War casualties often children

CHICAGO (AP) — U.S. military hospitals treated a significant number of wounded and sick children in the early years of the conflicts in Afghanistan and Iraq, a study has found, and military doctors say children keep arriving at their hospitals today.

With no true front line or battle zone, the war makes children especially vulnerable to stray bullets and other combat hazards, one study author said. With Iraq’s own medical system collapsing, families seek out the U.S. military to help their children with more conventional ailments.

“I took care of children burned from a kerosene heater, regular car accidents, other injuries secondary to the conflict itself,” said study co-author Dr. Philip Spinella, who served as an Army doctor in Baghdad in 2004 and 2005.

Military doctors routinely treat children wounded by rocket-propelled grenades and roadside bombs, said Dr. Spinella, who works at Connecticut Children’s Medical Center in Hartford.

The study, published in the February issue of the journal Pediatrics, is based on Army hospital data from December 2001 to December 2004.

The situation has not changed. On Friday, two young Iraqi burn victims and a young Iraqi boy who underwent three surgeries for abdominal injuries and a leg amputation were being treated at the busy Air Force Theater Hospital at the U.S. air base in Balad, about 50 miles north of Baghdad.

“The majority of our patients at any given time are Iraqi nationals,” Air Force Maj. David Norton, who runs the intensive care unit there, said in an e-mail. “With respect to children in particular, we see far too many. Iraqi children, through no fault of their own, are forced to grow up quickly and are oftentimes the unfortunate victims of an adult world.”

Army 1st Lt. Lee Jackson, a pediatric nurse at the Balad hospital, said in an e-mail that the ICU sometimes seems like a pediatric unit because of the number of children there. Neither Lt. Jackson nor Maj. Norton was involved in the study.

The study found that almost 6 percent of the pediatric patients in military hospitals died, a death rate similar to that of adult non-U.S. coalition patients.

The researchers, all current or former military doctors, wanted to quantify what they had seen. Analyzing hospital data, they found children made up 4 percent of admissions and 10 percent of bed-days in U.S. military hospitals in the early years of the wars in Afghanistan and Iraq.

More than 1,000 children were admitted to U.S. military hospitals during the three-year study period.

Caring for children generates enormous good will among the people of Iraq, Dr. Eaman Algobory, an Iraqi medical officer in Baghdad for the International Office for Migration, said in a telephone interview from Jordan.

“It’s like an angel touched their heart,” Dr. Algobory said of the effect on Iraqis who have experienced the Army’s medical care of children. “American soldiers in the field, if they see any child hurt, automatically they will try to protect them and evacuate them and try to save his life. This is well known in the street.”