COVID-19 pandemic in Iran

According to physicians who spoke with American journalist Dexter Filkins and who asked to remain anonymous for fear of retribution, possibly the first case of Covid in Iran was in December in the city of Gorgan. The physicians complained to Filkins that in the coming weeks as the cases mounted and many of the patients started dying, hospital officials told staff "to keep quiet. 'We were given special instructions not to release any statistics on infection and death rates.'” Staff were "ordered not to wear masks or protective clothing. 'The aim was to prevent fear in the society, even if it meant high casualties among the medical staff.'” Officials were afraid fear of the pandemic would reduce voter turnout for the 21 February parliamentary election which would encourage "counterrevolutionaries". On 19 February, two days before the election, the deaths of two Iranians from the pandemic was made public, which meant, according to Iranian journalists Filkins talked to, “we reported deaths before we even reported any infections.” By this time there were "hundreds" of ill patients in the hospital in Gorgan, and so many deaths "that a local cemetery hired a backhoe to dig graves".[7]

On 19 February, two people tested positive for SARS-CoV-2 in the city of Qom.[3] Later that day, the Ministry of Health and Medical Education (MOHME) stated that both had died.[43] On 20 February, three new cases were reported by the MOHME. Two of them were from Qom and one from Arak.[44] On 21 February 2 deaths and 13 new cases were reported; seven cases were from Qom, four from Tehran, and two from Gilan Province.[45] On 22 February, the MOHME reported 10 more infected cases, bringing the total to 29, and two more deaths, bringing the total to eight. Eight of the new cases were from Qom and two from Tehran.[46]

On 23 February, Health Minister Saeed Namaki said that one of those who died was a merchant from Qom who travelled regularly using indirect flights between China and Iran after direct flights were suspended between the two countries, and may have brought the virus from China.[47]

On 25 February, the Iranian government first told citizens that the U.S. had "hyped COVID-19 to suppress turnout" during elections, and that it would "punish anyone spreading rumors about a serious epidemic."[48][49][50] A closed parliamentary session including Namaki and Ahmad Amirabadi Farahani was held. Body temperatures were tested prior to the meeting and three members of parliament, including Farahani, were requested to excuse themselves from the session and self-quarantine. All three attended the session. Farahani later spoke with journalists and gave television interviews wearing a mask and pair of gloves.[51] The MOHME reported that there were 593 confirmed cases and 43 deaths as of 29 February.[52][53][54][55]

A patient receiving treatment in a hospital in Tehran

Number of cases (blue), number of deaths (red) on a logarithmic scale, and number of deaths the previous ten days (dotted black).

On 1 March, the MOHME reported 385 new confirmed cases, 11 new deaths, and 52 more people who had recovered, bringing the total recoveries to 175.[56] On 11 March, the MOHME reported 9,000 new confirmed cases, 354 deaths,[57][58][59][60][61] and a total of 2,959 patients that had recovered. President Hassan Rouhani took the chair of the national taskforce on combating the outbreak, replacing the Health Minister at the request of lawmakers.[62]

People in Shiraz wearing facemasks next to a closed market

On 12 March, the MOHME reported 1,075 more new confirmed cases and 75 new deaths. They also reported that 3,276 people had recovered. Iran requested an emergency loan of US$5 billion from the International Monetary Fund for the first time since the Iranian Revolution to help combat the outbreak.[63] (Previously the IMF had been described by the Islamic Republic as "a tool of U.S. hegemony".[7]) However, the United States government opposed this request, according to Ali Shamkhani, the secretary of Iran's Supreme National Security Council.[64] On 17 March, the MOHME reported 1,178 more new confirmed cases, 135 new deaths, and 5,389 people who had recovered in total. Sharif University of Technology published a study about possible outcomes of the pandemic. Three scenarios were announced: if people cooperated immediately, Iran would see 120,000 infections and 12,000 deaths before the outbreak was over; if there was a medium amount of cooperation, there would be 300,000 cases and 110,000 deaths; and if people did not follow any guidance, it could collapse Iran's already strained medical system and there would be 4 million cases and 3.5 million deaths.[65] On 19 March, the MOHME reported 18,407 total confirmed cases and 1,284 deaths.

