Evidence map›Paper›PMID 39813206›Full record

ArticlePLOS global public health2025

The effect of conflict on damage to medical facilities in Mariupol, Ukraine: A quasi-experimental study.

Danielle N Poole, Daniel Andersen, Nathaniel A Raymond, Jack Parham, Caitlin Howarth, Oona A Hathaway, Kaveh Khoshnood, Yale Humanitarian Research Lab

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Review
  5. Article
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

8 authors.

Danielle N PooleEpidemiology of Microbial Diseases Department, Yale Humanitarian Research Lab, Yale School of Public Health, New Haven, Connecticut, United States of America.ORCID https://orcid.org/0000-0002-9845-3571
Daniel AndersenEpidemiology of Microbial Diseases Department, Yale Humanitarian Research Lab, Yale School of Public Health, New Haven, Connecticut, United States of America.ORCID https://orcid.org/0009-0007-7851-9450
Nathaniel A RaymondEpidemiology of Microbial Diseases Department, Yale Humanitarian Research Lab, Yale School of Public Health, New Haven, Connecticut, United States of America.
Jack ParhamEpidemiology of Microbial Diseases Department, Yale Humanitarian Research Lab, Yale School of Public Health, New Haven, Connecticut, United States of America.
Caitlin HowarthEpidemiology of Microbial Diseases Department, Yale Humanitarian Research Lab, Yale School of Public Health, New Haven, Connecticut, United States of America.
Oona A HathawayYale Law School, New Haven, Connecticut, United States of America.ORCID https://orcid.org/0000-0001-5467-7250
Kaveh KhoshnoodEpidemiology of Microbial Diseases Department, Yale Humanitarian Research Lab, Yale School of Public Health, New Haven, Connecticut, United States of America.ORCID https://orcid.org/0000-0003-2795-0447
Yale Humanitarian Research Lab

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medical facilities are civilian objects specially protected by international humanitarian law. Despite the need for systematic documentation of the effects of war on medical facilities for judiciary accountability, current methods for surveilling damage to protected civilian objects during ongoing armed conflict are insufficient. Satellite imagery damage assessment confers significant possibilities for investigating patterns of war. We leveraged commercially and publicly available satellite imagery and cross-referenced geolocated facility data to conduct a pre-post quasi-experimental study of damage to medical facilities in Mariupol, Ukraine as a result of Russia's invasion. We found that 77% of medical facilities in Mariupol sustained damage during Russia's siege lasting from February 24-May 20, 2022. Facility size was not associated with damage, suggesting that attacks on medical facilities are not random but instead may have been the result of intentional targeting. This is the first cross-referenced pre-post census study of the effects of an ongoing conflict on specially protected medical infrastructure.

Identifiers

PMID39813206
PMCPMC11734947

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Registered trials

None linked

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.