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No Smoking in Zion: “Cut it out, you fool”

January 6, 2011 3 comments

I don’t know where this graphic came from, but it’s reportedly an anti-smoking sign from the town of Zion, Illinois, erected in 1915. The second sentence is classic.

Clearly, it was well known that cigarettes caused cancer and strokes, even back in 1915, despite the tobacco industry’s fight against scientific claims that carried well into the 60′s and 70′s.

Zion, apparently, was founded as a Christian oasis in a country fraught with sin by a Mr. John Alexander Dowie. In addition to regular (and popular) faith healings, he was also known for waging a “Prayer Duel” with self-appointed Muslim prophet, Hadhrat Mirza Ghulam Ahmad. Ahmad was a complicated figure himself.

It was said that whoever died first during the duel would be exposed as a fraud. Dowie died a year before Ahmad of alcoholism.

Categories: Health, Historical Data

Afghanistan War: Civilian Death and Health Services

December 23, 2010 Leave a comment

Afghanistan’s health profile could be considered to be the worst in the entire world. Infant (1.65/10 births) and maternal mortality (1.4/100 births) are high and life expectancy short (46 years) (World Bank) After years of warfare, an anti-woman Taliban regime, it can be said that even the most basic of health needs have remained unattended to, largely ignored and out of the public discourse.

In 2002, post invasion, the Afghan Ministry of Public Health along with the World Health Organization, UNICEF and United Nations Population Fund established a framework of basic services, which included essential mother-child health care, basic vaccinations, control of TB and malaria, nutrition and basic mental health services. Tuberculosis and malaria (largely vivax) run rampant throughout Afghanistan. Through the proactive efforts of Rural Expansion of Afghanistan’s Community Based Health Care, health care access in Afghanistan has gone from 40 to 77 percent in the past 8 years, but that still leaves more than 7 million people without any access to even the most basic of care. To put it in perspective, this would be equivalent to the entire population of Michigan having no access to any type of health care at all.

While pictures we see of Afghanistan here are largely from the large population center of Kabul, it is forgotten that Afghanistan is roughly the size of Texas and provides home to nearly 30 million people. Afghan residents are spread in nearly every quarter of Afghanistan and largely have little access to basics such as electricity and schools. One of the poorest countries and lagely inaccessible places on the planet, it is no surprise that the country has massive internal challenges to surpass.

Afghan Health Services

The Afghan MoPH maintains a listing of all Basic Package of Health Services facilities throughout the country and has made a database freely available online. There are nearly 800 facilities spread throughout Afghanistan, consisting of District Hospitals, Basic Health Centers and Mother Child Health Clinics. Kabul has the largest number of facilities at 79. Assuming the 115 District Hospitals accept any Afghani seeking care, the average catchment of an Afghan District Hospital would include nearly 270,000 people. To put this into perspective, Michigan, with a population of approximately 10 million people, has nearly 1,320 hospitals. That’s one hospital for 8000 people. Accounting for population and potential catchment areas, there are hospitals (that are likely understaffed and underfunded) which serve more than 1.7 million potential patients (Chahar Burjak Hospital), whereas hospitals near Kabul and Kandahar which serve less than 200,000 people, still an incredible number when placed against the United States.

Hospital Catchment Areas and Civilian Casualties

It is doubtful that local small health facilities are equipped to handle seriously injured individuals. Thus, civilians wounded in conflict events must either make their way to a district hospital, hope for the best from the local facility or do nothing and potentially die. Thus, it would be of interest which facilities potentially serve the largest number of civilian casualties and where they might be located. The map on the right shows the number of civilian casualties as a function of the underlying catchment population. The units in the legend are odd due the the catchments being in millions, but the relative color scales not. Facilities in the southern districts are disproportionately overloaded due the high number of civilian casualties within their respective catchments.