On 20 March, 1,237 new infections and 149 deaths were reported. On 24 March, a new peak of 1,762 new cases was announced with 122 deaths. Rouhani said that the number of patients admitted to hospitals in different provinces as well as deaths due to the virus had decreased, which he took to be promising.[66] Iran accused Médecins Sans Frontières of being spies, and a team they had sent to Iran to help had been ordered to leave the country.[67][68]

On 25 March, with new cases surpassing 2,000 for the first time, the government warned of a "second wave" of infection.[69] On 26 March, the MOHME announced that 2,389 more people had become infected, with 157 new deaths.[70] On 27 March, daily new cases had increased to 2,926 with 144 deaths.[71]

On 28 March, the number of new cases exceeded 3,000 for the first time (3,076), with 139 new deaths.[72] On 29 March, 2,901 new cases and 123 new deaths were announced.[73] Rouhani defended his government's response to the crisis and said that, according to health experts and doctors in Iran, "in some provinces, we have passed the peak [of the epidemic] and are on a downward trajectory".[74] On 2 April, Rouhani warned that the country might have to fight the pandemic for another year. On that day, 3,111 new infections raised Iran's total to 50,468, and 124 new deaths brought the total to 3,160, while 16,711 of those hospitalised had recovered.[75]

On 4 April, Iran announced the highest number of daily deaths so far, with 158 people having died the previous 24 hours, bringing the total number of deaths to 3,452. The total number of cases had reached 55,743. Iranian officials had expressed concerns that many had ignored rules to stay indoor and cancel travel plans.[76]

On 7 April, MOHME spokesman Kianush Jahanpur stated that the intensification of the social distancing policy had led to fewer new cases in recent days. Rouhani again asked people "to stay at home" and obey guidelines.[77]

The Islamic Republic News Agency reported that "low-risk" business activities restarted in most of the country on 11 April, except for in Tehran, where they would restart on 18 April. Rouhani said, "Easing restrictions does not mean ignoring health protocols... Social distancing and other health protocols should be respected seriously by people." To follow the social distancing, "many government offices also re-opened, with two-thirds of their staff" on 11 April. Theatres, swimming pools, saunas, beauty salons, schools, universities, shopping centers, and restaurants, as high-risk businesses, did not resume, and cultural, religious, and sports gatherings were banned. According to health authorities, "many Iranians have ignored appeals to stay at home", which could lead to a second wave of illnesses.[78]

On April, a video of a mortuary worker at a cemetery in Qom surrounded by dozens of bodies went viral. The man who filmed it was later arrested, with authorities telling the public that "all bodies were being treated with respect and in keeping with Islam."[79]

Iranian officials stated that between 20 February and 7 April, at least 728 people had died in Iran due to Methanol poisoning after falsely believing that consuming the alcohol protected them from the virus.[80]

The daily death toll from COVID-19 dropped below 100 starting 14 April. As the death toll dropped, the lockdown measures continued to be eased, and businesses designated as "low-risk businesses", which include many shops, factories and warehouses, were allowed to reopen in Tehran on 18 April.[81][82]

On 2 May, the country reported 802 new cases, the lowest number of new cases in nearly two months.[83]

After the lockdown measures were relaxed in April, cases of COVID-19 started to increase again in May, with new cases averaging 1,200 a day in early May.[84]

Despite the rise in cases, all mosques apart from those in Tehran and some major cities were allowed to reopen on 12 May,[85] and schools reopened the following week on 16 May.[86]

An increase in cases in the southern provinces of Khuzestan Province and Sistan and Baluchestan Province led to the re-imposition of lockdown restrictions In mid-May there, with travel in and out of Abadan restricted.[87][88] Health Ministry Spokesman Kianoush Jahanpour said on 18 May that around one-fourth of Iran's daily cases were in Khuzestan, with Lorestan Province, North Khorasan Province, Kerman, Sistan and Baluchestan Province and Kermanshah also showing significant rate of transmission of the virus.[89]

