Evidence map›Paper›PMID 38066621›Full record

ArticleConflict and health2023

Attacks on Ukrainian healthcare facilities during the first year of the full-scale Russian invasion of Ukraine.

Dennis G Barten, Derrick Tin, Fredrik Granholm, Diana Rusnak, Frits van Osch, Gregory Ciottone

Abstract read
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Article in Conflict and health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

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26citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Trial
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  3. Trauma stabilization points in armed conflict: operational evolution and strategic reflections from mosul to Gaza.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Dennis G BartenDepartment of Emergency Medicine, VieCuri Medical Center, P.O. Box 1926, 5900 BX, Venlo, The Netherlands. dbarten@viecuri.nl.
Derrick TinDisaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Fredrik GranholmSwedish Air Ambulance (SLA), Mora, Sweden.
Diana RusnakUkrainian Healthcare Center, Kiev, Ukraine.
Frits van OschDepartment of Clinical Epidemiology, VieCuri Medical Center, Venlo, The Netherlands.
Gregory CiottoneDisaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the Geneva Conventions and Rome Statute demand protections for healthcare facilities during war, breaches of these protections are frequently reported. The ongoing war in Ukraine is no exception, with several healthcare attacks eliciting widespread condemnation. The Ukrainian Healthcare Center (UHC) has been collecting, verifying and documenting attacks on health infrastructure since the Russia-Ukraine War was launched. The aim of this study was to assess UHC documented healthcare facility attacks during the first year (24 February 2022 to 25 February 2023) of the full-scale Russian invasion of Ukraine.

methodsThe Berkeley Protocol on Digital Open Source Investigations was used to document healthcare attacks. Data collection included temporal factors, location, facility type, attack and weapon type, number of killed and injured healthcare personnel and civilians, and whether facilities were damaged, destroyed or attacked more than once.

resultsThere were 334 documented attacks on 267 Ukrainian healthcare facilities, with 230 facilities being damaged and 37 destroyed. General hospitals, primary care clinics, emergency departments and children's hospitals were most frequently targeted. The majority of attacks took place during the first three months and in eastern Ukrainian oblasts. Heavy weaponry was employed in almost all attacks. The total number of casualties included 97 fatalities and 114 injuries.

conclusionsDuring the first year of the full-scale Russian invasion of Ukraine, there were 334 attacks on 267 Ukrainian healthcare facilities documented by the UHC. Heavy weaponry was commonly used, and the direct impact of attacks was considerable in terms of facility damage and casualty tolls.

Indexed as

ConflictCounter-terrorism medicineHealthcare attacksHybrid warfareRussia–Ukraine War

Identifiers

PMID38066621
PMCPMC10704854

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