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Perspective
Volume 358:445-447 January 31, 2008 Number 5
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Estimating Excess Mortality in Post-Invasion Iraq
Catherine A. Brownstein, M.P.H., and John S. Brownstein, Ph.D.

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 by Iraq Family Health Survey Study Group
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There is no set formula for accurately tallying deaths from humanitarian crises. When a population becomes destabilized, estimation of mortality is likely to be severely challenged. In the case of a sudden traumatic event, such as a natural disaster affecting an otherwise stable population, health and human service agencies, though compromised, may well be able to facilitate an accurate assessment of deaths through the use of prospective registries of vital events.

In the event of a military invasion and ongoing war, however, the likelihood of obtaining good demographic data plummets. A death registry is unlikely to be developed or maintained, . . . [Full Text of this Article]


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Ms. Brownstein is a doctoral student in the Department of Genetics at Yale University, New Haven, CT. Dr. Brownstein is a faculty member in the Children's Hospital Informatics Program, Children's Hospital Boston, and an assistant professor of pediatrics at Harvard Medical School — both in Boston.

An interview with Dr. Mohamed Ali of the Department of Measurement and Health Information Systems at the World Health Organization can be heard at www.nejm.org

This article (10.1056/NEJMp0709003) was published at www.nejm.org on January 9, 2008.


Related Letters:

Violence-Related Mortality in Iraq, 2002–2006
Burnham G. M., Mills E. J., Burkle F. M., Luquero F. J., Grais R. F., Gulden T. R., Ali M. M., Mathers C., Boerma J. T.
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N Engl J Med 2008; 359:431-434, Jul 24, 2008. Correspondence

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