The number of cases in the country surpassed 150,000 by 31 May.[90] However, according to Hassan Rouhani, Iran was in "an acceptable situation" and "not even fragile", with the effective reproduction number (R_eff) of the virus in the country at less than one.[91]

New cases continued to increase in early June, with nearly 3,000 new cases reported on 1 June compared to 802 on 2 May.[92] The government put the increase in cases down to increased testing, although Health minister Saeed Namaki warned the citizens to follow guidance and social distancing rules or risk a second wave of the disease.[24] The percentage of infections detected in tests however have increased from 11% on 29 May to 14% on 6 June.[93]

On 4 June, 3,574 new cases of COVID-19 were reported. This figure surpassed the previous peak of 3,186 reported on 30 March. The worst affected province was Khuzestan, and the provinces of Hormozgan Province, Kurdistan and Kermanshah were also given "serious virus warning".[94] President Rouhani blamed a wedding party for contributing to the increase, and stressed that the country had no option but to keep the economy open.[11]

On 14 June, the number of daily deaths reached over 100 for the first time in 2 months, with 107 deaths reported. The Ministry of Health warned of increasing infections in the rural provinces.[95]

The total number of cases surpassed 200,000 on 19 June 2020,[96] while the number of death recorded reached over 10,000 on 25 June.[25]

On 29 June, Iran's Health Ministry reported a new record number of deaths in a day, with 162 having died the previous 24 hours. It surpassed the previous peak of 158 deaths reported on 4 April.[97] Iran's health ministry, however, said on 30 June that the country is still in the first wave, and a second wave would not be considered to have started unless there were to be another rise in cases in provinces that already "had a significant peak" in the first few months of the outbreak. The biggest increase in cases that occurred in May and June was in other cities and border provinces such as Khuzestan, Hormozgan, Kurdistan, Kermanshah, Bushehr, West and East Azerbaijan, and Razavi Khorasan Province, which have been recently designated code 'red' or highest risk areas, rather than in provinces that recorded a peak in the early months.[98]

On 5 July, a new peak of 163 deaths was reported,[99] and two days later on 7 July, a further jump in the number of deaths was recorded when 200 died in 24 hours.[100] Another peak of 221 deaths was reported on 9 July, with the total number of cases exceeding 250,000.[10] According to the Health Ministry, five thousand of the country's health workers had become infected and 140 of them had died from the disease by mid-July.[101]

On 18 July, President Rouhani said that 25 million Iranians are estimated to have already become infected, and between 30 and 35 million more are at risk of infection. This is considerably higher than the official count of 271,606 cases reported on that day.[26] Health officials said that the estimate is based on serological blood tests measuring previous exposure of Iranians to the virus, and does not reflect the current state of the disease in Iran.[102]

On 21 July, 227 deaths was reported.[103] The Deputy Health Minister advised Iranians to avoid visiting Mashhad due to a tripling of cases there in the previous month. The death toll reached over 16,000 on 28 July, with another record of 235 deaths reported that day.[104] The number of registered coronavirus cases had reached 296,273 cases and the death toll was 16,147 according Health Ministry, Sima Sadat Lari.[105]

The total number of official cases surpassed 300,000 on 30 July 2020.[106]

Infections continued at a high level in August, with 2,685 tested positive for the virus on 2 August.[107] On 12 August, Health Minister Iraj Harirchi suggested that rate of contamination from the virus had increased.[108] On 19 August, the total number of cases had reached over 350,000, with the total number of deaths recorded exceeding 20,000.[109]

On September 19, 24,000 Iranians had died of coronavirus.[110]

On 3 December, Iran surpassed 1 million COVID-19 cases and two days later on 5 December, Iran surpassed 50,000 confirmed deaths.

