Tehran blood stocks dip as smog, remote work cut donations
A patient rests on a ward bed at Tehran’s Masih Daneshvari Hospital as heavy smog drives a surge in respiratory cases on December 1, 2025. Officials say more than 58,000 deaths nationwide in 1403 (ended March 20), including over 8,000 in Tehran, were linked to air pollution, with children and older adults at greatest risk on unhealthy air days.
Blood reserves supplying 180 hospitals across Tehran have dropped after two weeks of heavy smog and widespread remote working reduced donor turnout, provincial officials said, warning the shortfall is beginning to affect daily supply plans.
Mohammadreza Mahdizadeh, head of Tehran Province Blood Transfusion, said the capital needs about 1,500 units a day but donations have slipped to roughly 1,100–1,200, creating a daily gap that erodes inventories.
He said mobile teams that previously collected at government offices cannot operate effectively because many staff are working from home, and even where teams can visit, “only one-third of employees are on site,” limiting volunteers.
He added that expected rain later this week typically depresses visits further.
Nationwide stocks stand at about 33,000 units – equal to 4.8 days of supply – but Tehran’s cover has fallen to 3.4 days, according to Babak Yektaperast, acting social affairs deputy at the national blood service.
He said advances in surgery and routine organ transplants have raised structural demand for blood products, widening the impact when donor turnout dips.
Yektaperast said air pollution is not, by itself, a barrier to giving blood, adding that high-risk groups such as children, the elderly, pregnant women and people with underlying diseases are already exempt from donating under blood service protocols.
“Some people may experience throat or eye irritation or chest pain from pollution, and we advise them not to donate,” he said, adding that most healthy adults remain eligible.
He said smog still depresses visits because residents prefer to stay home, while polluted days also bring more hospital admissions for conditions such as cardiac problems, upsetting the balance between donations and demand.
Daily, about 7,500 units are donated nationwide and 7,000 distributed, he said.
Mahdizadeh urged residents – “especially women and young people” – to treat donation as an essential errand during smog alerts and to check the provincial website for collection site hours.
Other provinces report pressure too. In Mazandaran, influenza and seasonal colds have sharply reduced donor turnout across all blood groups, the provincial blood service chief said on Wednesday.
Structural needs also weigh in the southeast. Sistan-Baluchestan has around 3,400 thalassemia patients who together require roughly 8,000 units a month, Yektaperast said, adding that accidents and other emergencies further strain local stocks.
Iranians report rising prices and sporadic shortages of everyday goods and groceries, making it harder to cover basic needs and put food on the table, according to messages sent to Iran International.
Iran International asked ordinary shoppers in Iran to share their experiences of price hikes, the falling value of money, and the daily affordability challenges they face. A series of videos, audio clips, and text messages show mounting hardships.
Relentless price increases and runaway inflation have pushed families to the brink, forcing many to fight to survive rather than live any kind of normal life.
Their messages describe thinning shelves, collapsing purchasing power, and a growing sense that while ordinary people sink deeper into hardship, only profiteers and those connected to power continue to thrive.
“Everything is expensive and people are exhausted from all this inflation. There are no sales, businesses are dead. Only a miracle can save us from this situation,” one message said.
“In Iran, the government doesn’t care about these problems. Right now there is no business. Even if you work 24 hours a day, you’ll still come up short at the end of the month – unless you earn 3 million tomans (about $25) a day, which almost no one does, perhaps only 10% of the population,” another message said. Average Iranian income is about 100 to $150 per month.
Purchasing power
Local media tracking shows that in the past year, food prices in Iran have risen by an average of more than 66%.
Bread and grains are up 100%, fruits and nuts 108%, vegetables 69%, beverages 68%, fish and seafood 52%, and dairy products like milk, cheese and eggs 48%.
“Small retailers are either shut down or semi-closed because prices rise daily and the purchasing power of the middle class and the poor has completely collapsed. Only profiteers and those connected to the corrupt government benefit,” one message said.
“Prices for food, clothing, medicine, doctor visits, car parts – everything – are extremely high. Ninety percent of people fight just to survive, not to live.”
Daily rise
Other messages said conditions worsened after the 12-day war with Israel in June and the subsequent return of UN sanctions.
“I swear I haven’t bought red meat for a year. Same with chicken. After the 12-day war, I lost my job and my wife and children left me,” one message said.
Based on the accounts, some families have eliminated dairy except for cheese, stopped buying seasonal clothing, and cut out snacks entirely.
Dining out, visiting coffee shops, and even holding family gatherings have all but disappeared. For many, buying birthday gifts for children is no longer possible.
