Order Code RS22126
April 26, 2005
CRS Report for Congress
Received through the CRS Web
U.S. Military and Iraqi Casualty Statistics:
Additional Numbers and Explanations
Hannah Fischer
Information Research Specialist
Knowledge Services Group
Summary
This report provides several estimates of difficult-to-find casualty statistics from
Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). Operation
Enduring Freedom includes ongoing operations in Afghanistan, operations against
terrorists in other countries, and operations supporting foreign efforts to defeat terrorists.
Operation Iraqi Freedom includes the invasion of Iraq and all subsequent operations in
Iraq.
The Department of Defense regularly updates total U.S. military deaths and
wounded statistics from OIF and OEF. These updates are reflected in CRS Report
RS21578, Iraq: Summary of U.S. Casualties. Daily updates can be found at
[http://www.defenselink.mil/news/], while more detailed information can be found at
[http://www.dior.whs.mil/mmid/casualty/castop.htm]. However, the Department of
Defense does not publicly release numbers on Iraqi civilian deaths, Iraqi security forces
deaths, or medical evacuations of U.S. military personnel outside of Iraq. Statistics on
these topics are sometimes available through alternative sources, such as nonprofit
organizations or the press.
Many of the statistics included in this report are incomplete or have been released
by non-governmental sources. Readers should exercise caution when using these
statistics and should look on them as guideposts rather than as statements of historical
fact. This report will be updated as needed.
Iraqi Civilian Casualty Estimates
No source has yet released authoritative statistics on the total number of Iraqi
civilians killed during OIF. However, in a discussion with a Reuters reporter, interim Iraq
Human Rights Minister Bakhtiar Amen estimated that the insurgency has killed 6,000
Congressional Research Service ˜ The Library of Congress

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Iraqi civilians in the past two years and has wounded 16,000 more.1 These figures do not
include civilian deaths due to military actions taken by American forces. Amin added that
about 5,000 cases of Iraqi civilian kidnappings have been recorded since the fall of
Saddam Hussein’s regime.
Before Amin’s statement to the press, the most recent Iraqi government civilian
casualty estimate came from the Iraqi Health Ministry, which released civilian casualty
estimates for two time intervals: from April 5, 2004, to October 5, 2004, and from June
1, 2004, to January 1, 2005. The Ministry estimated that during the first six-month
period, there were 3,853 civilian deaths due to both terrorist incidents and all military
actions. It further estimated that 15,517 civilians were injured in the conflict during this
time.2
The Iraqi Ministry of Health made its second statement concerning civilian casualties
on January 28, 2005. In this release, it stated that between June 1, 2004, and January 1,
2005, 3,274 civilians had died as a result of all military conflict. Of this total, 1,233
casualties were a result of car bombs or other clearly terrorist activities, while the
remaining 2,041 casualties resulted from all military action. In addition, 12,657
individuals had been injured in “conflict-related incidents.” The Ministry noted that its
numbers could include insurgents and some police who were treated in Ministry of Health
hospitals, as well as civilians, and that the majority of casualties were male.3
The numbers released by the Iraqi Ministry of Health are some of the most
authoritative available; however, they are incomplete. Because the two time periods —
April through October 2004 and June through the end of December 2004 — overlap, it
is impossible to compile a total casualty number for the period between April and the end
of December 2004. Further, even if it were possible to develop a number for total civilian
casualties during that nine-month period, the number would not include any civilian
deaths that might have occurred in the first year of military conflict in Iraq, from March
2003 through March 2004.
The media have used a number of alternative sources for Iraqi casualty statistics.
According to a news report, the Shaik Omar Clinic in Baghdad recorded 10,363 violent
deaths in Baghdad and surrounding towns between the start of the war and September 8,
2004.4 No other clinics from other regions or other parts of Baghdad, however, have
come forward with their own casualty estimates, making it impossible to extrapolate the
Shaik Omar Clinic’s numbers to the country as a whole.
1 Luke Baker, “Iraqi Insurgency Has Killed 6,000 Civilians,” Reuters, April 5, 2005, at
[http://tinyurl.com/6nom4]. Accessed April 6, 2005.
2 U.K. Foreign and Commonwealth Office, [Iraqi Ministry of Health Statement on Iraqi Civilian
Casualties] at [http://www.fco.gov.uk/Files/kfile/foi_iraqiMOHstatementcasualties.pdf].
Accessed March 23, 2005.
3 Ibid.
4 Bassem Mroue, “AP Enterprise: More Than 10,000 Iraqis Die Violently in Baghdad Region
Alone,” Associated Press, Sept. 8, 2004. Available online at Nexis.com.

