
Terrorist attacks on hospitals and schools are becoming increasingly common. Under international humanitarian law, both schools and hospitals are protected civilian objects and benefit from the humanitarian principles of distinction and proportionality. However, a study of the Global Terrorism Database revealed 430 terrorist attacks on hospitals between 1970 and 2018, resulting in 1,291 deaths and 1,921 injuries. Schools and hospitals are soft targets as they are easily accessible to the general public and are occupied 24 hours a day, 365 days a year. Additionally, terrorist organizations seem to be increasingly targeting healthcare and educational facilities.
| Characteristics | Values |
|---|---|
| Frequency of attacks | There has been a disproportionate rise in the frequency of terrorist attacks on hospitals and schools. |
| Casualty count | Terrorist attacks on hospitals and schools have inflicted large casualty counts. |
| Impact | Attacks on hospitals and schools have disrupted community healthcare and education, and have resulted in the forced closure or disrupted functioning of these institutions. |
| Locations | The majority of attacks have occurred in the Middle East & North Africa and South Asian regions, where there are high levels of internal conflict. Fewer attacks have taken place in Europe and the United States. |
| Targets | Hospitals are vulnerable targets due to their accessibility to the public and round-the-clock occupation. Schools are targeted by armed groups opposed to secular and girls' education. |
| Types of attacks | Terrorist attacks on hospitals and schools can include bombing attacks, armed assaults, hostage-taking, and cyber-attacks. |
| Preparedness | Hospitals and schools are historically underprepared for terrorist attacks, and require improved resilience and preparedness plans. |
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What You'll Learn
- Hospitals are vulnerable to terrorist attacks because they are easily accessible to the public and are occupied 24/7
- Terrorist attacks on hospitals have increased disproportionately compared to other targets, causing mass casualties and disrupting healthcare
- Schools and hospitals are protected civilian objects under international humanitarian law, but attacks still occur, causing direct harm and forced closures
- Terrorist organisations are increasingly targeting healthcare facilities, with almost 50% of attacks aimed at hospitals
- Terrorist attacks on schools and hospitals can have detrimental psychological effects on children and hinder their access to education and healthcare

Hospitals are vulnerable to terrorist attacks because they are easily accessible to the public and are occupied 24/7
Hospitals are essential to communities, providing healthcare services and support to those in need. Unfortunately, they have become vulnerable targets for terrorist attacks. Several factors contribute to this vulnerability, including their accessibility to the public and their around-the-clock operation.
Hospitals, by their very nature, must be easily accessible to the general public. They are places where people seek medical assistance, often in emergency situations. As a result, hospitals typically have multiple points of entry, and their locations are usually well-known. This accessibility, while crucial for serving the community, also presents an opportunity for terrorists to gain entry and carry out attacks.
The fact that hospitals are occupied 24 hours a day, 365 days a year, is another factor that makes them attractive targets. An attack on a hospital at any given time is likely to result in a high number of casualties, as the facility is constantly bustling with patients, visitors, and medical staff. The presence of a large number of people means that an attack can inflict significant harm and create a sense of panic and disruption.
The continuous operation of hospitals also ensures that critical services and resources are always available. This includes not only medical equipment and supplies but also the presence of healthcare professionals with specialized skills. Damaging or disrupting these services can have devastating second- and third-order effects on the community, affecting not just those directly impacted by the attack but also those who rely on the hospital's ongoing care and support.
Terrorist attacks on hospitals have been on the rise globally, with a disproportionate increase compared to other types of targets. This trend is particularly notable in regions experiencing internal conflicts, such as the Middle East, North Africa, and South Asia. The vulnerability of hospitals as targets has serious implications, and it is crucial to recognize and address this threat.
To enhance the resilience of hospitals, several measures can be implemented. This includes improving security measures, developing emergency response plans, conducting drills and training, and strengthening international cooperation to share best practices and strategies to counter this growing threat.
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Terrorist attacks on hospitals have increased disproportionately compared to other targets, causing mass casualties and disrupting healthcare
Terrorist attacks on hospitals have been on the rise, with a disproportionate increase compared to other targets. This trend highlights the vulnerability of these critical institutions and has resulted in devastating consequences, including mass casualties and disruptions to healthcare services.
