Trends and patterns of deaths, injuries and intentional disabilities within the Libyan armed conflict: 2012-2017.

Mohamed A Daw,Aghnyia A Dau,Abdallah H El-Bouzedi,Florian Fischer

doi:10.1371/journal.pone.0216061

Abstract

BackgroundThe consequences of armed conflicts impose considerable burdens on the economy and health care services, particularly in countries that are not equipped to deal with them, such as in the Middle-East, and North African countries. Little is known about the burden of mortality and injury resulting from the Libyan armed conflict. This study aimed to determine the trends and patterns of mortality, injury and disabilities directly associated with the Libyan armed conflict and analyze the geographic variation within the country during 2012–2107.MethodsData on conflict-related deaths, injuries, and disabilities were obtained from the national registry offices. The information included date, place, and demographic information. A questionnaire was also used to obtain information from the affected individuals and their families. National and regional trends of mortality, injury and disabilities were calculated. Spatial analysis was performed using geographic data available on all documented cases to analyze clustering of mortality and injury.ResultsA total of 16,126 deaths and 42,633 injuries were recorded with complete information during the Libyan conflict from 2012 till 2017. The overall mortality rate was 2.7/1000 population and injury rate was 7.1/1000. The overall male-to-female ratio of mortality and injury was 4.4:1; 42.3% were single and aged 20–30 years old, and 26.4% were aged 31–40 years. Moreover, injuries resulted in death in 20.1% of cases and disability in 33.5% of the cases. Most of the disabilities were caused by blasts, while gun shots resulted in more deaths. The overall mortality and injury rates were highest during 2015–2017. These rates were highest in the eastern region. Injuries were most concentrated in Benghazi and Derna in the east, followed by Sert and Musrata in the central region.ConclusionsConflict-related mortality, injury and disability has inflicted a heavy burden on the Libyan society that may persist for a long time. The rates of these casualties varied in time and place. National, well-planned efforts are needed to address this serious situation and its consequences.

Highlights

Many parts of the world are involved in armed conflicts, the most prominent of which are in Arab countries, including Syria, Iraq, Yemen and Libya
Conflict-related mortality, injury and disability has inflicted a heavy burden on the Libyan society that may persist for a long time
Armed conflicts are a major cause of mortality, injury and disability, imposing heavy burdens on populations, governments, economies, and health care systems worldwide [23,24]

Summary

Introduction

Many parts of the world are involved in armed conflicts, the most prominent of which are in Arab countries, including Syria, Iraq, Yemen and Libya. Armed conflicts always impose heavy burdens of death, injury and disability [1]. It has been estimated that in 2013, 800,000 people sustained war-related injuries that warranted hospital admission, and approximately 310,000 people died as a consequence of collective violence [2,3]. This resulted in over 9% of deaths worldwide with over five million deaths annually [4]. This study aimed to determine the trends and patterns of mortality, injury and disabilities directly associated with the Libyan armed conflict and analyze the geographic variation within the country during 2012–2107

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Conclusion