Intended for healthcare professionals


The direct and indirect costs of explosive violence

BMJ 2009; 339 doi: (Published 29 September 2009) Cite this as: BMJ 2009;339:b3944
  1. Caecilie Buhmann, MD, MSc
  1. 1Psychiatric Centre Gentofte, 2900 Hellerup, Denmark
  1. cbuhmann2002{at}

    Recognition and documentation need to translate into policy action and political support

    Violent conflict remains a major risk to human health and explosive weapons are an important cause of death and injury in such situations. The health consequences are devastating. Explosive weapons cause death, injury, and psychological disabilities. They also cost lives through their effects on the health system, human resources in health, water and sanitation systems, electricity supplies, and the general diversion of human and economic resources away from health planning and health services towards defence and securing stability.

    A new report published by Landmine Action aims to place explosive violence on the policy agenda.1 For six months data on death and injury from explosive weapons were collected from media reports. 58 countries had incidents of explosive violence, but most of the incidents took place in only a few countries. Most victims were civilians, among whom women and children were over-represented. Between April and September 2006, 1836 incidents were reported, in which 6115 people were killed and 12 670 wounded.

    The …

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