Blood On Our Tax-Paying Hands

Washington Post (10/11/2006):

A team of American and Iraqi epidemiologists estimates that 655,000 more people have died in Iraq since coalition forces arrived in March 2003 than would have died if the invasion had not occurred.

The estimate, produced by interviewing residents during a random sampling of households throughout the country, is far higher than ones produced by other groups, including Iraq's government.

It is more than 20 times the estimate of 30,000 civilian deaths that President Bush gave in a speech in December. It is more than 10 times the estimate of roughly 50,000 civilian deaths made by the British-based Iraq Body Count research group.

The surveyors said they found a steady increase in mortality since the invasion, with a steeper rise in the last year that appears to reflect a worsening of violence as reported by the U.S. military, the news media and civilian groups. In the year ending in June, the team calculated Iraq's mortality rate to be roughly four times what it was the year before the war.

Of the total 655,000 estimated "excess deaths," 601,000 resulted from violence and the rest from disease and other causes, according to the study. This is about 500 unexpected violent deaths per day throughout the country.

The survey was done by Iraqi physicians and overseen by epidemiologists at Johns Hopkins University's Bloomberg School of Public Health. The findings are being published online today by the British medical journal the Lancet.

The same group in 2004 published an estimate of roughly 100,000 deaths in the first 18 months after the invasion. That figure was much higher than expected, and was controversial. The new study estimates that about 500,000 more Iraqis, both civilian and military, have died since then -- a finding likely to be equally controversial.

Both this and the earlier study are the only ones to estimate mortality in Iraq using scientific methods. The technique, called "cluster sampling," is used to estimate mortality in famines and after natural disasters.

While acknowledging that the estimate is large, the researchers believe it is sound for numerous reasons. The recent survey got the same estimate for immediate post-invasion deaths as the early survey, which gives the researchers confidence in the methods. The great majority of deaths were also substantiated by death certificates.

"We're very confident with the results," said Gilbert Burnham, a Johns Hopkins physician and epidemiologist.

A Defense Department spokesman did not comment directly on the estimate....

Associated Press (10/11/2006):

...Burnham said the estimate was much higher than others because it was derived from a house-to-house survey rather than approaches that depend on body counts or media reports.

A private group called Iraqi Body Count, for example, says it has recorded about 44,000 to 49,000 civilian Iraqi deaths. But it notes that those totals are based on media reports, which it says probably overlook "many if not most civilian casualties."

For Burnham's study, researchers gathered data from a sample of 1,849 Iraqi households with a total of 12,801 residents from late May to early July. That sample was used to extrapolate the total figure. The estimate deals with deaths up to July.

The survey participants attributed about 31 percent of violent deaths to coalition forces.

Accurate death tolls have been difficult to obtain ever since the Iraq conflict began in March 2003. When top Iraqi political officials cite death numbers, they often refuse to say where the numbers came from.

The Health Ministry, which tallies civilian deaths, relies on reports from government hospitals and morgues. The Interior Ministry compiles its figures from police stations, while the Defense Ministry reports deaths only among army soldiers and insurgents killed in combat.

The United Nations keeps its own count, based largely on reports from the Baghdad morgue and the Health Ministry.