In a tweet on 25 February 2020, health ministry adviser Alireza Vahabzadeh announced that Iranian Deputy Health Minister Iraj Harirchi had tested positive for SARS-CoV-2 infection.[111] Mahmoud Sadeghi, an MP from Tehran, also tested positive for the virus.[112][36] Iran's vice president for Women and Family Affairs, Masoumeh Ebtekar, was diagnosed with COVID-19, as well as the Chairman of the Iranian Parliament's National Security and Foreign Affairs Committee, Mojtaba Zolnour.[36][113][114] Iran's First Ambassador to the Vatican, Hadi Khosroshahi, died from COVID-19 infection in Qom.[36] Mohammad Ali Ramazani Dastak was claimed to have died from COVID-19 on 29 February 2020 but the cause of death was officially given as flu.[115]

Mohammad Mirmohammadi, a member of the Expediency Council which advises the Supreme Leader Ali Khamenei, was reported to have died of the disease on 2 March.[116] Twenty-three members of the Iranian Parliament were reported to have been infected.[28] The head of emergency medical services, Pirhossein Kolivand, was diagnosed with the disease.[117] Mohammad Sadr, a member of the Expediency Council, had reportedly been infected with coronavirus.[118] Esmail Najjar, the chief of Iran's Crisis Management Organization, was infected with coronavirus.[119] Subsequently, all government officials were forbidden from international travel, and parliament was indefinitely suspended.[120]

Farhad Tazari, the former head of the Islamic Revolution Guards Corps’ Political Bureau,[121] Iran's First Vice President Eshaq Jahangiri was infected with the virus.[122] Ali Asghar Mounesan, Minister of Cultural heritage, Handicrafts and Tourism, and Reza Rahmani, Minister of Industry, Mines and Business, got sick.[123][124] Member of Expediency Discernment Council Ali Akbar Velayati was infected with the virus.[125] Minoo Mohraz, a member of the committee to combat coronavirus, tested positive for the virus.[126]

At least 17 Iranian politicians and officials had died from the virus by 25 March.[29] Sitting or former Iranian politicians and officials who died from the virus include elected Member of Parliament Fatemeh Rahbar,[127] former MP Mohammad-Reza Rahchamani,[32] Nasser Shabani, a senior commander of Islamic Revolutionary Guard Corps (IRGC),[33] former Ambassador to Syria Hossein Sheikholeslam,[128] and former MP Hamid Kahram.[35] Akbar Dehghan (head of Qom seminary interpretation staff), Ayatollah Mohsen Habibi (a member of the Supreme Council of Tehran's Seminaries),[31] Ayatollah Reza Mohammadi Langroudi,[31] Hashem Bathaie Golpayegani, and economist Fariborz Raisdana also died from the virus.[129][130]

The new parliament convened on 27 May 2020, and all members of parliament tested negative for the virus.[131] On 4 July 2020, five members of parliament were announced to have contracted the disease as new cases of COVID-19 continued to increase in the country.[132] A few days later, it was reported that around seven had tested positive after more than 100 MPs were tested,[133] then nine.[134] Issa Jafari, an MP representing Bahar and Kabudarahang, died from the illness on 13 July 2020.[135]

On 1 August, the film director Khosrow Sinai died from COVID-19.[37]

The head of the atomic energy organisation Ali Akbar Salehi and the vice president in charge of budget and planning Mohammad Bagher Nobakht both tested positive on 11 October.[136]

Disinfection of Piroozi, Tehran

According to the Tasnim news agency, Southwest Asia’s largest factory producing face masks in Iran was opened by Mohammad Mokhber, director of the Headquarters for Execution of Imam Khomeini’s Order on 14 April 2020. The factory is able to "produce 4 million masks per month".[154] According to the report of EIKO's officials, the EIKO has provided several medical facilities to fight with the coronavirus pandemic in Iran, including " 25 million three-layered and N95 masks, launching a production line of medical masks, production of Iranian test kit for coronavirus infection, research on the medicine of the disease, launching the 4030 phone line with the help of 2,200 doctors and paramedics for answering people’s questions about coronavirus,  making oxygen concentrator (with producing 50 machines every day), production of 400,000 liters of disinfectant gel".[155]

