Evidence map›Paper›PMID 42116107›Full record

ArticleConflict and health2026

Nighttime lights as a proxy for conflict intensity and infrastructure recovery in Yemen and Ukraine.

Maia C Tarnas, Tetyana I Vasylyeva, Volodymyr M Minin, Daniel M Parker

Abstract read
In one paragraph

Article in Conflict and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Maia C TarnasDepartment of Population Health and Disease Prevention, Joe C. Wen School of Population & Public Health, University of California, Irvine, USA. mtarnas@uci.edu.
Tetyana I VasylyevaDepartment of Population Health and Disease Prevention, Joe C. Wen School of Population & Public Health, University of California, Irvine, USA.
Volodymyr M MininDepartment of Statistics, University of California, Irvine, USA.
Daniel M ParkerDepartment of Population Health and Disease Prevention, Joe C. Wen School of Population & Public Health, University of California, Irvine, USA.

Funding

Quantifying Conflict and its Association with Cholera in YemenF31AI183632 · NIAID · UNIVERSITY OF CALIFORNIA-IRVINE · PI Maia Celine Tarnas · 2025 to 2026
$94k
National Institute of Allergy and Infectious Diseases F31AI183632NIAID NIH HHS F31 AI183632
6 · The paper itself

Abstract

introductionQuantifying the impacts of armed conflict on civilians and infrastructure remains a major challenge, particularly where reporting is limited. Most conflict measurement tools require affected populations to report events and are limited by short time series, under-reporting, and varying methods. These tools do not capture infrastructural rebuilding, which has important health implications. Given this, we demonstrate the utility of nighttime lights (NTL) as a complementary tool for measuring conflict dynamics and infrastructure recovery with an epidemiological application.

methodsWe used monthly NASA Black Marble data to analyze NTL patterns in Yemen (2012-2022) and Ukraine (2019-2024) before and after the onset of large-scale military operations. We calculated month-specific NTL ratios relative to pre-event baselines and assessed the alignment of structural breakpoints, identified using BFAST methods, with aerial attack onset. Generalized additive models were used to measure the relationship between NTL and aerial attacks while accounting for the built environment, population, diesel price (Yemen), and spatiotemporal factors. Finally, we applied NTL to an existing model on the association between conflict, measured via air raids, and cholera in Yemen by replacing the original conflict categories with ones defined by NTL and included a variable for NTL recovery.

resultsMean NTL declined by 53.3% in Yemen and 21.0% in Ukraine following conflict escalation, with detected breakpoints aligning with aerial attack onset in 85.7% of Yemeni governorates and 51.9% of Ukrainian oblasts. Generalized additive models showed that attacks were significantly associated with NTL reductions, independent of built environment factors. Incorporating NTL-based conflict measures into a cholera transmission model for Yemen produced results consistent with attack-based models and found that light recovery was associated with reduced disease risk. DISCUSSION: NTL is a viable tool for measuring conflict and can offer insights on dynamics that are not present in standard tools while avoiding many of these tools' limitations. These data have epidemiological applications and can be a proxy for important events affecting transmission dynamics. While event-based tools have vast utility, NTL can complement them with specific strengths and means of application.

Indexed as

ConflictConflict epidemiologyEarth observationEpidemiologyNighttime lightsRemote sensing

Identifiers

PMID42116107
PMCPMC13335313

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.