Geographic Access to Health Services
Hospital access, in addition to overburdend by the sheer numbers of the surrounding population are mostly inaccessible to the Afghan population, as the figure on the left confirms. Accounting for elevation, slope and the rudimentary road system, the brunt of Afghanistan has no access to health services. Most areas of Afghanistan are located more than 300 or more kilometers from the nearest hospital.in developing country contexts, 5 km or more is considered to be a market of lack of access to health services. As in all developing countries, facility utilization is strongly related to proximity to services (O’Donnell 2007).

Conflict Events at Health Facilities

Although completely reprehensible, conflict events do occur at health facilities, particularly those which are located in urban areas. The recent “Afghan War Diary”, unfortunately, confirms that they not only have occurred, but are fairly commonplace. For the purpose of this analysis, I considered any event within 100 meters of a health facility to be at the facility itself. Summing over all the events within the 100m buffer, I discovered that none to as many as 25 events occur at facilities, specifically at the Hilmand District Hospital.As many as 31 people have died in attacks on health facilities, and as many as 13 have been wounded in events on or directly proximal to a hospital or clinic. It is well worth noting, that the largest numbers of attacks on health facilities occurs not within crowded Kabul, but rather in the rural northern areas.

Relationship of Distance from Health Facility to Civilian Casualties

Calculating the mean number of casualties per facility by deciles of distance to health facility from the conflict event, I found that the most casualties occur near facilities. Facilities are often located near infrastructure and market centers, raising the likelihood of civilian casualty should a conflict event occur. yet, this calculation is restricted to actual events. Although the mean difference is only slight, the pattern of decreasing death and injury with distance is striking. However, without data on the distribution of households in relation to health facilities, true effects are difficult to determine.

Environmental Determinants of Civilian Casualties

Using available data from GIS sources, such as elevation, distance to water, distance to roadways and distance to nearest health facility, I was able to relate the number of wounded civilians in a conflict event to environmental variables. Using a negative binomial model to determine the statistical significance of possible predictive covariates, I found a best model included only distance to road and distance to the nearest health facility. In fact, both variables required a quadratic term, and both distance to road and distance to health facilities were related to a sharp decrease in civilian casualties as distance increased. Analyzing the estimated coefficients, I found that civilian deaths were at a minimum at 20 km from the nearest health facility, and 7 kilometers from the nearest road. Both were at a maximum directly at the facility, and at the road. This result is, or course, hardly surprising, as people most often reside close to road and close to infrastructure. Still, the pattern of these two variables was interesting, and more interesting was that both retained significance even when included in the same model.

Call:
glm.nb(formula = CivilianCasu ~ DisttoHF + DisttoHF2 + DisttoRoad + DisttoRoad2,
data = subx, init.theta = 0.05989177641, link = log)

Coefficients:

Estimate Std. Error z value Pr(>|z|)
(Intercept) -0.8944109 0.0708122 -12.631 < 2e-16 ***
Distance to health facility -0.0806837 0.0116815 -6.907 4.95e-12 ***
Distance to health facility^2 0.0023833 0.0003205 7.437 1.03e-13 ***
Distance to Road -7.7975250 2.0432720 -3.816 0.000136 ***
Distance to Road^2 24.6081933 9.8147377 2.507 0.012167 *


Signif. codes: 0 ‘***’ 0.001 ‘**’ 0.01 ‘*’ 0.05 ‘.’ 0.1 ‘ ’ 1

AIC: 14192

Conclusions

The Afghani health system, already strained to the gills with immense public health challenges, suffers under the brunt of a lack of public funds in a non-existent economy, warfare, a dearth of trained physicians and the massive populations which they must serve. That conflict events which result in civilian casualties occur in the proximity to health facilities is unforgiveable and all parties in this senseless conflict would do well to respect the safety of the Afghani civilian population. While the outlook under the present government is miles above that which existed (or didn’t) under the Taliban, there is still much to do.

    References

O’DONNELL, Owen. Access to health care in developing countries: breaking down demand side barriers. Cad. Saúde Pública [online]. 2007, vol.23, n.12 [cited 2010-11-23], pp. 2820-2834 . Available from: . ISSN 0102-311X. doi: 10.1590/S0102-311X2007001200003.