Hospitals are soft targets for terrorism due to their inherent nature of accessibility and multiple entry points. They are occupied by staff and patients around the clock, making them susceptible to attacks that can cause extensive damage and harm. The impact of these attacks extends beyond physical damage, as they also inflict psychological trauma, such as post-traumatic stress disorder (PTSD), on both victims and responders.
A study examining terrorist attacks against healthcare facilities worldwide identified 901 attacks in 74 countries from 1970 to 2018, with 418 of these targeting hospitals specifically. The frequency of attacks against hospitals has been steadily increasing, with a notable rise after 2001. This suggests that terrorist organizations are not only becoming more aggressive in their targeting of healthcare facilities but also more comfortable in doing so.
The Middle East, North Africa, and South Asian countries have experienced a high number of attacks due to ongoing internal conflicts. These regions witnessed numerous armed conflicts in recent years, contributing to the elevated risk of terrorist incidents. In contrast, western countries, including Europe and the United States, have sustained fewer attacks, with 29 in Europe and only one in the US.
The increasing trend of terrorist attacks on hospitals demands a proactive approach to preparedness and disaster response planning. Hospitals must enhance their resilience by implementing measures to prevent and mitigate the impact of bombing attacks and armed assaults, as well as cyber-attacks. Additionally, the international community must strengthen its commitment to protecting schools and hospitals as zones of peace, where children and patients can receive essential services without fear of violence or disruption.
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Schools and hospitals are protected civilian objects under international humanitarian law, but attacks still occur, causing direct harm and forced closures
Schools and hospitals are fundamental institutions that provide essential services to communities. They are designated as protected civilian objects under international humanitarian law, reflecting their critical role in safeguarding public well-being. However, it is unfortunate that these very institutions, meant to be safe havens, have increasingly become targets of terrorist attacks.
The vulnerability of schools and hospitals to such attacks is a pressing concern. Data from the Global Terrorism Database reveals a disturbing trend: between 1970 and 2018, there were 430 terrorist attacks on hospitals, resulting in 1,291 deaths and 1,921 injuries. The frequency of these attacks has been on a relentless rise, with a disproportionate increase compared to other target types. The situation is equally dire for schools, as evidenced by the adoption of the Safe Schools Declaration in 2015, endorsed by 111 states as of September 2021.
The impact of these attacks extends beyond the immediate physical damage and loss of life. They inflict profound psychological trauma on survivors and disrupt the functioning of these vital institutions, often leading to forced closures or impeded access. Children, in particular, bear the brunt of these attacks, facing threats, abductions, and denial of their fundamental right to education and healthcare. Additionally, the use of schools and hospitals for military purposes during conflicts further compromises their neutrality and endangers those within.
The motivations behind these attacks vary. In some cases, terrorist organizations deliberately target healthcare and educational institutions to instill fear, advance ideological agendas, or disrupt essential services within a community. The accessibility and constant occupancy of hospitals make them particularly attractive targets for inflicting mass casualties. Schools, on the other hand, may be attacked due to opposition to secular or girls' education, or the presence of female students or staff, as seen in certain cultural contexts.
To address this critical issue, a multifaceted approach is necessary. Firstly, acknowledging the existence of the threat is paramount. While hospitals and schools must retain their welcoming nature, enhancing security measures and preparedness is crucial to deterring and mitigating the impact of potential attacks. Additionally, global cooperation is vital, with the United Nations playing a pivotal role in identifying perpetrators and facilitating the development of concrete action plans to end and prevent these atrocities.
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Terrorist organisations are increasingly targeting healthcare facilities, with almost 50% of attacks aimed at hospitals
Terrorism is an ever-present threat, and in recent years, there has been a disproportionate rise in terrorist attacks on hospitals. Terrorist organisations are increasingly targeting healthcare facilities, with almost 50% of attacks aimed at hospitals. From 1970 to 2018, 901 attacks were recorded in 74 countries, with 418 of these targeting hospitals. This trend is deeply concerning and has severe consequences for global health and stability.
