Iranian families were seen in parks in Tehran on Nature Day, a public holiday marking the end of Nowruz when people traditionally gather outdoors.
Pictures: Reuters







Residents told Iran International that severe shortages and soaring prices for key medicines, including insulin and blood thinners, have persisted over the past month, with some insulin brands reaching seventy million rials (≈$46.7).
Several citizens said the price of Ryzodeg insulin jumped from 12 million rials (≈$8) to 76 million rials (≈$51). Five-dose packs of NovoRapid and Lantus now sell for 15–18 million rials (≈$10–$12).
A resident reported that the blood thinner Plavix, crucial to preventing strokes and heart attacks, rose from 7.5 million rials (≈$5) to 27 million rials (≈$18) in recent weeks.
An ordinary Iranian citizen earns approximately $100–$150 per month.
Shortages leave patients struggling
Before the war and US-Israeli attacks, insulin was already limited, with insurance covering only one dose per week. Residents say the scarcity has now reached crisis levels.
One citizen in Parand near Tehran said: “I couldn’t find my diabetes medications for a month, even without a prescription. Two types, Lantus and Apidra, usually last a week each, but I ran out completely.”
Another said his mother had to travel from Karaj to Qazvin (over 110 km) to obtain essential medicines. Tehran residents report difficulty finding Asentra (sertraline) for depression and Iran-made blood thinner Osvix.
Supply chain disruptions deepen crisis
Residents link shortages to halted imports from Turkey and Dubai. A transit driver said fewer registered shipments have reduced cargo flow. Local distributors have paused sales, while pharmacies face delayed deliveries and payments.
“Our city has more pharmacies than any other shop, but even acetaminophen is unavailable,” a Sari resident in northern Iran said.
The shortages coincide with rising food prices and widespread business closures, adding to economic strain.
However, Mohammad Reza Aref, First Vice President, said on Wednesday that strategic drug reserves are in good condition and ordered “immediate import” of essential medicines. Residents, however, continue to report high prices and irregular availability.
Global healthcare impact
NHS England chief executive Sir Jim Mackey warned that the Iran war could disrupt healthcare supplies internationally. Speaking to LBC Radio on Wednesday, Mackey said syringes, gloves, and intravenous bags may become scarce due to the closure of the Strait of Hormuz.
“A team has been set up across the NHS to assess risks through the supply chains. Almost everything may be at risk, as Britain relies heavily on imports for medicines and healthcare equipment,” Mackey said.
Medicines UK chief executive Mark Samuels said Britain could face further shortages if the conflict prolongs, noting that 85 percent of NHS medicines are generic and largely sourced from India.
Iranian media reported that a commander of a special unit of the Islamic Revolutionary Guard Corps was killed in strikes on Wednesday.
They said Mohammad Ali Fathalizadeh, commander of the Fatehin special unit, was among those killed.
No further details were immediately available.
The Fatehin unit is part of the IRGC and its members receive advanced military training and have previously been deployed in conflicts such as Syria.
An Iranian lawmaker said on Thursday that parliament had received an expedited bill focused on Iran’s authority over the Strait of Hormuz.
Somayeh Rafiei said the proposal addresses security, legal, political and economic aspects and would be reviewed by relevant committees.
Earlier this week, a key parliamentary committee approved a plan to impose transit fees on ships passing through the strait, according to state media.
Mobarakeh Steel Company said on Thursday that damage to production units had forced a complete halt to its lines.
The company said operations could not continue and asked staff to avoid coming to the complex until further notice.
State media reported last week that US and Israeli strikes hit two of the country’s largest steel producers, including Mobarakeh Steel in Isfahan and Khuzestan Steel Company in Ahvaz.
Khuzestan Steel said earlier on Thursday that repairs to its facilities could take between six months and one year after the strikes.
US and Israeli strikes hit several points near Azimiyeh in Karaj, west of Tehran, including what was described as the B1 bridge, state media reported.
Several people were wounded in the attacks, according to IRGC-affiliated Fars News Agency.
Power outages were reported in parts of Karaj, including Azimiyeh, Fardis and Jahan Shahr, following the explosions, Didban Iran reported.
Emergency teams were dispatched to the scene, and further details were expected.