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The Report of the Iraq Inquiry
144.  The study stated that there had been 53 deaths in the Fallujah cluster when only
1.4 had been expected. That indicated that there had been about 200,000 excess
deaths in Fallujah. However, the uncertainty in that estimate was “substantial”.
145.  On the same day, following a discussion with the MOD’s Director of News,
Professor Sir Roy Anderson, the MOD’s Chief Scientific Adviser (CSA), “quickly
reviewed” the study.97 His Private Secretary sent his conclusions to Mr Hoon’s Private
Office and senior MOD officials:
“CSA has concluded that the design of the study is robust … He therefore believes
that the paper is a sensible one … and that the results are probably as robust as one
could have achieved in the very difficult circumstances. He therefore recommends
that we should proceed with caution in publicly criticising the paper.
“He would, however, add three caveats. First, extrapolation from a very small sample
size to the whole of Iraq is a weakness … Second, there are weaknesses in the
way that deaths have been recorded … in many cases the only evidence of a death
having occurred, and of the cause of death, was the verbal information provided
from (not necessarily disinterested) family members. And finally … there were
excess of deaths amongst males, possibly indicating that some of those who died
were combatants rather than civilians.”
146.  The Iraq Policy Unit (IPU) sent a copy of the minute to Mr Straw’s Private Office
on 4 November.98
147.  The Iraqi Minister of Health issued a statement on 29 October, offering his
Ministry’s own figures of civilian casualties:
“Every hospital reports daily the number of civilians (which may include insurgents)
who have been killed or injured in terrorist incidents or as a result of military
action. All casualties are likely to be taken to hospital in these circumstances
except for some insurgents (who may fear arrest) and those with minor injuries.
The figures show that between 5 April 2004 and 5 October 2004, 3,853 civilians
were killed and 15,517 were injured. I am satisfied that this information is the most
reliable available.”99
148.  The Lancet study, and the interest shown in it by the media and MPs, prompted a
discussion between Mr Hoon and Mr Straw over whether the MOD or the FCO should
have responsibility for the issue of civilian casualties.100 That discussion would continue,
between senior officials, until December.
97  Minute PS/CSA to MOD Director News, 29 October 2004, ‘Iraqi Civilian Deaths: Lancet Article’.
98  Minute IPU [junior official] to PS/Straw, 4 November 2004, ‘Civilian Casualties in Iraq: Letter to
Geoff Hoon’.
99  House of Commons, Official Report, 17 November 2004, column 94WS.
100  Letter Hoon to Straw, 2 November 2004, [untitled].
196
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