Evidence map›Paper›PMID 39387878›Full record

ArticlePLOS global public health2024

Are hospitals collateral damage? Assessing geospatial proximity of 2000 lb bomb detonations to hospital facilities in the Gaza Strip from October 7 to November 17, 2023.

Dennis Kunichoff, David Mills, Yara Asi, Sawsan Abdulrahim, Bram Wispelwey, Osama Tanous, A Kayum Ahmed, Weeam Hammoudeh, Nadine Bahour, Mary T Bassett and 1 more

Abstract read
In one paragraph

Article in PLOS global public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Maternal and neonatal outcomes in Gaza amid armed hostilities in 2025.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Are We All Post Traumatic Yet? A Critical Narrative Review of Trauma Among Arab Refugees.International journal of social determinants of health and health services · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Guidance for infectious disease care in the face of human conflict: a case-based narrative review.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Dennis KunichoffFrançois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, MA, United States of America.ORCID https://orcid.org/0000-0001-8721-0534
David MillsFrançois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, MA, United States of America.ORCID https://orcid.org/0000-0003-0188-7451
Yara AsiFrançois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, MA, United States of America.
Sawsan AbdulrahimFrançois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, MA, United States of America.
Bram WispelweyFrançois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, MA, United States of America.ORCID https://orcid.org/0000-0001-6716-9829
Osama TanousFrançois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, MA, United States of America.ORCID https://orcid.org/0000-0002-5484-0780
A Kayum AhmedFrançois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, MA, United States of America.ORCID https://orcid.org/0000-0001-6065-9817
Weeam HammoudehFrançois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, MA, United States of America.ORCID https://orcid.org/0000-0001-9733-3087
Nadine BahourFrançois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, MA, United States of America.
Mary T BassettFrançois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, MA, United States of America.
P Gregg GreenoughHarvard Medical School, Boston, MA, United States of America.ORCID https://orcid.org/0000-0002-4934-5670

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After attacks in Israel led by Hamas militants on October 7, 2023, Israel launched a major military campaign in the Gaza Strip that has featured an unprecedented scale of destruction. This has included the use of highly destructive weapons in a densely populated area. Mark-84 bombs (M-84s) are 2000 lb air-dropped explosive munitions with the capacity to damage infrastructure and kill or cause severe injury hundreds of meters away. This study examines the proximity of M-84 bomb detonations to hospital infrastructure in the Gaza Strip. We combined geospatial data on hospital locations across the Gaza Strip with maps of the locations of M-84 bomb craters between October 7 and November 17, 2023, published by CNN and New York Times. We then measured and summarized the proximity of the bomb craters to hospitals across the territory. We identified 592 M-84 bomb craters. Of the 36 hospitals across the Gaza Strip, 25% (n = 9) had at least one bomb crater within the lethal range (360 m) and 83.3% (n = 30) within the infrastructure damage and injury range (800 m) of their facilities. The shortest distance of a bomb crater from a hospital was 14.7 m. Two hospitals had as many as 23 and 21 bomb craters within 800 m of their facilities and one hospital had seven bomb craters within 360 m. Thirty-eight M-84 bombs were detonated within 800 m of hospitals in the Israeli military defined evacuation zone. Given the known blast effect of these M-84 bombs, the impact from the bomb detonations near hospitals likely killed and injured people in and around the hospital area, which could include civilians and hospital staff, and likely damaged hospital infrastructure. The results of this study suggest indiscriminate bombing in dangerous proximities to hospital infrastructure, which is afforded special protection under international humanitarian law (IHL).

Identifiers

PMID39387878
PMCPMC11466298

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.