Zwarenstein, M., D. Krige, and B. Wolff. 1991. The use of a geographical information system for hospital catchment area research in Natal/KwaZulu. South African Medical Journal 80: 497-500.

US Bombing of Laos 1965-1973 Part 2: The Movie

December 18, 2010 3 comments

Using STIS (Space Time Intelligence System) from TerraSeer, I was able to make this animated movie of all US bombing events in Laos from 1965-1973. Dots are sized proportional to the total pounds of explosives dropped.

Note what happens when you get to about 1970.

US Bombings in Laos 1965-1973

December 15, 2010 2 comments

During the Vietnam War, the US spread combat operations to neighboring Laos. The US secretly waged widespread bombing runs on nearly every corner of the country, as illustrated by the map on the left. Laos experienced more than 30,000 casualties during the bombings, more than 20,000 people have died since bombing ceased in 1974 due to leftover unexploded munitions, and many more tens of thousands were needlessly displaced. A UN report notes that Laos is, per capita, the most bombed country on the planet, with .84 tons of explosives dropped per person from the years 1965 to 1974.

The true extent of the carnage was not known until Clinton declassified military records for the entire Vietnam War. The US military keeps meticulous records of all combat operations, recording the date, precise location, type and number of aircraft and total pounds of explosives dropped. The Defense Security Cooperation Agency’s Office of Humanitarian Demining has been working with the Laotian government to assist in the clean up of leftover landmines and unexploded ordnance. It is estimated that it may take up to 3000 years to clean up all unexploded ordnance in Laos alone.

The U.S. Government spent nearly 17 million dollars every single day to bomb Laos. What it has spent to clean it up, is, as of yet, a pittance (2.7 million a year) and the State Department has reduced this amount even further for 2011. Over 280 million bombs were dropped on Laos. It’s estimated that up to 80 million of them never exploded.

It is through a Laotian demining group that I was able to get a hold of this data set.

The Pattern of Bombing

The United States bombed Laos almost daily for nine years, a country we were not even at war with. Out of 2,858 total days, the United States Air Force bombed Loas for 2,290. Even the Air Force gets weekends and holidays off. Things got really intense in 1968-70 during Operation Menu (Nixon’s secret bombing campaign of Cambodia and Laos), and then spiked again just before the Vietnam War ended.

The military, as in Afghanistan and Iraq, followed seasonal bombing patterns, peaking in summer and falling back during the Christmas season. A time series decomposition confirms an overall peak in 69 to 70, but while the number of bombing runs may have peaked then, the intensity was only magnified. As larger and larger planes came in to the fold (such as the B-52) and smaller craft such as the A-1′s became phased out in favor of the F-4′s, the US military became more efficient in it’s bombing runs, becoming able to drop more tonnage of explosives using fewer aircraft. (It’s incredible what you can learn from data)

The Spatial Distribution of Bombing

Density of bombing events in Laos. Dark means more dense, light mean less dense.

The United States bombed nearly every quarter of Laos, but some areas were hit worse than others. In particular, the eastern end of the southern part of Laos, and the area around the province of Xieng Khouang. Areas along the Thai and Cambodian borders suffered less bombing but probably experience the largest influx of refugees.

Relative to the population Xieng Khouang had the largest tonnage of explosives per person dropped on it, followed by the Southernmost province, Attapu. Bombing runs were not uniformly spread across provinces, but appeared to target specific areas more than others in terms of overall tonnage dropped. There appear to be specific hot spots in the south, which could represent any number of things, but none of which are in this data set.

Pounds of explosives dropped per person. Population data was drawn from a 1995 census.

IDW interpolation of pounds of munitions dropped. Note heavily concentrated spots in the middle of the country, and in the south.

