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Terrorism in Australia: A Decade of Escalating Deaths and Injuries Supporting the Need for Counter-Terrorism Medicine

Published online by Cambridge University Press:  23 February 2021

Derrick Tin Open the ORCID record for Derrick Tin [Opens in a new window] ,
Alexander Hart ,
Attila J. Hertelendy  and
Gregory R. Ciottone
Derrick Tin*
Affiliation:
Senior Fellow, BIDMC Disaster Medicine Fellowship; Department of Emergency Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MassachusettsUSA
Alexander Hart
Affiliation:
Director of Research, BIDMC Disaster Medicine Fellowship; Department of Emergency Medicine, Beth Israel Deaconess Medical Center; Instructor, Harvard Medical School, Boston, MassachusettsUSA
Attila J. Hertelendy
Affiliation:
Faculty, BIDMC Disaster Medicine Fellowship; Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MassachusettsUSA
Gregory R. Ciottone
Affiliation:
Director, BIDMC Disaster Medicine Fellowship; Department of Emergency Medicine, Beth Israel Deaconess Medical Center; Associate Professor, Harvard Medical School, Boston, MassachusettsUSA
*
Correspondence: Derrick Tin, MBBS, Senior Fellow Disaster Medicine, Department of Emergency Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Avenue, Boston, Massachusetts02215USA, E-mail: derrick@tacmedaustralia.com.au
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Abstract

Background:

Australia is ranked 71st on the Global Terrorism Index (GTI; 2019), a scoring system of terrorist activities. While it has a relatively low terrorist risk, events globally have wide-ranging repercussions putting first responders and emergency health workers at risk. Counter-Terrorism Medicine (CTM) is rapidly emerging as a sub-specialty needed to address these threats on the front line. This study aims to provide the epidemiological context for the past decade, detailing the unique injury types responders are likely to encounter, and to develop training programs utilizing these data.

Methods:

The Global Terrorism Database (GTD) was searched for all attacks in Australia from the years 2009-2019. Attacks met inclusion criteria if they fulfilled the following terrorism-related criteria as set by the GTD. Ambiguous events were excluded when there was uncertainty as to whether the incident met all of the criteria for inclusion as a GTD terrorist incident. The grey literature was reviewed, and each event was cross-matched with reputable international and national newspaper sources online to confirm or add details regarding weapon type used, and whenever available, details of victim and perpetrator fatalities and injuries.

Results:

Thirty-seven terrorist events occurred in the study time period. Of the thirty-seven incidents, twenty-six (70.2%) involved incendiary weapons, five (13.5%) involved firearms, four (10.8%) involved melee (bladed weapon/knife) attacks, two (5.4%) were explosive/bombing/dynamite attacks, and one (2.7%) was a mixed attack using both incendiary and melee weapons. All except one firearms-related incident (four out of five) resulted in either a fatality or injury or both. Every melee incident resulted in either a fatality or injury or both.

Conclusions:

In the decade from 2009 to 2019, terrorist attacks on Australian soil have been manageable, small-scale incidents with well-understood modalities. Eleven fatalities and fourteen injuries were sustained as a result of terrorist events during that period. Incendiary weapons were the most commonly chosen methodology, followed by firearms, bladed weapons, and explosive/bombings/dynamite attacks.

Keywords

Australiacounter-terrorism medicineCOVID-19terrorism
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 3 , June 2021 , pp. 265 - 269
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

