Global & Disaster Medicine

Archive for the ‘Mass shooting’ Category

4/20/1999, Columbine High School: By 11:35 a.m., Klebold and Harris had killed 12 fellow students and a teacher and wounded another 23 people.

History Channel


April 16, 2007: In one of the deadliest shootings in U.S. history, 32 students and teachers die after being gunned down on the campus of Virginia Polytechnic Institute and State University



Grasse, France: Kylian Barbey, 17, armed with two revolvers, a hunting rifle and a backpack containing fake grenades, opened fire at the school; wounded head teacher and two pupils in shooting spree.

Daily Mail


Sardar Mohammad Daud Khan hospital: Gunmen Disguised As Doctors


“…..Witnesses describe gunmen wearing white doctors’ coats, which hid the assault rifles and grenades they broke out to target the staff and patients……”


Feb. 28, 1993: A gun battle erupted near Waco, Texas, when Bureau of Alcohol, Tobacco and Firearms agents tried to serve warrants on the Branch Davidians; four agents and six Davidians were killed as a 51-day standoff began.

Patients are back in their beds at Ben Taub Hospital hours after an active shooter scare.


Terrorists Call for Attacks on Hospitals, Healthcare Facilities

8 February 2017

(U–FOUO) FL -Terrorists Call for__ Attacks on Hospitals, Healthcare Facil…

Recent calls over the past year for attacks on hospitals in the West by media outlets sympathetic to the Islamic State of
Iraq and ash-Sham (ISIS) highlight terrorists’ perception of hospitals as viable targets for attack. Targeting hospitals and healthcare facilities is consistent with ISIS’s tactics in Iraq and Syria, its previous calls for attacks on hospitals in the West, and the group’s calls for attacks in the West using “all available means.” While we have not seen any specific, credible threat against hospitals and healthcare facilities in the United States, we remain concerned that calls for such attacks may resonate with some violent extremists and lone offenders (DHS and the FBI define a lone offender as an individual motivated by one or more violent extremist ideologies who, operating alone, supports or engages in acts of violence in furtherance of that ideology or ideologies that may involve influence from a larger terrorist organization or a foreign actor.) in the Homeland because of their likely perceived vulnerabilities and value as targets.*

The pro-ISIS Nashir Media Foundation released a series of messages on 29 December 2016 encouraging lone
offenders in the West to conduct attacks on hospitals, cinemas, and malls.2

In early
June 2016, ISIS called for a “month of calamity,” encouraging followers in Europe and the
United States to attack schools and hospitals in an audio message released via Twitter.3
Additionally, in its January 2016 issue of Rumiyah magazine, ISIS provided tactical
guidance and encouraged lone offenders to conduct arson attacks on hospitals.4
» (U) ISIS, through its Amaq news agency in November 2016, took credit for an attack on
a hospital in Quetta, Pakistan that resulted in at least 74 deaths and 100 injuries.5,6,7 Aid
organizations and coalition governments have alleged since early 2015 that ISIS has
systematically targeted hospitals, healthcare facilities, patients, and healthcare workers in
Iraq and Syria, resulting in hundreds of deaths and injuries and reducing the overall
capacity of healthcare delivery infrastructure.8-12

