The effect of conflict on damage to medical facilities in Mariupol, Ukraine: A quasi-experimental study.

Medical facilities are civilian objects specially protected by international humanitarian law. Despite the need for systematic documentation of the effects of war on medical facilities for judiciary accountability, current methods for surveilling damage to protected civilian objects during ongoing a...

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Main Authors: Danielle N Poole, Daniel Andersen, Nathaniel A Raymond, Jack Parham, Caitlin Howarth, Oona A Hathaway, Kaveh Khoshnood, Yale Humanitarian Research Lab
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0003950
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author Danielle N Poole
Daniel Andersen
Nathaniel A Raymond
Jack Parham
Caitlin Howarth
Oona A Hathaway
Kaveh Khoshnood
Yale Humanitarian Research Lab
author_facet Danielle N Poole
Daniel Andersen
Nathaniel A Raymond
Jack Parham
Caitlin Howarth
Oona A Hathaway
Kaveh Khoshnood
Yale Humanitarian Research Lab
author_sort Danielle N Poole
collection DOAJ
description Medical facilities are civilian objects specially protected by international humanitarian law. Despite the need for systematic documentation of the effects of war on medical facilities for judiciary accountability, current methods for surveilling damage to protected civilian objects during ongoing armed conflict are insufficient. Satellite imagery damage assessment confers significant possibilities for investigating patterns of war. We leveraged commercially and publicly available satellite imagery and cross-referenced geolocated facility data to conduct a pre-post quasi-experimental study of damage to medical facilities in Mariupol, Ukraine as a result of Russia's invasion. We found that 77% of medical facilities in Mariupol sustained damage during Russia's siege lasting from February 24-May 20, 2022. Facility size was not associated with damage, suggesting that attacks on medical facilities are not random but instead may have been the result of intentional targeting. This is the first cross-referenced pre-post census study of the effects of an ongoing conflict on specially protected medical infrastructure.
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spelling doaj-art-934db4e0aa0143079700bdb8c9ef22952025-01-21T05:50:31ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752025-01-0151e000395010.1371/journal.pgph.0003950The effect of conflict on damage to medical facilities in Mariupol, Ukraine: A quasi-experimental study.Danielle N PooleDaniel AndersenNathaniel A RaymondJack ParhamCaitlin HowarthOona A HathawayKaveh KhoshnoodYale Humanitarian Research LabMedical facilities are civilian objects specially protected by international humanitarian law. Despite the need for systematic documentation of the effects of war on medical facilities for judiciary accountability, current methods for surveilling damage to protected civilian objects during ongoing armed conflict are insufficient. Satellite imagery damage assessment confers significant possibilities for investigating patterns of war. We leveraged commercially and publicly available satellite imagery and cross-referenced geolocated facility data to conduct a pre-post quasi-experimental study of damage to medical facilities in Mariupol, Ukraine as a result of Russia's invasion. We found that 77% of medical facilities in Mariupol sustained damage during Russia's siege lasting from February 24-May 20, 2022. Facility size was not associated with damage, suggesting that attacks on medical facilities are not random but instead may have been the result of intentional targeting. This is the first cross-referenced pre-post census study of the effects of an ongoing conflict on specially protected medical infrastructure.https://doi.org/10.1371/journal.pgph.0003950
spellingShingle Danielle N Poole
Daniel Andersen
Nathaniel A Raymond
Jack Parham
Caitlin Howarth
Oona A Hathaway
Kaveh Khoshnood
Yale Humanitarian Research Lab
The effect of conflict on damage to medical facilities in Mariupol, Ukraine: A quasi-experimental study.
PLOS Global Public Health
title The effect of conflict on damage to medical facilities in Mariupol, Ukraine: A quasi-experimental study.
title_full The effect of conflict on damage to medical facilities in Mariupol, Ukraine: A quasi-experimental study.
title_fullStr The effect of conflict on damage to medical facilities in Mariupol, Ukraine: A quasi-experimental study.
title_full_unstemmed The effect of conflict on damage to medical facilities in Mariupol, Ukraine: A quasi-experimental study.
title_short The effect of conflict on damage to medical facilities in Mariupol, Ukraine: A quasi-experimental study.
title_sort effect of conflict on damage to medical facilities in mariupol ukraine a quasi experimental study
url https://doi.org/10.1371/journal.pgph.0003950
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