Hospitals are vulnerable targets for terrorists due to their inherent nature. They are easily accessible to the public, open 24 hours a day, and have multiple entry points. These characteristics, essential for serving the community, also make hospitals attractive targets for inflicting maximum casualties and disruption. The impact of such attacks extends beyond physical damage, as they also cause psychological trauma and hinder access to critical healthcare services.
The frequency of attacks on hospitals has been steadily increasing, with the majority occurring after 2001. This suggests that terrorist organisations are not only becoming more brazen in their targeting of healthcare facilities but also more comfortable with doing so. Countries experiencing internal conflicts, such as civil wars or religious unrest, tend to face a higher number of terrorist attacks on hospitals. For example, the Middle East, North Africa, and South Asia have witnessed numerous attacks due to ongoing armed conflicts in recent years.
To address this growing threat, hospitals must enhance their resilience and preparedness. While maintaining their public and welcoming nature, hospitals can implement measures to improve security and mitigate the impact of potential attacks. This includes developing response plans, conducting drills, and educating staff on dealing with various scenarios, including hostage-taking, which has been on the rise in recent years.
Additionally, the international community must strengthen its commitment to protecting hospitals and schools, which are designated as protected civilian objects under international humanitarian law. Efforts like the Safe Schools Declaration, endorsed by over 100 countries, are a step towards ensuring that these essential institutions remain zones of peace, even in times of conflict.
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Terrorist attacks on schools and hospitals can have detrimental psychological effects on children and hinder their access to education and healthcare
Schools and hospitals are protected civilian objects under international humanitarian law. They are meant to be zones of peace where children are granted protection. However, there is a rising trend of terrorist attacks on these institutions, which can have detrimental psychological effects on children and hinder their access to education and healthcare.
Terrorist attacks on schools and hospitals can cause direct and physical damage to the buildings, leading to their forced closure or disrupted functioning. This directly affects children's access to education and healthcare. Moreover, a general climate of insecurity resulting from such attacks prevents children, teachers, and medical personnel from attending school or seeking medical assistance. In some cases, armed groups opposed to secular and girls' education or specific medical practices may deliberately target these institutions, further hindering access for certain groups.
The impact of terrorist attacks on schools and hospitals goes beyond physical damage. Children who experience or witness these attacks may suffer from psychological trauma, such as post-traumatic stress disorder (PTSD). The presence of physicians and other hospital employees involved in terrorism can also have a detrimental effect on the psychological well-being of patients and staff. Additionally, the loss of medical personnel due to attacks can hinder the ability of healthcare facilities to provide adequate care.
Furthermore, the increasing frequency of attacks on healthcare facilities involving hostage-taking is concerning. These incidents can have immediate and long-term psychological impacts on children and staff, affecting their overall well-being and hindering the provision of healthcare services. The underpreparedness of healthcare systems to handle such situations exacerbates the issue.
To mitigate the detrimental effects of terrorist attacks on schools and hospitals, it is crucial to implement preparedness plans and mitigation strategies. This includes improving building resilience, conducting preparedness drills, and providing additional education and training for staff. By addressing the physical and psychological impacts of these attacks, we can work towards ensuring the safety and well-being of children and maintaining their access to essential services.
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Frequently asked questions
Hospitals and schools are vulnerable targets as they are easily accessible to the general public, and are comparatively less guarded than military targets or government buildings. Terrorist attacks on hospitals and schools have been on the rise, with a disproportionate increase in frequency when compared to other target types. These attacks are more common in countries with high levels of internal conflict and have resulted in large casualty counts.
Beyond the immediate physical damage and loss of life, there are second- and third-order effects that can be detrimental to health care services and the education system. These include psychological impacts, such as post-traumatic stress disorder (PTSD), and the disruption of essential services, such as community healthcare and education.
It is important to acknowledge and address the threat of terrorism targeting these institutions. While hospitals and schools must remain accessible and welcoming, there is a need to improve their resilience and security measures. This includes implementing policies and strategies at the institutional, national, and international levels to mitigate the impact of such attacks and enhance preparedness.



