On 2 March, the government announced plans to mobilise 300,000 soldiers and volunteers to combat the spread of the virus, as well as to deploy drones and water cannons to disinfect streets.[156] On 13 March, a plan was announced to clear streets, shops, and public places by the Revolutionary Guards. In addition, 1,000 fixed and mobile detection clinics would be set up, the army would work alongside medical staff as well as producing face masks and gloves, and army beds would be made available for patients.[157]

The head of the Medical Council of the Islamic Republic of Iran, Mohammad Reza Zafarghandi, said on 18 March that 22 million Iranians had been screened and that the condition of a one and a half million was being monitored. He also said that the numbers given by the MOHME are those of confirmed cases, adding, "The reality is the real numbers are higher than the [reported] numbers."[158] The Ministry of Defense and Armed Forces Logistics created the first COVID-19 test kit on 23 February. The government created an application and a website to combat the outbreak.[159]

Citizens were advised to avoid using banknotes.[160]

Several prominent figures have promoted unproven medical remedies, including Khamenei, Abbas Tabrizian and Hossein Ravazadeh.[161]

Iranian judiciary spokesman Gholam Hossein Ismaili said that "he was activating a range of preventive measures including cutting the number of people being sent to jail and allowing some inmates out on temporary early release."[162]

On 9 March, around 70,000 prisoners were temporarily released to limit the further spread of the disease within prisons.[163][164] On 10 March, more than 54,000 prisoners were temporarily released to prevent the spread of coronavirus.[165] On 17 March, about 85,000 prisoners were temporarily released due to the coronavirus,[166] and two days later the government announced plans to pardon 11,000 prisoners, including those charged with political crimes.[167][168]

On 27 March 70 inmates escaped Saqqez Prison in Kurdistan province.[169] On 28 March, prisoners in the western Iranian city of Hamadan rioted and escaped, using the outbreak as a pretext according to Hamedan's prosecutor.[170][171] Prisoners in the city of Mahabad, in Iran's Kurdish region, also attempted to escape.[172] On 30 March, there was a prison riot in the south of the country. Although 100,000 prisoners have been released as a measure to contain the pandemic, an estimated 50,000 people are still behind bars, including violent offenders and "security cases", dual nationals and others with Western ties.[169] Human rights activists reported that during riots in different jails on 30 and 31 March, at least 20 prisoners were killed in two prisons in Ahwaz when the guards opened fire of the prisoners. Several other prisoners were reportedly killed in Shiban prison, also in Ahwaz.[173] On 3 April, Rupert Colville, a spokesman for the United Nations Human Rights Commission, expressed his worries about prison conditions in "countries including Iran, one of the worst-hit in the world". There have been riots in the prisons of Iran and some other countries, "prisoners who are afraid, who are distressed at the big loss of contact from family members and so on. So, there are many, many issues surrounding this." Colville's comment came after Daniel Zeinolabedini, a juvenile offender in Mahabad prison in northeast Iran, died after he was reportedly beaten by prison guards.[174][175] A riot had erupted on 28 March, before Daniel's death, over prison conditions and the failure of the authorities to temporarily release the prisoners amid the pandemic.[176]

On 7 April, Iranian authorities moved some political prisoners from Shiban prisons in Ahwaz to an unknown location after the protests. According to Radio Farda, the regime severely suppressed the protests and several prisoners were killed.[177] A report issued by Amnesty international on 9 April indicated that during the protests, around 35 inmates were killed and hundreds wounded when security forces used live ammunition against them.[178]

The Ministry of Sports and Youth took steps to cancel sporting events, including football matches.[179]

Khamenei decided to cancel his Persian New Year speech, which takes place every year at the Imam Reza shrine, Mashhad.[180]

On 22 February, the Ministry of Islamic Culture and Guidance announced the cancellation of all concerts and other cultural events for one week.[181] The traditional Persian fire festival Chaharshanbe Suri was also banned by the government.[182]

