins researchers found in the field. Also important is that Hopkins says these deaths are overwhelmingly from violence rather than the nonviolent "excess mortality" you discuss above which is a legitimate concern but, surprisingly, does not appear to be a major factor in the Iraq war.

        If you want to undermine the large number of legitimate criticisms of this study (rather than just rant at them) all that needs to be done is to compare the Iraq Body Count specific, real reports with the approx 1800 reported deaths in the John Hopkins' study. If the study is *correct*, then Body Count reports will only account for approximately 1/10th of the study reported deaths (ie for the study to be correct, Body Count has to be missing a HUGE number of certificated death reports). Note you don't need a case by case analysis here because the discrepancy is so huge. You just need to find hundreds of examples where the certificated deaths never made it into the Body Count numbers - this is the smoking gun statistic and nobody seems to want to find it.

        This follow up study would only take a few days and confidentiality could be preserved easily using a small team of researchers who would have access to the information.

        {"commentId":432523,"threadId":"47326","contentId":"396817","authorDomain":"joeduck"}
        • 1 vote
        Reply#11 - Sun Dec 17, 2006 1:10 PM EST
        {"commentId":432760,"authorDomain":"djehuty"}

        Doesn't what you say make the assumption that deaths are being correctly certificated? This is specifically what the Lancet team claim (interview ABC Radio National - date long forgotten, sorry, but I'm sure it will have been repeated elsewhere) is not happening. They say when they talk to people they are shown a certificate, but that morgue records do not contain the same number of certificates. They aren't making claims as to why but the clear inference is that the morgues are being leant on to not issue certificates properly.

        {"commentId":432760,"threadId":"47326","contentId":"396817","authorDomain":"djehuty"}
          #11.1 - Sun Dec 17, 2006 5:03 PM EST
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