Conclusions

The Vietnam War is widely perceived as having been an incredible policy blunder. That the American government was unwilling to cut it’s losses and stop early was not only a sign of incredible American arrogance, but has resulted in decades of ruined economies, loss of life, and a series of disastrous South East Asian governments, not the least of which was the brutal regime of the Khmer Rouge. This data set, while historically important, should also serve as a reminder of things to come, as the aftermath of the invasion of Iraq comes to the fore. It’s unfortunate that while the Vietnam war is a part of the daily lives of all Laotians, that it rarely registers on the radar of the average American, and if it does, it’s considered to be a problem exclusive to those who served. While the effects of the war on those who fought in Vietnam cannot be understated, the incredible burden that generations of Laotians will experience cannot be forgotten.

Knowing that we were not at war with Laos, the most troubling part of this data set is realizing the incredible monetary expense of the operation. 17 million dollars per day. More than 4 million tons of explosives were levied on Laos. All of which were provided by private contractors such as McDonnell Douglas. I could imagine (although I have no evidence), that the bombing campaigns were less strategic and more corrupt, a dangerous collusion of profit and policy. The secrecy surrounding the bombings make me all the more suspicious. The connections between defense contractors and actions in the Vietnam War and the possibility that the War was extended by those with monetary interests is well worth pursuing. Investigations into the mistakes of Vietnam could go far to inform present day discussions of the merits/demerits of entering long term conflicts. Of course, in the case of Iraq, the milk has already been spilled.

War is devastating in the long term for the US economy. Government spending which could be used to invest in infrastructure and social development projects, is diverted to support an endless war effort. In the short term, however, defense contractors and those involved in defense manufacturing profit. It has been suggested that the workers during the Vietnam war were dependent on defense related manufacturing, so much so, that Reagan’s promises of expanding defense spending helped usher him in office. While our manufacturing jobs may trickle overseas, defense manufacturing must remain in the United States. This creates an internal economy that is dependent on endless war around the world, supported by people who don’t have to fight it. Remember the incredible uproar over the cancellation of the F-22?

I don’t know where I stand on Chomsky besides thinking that he has interesting opinions, but I found this clip interesting. It would be worthwhile to know whether his claims can be verified or not:

___________________________________________________________

References
NRA, “National Survey of UXO Victims and Accidents, Phase 1,” Vientiane, undated but 2009, p. 39.

Slavery Voyages Database

December 12, 2010 3 comments

Between 1513 and 1867, more than 10 million people were brought to the Americas as slaves. It’s a miserable chapter in human history, yet played a disgustingly key role in the creation of the United States. Researchers at Emory University have gathered records from more than 35,000 slavery voyages and created slavevoyages.org, a research tool that allows you not only to download their incredible data set, but also to create your own reports and visualizations.

Of course, it is estimated that between 12 and 27 million people live in slavery in 2010. In absolute numbers, that’s more than at any time in human history. More than 1.3 million children are trafficked every year, and more than 300 million people, mostly women and children, while not considered slaves in the traditional sense, work under conditions of forced labor. We have much to do.

ACLED Database: Conflicts in Africa 1997-2010

November 9, 2010 Leave a comment

While at this year’s ASTMH meetings, I happened upon a fantastic poster featuring conflicts in the DRC as associated with malaria outcomes in children. While I won’t go into the specifics of that particular research (paper forthcoming I assume), I will present this map of conflicts in Africa from 1997-2010 that I created from the ACLED database. Conflict is ubiquitous in central Sub-Saharan Africa, bleeding like a festering cancer throughout Central Africa. Border violence upon civilians is unfortunately common. Over here, in the United States, we are too busy being distracted by idiots like Michelle Bachmann to be concerned about what happens halfway around the globe but make no mistake, our economic downturn likely has grave effects for civilians caught in the crossfire of these senseless conflicts, as aid money dries up, political will disintegrates and good governance and African growth fall to the wayside.