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The website of the non-profit organization Iraq Body Count (IBC) is another source
for Iraqi casualty information. IBC bases its online casualty estimates on media reports
of casualties. As of April 25, 2005, it estimated that between 21,218 and 24,082 civilians
had died as a result of military action.5 While Iraq Body Count has become a popular
source for the media, it has a definite antiwar stance. In a written statement to the House
of Commons, U.K. Foreign Minister Jack Straw noted that he did not find Iraq Body
Count’s method of tracking casualties through media sources authoritative.6
Another controversial source for civilian casualty estimates is the paper “Mortality
Before and After the 2003 Invasion of Iraq: Cluster Sample Survey,” published in the
British medical journal, The Lancet. Using a cluster sample survey of households in Iraq,
the authors of the Lancet report compared the wartime mortality rate to the mortality rate
in Iraq before the war. They then took the rise in casualties in the 33 areas they studied
and applied it to Iraq as a whole to develop an estimate of 100,000 civilian casualties due
to violent deaths since the start of the war.7 This report has come under attack for its
methodology, and supporters of the war have argued that some of the casualties could
have resulted from the long-term negative health effects of the Saddam Hussein era.
Foreign Minister Straw wrote a formal Ministerial Response rejecting the findings of the
Lancet report on the grounds that the data analyzed were inaccurate.8 While this report
is often referred to in the media, its results are vigorously contested by some.
The Brookings Institution has compiled an index of statistics on Iraq, including
casualty statistics.9 This compilation gathers together a number of statistics from different
sources, some of which have been included in this report. The Brookings Institution does
not, however, prepare casualty estimates of its own.
Iraqi Security Forces Casualty Statistics
As with the civilian casualty statistics, casualty statistics on Iraqi security forces are
rough estimates at best. Many come from anonymous comments to the press. The
following selected statistics represent the estimates of the most senior U.S. and Iraqi
officials on Iraqi security forces casualty numbers.
5 Iraq Body Count at [http://www.iraqbodycount.net/]. Accessed March 23, 2005. Iraq Body
Count is a non-governmental organization managed by researchers and volunteers.
6 Jack Straw, House of Commons Hansard Written Ministerial Statements for Nov. 17, 2004, at
[http://tinyurl.com/58226]. Accessed March 23, 2005.
7 Les Roberts, Ridyah Lafta, Richard Garfield, et al., “Mortality Before and After the 2003
Invasion of Iraq: Cluster Sample Survey,” The Lancet, Oct. 29, 2004, 364 (9448): 1857-64.
8 Jack Straw, Written U.K. Ministerial Statement Responding to a Lancet Study on Iraqi Casualty
Numbers, Nov. 16, 2004, at [http://tinyurl.com/3hv8j]. Accessed on March 25, 2003.
9 Brookings Institution, “Iraq Index: Tracking Reconstruction and Security in Post-Saddam Iraq,”
at [http://www.brookings.edu/iraqindex]. Accessed on March 23, 2005.

