Report says nearly 400,000 'excess deaths' in South Sudan

South Sudan's civil war has caused nearly 400,000 "excess deaths" since fighting erupted in late 2013, a new report funded by the US State Department said Wednesday after years of uncertainty.

The report by the London School of Hygiene & Tropical Medicine estimates that "violent injuries" caused about half of those 382,900 deaths. Increased risk of disease and reduced access to health care contributed to others, it said.

The toll in South Sudan's civil war has long been uncertain, with estimates in the tens of thousands.

"I think this figure is much more realistic than the 50,000 which has been used for so long," Klem Ryan, a former official with the United Nations mission in South Sudan who later served as the coordinator of the UN panel of experts monitoring sanctions on the country, told The Associated Press.

Counting the dead in the civil war is difficult as so much occurs in remote locations, Ryan said. "However, that's not justification for not compiling what we did know and pointing to the gaps."
"To our knowledge this is the first comprehensive estimate of how many people have died because of the war," Francesco Checchi, a lead investigator on the study, told the AP. "Every day that goes by, hundreds more lives may be lost."