There has been a disturbing uptick in conflicts in the past 3 years after a considerable drop during our economic boom years. However, violence against civilians continues, fueled likely in part to oil and resource grabs by first world countries, and a wide availability of guns from around the world. In particular, billions of dollars of American weapons flowed into Africa during the 90′s under the Clinton admin. Africans will use whatever they have as long as they can. Weapons don’t just go away and US and European small arms manufacturers profit at the expense of kids in Africa, while the US government, in bed with the gun industry, turns a blind eye. Ironically, it has been suggested that guns and supplies which flow into Africa to fuel these stupid conflicts are manufactured in part using US prison labor through the US government’s sanctioned slave labor unit UNICOR for not more than $1.15 an hour, labor which largely consists of the descendants of African slaves.

While this post is rife with sweeping generalizations and unsupported conclusions, in my mind it is highly likely that American big business profits off chaos. As long as people argue and fight, markets for violence are created. As long as Americans are distracted with their own political chaos as encouraged by the American right, these companies will freely operate in the shadows. Citizens are easy to control when they feel that they are in danger and power for business easy to consolidate.

Iraq Wikileaks War Diary Part 3

October 28, 2010 2 comments

Today, I made a short video documenting all combat incidents involving deaths (in Michigan colors no less). I mapped the kernel density of the points using the spatstat package in R. You can watch the entire Iraq War in just over 1 minute!

Using this method to visualize the war presents some really interesting results. The war starts out and conflict pretty much occurs all over the place. Around the time of the surge, fighting becomes intensely concentrated around the Baghdad area, but quiets down for the rest of the country. Events slowly start to move north, so that all of Baghdad and the northern area are regions of intense fighting. By the end of 2009, things begin to quiet down again, but with some sporadic events spread over the countryside again.

At the time of the surge, I am reminded of Agent Based simulations, and wonder if the increase in intensity of fighting in Baghdad actually propagates itself, forcing insurgents to concentrate resources in Baghdad at the expense of the rest of the country. As fighting dies down, and need for fighting decrease, insurgents leave the city, taking the fight with them. My theory would be that intense fighting concentrates combat events more, whereas mid-level and low intensity fighting allows conflict to spread geographically, due to distribution of resources.

As the surge increased the number of US soldiers in Baghdad, insurgents were forced to concentrate their resources withing the city, reducing their ability in fighting for control of outlying areas. Clearly, this is to the strategic advantage of the Occupying force, as they do not need to expend incredible resources fighting a war over a large geographic space, and, with superior firepower and technology, they are able to quash a large number of insurgents in a small amount of time. It could be a bait and trap tactic, but clearly it is to the incredible disadvantage of the civilian population. While likely not the target of US forces (seriously, what would be the merit in that?), they clearly become a target of insurgents and candidates for widespread suicide terror campaigns. Insurgent deaths are maximized at little financial and temporal cost, but civilians become caught in the cross-fire and become an easy target of fear-based propaganda strategies. Whether this was truly the strategy behind the surge, is up to speculation. It’s also very possible that insurgents had previously moved into the Baghdad area with the same strategy. Obviously, this isn’t something I have thought through very deeply, but it’s worth exploring.

Wikileaks Iraq War Diary 2004-2009 Part 1

October 24, 2010 6 comments

After being told that it was a hoax (by a kind reader of this blog who didn’t really say it was a hoax), Wikileaks released more than 400,000 military records from the Iraq war covering the years from 2003 to then end of 2009. This data will likely be ignored in the present political climate, but the historical and scientific significance of this data dump cannot be underestimated. It’s shocking really, that nearly a decade fighting two major wars, tens of thousands of American and civilian dead and trillions of dollars later, the Afghan and Iraq wars are a mere blip in a political climate that would allow a moron like Christine O’Donnell the chance to fill a Senate seat. We have truly become a Confederacy of Dunces, in the worst way imaginable.

