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Civilian sheltering guidelines for explosive weapons in populated areas: a scoping review

Civilian sheltering guidelines for explosive weapons in populated areas: a scoping review
Civilian sheltering guidelines for explosive weapons in populated areas: a scoping review
Background: the use of explosive weapons in populated areas (EWIPA) has a disproportionate impact on civilians. Many humanitarian organizations utilize varying sheltering guidelines to recommend safe positions for civilians affected by explosive threats. It is not known whether these recommendations are standardized or derived from evidence. This study aimed to identify existing recommendations and potential gaps in literature relevant to sheltering guidelines for civilians during explosive events.

Methods: a scoping review was conducted of the literature including indexed databases and grey literature to identify reports that described sheltering guidelines for civilians during explosive events. Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) methodology was followed.

Results: the search identified 3582 peer-reviewed records. After title/abstract and full text screening, only two peer-reviewed reports remained eligible. These were combined with 13 gray literature reports obtained from humanitarian organizations and internet searches. The peer-reviewed reports included mine and unexploded ordnance guidelines, not guidelines for EWIPA or aerial bombardments. There is a substantial knowledge gap and heterogeneity in existing sheltering guidelines from explosive events, particularly those appropriate for protection from EWIPA.

Conclusion: findings from this scoping review demonstrate a need for the creation and standardization of evidence-based civilian sheltering guidelines to mitigate the threat of explosive weapons to civilians in conflict.
Explosive weapons in populated areas, protection of civilians in conflict, injury prevention, disaster preparedness, sheltering positions, sheltering positions, explosive weapons in populated areas, protection of civilians in conflict, injury prevention, disaster preparedness
1935-7893
e114
Hansen, Alexandra Christine
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Badri, Elsara
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Almalla, Mohamad
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Cheran, Aparna
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ElRayes, Wael
fdfa3363-f346-44ec-a08a-7a607f8e67e2
Jacoby, Taylor
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Mockler, David
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Massah, Bonface
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Kushner, Adam L.
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Denny, Jack
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Wild, Hannah
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Hansen, Alexandra Christine
bfca345b-16d9-4d50-a629-7c123da24241
Badri, Elsara
fd61ede1-ed38-49a5-b587-588995709fda
Almalla, Mohamad
f6591bbb-38f4-4ea8-8747-f878dce7cfbd
Cheran, Aparna
1ce0e8c3-91ea-43a6-8b45-8f3f892c354e
ElRayes, Wael
fdfa3363-f346-44ec-a08a-7a607f8e67e2
Jacoby, Taylor
7fa35c01-97bd-4ce7-ae57-c285c749c98b
Mockler, David
e21a2bb3-c50f-4a2c-a9fd-f18e5a721a67
Massah, Bonface
875354a5-6c05-4e67-85e4-549e3a92f6fb
Kushner, Adam L.
910d020e-d972-4dfe-867e-6d5a83e52080
Denny, Jack
7bd3e650-6c4e-4149-b408-2166e377b216
Wild, Hannah
12ef3581-6f3a-4f77-b154-d1f92a9a2c0a

Hansen, Alexandra Christine, Badri, Elsara, Almalla, Mohamad, Cheran, Aparna, ElRayes, Wael, Jacoby, Taylor, Mockler, David, Massah, Bonface, Kushner, Adam L., Denny, Jack and Wild, Hannah (2025) Civilian sheltering guidelines for explosive weapons in populated areas: a scoping review. Disaster Medicine and Public Health Preparedness, 19, e114, [e114]. (doi:10.1017/dmp.2025.117).

Record type: Article

Abstract

Background: the use of explosive weapons in populated areas (EWIPA) has a disproportionate impact on civilians. Many humanitarian organizations utilize varying sheltering guidelines to recommend safe positions for civilians affected by explosive threats. It is not known whether these recommendations are standardized or derived from evidence. This study aimed to identify existing recommendations and potential gaps in literature relevant to sheltering guidelines for civilians during explosive events.

Methods: a scoping review was conducted of the literature including indexed databases and grey literature to identify reports that described sheltering guidelines for civilians during explosive events. Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) methodology was followed.

Results: the search identified 3582 peer-reviewed records. After title/abstract and full text screening, only two peer-reviewed reports remained eligible. These were combined with 13 gray literature reports obtained from humanitarian organizations and internet searches. The peer-reviewed reports included mine and unexploded ordnance guidelines, not guidelines for EWIPA or aerial bombardments. There is a substantial knowledge gap and heterogeneity in existing sheltering guidelines from explosive events, particularly those appropriate for protection from EWIPA.

Conclusion: findings from this scoping review demonstrate a need for the creation and standardization of evidence-based civilian sheltering guidelines to mitigate the threat of explosive weapons to civilians in conflict.

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Accepted/In Press date: 25 March 2025
e-pub ahead of print date: 8 May 2025
Published date: 8 May 2025
Keywords: Explosive weapons in populated areas, protection of civilians in conflict, injury prevention, disaster preparedness, sheltering positions, sheltering positions, explosive weapons in populated areas, protection of civilians in conflict, injury prevention, disaster preparedness

Identifiers

Local EPrints ID: 500950
URI: http://eprints.soton.ac.uk/id/eprint/500950
ISSN: 1935-7893
PURE UUID: 1adb4026-80a1-4560-b5da-df4ca17bc257
ORCID for Jack Denny: ORCID iD orcid.org/0000-0003-3181-4747

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Date deposited: 19 May 2025 17:04
Last modified: 06 Sep 2025 01:58

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Contributors

Author: Alexandra Christine Hansen
Author: Elsara Badri
Author: Mohamad Almalla
Author: Aparna Cheran
Author: Wael ElRayes
Author: Taylor Jacoby
Author: David Mockler
Author: Bonface Massah
Author: Adam L. Kushner
Author: Jack Denny ORCID iD
Author: Hannah Wild

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