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The Report of the Iraq Inquiry
with Sir Kevin Tebbit, MOD Permanent Under Secretary, to secure the MOD’s agreement
to take on that responsibility.
169.  At Cabinet on 11 November, Mr Straw told colleagues that he would be making
a Written Ministerial Statement on the estimate of civilian casualties published by
The Lancet, and that he proposed to make more use of the Iraqi MOH figures, which
were “more reliable”.113
170.  On 12 November, the Iraq Senior Officials Group agreed that there was “potential
advantage” in making more use of the Iraqi MOH’s figures, but the UK needed to
recognise the presentational difficulties of using those figures while “using US figures for
internal planning purposes without publicly acknowledging their existence”.114 It would be
useful to compare the MOH figures with those produced for the Chiefs of Staff by PJHQ.
171.  Mr Straw issued a Written Ministerial Statement on 17 November, responding to
the Lancet study.115 Mr Straw stated that during the period of major combat operations,
the Coalition had made every effort to minimise civilian casualties. He continued:
“Casualties – civilian and military – which have occurred since major combat
operations ended on 1 May 2003 have done so directly as a result of those
determined to undermine the political process.”
172.  Mr Straw rejected the suggestion in the Lancet study that there was a legal
obligation (deriving from Article 27 of the fourth Geneva Convention) for the MNF‑I to
assess civilian casualties.
173.  Mr Straw stated that the UK Government shared the Iraqi Minister of Health’s view,
expressed in his 29 October statement, that the MOH’s information was the most reliable
available. The “running estimate” provided by IBC “suggested” that between 14,284 and
16,419 Iraqi civilians had died since March 2003. While that was “an estimate relying on
media reports, and which we do not regard as reliable”, IBC’s figures did show that the
Iraqi MOH’s figures were not the only ones to differ widely from those presented in the
Lancet study.
174.  Mr Straw stated that the methodology used in the Lancet study had passed
The Lancet’s peer review process and was similar to that used in other cases, but
questioned the data that the survey had produced and hence the findings of the study.
175.  Dr John Reid, the Health Secretary, sent an assessment of the Lancet study to
Mr Straw on 29 November.116 The assessment, which Dr Reid said he had personally
113  Cabinet Conclusions, 11 November 2004.
114  Record, 12 November 2004, Iraq Senior Officials Group.
115  House of Commons, Official Report, 17 November 2004, column WS61.
116  Letter Reid to Straw, 29 November 2004, [untitled], attaching Paper, [undated], ‘Mortality Before and
After the 2003 Invasion of Iraq: Cluster Sample Survey’.
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