The current press is touting this massive database as a smoking gun in the American involvement in Iraq, and will most likely play up the juiciest and most damning elements. There will be analyses of further torture past Abu Ghraib, civilian death counts which do not match previous estimates, but in all the finger pointing, the true extent of human costs of the war will be lost. It is to this end that I seek to inform and not blame. The war was wrong, based on lies and sold to an uninformed and uninterested American public coming out of 9/11 and still weighing the meaning of being drawn into a state of vulnerability to international terrorism that many other countries had been living in for decades. I do not present my analysis to point a finger at anyone as the players in the Iraq War are so many and the intricacies far outside my area of knowledge.I merely wish to illustrate the incredibly meaningless costs of warfare, through the scientific tools at my disposal. To this end, I will be presenting a series of statistical analyses of the Iraq War over the course of the next week.

Data: The full data set contains more than 400,000 records, but I have limited my working dataset to only those records which contain deaths. There are four categories of people contained in the data set, friendly (coalition), enemy, Iraqi army and civilian. Both numbers of dead and numbers of wounded are noted, but record keeping may or may not be 100% accurate. However, given the large number of records, it is quite likely that a significant percentage of them reflect more or less accurate numbers.

The map in the upper left of this post represents points of all deaths in Iraq between the beginning of 2004 and the end of 2009. Incidents are recorded for nearly all populated locales in Iraq, particularly those along major roads. Baghdad, of course, has the largest number of incidents. Breaking these up into civilian and coalition casualties, we get a more complete picture of how violence is distributed within the country. The maps below represent full country deaths and wounded, with dots proportional to the number of casualties. Larger dots mean more casualties noted in the record for that day, smaller dots mean less. Dots in all of the maps are to the same scale. That is, the size of each dot represents the same number of casualties in both civilian and coalition casualty maps below.

The differences between the two are striking. Many, many more civilians die and become wounded in conflicts than US and coalition forces. This is not to belittle casualties within the military, but the number are beyond disproportionate. Zooming in one Baghdad, the disparity is even more pronounced:

Whereas civilian deaths and wounded are splattered over Baghdad indiscriminately, US and coalition casualties are rather limited. Of course, the US military has the advantage of armored military vehicles, body armor and weaponry, but it cannot be denied that the greatest toll in human life is waged by the insurgency itself through suicide bombings, conflicts in open air markets and free for all urban warfare. Our presence in the country likely created the conditions necessary for such carnage, but I doubt that the American public ever had any clue as to the extent. Maps such as these make it clear the extent to which the Iraqi people have suffered and the stupidity of warfare.

Next: Time Series Analysis of the Iraq War Diary

Afghan Wikileaks War Diary Part 3: Cycle of Violence?

October 14, 2010 1 comment

Yesterday, I posted an excellent paper on the Israel-Palestine conflict. In the paper, the authors used econometrics techniques to determine whether Israel reacts to Palestinian attacks, Palestine reacts to Israeli attacks, or both.

A few months ago, I had posted a series of analyses on the War Diaries posted on Wikileaks detailing a number of actions throughout the Afghanistan War. To reiterate, the database contains meticulous records of every military action from 2003 to the end of 2009. Within each record, is the number of military killed or wounded, the number of civilians killed or wounded and the initiator of the conflict, be it friend or enemy. There is other important and detailed information, but mostly, I am concerned about civilian casualties and who was responsible for the conflict.

The time series, detailing civilian casualties from 2003-2008 is below. There are two, of course, one representing enemy initiated conflicts (red) and the other friendly initiated conflicts (blue). Note the difference in scales.

Now the question is, do friendly initiated actions resulting in civilian casualties encourage enemy retaliation, do enemy initiated actions induce friendly retaliation, or both? Basically, I would like to know if the American presence agitates conflicts which result in civilian death or if the opposite is true. Using the MSBVAR package in R, I made use of the impulse response function, which tracks the level increase in one time series (response), given a change in another (shock).

