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Sat, 27 Nov 2004

Cost of war

In late October, The Lancet published an epidemiological study suggesting that the civilian death toll since the US invasion of Iraq was likely to exceed 100,000 (relative to the projected death rate from pre-invasion demographic figures).

(Note to those who don't believe The Lancet study methodology was accurate: the cluster survey explicitly excluded known hot-spots for violence, such as Fallujah. Neither does it assert that the increased death rate consists of civilian casualties inflicted directly by the occupiers. For a not-too-unreasonable critique of the study, see The Economist's commentary.)

The flip side of the coin has now been revealed: CBS managed to get the Pentagon to admit the true scale of US casualties in Iraq -- and as with the civilian death toll, it's way higher than the news headlines suggest. See, it's impossible to conceal the death toll (1230 troops killed in action), but the injuries are another matter. So far, 9300 troops have been injured in combat -- seriously enough that 5000 were unable to return to duty. Translation: limbs blown off, brain injuries, crippled for life, medical discharge territory. But wait, there's more: over 15,000 troops have been evacuated from Iraq with "non-battle injuries". "Non-battle injuries" covers just about anything not directly inflicted by the enemy -- if you're hit by a bullet it's a battle injury, but if your Hummer swerves off the road to avoid an IED and you break your neck in the resulting crash it's a "non-battle injury". Of course, this covers lesser conditions too -- psychiatric problems, dysentery and other diseases, and so on -- but that's 15,000 medical evacuees who warrant a flight to a hospital in Germany, and 20% of them never rejoin their units.

So the total US casualty count so far is over 25,000, with over 9,000 permanently out of combat (dead or crippled). As 300,000 troops have been rotated through Iraq, that makes for a total casualty rate of around 9%. To draw an analogy to another insurgency in which a western nation got pinned down in street fighting over a period of years, the average rate of attrition is roughly ten times the peak sustained by the British Army during the Northern Ireland Troubles at their worst (circa 1972-74) -- but as the rate of attacks on US personnel is increasing rapidly, I suspect it's much worse than these figures suggest.

[Link(Lancet paper)] [Link(Casualty report)] [Discuss Iraq invasion]



posted at: 14:24 | path: /wartime | permanent link to this entry

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