“This is our situation as a semi-affluent family above the poverty line. I can’t even imagine what life is like for those below it,” another message said.
China’s independent refiners are stepping up purchases of Iranian crude held in bonded storage and on tankers idling offshore after Beijing issued a fresh round of import quotas late last month, Bloomberg reported.
Citing people familiar with the matter, the report said the new allowances follow a fourth-quarter slowdown linked to exhausted permits and sanctions-related frictions that curbed arrivals.
The so-called teapot processors in Shandong province dominate China’s intake of discounted Iranian barrels, but overall demand may stay subdued through year-end as weak margins persist, according to analytics firm Vortexa cited by Bloomberg.
Two supertankers that had been waiting off China discharged this week, including the Panama-flagged Ill Gap with about 2 million barrels at Rizhao, the report added.
Iranian crude held in floating storage has climbed to the highest in roughly two and a half years as exports outpaced Chinese buying, shipping tracker Kpler estimates.
Offers for Iran Light this week were around $8–$9 a barrel below ICE Brent, compared with roughly $4 in August, traders told Bloomberg.
The pressure reflects a well-supplied global market and intermittent bottlenecks on Chinese intake tied to quota availability and compliance risks.
In late October, Reuters reported Iranian barrels to China changing hands at the steepest discounts in over a year amid tighter Western sanctions on Iran and Russia and a shortage of teapot import quotas.
China allocates crude import volumes to non-state refiners in tranches. Analysts said the latest allotment gave about 20 teapots some 7–8 million tons combined, enabling refiners to clear on-water inventories and draw from bonded tanks.
But with refinery margins thin and some buyers wary after recent sanctions on firms and facilities accused of handling Iranian oil, industry watchers expect sanctioned crude to continue accumulating on the water into December.
Soaring psychotherapy costs in Iran are forcing many patients to sell personal belongings or take on debt yet large numbers still abandon treatment due to the steep fees, the Tehran-based daily Ham-Mihan newspaper reported on Tuesday.
The paper said interruptions in care have intensified feelings of helplessness, despair and the recurrence of mental health symptoms among those unable to continue.
While the official psychotherapy tariff for the current Iranian year, which began in late March, is set at 5,000,000 to 6,200,000 rials ($4–$5) per session, actual prices in Tehran range from 10,000,000 to 50,000,000 rials ($8–$42), the report said.
It added that the minimum monthly wage for a married worker with two children is about 163,000,000 rials (around $137), while the average monthly income nationwide is 240,000,000 to 250,000,000 rials ($202–$210).
At these income levels, each therapy session costs the equivalent of one-third to one-fifth of a monthly salary for middle- and lower-income households.
Ham-Mihan’s report said that to respond to rising demand, the government has expanded a network of community mental-health centres known as Seraj, with about 100 centres now operating nationwide offering basic support.
However, it added that these centers do not offer psychotherapy and that coverage remains uneven and capacity limited, particularly outside major cities, forcing many patients toward the more expensive private sector.
The report cited a national study published this summer by Iran’s National Institute of Health Research found that 62.5% of people with psychiatric disorders felt they needed treatment in 2021–22, but only 35.7% received services — a rate unchanged from a decade earlier.
Cost was one of the main barriers, alongside stigma and the belief that symptoms would resolve without professional help.
Last December, Iran’s Health Ministry said one in four people in the country suffers from a psychiatric disorder, almost double the global estimate of one in eight according to World Health Organization (WHO) mental-health data.
Global data show Iran carries a heavier mental-health burden than the world average, with mental disorders accounting for 10.3% of total disability-adjusted life years (DALYs) in 2019 compared with roughly 8% globally, according to the Global Burden of Disease Study (GBD), published by the UK-based medical journal The Lancet.
Meanwhile, last November, Iranian authorities announced plans to open a treatment clinic for women who defy the country's compulsory hijab rules.
The initiative, announced by Mehri Talebi Darestani, head of the Women and Family Department at the Tehran Headquarters for the Promotion of Virtue and Prevention of Vice, would offer what she described as “scientific and psychological treatment for hijab removal,” signaling the government’s focus on behavioral enforcement even as access to mental-health care remains limited.
The revelation that Iranian journalists received government-issued SIM cards for unfettered access internet access while most users endured heavy state censorship has led to accusations that their privilege skewed their output.
The controversy erupted after a recent update on social media platform X rendered the location from which users operated visible.
Those whose location was listed as Iran and not a third country, scrambled by a VPN, appeared to have unfettered access.