In essence, what this will tell us, is the excess number of persons killed or wounded in a subsequent conflict, given an action by either side. As an example, assume that the American military conducts a military action and that action results in civilian death. Does that action result in an enemy lead to a retaliation which will also results in civilian death? Let’s check out the plot below:

What we can see here, is that an enemy lead action, will result in an extra 15 civilians being killed the following day in another enemy lead action. Enemy lead actions result in an approximately .3 extra persons dying three days later in a friendly lead conflict. Friendly lead actions do not result in enemy lead action, but friendly lead conflicts do result in a number of people dying in another friendly lead conflict the following day. From a probability standpoint (and a separate and not noted here graph), an enemy lead action will mean that there is a 50 percent chance of a civilians dying in an enemy lead conflict the next day and a 15% probablity that a civilian will die in a friendly lead conflict three days later. Friendly lead conflicts do not appear to result in more civilian deaths later on from enemy lead actions, but do lead to a 50 percent chance of someone dying in a friendly lead action.

What does this mean? Well, assuming that the categorization of “friendly” and “enemy” lead actions is correct, this means that action lead by the American military do not provoke enemy retaliation as the common wisdom would suggest, but that enemy attacks are self-determined events lead for their own interests (which could include ejecting us from their country). Of course, this methodology only tracks temporal sequences and does not indicate causality, nor does it provide insight into big picture attitudes and motivations of Taliban battle tactics. It’s likely that our presence may motivate attacks, but that our military actions do not. This question, however, cannot be evaluated through data.

Afghan Wikileaks War Diary Part 2: Updated

July 26, 2010 7 comments

Yesterday, Wikileaks posted more than 76,000 records of military actions in Afghanistan covering the years 2004 through the end of 2009. At this point, just about everyone in the world has heard about the data set and discussion as to potential damage to military strategy and policy in Afghanistan has already begun. My opinion is, that no matter how damning the records may be, these are records of historical incidents and if we be damned, then we be damned. Whoever leaked this data should get a medal. This is what we as tax-payers in a free democracy demand. Remaining above board and transparent in our military efforts will go a long way to keeping the world straight.

However, news coverage of the Afghanistan conflict vastly overlooks the incredible human cost that has been incurred in the nearly 10 years that the United States military has been there. How can it not? Media coverage of foreign wars is like watching a kung fu movie without subtitles. The average American feels no common ground with the persons depicted, and a war torn, impoverished country is about as far away from typical American life as the moon is. This data set is important because it carefully details the wounded and the killed among the civilian population in frighteningly precise numbers. Our military has kept a careful and meticulous count of a populace who mostly seem to be caught in the crossfire from elements who have little interest in Afghanistan’s future (ourselves included).

Last post, I presented two maps, one representing civilian wounded and the other civilians killed. To create context for what follows, I present them again:

The center of Afghanistan is largely mountainous and uninhabited. From these maps, it’s clear that the Afghan conflict has touched nearly every community across the entire country. Given the extended conflict with the Soviet Union in the 1980′s, the brutally medieval Taliban regime of the 90′s and the ubiuitous nature of the present conflict, it’s hard to believe that the average Afghani knows anything but war and violence at this point.

District Level Civilian Deaths

Afghanistan is divided into 388 administrative districts much like the United States is divided into 50 states. Boiling the point data down to the district level, we can sum the number of civilians killed, divide that number by the size of the surrounding population and generate a map of the percentage of the population that has been killed in a district. Raw counts of deaths are interesting, but we also would like to know how that raw number stands in relation to the size of the surrounding population. We can extend this pseudo-percentage to represent a probability of being killed as a civilian in these district. Most of the killing occurs in the southern part of the country along the Pakistani border as could be seen in the point based map above. In this map, however, we can spot a couple of hot spots in the north, that have experience a disproportionate number of civilian deaths relative to their population size. The populations that reside in the darker areas experience the greatest risk of being killed in a conflict event.