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Iraq Police Killed
Anonymous senior official’s estimate of number of Iraqi
75010
police killed, January 1, 2004 - September 1, 2004
Iraq Ministry of the Interior’s estimate of number of Iraqi
1,30011
police killed, September 1, 2004 - December 31, 2004
Then Deputy Secretary of Defense Paul Wolfowitz’s estimate
1,34212
of Iraqi police officers and soldiers killed, March 2003-
February 3, 2005
Iraqi Security Forces Personnel Killed
Secretary of Defense Donald Rumsfeld’s estimate of security
72113
forces deaths, May 1, 2003 - September 23, 2004
Wall Street Journal’s estimate of security forces deaths as of
1,50014
October 26, 2004
Joint Chiefs of Staff Chairman General Richard Myers’
1,00015
estimate of security forces deaths, July 1, 2004 - March 10,
2005
10 Walter Pincus, “U.S. Says More Police Are Needed as Attacks Continue,” Washington Post,
Sept. 28, 2004, Final Edition, p. A23.
11 Peter Spiegel, “Fresh Attacks Cast Doubt on Drive to Build Potent Security Forces,” Financial
Times,
Jan. 8, 2005, London Edition, p. 8.
12 U.S. Congress, Senate, Armed Services Committee, U.S. Military Operations in Afghanistan
and Iraq.
Hearing, 109th Congress, 1st Session, Feb. 3, 2005 (Washington, FDCH Political
Transcripts, 2005). Available online at Nexis.com.
13 U.S. Congress, Senate, Armed Services Committee. Global Posture Review. Hearing. 108th
Congress, Second Session. Sept. 23, 2004 (Washington, FDCH Political Transcripts, 2004).
Available online at Nexis.com.
14 Yochi J. Dreazen, “‘Lack of Security’ is Plaguing Iraq,” Wall Street Journal, Oct. 26, 2004,
p. A6.
15 U.S. Congress, House of Representatives, Armed Services Committee, FY2006 Budget, 109th
Congress, 1st Session, March 10, 2005 (Washington, FDCH Political Transcripts, 2005).
Available online at Nexis.com.

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Medical Evacuation Statistics
All U.S. military personnel evacuation statistics are provided to CRS by the
Department of Defense’s Deployment Health Support Directorate (DHSD). The numbers
listed in this report are taken from the DOD’s October 18, 2004, and February 8, 2005,
updates.
Operation Iraqi Freedom (OIF)
According to the Department of Defense (DOD), a total of 17,222 individuals were
medically evacuated from Operation Iraqi Freedom (OIF) from March 19, 2003, to
September 30, 2004. Another 2,721 individuals were medically evacuated during the
following three months, for a total of 19,943 individuals who were medically evacuated
between March 19, 2003, and December 31, 2004. Over the course of OIF, an average of
216 individuals were evacuated per week.

Medical Reasons for Evacuations
As of September 30, 2004
As of December 31, 2004
Battle Injuries
17%
19%
Non-Battle Injuries
21%
22%
Disease
63%
59%
Distribution of Evacuations Among the Services
As of September 30, 2004
As of December 31, 2004
Army
83%
83%
Marines
8%
10%
Air Force
3%
5%
Navy
2%
2%
Operation Enduring Freedom (OEF)
According to the Department of Defense (DOD), a total of 2,277 individuals were
medically evacuated from Operation Enduring Freedom (OEF) from March 19, 2003 to
September 30, 2004. Another 1,621 individuals were medically evacuated during the next
three months, for a total of 3,898 individuals who were medically evacuated between
March 19, 2003, and December 31, 2004. Over the course of OEF, an average of 32
individuals were evacuated per week.

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Medical Reasons for Evacuation
As of September 30, 2004
As of December 31, 2004
Battle Injuries
8%
9%
Non-Battle Injuries
28%
27%
Disease
64%
64%
Distribution of Evacuations Among the Services
As of September 30, 2004
As of December 31, 2004
Army
69%
84%
Marines
11%
8%
Air Force
15%
7%
Navy
4%
1%
Amputation Statistics for American Forces
All amputation statistics are provided to the CRS by the Department of Defense’s
Deployment Health Support Directorate (DHSD). As of March 31, 2005, the DOD
reported a total of 428 amputations during OIF.