In Iran, the new feature exposed that thousands of officials, lawmakers, political activists, journalist and even some pro-government artists, had uncensored internet—even during full national shutdowns.
Critics describe internet in Iran as “tiered," with a hierarchy of favored voices given greater freedom via so-called “white SIMs”, or government issued phone cards with carte blanche to navigate the internet.
'Distrust, discrimination'
Communication researcher Saeed Arkanzadeh-Yazdi told the Shafaqna news outlet that the revelations have generated “an unprecedented wave of collective anger,” clearly visible in the online backlash.
“The distrust toward politicians and activists, and the resentment over the discrimination ... is far greater than what we see on social media,” he said, singling out journalists, whose standing in the public eye, he said, was deeply harmed by the affair.
Some journalists defended the use of the privileged SIM cards while condemning limitations imposed on the public.
Reformist columnist Abbas Abdi—a long-time opponent of internet filtering—said he had openly acknowledged his access years ago. But in an article in Etemad daily, he argued that the benefit itself had been misunderstood.
“In fact, this was not a privilege for journalists," Abdi wrote. "They exempted journalists from a punishment from which everyone should have been exempt … If the exemption required some kind of commitment, then the act should be condemned.”
'Soft-war fighters'
Some with White SIMs were even more direct in defending their privilege.
“Unfiltered internet is not a personal privilege," hardline commentator Abdollah Ganji posted on X. "It is a decision by past and present governments to equip the fighters of the soft war.”
Just as the government is obliged to strengthen the armed forces, he wrote, “for example by helping to develop the Revolutionary Guard's missile program," it must also equip “the frontline warriors of the soft, cognitive and hybrid war."
More backlash
Reformist media figure Isa Saharkhiz rebuked Abdi’s defense in a post on Telegram, asking whether journalists should have chosen solidarity with the public.
“Could the correct, principled and law-abiding behavior not have been to self-sanction until the majority of society was freed from these restrictions?” he wrote.
Political activist Zeinab Zaman wrote on X: “Friends with white SIM cards: if X hadn’t introduced this feature, you would have continued silently. Any explanation now only worsens your image. You accepted this discrimination in silence.”
Journalist Mohammad Raei-Fard called the privileged SIM cards “an insult to the people,” in a post on X, arguing the government had turned internet access into yet another class privilege.
Apologies under pressure
Public backlash has pushed some journalists to apologize.
Reporter Somaye Baghi expressed remorse and promised to request that her access be revoked. She revealed that her SIM was unfiltered “a few weeks after the 12-Day War,” but said she now sees the ethical dimension more clearly.
“I benefited from an unequal privilege. I viewed it as a tool for journalism, but now I know it is also a moral issue,” she posted on X.
Baghi stressed that although she neither requested nor gained access through political connections, she had accepted it. “In Iran’s non-transparent system, any special access becomes questionable — and such criticism is legitimate.”
Dozens of foreign tankers suspected of transporting sanctioned crude for Iran and Russia sailed under the Cook Islands flag in 2024-2025, according to an AFP analysis of US and UK sanctions data.
AFP reported that at least 34 ships linked to suspected sanctions evasion were Cook Islands–flagged over the period, including 20 cited on US sanctions lists and a further 14 on a British blacklist.
The flag is administered by Maritime Cook Islands, a private operator that runs the registry for the self-governing Pacific territory.
The analysis said shipowners could obtain Cook Islands papers without visiting the country, using a small beachside office – located next to a pizza shop – as their point of contact. The office serves as the headquarters for what AFP described as one of the world’s fastest-growing shipping registries.
New Zealand, which has a free-association relationship with the Cook Islands and retains responsibilities that include foreign affairs, said the findings show a policy divergence with the microstate and that Wellington has repeatedly raised concerns with its government.
“New Zealand continues to hold serious concerns about how the Cook Islands has been managing its shipping registry, which it has repeatedly expressed to the Cook Islands government over many years... This is a completely unacceptable and untenable foreign policy divergence,” said a spokesman for Foreign Minister Winston Peters.
Maritime Cook Islands said it does not harbor sanctioned vessels and that any ships accused of sanctions-busting are promptly deleted from the registry, adding that it conducts due diligence checks before registration.
Western sanctions aim to limit oil revenue for Tehran and Moscow.
Analysts say a “shadow fleet” uses reflagging, opaque ownership and ship-to-ship transfers to move cargoes outside mainstream maritime services – a practice that places added scrutiny on flag registries as enforcement widens to entities connected to suspect voyages.