Civilian Casualties in Events Instigated by Friends and Enemies

The data includes not only the numbers killed, but also the instigator of the event, be it “Friend” (the US and other Coalition forces) or “Enemy” (presumably, everyone else). There were 3255 events that involved wounded civilians and 1718 which included civilian deaths. Apparently, the “Enemy” is much better at killing and wounding civilians than the United States, assuming that the party that fired first was responsible for the brunt of the civilian deaths. In overall numbers, enemy led events resulted in more than 7 times the number of wounded as coalition led events, and more than 20 times the number killed. Enemy instigated events resulted in a 1 to 2 ratio of deaths to wounded, where coalition led events were 1 to 5. Comparing the data to the number of operations, I found that that enemy instigated events involving 1 or more civilian casualties resulted in twice as many deaths as US instigated events and three times as many wounded. Of course, the designation of the instigating party lies in the American military’s hand, and could very well be up to interpretation. However, given the incredible amount of data, we can at least assume that it’s correct at least some percentage of the time.

Civilian Wounded and Killed over Time

The United States entered Afghanistan shortly after Sept 11, 2001. The data begins at January 1st, 2004, leaving a three year blank. However, it is clear from a time-series plot of the data that the conflict has only increased since 2004. Below is a time series decomposition of the data from Jan 1st, 2004 to Dec 31st, 2009. The first of the four plots is the raw time series of civilians killed daily by all instigators. All time series are made up of three components: trend, seasonality and noise. Trend is what you would think; it is an increasing or decreasing pattern of change over time. Seasonality is like the weather seasons; it is a predictable pattern of events over a cycle. Noise is just what is says, random events that happen without any discernible pattern. The trend component is the most striking. Not only are civilians at risk for death from armed conflicts, but this pattern of death has only increased over the past 6 years. If you look at the seasonal plot, you can spot 6 fairly distinct humps; deaths increase in the summer months and wane in the winter.

Combatants Wounded and Killed Over Time

That civilians are meaninglessly killed and wounded is unforgivable. However, the costs in human life and welfare do not stop at the civilian body count. Combatants on both sides (all sides?) of the conflict has exhibited massive casualties over the course of the conflict and this will be of particular interest to policy makers on this end of the globe. The benefits and costs of continuing the war will likely hinge on the American body count, which is inherently related to the American electorate.

The spatial distribution of US and coalition forces killed indicates that the highest numbers of casualties are southwest region of the country. Specifically, the brunt of the killing occurs in the Hilmand, Kadahar, Farah and Uruzgam provinces.

Below, I present a time series decomposition of the number of Coalition combatants killed over time, i.e. US and other NATO forces. Trend is evident. The number of coalition combatants being killed has been increasing over the course of the war and shows no evidence of stopping. Seasonal patterns are frighteningly clear. More coalition forces are killed in summer than winter, and the pattern is easily predictable.

A plot of enemy killed vs. coalition members killed indicates that the number of number of enemy combatants killed increases slightly as the body count of coalition forces increases, but that this relationship may be a 1/x sort of relationship (although I couldn’t get the line to plot. later!). Basically, overall, enemy casualties increase with larger numbers of dead coalition combatants, but generally, when the number of enemy combatants killed is very high, coalition members don’t die very much, but when the number of dead coalition members is very high, there are low numbers of combatant casualties. So we play this game, and somehow we meet in the middle and neither gets anywhere.

Conclusions

What’s the conclusion here? War is bad. Period. People die and suffer and the wounded often remain that way for life. From the data here, we can learn at least that. We can also assume that non US and Coalition groups are responsible for not only larger numbers of casualties, but are also better at getting a good amount of civilian blood for their buck. While much of the point of releasing the data is to demonstrate that the US military is evil and hell bent on killing people wherever it can for money and gold, an idea which I may or may not always agree with, I think that we can conclude that the data is even more damning for those who seem to want to take control of the country at the expense of it’s local population. While it is certainly true that the US forces there cause death and destruction merely by being there, I think that everyone can agree that the killing just needs to stop and the solution may not be to simply for the US to pack up, leave and let it be someone else’s problem. The troubles in Afghanistan go much deeper than simply flawed American policy. Staying is obviously not much of an option either. I am no expert on the Afghan war, nor on Afghan history and politics, nor even on military policy. Regardless, the facts stand that the great costs in human welfare and life are increasing and showing little sign of letting up. My conclusion? Stop the killing, please.

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