ArticleBMJ global health2022
Conflict-related excess mortality and disability in Northwest Syria.
Article in BMJ global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Causes of mortality in humanitarian crises requiring coordinated response: a scoping review protocol.BMJ open · 2026Article
- Public perceptions of mortality studies in conflict-affected areas of the Eastern Mediterranean Region: an exploratory study.Conflict and health · 2026Article
- Fragmented geographies and trauma pathways in the Middle East.BMJ global health · 2026Review
- From ground realities to policy: a framework for assessing multipolar health system governance in conflict-affected and high-risk areas.Globalization and health · 2026Article
- Monitoring mortality in fragile and conflict affected settings.BMJ (Clinical research ed.) · 2025Article
- Civilian death and injury from airstrikes: evidence from the war in Tigray, Ethiopia.Population health metrics · 2025Article
- Measuring conflict related mortality in ten countries of the WHO Eastern Mediterranean Region (2004-2024): A scoping review.PLOS global public health · 2025Article
- Syndemic geographic patterns of integrated diseases during the Libyan armed conflict; a new aspect for public health care intervention?Frontiers in epidemiology · 2025Article
- The impact of humanitarian aid on financial toxicity among cancer patients in Northwest Syria.BMC health services research · 2024Article
- Level of and factors associated with foot self-care among people with diabetes in Idlib Province of Northwest Syria: A cross-sectional study.Health science reports · 2024Article
- Demographics and risk factors for suicide in Syria: A retrospective media content analysis of online news sources.Global mental health (Cambridge, England) · 2024Article
- Health aid displacement during a decade of conflict (2011-19) in Syria: an exploratory analysis.BMC public health · 2023Article
- Adult mortality patterns in Yemen before and during armed conflict: evidence from a web survey of the global diaspora.Conflict and health · 2023Article
- An analysis of humanitarian and health aid alignment over a decade (2011-2019) of the Syrian conflict.Conflict and health · 2022Article
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Authors and funding
5 authors.
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Abstract
introductionThe Syrian conflict that started in 2011 has been ongoing for over a decade without an end in sight. Estimates regarding excess mortality and conflict-related disability vary widely, and little field research has been done to address this topic.
methodsA population-based field survey was conducted from 10 to 18 November 2020 in Northwest Syria. Forty-nine clusters were selected using staged sampling based on predefined population distribution maps. Data were collected for the period from 2000 to 2020 and were divided into pre-conflict (2000-2010) and conflict (2011-2020) periods. Mortality rates were compared using the Mann-Whitney U test, and p<0.05 was considered statistically significant.
resultsA total of 1483 households were surveyed, for a population of 12 268 people. The crude mortality rate increased 3.55 times between the two periods (p>0.001). In total, 54.3% of war-related deaths were caused by aerial attacks. Despite the continued increase in mortality rates during the conflict period, most deaths from 2017 onwards were related to non-violent causes. Overall, directly and indirectly, the conflict seems to have caused approximately 874 000 excess deaths. A total of 14.9% of households reported having at least one substantial violence-related disability since 2011.
conclusionThe conflict caused the tripling of mortality rates in Syria. The estimated excess mortality in our study is higher than previous estimates. From 2017 onwards, most conflict-related deaths were due to non-violent causes. There is a high prevalence of violence-related disabilities in the studied communities. Our data could prove useful for health policymakers.
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