ArticleBMJ global health2021
Overview of attacks against civilian infrastructure during the Syrian civil war, 2012-2018.
Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 21 citations in OpenAlex.
- Short and long-term health consequences of the 2013 Sarin attack in Ghouta, Syria: a retrospective descriptive study of civilian survivors.Scientific reports · 2026Article
- Prevalence of Substance Use in Northwest Syria: A Cross-Sectional Study.International journal of public health · 2026Article
- Civilian death and injury from airstrikes: evidence from the war in Tigray, Ethiopia.Population health metrics · 2025Article
- The early warning and response systems in Syria: A functionality and alert threshold assessment.IJID regions · 2025Article
- Healthcare workers' perceptions of postoperative care and implementation challenges in conflict-affected northwest Syria: a mixed-methods analysis.BMJ public health · 2025Article
- Exploring relationships between conflict intensity, forced displacement, and healthcare attacks: a retrospective analysis from Syria, 2016-2022.Conflict and health · 2024Article
- The cascading impacts of attacks on health in Syria: A qualitative study of health system and community impacts.PLOS global public health · 2024Article
- Attacks on Ukrainian healthcare facilities during the first year of the full-scale Russian invasion of Ukraine.Conflict and health · 2023Article
- Water and war: The effect of functioning chlorinated water stations in reducing waterborne diseases during conflict in northwest Syria, 2017-2021.PLOS global public health · 2023Article
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Authors and funding
4 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundHundreds of thousands of people have been killed during the Syrian civil war and millions more displaced along with an unconscionable amount of destroyed civilian infrastructure.
methodsWe aggregate attack data from Airwars, Physicians for Human Rights and the Safeguarding Health in Conflict Coalition/Insecurity Insight to provide a summary of attacks against civilian infrastructure during the years 2012-2018. Specifically, we explore relationships between date of attack, governorate, perpetrator and weapon for 2689 attacks against five civilian infrastructure classes: healthcare, private, public, school and unknown. Multiple correspondence analysis (MCA) via squared cosine distance, k-means clustering of the MCA row coordinates, binomial lasso classification and Cramer's V coefficients are used to produce and investigate these correlations.
resultsFrequencies and proportions of attacks against the civilian infrastructure classes by year, governorate, perpetrator and weapon are presented. MCA results identify variation along the first two dimensions for the variables year, governorate, perpetrator and healthcare infrastructure in four topics of interest: (1) Syrian government attacks against healthcare infrastructure, (2) US-led Coalition offensives in Raqqa in 2017, (3) Russian violence in Aleppo in 2016 and (4) airstrikes on non-healthcare infrastructure. These topics of interest are supported by results of the k-means clustering, binomial lasso classification and Cramer's V coefficients. DISCUSSION: Findings suggest that violence against healthcare infrastructure correlates strongly with specific perpetrators. We hope that the results of this study provide researchers with valuable data and insights that can be used in future analyses to better understand the Syrian conflict.
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