In late March,[183] all parks and public gardens were closed by the order of officials and police did not let people enter.[145]

The MOHME announced the closure of universities, higher educational institutions, and schools in several cities and provinces.[184] The Corona National Anti-Virus Headquarters ordered academic organizations to launch learning management systems.[185] Iran's health minister announced schools and universities would be closed until the start of the holiday for Nowruz, the Persian New Year, on 20 March.[160]

In late February, the MOHME said that Friday prayers would not be held in Tehran and areas affected by the outbreak that week.[186] On 20 February, according to a letter from the MOHME to the governor of Qom, a request was made to "limit the number of pilgrims at the Fatima Masumeh Shrine and other religious sites".[187] However, Shia shrines in Qom remained open for pilgrims to congregate.[188] The head of Fatima Masumeh Shrine encouraged pilgrims to visit the shrine on 27 February, saying, "We consider this holy shrine to be a place of healing."[189]

On 16 March, to prevent the spread of coronavirus, Fatima Masumeh Shrine, Jamkaran Mosque in Qom, and Imam Reza Shrine in Mashhad were closed.[190] Following this announcement, some people protested by entering the shrine, but they were driven out by workers and the doors were closed again.[191][192]

Rouhani ordered the Ministry of Roads and Urban Development to make decisions about public commuting and the Ministry of Industry, Mine and Trade to build required medical equipment.[193] As confirmed cases mounted, Iran's health minister announced on 5 March that checkpoints would be placed between cities to limit travel.[160] The government indicated that it might use force to limit travel between cities.[194] On 17 March, the government warned that "millions" might die from the coronavirus if people were to keep ignoring health guidelines and continue traveling. As of mid-March, 90% of the 18,000 coronavirus cases in the Middle East were in Iran.[195][196] On 20 March, media reports suggested that heavy traffic continued for the Nowruz holiday. A government minister warned that the crisis might continue for six months if the disease was not brought under control.[197] On 25 March, the government warned that Iran might be facing a second wave of COVID-19 because people were ignoring guidance on travelling during the Nowruz holidays, and banned all new trips between cities.[198]

Measures would include guaranteeing bank credit of 10m rials ($61) to 23m families (which they have to pay back with 4% profit) — most of the population — and low-interest rate loans up to 20m rials to lower-income households as care packages.[199] The Administrative and Recruitment Affairs Organization ruled that telecommuting of government employees would be permissible.[200] On 24 March, Rouhani announced that half of all government employees would work remotely at home.[201] In order to restrict the spread of the disease, most businesses deemed non-essential were closed.[77] According to Rouhani, "the authorities had given the go-ahead for the resumption of certain economic activities 'step by step' from April 11".[77]

On 26 March, Rouhani requested to withdraw 1 billion dollars from National Development Fund and Khamenei allowed the withdrawal after eleven days.[202] On 28 March, Rouhani announced that 20% of the country's annual budget would be allocated to fight the virus.[203] The following day, he defended against criticisms of the government's response to the outbreak, saying that he needed to weigh protecting the country's economy that was already affected by US sanctions while fighting the worst outbreak of the region.[74][204]

On 5 April, President Hassan Rouhani announced that economic activity in "low-risk" sector would resumed nationwide apart from Tehran province starting 11 April. On 18 April, Iran allowed some businesses in Tehran and nearby towns to re-open with a third of government offices employees still working from home, schools, restaurants, malls and grand bazaar remained closed.[205] The lockdown continued to be eased in May; all civil servants were allowed to return to work, mosques and schools were reopened, restrictions on restaurants were eased, shopping malls allowed to extend opening hours.[206][207] After the Turkey-Iran border at Bazargan was closed in February, a limited number of trucks were allowed to move between the two countries on 7 May,[208] and the border was reopened on 4 June.[209] Health officials however appealed to the public to avoid travelling during the Eid al-Fitr holiday after Ramadan ended in May.[210]

