Half-a-Century of Terrorist Attacks: Weapons Selection, Casualty Outcomes, and Implications for Counter-Terrorism Medicine

نویسندگان

چکیده

Abstract Background: High profile terrorist attacks in major capital cities have seemingly become a regular occurrence and the resultant mass-casualty events continue to challenge health care systems. Counter-Terrorism Medicine (CTM) addresses unique terrorism-related issues relating mitigation, preparedness, response measures asymmetric, multi-modality attacks. This study is an epidemiological examination of all sustained from 1970-2019, analyzing historical weapon types used resulting fatal injuries (FI) non-fatal (NFI) sustained. Methods: The Global Terrorism Database (GTD) was searched for 1970-2019. Attacks met inclusion criteria if they fulfilled three criteria, as set by GTD codebook. Ambiguous were excluded. State-sponsored do not meet codebook’s definition, such, are excluded study. Available counts FI NFI each incident then sorted aggregated type enable mean standard deviation calculations. Results: In total, 168,003 recorded years Explosives, bombs, and/or dynamite (E/B/D) most commonly accounted 48.78% terrorism events, followed use firearms 26.77% events. A total 339,435 496,225 resulted that occurred during period. Combined, E/B/D 75.55% 67.1% FI, 79.3% NFI. Each individual event inflicted rate 2.14 per (SD = 10.2) 3.22 45.19). Conclusions: Although complex does solely rely on death tolls measure success, this analysis shows historic over past 50 years. Proven weapons such combine account 75% Use mass destruction (WMDs) chemical, biological, radiation, nuclear (CBRN) has been rare (0.2%), yet extreme high potential inflict casualties with rates 49.62 28.75 chemical biological weapons, respectively.

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ژورنال

عنوان ژورنال: Prehospital and Disaster Medicine

سال: 2021

ISSN: ['1049-023X', '1945-1938']

DOI: https://doi.org/10.1017/s1049023x21000868