Sydney Yugoslav General Trade and Tourist Agency bombing - Wikipedia. https://en.wikipedia.org/wiki/Sydney_Yugoslav_General_Trade_and_Tourist_Agency_bombing. Accessed July 25, 2020.Google Scholar
Australian Security Intelligence Organisation. Terrorism emerges in Australia. https://www.asio.gov.au/about/history/terrorism-emerges-australia.html. Accessed July 25, 2020.Google Scholar
Global Terrorism Index 2019. Briefing Measuring the Impact of Terrorism. http://visionofhumanity.org/reports. Accessed August 18, 2020.Google Scholar
Review of Australia’s Counter Terrorism Machinery. https://www.homeaffairs.gov.au/nat-security/files/review-australia-ct-machinery.pdf. Accessed July 25, 2020.Google Scholar
Parliament of Australia. Countering terrorism and violent extremism. https://www.aph.gov.au/About_Parliament/Parliamentary_Departments/Parliamentary_Library/pubs/BriefingBook45p/ViolentExtremism. Accessed July 25, 2020.Google Scholar
Australian National Security. National Terrorism Threat Advisory System. https://www.nationalsecurity.gov.au/Securityandyourcommunity/Pages/National-Terrorism-Threat-Advisory-System.aspx. Accessed July 25, 2020.Google Scholar
Australian Government. Terrorism will remain a critical global threat - Foreign policy white paper. https://www.fpwhitepaper.gov.au/foreign-policy-white-paper/chapter-two-contested-world/terrorism-will-remain-critical-global-threat. Accessed August 18, 2020.Google Scholar
Clarke, CP. Trends in Terrorism: What’s on the Horizon in 2020. Foreign Policy Research Institute. https://www.fpri.org/article/2020/01/trends-in-terrorism-whats-on-the-horizon-in-2020. Accessed August 18, 2020.Google Scholar
Court, M, Edwards, B, Issa, F, Voskanyan, A, Ciottone, G. Counter-Terrorism Medicine: creating a medical initiative mandated by escalating asymmetric attacks. Prehosp Disaster Med. 2020;35(6):595–598.CrossRefGoogle ScholarPubMed
Global Terrorism Database (GTD). START.umd.edu. https://www.start.umd.edu/research-projects/global-terrorism-database-gtd. Accessed October 15, 2020.Google Scholar
Rosenfeld, JV, Fitzgerald, M, Kossmann, T, et al. Is the Australian hospital system adequately prepared for terrorism? Med J Aust. 2005;183(11-12):567–570.CrossRefGoogle Scholar
Olding, R. “Catastrophic:” How Australia narrowly escaped two “sophisticated bomb plots.” https://www.smh.com.au/national/nsw/catastrophic-how-australia-narrowly-escaped-two-sophisticated-bomb-plots-20170804-gxpk4f.html. Accessed August 18, 2020.Google Scholar
Government of South Australia. A Focus on Counter-Terrorism. https://www.asial.com.au/documents/item/1277. Accessed August 18, 2020.Google Scholar
Zimmerman, A. Jihad by fire? The Spectator Australia. https://www.spectator.com.au/2020/01/jihad-by-fire. Accessed August 19, 2020.Google Scholar
Loomes, P. Islamic State video urges recruits to light bushfires in Australia. The Australian. https://www.theaustralian.com.au/news/latest-news/islamic-state-video-urges-new-recruits-to-light-bushfires-in-australia/news-story/ae27498561b61694eb5f54ed4b6e8478. Accessed August 19, 2020.Google Scholar
Chapman, S, Alpers, P, Jones, M. Association between gun law reforms and intentional firearm deaths in Australia, 1979-2013. JAMA. 2016;316(3):291–299.CrossRefGoogle Scholar
Chapman, S, Stewart, M, Alpers, P, Jones, M. Fatal firearm incidents before and after Australia’s 1996 National Firearms Agreement banning semiautomatic rifles. Ann Intern Med. 2018;169(1):62–64.CrossRefGoogle ScholarPubMed
Tessler, RA, Mooney, SJ, Witt, CE, et al. Use of firearms in terrorist attacks: differences between the United States, Canada, Europe, Australia, and New Zealand. JAMA Intern Med. 2017;177(12):1865–1868.CrossRefGoogle Scholar
Latest Issue of Inspire Magazine Encourages Small Scale Attacks. https://www.adl.org/blog/latest-issue-of-inspire-magazine-encourages-small-scale-attacks. Accessed July 29, 2020.Google Scholar
Johnson, B. ISIS Call for Stabbing Sprees a Nightmare Scenario for Stopping Terror. Observer. https://observer.com/2016/10/isis-call-for-stabbing-sprees-a-nightmare-scenario-for-stopping-terror-plots/. Accessed July 29, 2020.Google Scholar
Tin, D, Hertelendy, AJ, Ciottone, GR. What we learned from the 2019–2020 Australian Bushfire disaster: making counter-terrorism medicine a strategic preparedness priority. Am J Emerg Med. 2020;S0735-6757(20):30866–30874.Google Scholar
Ackerman, G, Peterson, H. Terrorism and COVID-19. Perspect Terror. 2020;14(3):59–73.Google Scholar
Rosenfeld, JV, Mitra, B, Smit, DV, et al. Preparedness for treating victims of terrorist attacks in Australia: learning from recent military experience. Emerg Med Australas. 2018;30(5):722–724.CrossRefGoogle ScholarPubMed
Bartels, L. ‘Knife crime’ in Australia: Incidence, etiology, and responses. https://ssaa.org.au/assets/news-resources/research/2011-05_knife-crime-in-australia-incidence-aetiology-responses.pdf. Accessed July 28, 2020.Google Scholar
Morrisson, S. Scott Morrison’s Facebook page. Facebook. 2018.Google Scholar