The easing of restrictions was followed by an increase in the number of new cases; despite the risk of a second wave of the infections, President Rouhani said on 6 June that there was no option but to keep the economy open.[11] The GDP of the country had fallen by 15% due to the coronavirus pandemic by June 2020.[12] Rouhani said on 14 June that the main priority was to control prices and supply the basic means of life for the people of Iran as the country suffered the repercussions of the COVID-19 outbreak with prices of food and household items increasing and currency falling.[211][212] A campaign to encourage its citizens to wear face mask was launched on 27 June 2020,[213] and the following day it was announced that wearing face mask would be made compulsory in "covered spaces where there are gatherings" until 22 July.[214]

Restrictions were reimposed in Tehran for a week on 18 July 2020, and a three-day lockdown imposed on 22 cities and towns in the Khuzestan Province the following day.[26]

Iranian legislators advocated for the resignation of Education Minister Mohsen Haji-Mirzaei, after schools reopened to millions of students on September 5, 2020, following a seven-month shutdown. Members of parliament gathered signatures to remove him after he disregarded warnings from medical professionals.[215]

Iran was reported to have starting to develop a COVID-19 vaccine in early March 2020.[216] On 30 June, the Minister of Health announced that a human trial for COVID-19 vaccine will soon begin after tests on animals were shown to be successful.[217]

On 15 July 2020, Iran's Health Minister announced that the drug remdesivir would be produced locally in Iran.[218] Another drug favipiravir will also be produced.[219]

U.S.-based philanthropists plans to send 150,000 doses of the Pfizer vaccine to Iran in the weeks following December 28, according to the Iranian Red Crescent Society. Deputy chief of the Islamic Revolutionary Guard Corps, Gen. Mohammad Reza Naghdi, has recommended against the use of foreign-made vaccines because they may contain messenger RNA.[220]

In December 2020, Iran agreed to import 16.8 million doses of vaccines through COVAX, the global collaboration to assure access to vaccines for low/middle income countries, at a cost of around $244 million. U.S. financial sanctions have made it difficult for Iran to purchase foreign vaccines directly, with the U.S. Treasury requiring that funds be transferred via a U.S. bank.[221][222]

On 29 December 2020 a Phase 1 clinical trial of Coviran, an inactivated whole virus vaccine made by Shifa Pharmed of the Barakat Pharmaceutical Group, began with 56 volunteers.[223][224]

The Iranian Red Crescent Society is planning to import a Chinese made vaccine.[224]

"4030-system" (4030 Call-System) is an Iranian phone-based system which has been available since the first days of the COVID-19 outbreak in Iran for expert consulting[225][226][227] and screening of coronavirus suspected cases.[228] The system was launched by the Execution of Imam Khomeini's Order (Barakat Tel)[229] and in cooperation with the Ministry of Health and Medical Education and Iran Telecommunication in order to screen Iranian families.[230] There are 2000 phone lines and 2,200 doctors/paramedics[231] across the country[232] who are servicing the system.

On 23 February, Georgia suspended flights to and from Iran.[267] On the same day, Pakistan,[268] Turkey,[269] Afghanistan, and Armenia closed their land borders with Iran.[270] Afghanistan stopped all forms of travel to and from Iran with three suspected cases reported, while Turkey stopped all incoming flights from Iran.[271][272] On 24 February, Iraq, Kuwait, Oman, and Tajikistan[273] restricted and suspended all flights from and to Iran.[274][238] Citizens of the United Arab Emirates were banned from traveling to Iran.[275] Armenia also suspended flights to Iran but scheduled flights to repatriate its citizens from Iran.[276] On 26 February, Kazakhstan announced a plan to stop flights to and from Iran starting 1 March.[277] On 27 February, Russia announced that it would limit flights to and from Iran except for those operated by Aeroflot and Mahan Air, and would also stop issuing visas to Iranian citizens starting 28 February.[278] New Zealand announced temporary restrictions on people travelling from Iran.[279] Malaysia set up separate immigration lanes for travellers from countries with major COVID-19 outbreaks, including Iran.[280] The United States Centers for Disease Control and Prevention (CDC) upgraded the status of Iran to level 3 (avoid non-essential travels due to widespread community transmission).[281] On 29 February, Australia announced a ban on foreigners arriving directly from Iran, and required them to stay in a third country for 14 days before entering Australia. A woman returning from Iran had also tested positive for the virus.[282] Azerbaijan later closed its border with Iran as two Azeri citizens were confirmed to have been infected in Iran.[283]

