Dramatic increases in infant mortality, cancer and leukaemia in the Iraqi city of Fallujah, which was bombarded by US Marines in 2004, exceed those reported by survivors of the atomic bombs that were dropped on Hiroshima and Nagasaki in 1945, according to a new study.
Reporting on the new findings in today's Independent, Patrick Cockburn
underlines that Iraqi doctors in Fallujah have complained since 2005 of being overwhelmed by the number of babies with serious birth defects, ranging from a girl born with two heads to paralysis of the lower limbs. They said they were also seeing far more cancers than they did before the battle for Fallujah between US troops and insurgents.
Their claims, writes Cockburn, have been supported by a survey showing a four-fold increase in all cancers and a 12-fold increase in childhood cancer in under-14s. Infant mortality in the city is more than four times higher than in neighbouring Jordan and eight times higher than in Kuwait.
Dr Chris Busby, a visiting professor at the University of Ulster and one of the authors of the survey of 4,800 individuals in Fallujah, said it is difficult to pin down the exact cause of the cancers and birth defects. He added that "to produce an effect like this, some very major mutagenic exposure must have occurred in 2004 when the attacks happened".
US Marines first besieged and bombarded Fallujah, 30 miles west of Baghdad, in April 2004 after four employees of the American security company Blackwater were killed and their bodies burned. After an eight-month stand-off, the Marines stormed the city in November using artillery and aerial bombing against rebel positions. US forces later admitted that they had employed white phosphorus as well as other munitions.
The survey was carried out by a team of 11 researchers in January and February this year who visited 711 houses in Fallujah. A questionnaire was filled in by householders giving details of cancers, birth outcomes and infant mortality. Hitherto the Iraqi government has been loath to respond to complaints from civilians about damage to their health during military operations.
The study, entitled "Cancer, Infant Mortality and Birth Sex-Ratio in Fallujah, Iraq 2005-2009", is by Dr Busby, Malak Hamdan and Entesar Ariabi, and concludes that anecdotal evidence of a sharp rise in cancer and congenital birth defects is correct. Infant mortality was found to be 80 per 1,000 births compared to 19 in Egypt, 17 in Jordan and 9.7 in Kuwait. The report says that the types of cancer are "similar to that in the Hiroshima survivors who were exposed to ionising radiation from the bomb and uranium in the fallout".
Researchers found a 38-fold increase in leukaemia, a ten-fold increase in female breast cancer and significant increases in lymphoma and brain tumours in adults. At Hiroshima survivors showed a 17-fold increase in leukaemia, but in Fallujah Dr Busby says what is striking is not only the greater prevalence of cancer but the speed with which it was affecting people.