Have 600,000 Iraqis died violently since 2003?

Families could have reported deaths that did not occur, although this seems unlikely, since most reported deaths could be corroborated with a certificate. However, certificates might not be issued for young children, and in some places death certificates had stopped being issued; our 92% confirmation rate was therefore deemed to be reasonable.

Although interviewers used a robust process for identifying clusters, the potential exists for interviewers to be drawn to especially affected houses through conscious or unconscious processes. Although evidence of this bias does not exist, its potential cannot be dismissed.

Even with the death certificate system, only about one-third of deaths were captured by the government’s surveillance system in the years before the current war, according to informed sources in Iraq. At a death rate of 5/1,000/year, in a population of 24 million, the government should have reported 120,000 deaths annually. In 2002, the government documented less than 40,000 from all sources. The ministry’s numbers are not likely to be more complete or accurate today.