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Even if hospital records were complete, they would not tell
the full story. Many of the dead were never taken to hospitals,
either buried quickly by their families in accordance with
Islamic custom, or lost under rubble.
The AP excluded all counts done by hospitals whose written
records did not distinguish between civilian and military dead,
which means hundreds, possibly thousands, of victims in Iraq's
largest cities and most intense battles aren't reflected in the
total.
During the first weeks of the war, the Iraqi government made
its own attempt to keep track of civilian deaths, but that
effort fell apart as U.S. troops neared Baghdad and the
government began to topple.
Lt. Col. Jim Cassella, a Pentagon spokesman, said Tuesday
that the U.S. military did not count civilian casualties.
"Our efforts focus on destroying the enemy's capabilities,
so we never target civilians and have no reason to try to count
such unintended deaths," he said.
Cassella also said an accurate count of civilian casualties
among the population of 24 million would be impossible, in part
because Iraqi paramilitaries fought wearing civilian clothes and
because of "the regime's use of civilian shields, and
unaimed antiaircraft fire falling back to earth."
The British Defense Ministry says it didn't count casualties
either.
In the 1991 Gulf War an estimated 2,278 civilians were
killed, according to Iraqi civil defense authorities. No U.S. or
independent count is known to have been made. That war consisted
of seven weeks of bombing and 100 hours of ground war, and did
not take U.S. forces into any Iraqi cities.
This time it was very different. In a war in which the Iraqi
soldiery melted away into crowded cities, changed into
plainclothes or wore no uniform to begin with, separating
civilian and military casualties is often impossible.
Witnesses say Saddam Hussein's fighters attacked from
ambulances and taxis and donned women's chadors or Bedouin
robes, creating an atmosphere in which U.S. troops couldn't be
sure who their enemy was.
Adding to the civilian toll was the regime's tactic of
parking its troops and weapons in residential neighborhoods,
creating targets for U.S. bombs that increased the casualties
among noncombatants.
And while the great majority of civilian deaths appear to
have been caused by American U.S. and British attacks, witnesses
say some - even a rough estimate is impossible - were caused by
the Iraqis themselves: by exploding Iraqi ammunition stored in
residential neighborhoods, by falling Iraqi anti-aircraft rounds
aimed at U.S. warplanes, or by Iraqi fire directed at American
troops.
The United States said its sophisticated weaponry minimized
the toll, and around the country are sites that, to look at
them, bolster the claim: missiles that tore deep into government
buildings but left the surrounding houses untouched.
"Did the Americans bomb civilians? Yes. But one should
be realistic," said Dr. Hameed Hussein al-Aaraji, the new
director of Baghdad's al-Kindi Hospital. "Saddam ran a
dirty war. He put weapons inside schools, inside mosques. What
could they do?"
Among the documents studied by AP journalists was the
register at Kadhamiya General Hospital in Baghdad. Someone has
taped up the shredded binding, as if that could fix the horrors
inside. There are pages bathed in dried, reddish-brown blood,
their letters smeared and unintelligible.
It and other registers at hospitals across the country record
the names, ages and addresses of patients, the diagnoses and
operations, the recoveries, and the deaths. They also list
professions: for example, butcher, carpenter, soldier, student,
or policeman. The AP investigation had to depend on the accuracy
of the hospitals in distinguishing between soldier and civilians
as there was no way to verify the records.
Some of the best record-keeping was in Baghdad, where AP
journalists visited all 24 hospitals that took in war
casualties. Their logs provided a count of 1,896 civilians
killed. There were certainly more civilians dead; a few
hospitals lost count as fighting intensified.
In some parts of the country, records are more spotty. The
three civilian hospitals in Basra, Iraq's second largest city,
recorded the deaths of 413 people. But while doctors estimate 85
percent were civilian, they have no evidence, so AP didn't
include numbers from Basra in its count.
Some hospitals that began the war keeping records had to
stop. The fighting came to them - in some cases, inside their
front doors.
Doctors at Nasiriyah's Republic Hospital said seven patients
were killed in their beds when a shell hit the building April 7.
At Baghdad's Yarmouk Hospital, doctors fled when U.S. tanks
shelled a hospital building seized by Iraqi fighters. When they
returned five days later, 26 patients were dead.
It will take months or more before anything like a final
count emerges. One survey is being done by the advocacy group
Human Rights Watch, another by the Campaign for Innocent Victims
in Conflict, which hopes to win U.S. compensation for victims or
their relatives.
Meanwhile, from city to city, block to block, house to house,
Iraqis are trying to come to terms with their losses. For many,
the personal tragedy is more important than whether the casualty
count is 3,000, or double that, or more.
There is little agreement about whether being freed from
Saddam's tyranny was worth the cost in lives.
"If they didn't want to kill civilians, why did they
fire into civilian areas?" asked Ayad Jassim Ibrahim, a
32-year-old Basra fireman who said his brother Alaa was killed
by shrapnel from a U.S. missile that tore into his living room.
Al-Aaraji, at al-Kindi hospital in Baghdad, saw things
differently.
"It was a war," he said. "This is the price of
liberty."
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EDITOR'S NOTE: Niko Price is correspondent-at-large for The
Associated Press. Contributing to this report were AP writers
Sameer N. Yacoub, Bassem Mroue and Charles Hanley in Baghdad,
Ellen Knickmeyer in Kut, Tini Tran in Basra, Louis Meixler in
northern Iraq and Sharon Crenson and Richard Pyle in New York.
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