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17  |  Civilian casualties
138.  The official recalled the limitations of the incident‑reporting process, and
concluded:
“… if HMG [Her Majesty’s Government] really does wish to get into the business of
challenging media and NGO statistics, we would need to open up discussions with
the US and other coalition partners on how to change the incident reporting process
in order that – in future – it attributed blame for civilian killings.”
139.  An FCO official wrote to the Cabinet Office on the same day, setting out how the
FCO intended to contribute to the trial.95 It would report figures compiled by NGOs and
the media but not amend them in any way. To do so would suggest that those NGO and
media figures had some reliability, when the UK’s public line was that they did not. Any
amendments would also make the figures releasable under the Freedom of Information
Act (which would come into effect the following year). The FCO concluded:
“The focus of our work will instead be on the figures produced by the Iraqi Ministry
of Health (MOH) … these too have their limitations. However, we will work with the
MOH during the next few weeks to see if these statistics can be improved.”
140.  On 29 October, as the Government’s trial monitoring period got under way,
The Lancet published a study by the Johns Hopkins Bloomberg School of Public Health
entitled Mortality before and after the 2003 invasion of Iraq: cluster sample survey (the
Lancet study).96
141.  The study was based on a survey of 988 households in 33 clusters. It found
that there had been 98,000 more deaths from all causes in Iraq than expected in the
18 months since the invasion (95 percent confidence interval 8,000–94,000) outside
of Fallujah. There would be “far more” deaths if data from the Fallujah cluster were
included.
142.  The study stated that violence accounted for most of the excess deaths, that
violent deaths were “mainly attributed” to coalition forces, and that most individuals
reportedly killed by coalition forces were women and children. On the causes of death,
the study stated:
“The major causes of death before the invasion were myocardial infarction,
cerebrovascular accidents, and other chronic disorders whereas after the invasion
violence was the primary cause of death.”
143.  There had been an increase in the infant mortality rate, from 29 deaths
per 1,000 live births to 57 deaths per 1,000 live births.
95  Letter FCO [junior official] to Cabinet Office [junior official], 28 October 2004, ‘Iraq: Civilian Casualties’.
96  Roberts L, Lafta R, Garfield R, Khudhairi J and Burnham G. Mortality before and after the 2003 invasion
of Iraq: cluster sample survey. The Lancet 364: 1857-1864 (2004).
195
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