Possible Indicators of the Targeting of Hospitals and Healthcare Facilities
(U//FOUO) Some of these activities may be constitutionally protected, and any determination of possible illicit intent should be supported by
additional facts justifying reasonable suspicion. These activities are general in nature and any one may be insignificant on its own, but when
observed in combination with other suspicious behaviors—particularly advocacy of violence—they may constitute a basis for reporting.
» (U//FOUO) Consumption and sharing of media glorifying violent extremist acts in attempting to mobilize others to violence;
» (U//FOUO) Loitering, parking, standing, or unattended vehicles in the same area over multiple days with no reasonable explanation, particularly in concealed locations with optimal visibility of potential targets or in conjunction with multiple visits;
» (U//FOUO) Photography or videography focused on security features, including cameras, security personnel, gates, and barriers;
» (U//FOUO) Unusual or prolonged interest in or attempts to gain sensitive information about security measures of personnel, entry points,
peak days and hours of operation, and access controls such as alarms or locks;
» (U//FOUO) Individuals wearing bulky clothing or clothing inconsistent with the weather or season, or wearing official uniforms or being in authorizedized areas without official credentials;
» (U//FOUO) Individuals presenting injuries consistent with the use of explosives or explosive material without a reasonable explanation; and
» (U//FOUO) Unattended packages, bags, and suitcases.
(U) Possible Mitigation Strategies
» (U//FOUO) Limit access in restricted areas and require employees to wear clearly visible identifications at all times;
» (U//FOUO) Ensure personnel receive training and briefings on active shooter preparedness, lockdown procedures, improvised explosive
device (IED) and vehicle-borne IED awareness and recognition, and suspicious activity reporting procedures; and
» (U//FOUO) Conduct law enforcement and security officer patrols in loading, waiting, and patient triage areas, and around drop-off and
pick-up points where there are large numbers of people concentrated in restricted spaces.


1 (U); Laura Connor; The Daily Mirror; “ISIS claims responsibility for Pakistan hospital bomb attack that killed at least 70 people”; 09 AUG 2016;; accessed on 27 JAN 2017.
2 (U); Julian Robinson; Daily Mail Online; “’We will make New Year mayhem’: ISIS supporters call for lone wolf attacks in cinemas, malls and
HOSPITALS as they release pictures of a knife-wielding fanatic chasing Santa Claus”; 29 DEC 2016;
chasing-Santa-Claus.html; accessed on 04 JAN 2017.
3 (U); Thomas Burrows; Daily Mail Online; “Brussels is facing a wave of terror attacks on schools and hospitals during Ramadan, say security
services”; 14 JUN 2016;
security-services.html; accessed on 04 JAN 2017.
4 (U); ISIS; Rumiyah Magazine, Issue 5; al-Hayyat Media; 06 JAN 2017; pgs. 9-10.
5 (U); Gul Yousafzai; Reuters; “Suicide bomber kills at least 70 at Pakistan hospital, IS claims responsibility”; 08 AUG 2016;; accessed on 29 DEC 2016.
6 (U); Samuel Osborne; The Independent; “Where are the hashtags for the Pakistan hospital attack? Lack of response to bombing criticised on
Twitter”; 09 AUG 2016;
html; accessed on 29 DEC 2016.
7 (U); Salman Masood; The New York Times; “Suicide Bomber Kills Dozens at Pakistani Hospital in Quetta”; 08 AUG 2016;; accessed on 04 JAN 2017.
8 (U); Roy Gutman; PBS; “In Recent Months, ISIS Targeted Hospitals, Doctors, Journalists”; 11 FEB 2014;; accessed on 29 DEC 2016.
9 (U); Newsweek (Reuters); “ISIS Attacks Hospital in Dawn Raid on Syrian City”; 14 MAY 2016;
syrian-city-459961; accessed on 29 DEC 2016.
10 (U); WHO Regional Office for the Eastern Mediterranean; “WHO condemns attack on Jableh hospital in Syria”; 23 MAY 2016;; accessed on 30 DEC 2016; (U); World Health
Organization website.
11 (U); CBC News (Thompson Reuters); “Syria bombings claimed by ISIS kill 148 at hospital, bus station”; 23 MAY 2016;; accessed on 30 DEC 2016.
12 (U); Sylvia Westall, Kara O’Neill; Mirror Online; “ISIS suicide bomber blows himself up in crowd just moments after detonating car bomb
near hospital”; 15 DEC 2015;; accessed on 30 DEC

Fort Lauderdale: The FBI has not ruled out terrorism.



A gunman opened fire in the baggage claim area at Fort Lauderdale-Hollywood International Airport Friday afternoon, killing at least five people and wounding another eight.



12/14/2012: A 20-year-old man shoots and kills his mother at their Newtown, Connecticut, home then drives to nearby Sandy Hook Elementary School, where he kills 20 first graders and six school employees before turning a gun on himself.

History Channel

Image result for sandy hook children autopsy photos



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