The results of the Iraq Living Conditions Survey 2004 have been published. (Earlier discussion of the study is here.) As Iraqi Minister of Planning Barham Salih said, “This survey shows a rather tragic situation of the quality of life in Iraq.” The study shows that living condition have deteriorated following the war with, for example, chronic malnutrition increasing from 4% to 8% and access to safe water falling from 95% to 60% in urban areas.

The survey also had a question on war-related deaths that provides more support for the Lancet study on excess mortality. Question HM01 (questionnaire available here) was “Has any person(s) who was a regular household member died or gone missing during the past 24 months?” Question HM05 asked for the cause of death: Disease / Traffic Accident / War related death / Pregnancy or childbirth / Other. The resulting estimate for war-related deaths was 24,000 (95% CI 18,000-29,000, see page 54 of report). since the field work was carried in April 2004, this only counts deaths in the invasion and the following year. The corresponding number from the Lancet study is 33,000 (the rest of the excess deaths are from increases in disease, accidents and murders). When you allow for the fact that the Lancet study covered eighteen months rather than one year, the ILCS gives a slightly higher death rate. So an independent study has confirmed that part of the Lancet study.

Unfortunately, because the mortality question in the ILCS study doesn’t distinguish between the pre and post-war periods it can’t be used to verify the increase in accidents and murders that the Lancet found. However, it does estimate changes in infant mortality mortality. Some of the critics of the Lancet study attacked it because the Lancet study found an infant mortality rate in the year before the war of 29 per 1000 births, arguing that was contradicted by a UNICEF estimate of 107 (For example, Andrew Bolt.) The ILCS survey estimate for 2002 is 32. (See Figure 26.) Lancet confirmed again. However, it also only shows an increase to 35 in 2003, while the Lancet found an increase to 59 after the war. 2003 only includes part of the post-war period, but this still suggests that the increase infant mortality was less than what the Lancet study found. The ILCS found much lower figures for infant mortality in the 1990s (around 30) than previous studies (which found figures of about 100). Those high infant mortality figures provided the basis for the claims that sanctions killed hundreds of thousands of Iraqi children, so the ILCS study calls those claims into question.

Unfortunately, the Times reports the ILCS results like this:

The 370-page report said that it was 95 per cent confident that the toll during the war and the first year of occupation was 24,000, but could have been between 18,000 and 29,000. About 12 per cent of those were under 18.

The figure is far lower than the 98,000 deaths estimated in The Lancet last October, which said that it had interviewed nearly 1,000 households. But it is far higher than other figures.

This makes a misleading comparison between the Lancet number for all excess deaths (which includes the increase in murder, accidents and disease) and the ILCS number for deaths directly related to the war (which just includes deaths caused by the coalition and the insurgents). It also misses that the time periods were different. Naturally, the Lancet denialists have seized on this as proof that the Lancet estimate is wrong. For examples, see Leigh Cartwright and Tim Blair. Sigh.