On 2 March, Sweden announced that it had suspended flights operated by Iran Air, the first country to ban flights by the airline.[284] On 4 March, Thailand declared that all people travelling from Iran must be quarantined for 14 days.[285] Iraq and Azerbaijan stopped allowing trucks and imports from Iran; earlier on 29 February Azerbaijan had closed its borders to the people coming from Iran.[286] On 6 March, Russia announced that it would temporary ban visitors arriving from Iran starting the next day.[287]

The UN's Children Fund (UNICEF) has flown aid into Iran. In late February, the first cargo plane with personal protective equipment (PPE) arrived, followed by another on 3 March and a third on 16 March. On 3 March, the United Arab Emirates sent an aircraft with medical supplies and five WHO experts. Uzbekistan sent a plane on 16 March.[288]

The fifth batch of testing kits was dispatched to Iran by the World Health Organization on 28 February.[289] Russia provided Iran with 500 kits for 50,000 tests.[290] A group of Chinese medical experts with a new pack of humanitarian aid entered Iran on 29 February.[289] The Chinese Defense Ministry announced on 20 March that test kits, protective suits, and medical masks provided by the People's Liberation Army were handed to the Armed Forces of the Islamic Republic of Iran.[291]

On 23 March, the European Union pledged €20m in humanitarian assistance. The EU said that it was committed to helping Iran combat the pandemic and said that it would further support Iran's plea for IMF financial help.[292]

U.S. President Donald Trump said he would be willing to provide coronavirus aid, such as ventilators, to Iran to help deal with the pandemic "if they ask for it."[293]

The Iranian embassy in London claims that "US sanctions have made it difficult for governmental and non-governmental institutions to provide medication for people who are infected by the coronavirus. Sending medical supplies to Iran through the recently established Swiss channel requires written permission from the US. Recently, sanctions on 12 new Iranian entities were imposed by the US Department of State. According to the Trump administration, Iran is using sanctions "as an excuse to hide their own incompetence, including a reluctance to take the necessary tough measures to restrict population movements".[294] It is argued that while the sanctions legally allow pharmaceuticals and humanitarian products to be sold to Iran, due to their nature, very few banks are willing to risk sanctions by trading with Iran.,[295][296] which has severely limited the medical supplies available to the Iranian public health system in dealing with the coronavirus outbreak. One right-wing lobby group in the United States, United Against Nuclear Iran, has argued that all global humanitarian trade with Iran should be stopped and medical supplies should be prevented from reaching the country.[297]

Rouhani wrote a public letter to world leaders asking for help, saying that Iran did not have access to international markets due to the sanctions.[298] The UK, Pakistan, China, the UN High Commissioner for Human Rights, and the Group of 77 all urged the US to ease sanctions on Iran to help it fight the growing coronavirus outbreak.[299][300][301][302][303] Khamenei has also stated that he does not trust that the United States would provide medicine because it could "spread the virus more".[304][138]

The United States Government rejected allegations by Iran and asserted that sanctions do not include the import of medicine and medical facilities to Iran. Morgan Ortagus, the spokeswoman for the State Department, suggested that Iran use the funds from Setad to fight COVID-19.[305] On 6 April 2020, Iran announced it would be withdrawing 1 billion euros from the sovereign wealth fund to fight COVID-19[306]

According to a press statement from the U.S. Department of State, "Regime officials stole over a billion Euros intended for medical supplies, and continue to hoard desperately needed masks, gloves, and other medical equipment for sale on the black market." It also said that U.S. sanctions against Iran have to targeted food, medicine, or medical equipment imports.[307]

Data per day