Tuesday 17 March 2020 - 17:11
Story Code : 372500
Virus at Irans gates: How Tehran failed to stop outbreak
Quarantines belong to the Stone Age, Iraj Harirchi insisted.
A day later, he himself would be in quarantine from the virus.
Harirchis story is a microcosm of what has happened in Iran amid the coronavirus pandemic. Roughly nine out of 10 cases in the Middle East come from the Islamic Republic, which has reported over 16,000 people infected and at least 988 deaths amid fears that cases may still be underreported. While most people who are infected recover, the virus spreads rapidly and can kill the elderly and those with breathing problems or other underlying illnesses.
Days of denials gave the virus time to spread in Iran as the country marked the 41st anniversary of its 1979 Islamic Revolution with mass demonstrations and then held a parliamentary election in which authorities desperately sought to boost turnout.
Although Iran has one of the Mideasts best medical services, its hospitals appear to be overwhelmed and authorities have asked for 172 million masks from abroad. It also has asked the International Monetary Fund for $5 billion, the first such loan for Iran since 1962.
The Islamic Republic has an opportunity to limit the virus as the Persian New Year, Nowruz, approaches. But authorities appear unable or unwilling to stop travel between major cities as local towns affected by the virus threaten to set up their own checkpoints to turn away or even attack outsiders. Thats in sharp contrast to Iraq and Lebanon, Iranian allies that have restricted movement while facing a fraction of the reported infections.
What happens next will not only affect Irans civilian government and Shiite theocracy, whose officials already have fallen ill, but also the wider world.
Judging by the fact that Iran has now asked for a $5 billion loan from the IMF, this speaks to how dire the situation is getting and them realizing that its spun out of control, said Dr. Amir A. Afkhami, an associate professor at George Washington University who studies Iran.
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PATIENT ZERO AND AN ELECTION
In a country like Iran, where the state controls all broadcasters and journalists face restrictions, many things about the outbreak remain unknown. Chief among them is who was patient zero the person who was first infected with the coronavirus in the nation, and where.
Virus continuing its global spread
For most people, the virus causes only mild or moderate symptoms, such as fever and cough. For some older adults and people with existing health problems, it can cause more severe illness, including pneumonia.
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LOCATION
CONFIRMED CASES
RECOVERED
DEATHS
China
80,877
80,877
67,826
67,826
3,213
3,213
Italy
27,980
27,980
2,749
2,749
2,158
2,158
Iran
14,991
14,991
4,590
4,590
853
853
Spain
9,942
9,942
530
530
342
342
South Korea
8,236
8,236
1,137
1,137
75
75
Germany
7,272
7,272
67
67
17
17
France
6,650
6,650
12
12
148
148
United States
4,214
4,214
17
17
74
74
Switzerland
2,200
2,200
4
4
14
14
United Kingdom
1,551
1,551
21
21
56
56
Netherlands
1,414
1,414
2
2
24
24
Norway
1,312
1,312
1
1
3
3
Sweden
1,103
1,103
1
1
6
6
Belgium
1,058
1,058
1
1
5
5
Austria
1,018
1,018
6
6
3
3
Latest data reported as of March 16 at 4:30 p.m. EST
Public comments point to the city of Qom, 125 kilometers (80 miles) southwest of Tehran, on the countrys windswept central desert plateau. How the virus arrived there remains in question.
Authorities suggested that perhaps an Iranian businessman returned from China with the virus. Qom is home to major Shiite seminaries that draw Chinese students. It also is along a $2.7 billion high-speed train route that a Chinese company is building,a sign of Chinas outreach to Tehran amid crushing U.S. sanctions. China is also constructing a solar power plant there.
From late January, worries could be seen on the front page of the pro-reform newspaper Aftab-e Yazd.
Mysterious virus at Irans gates, its banner headline warned as China began a lockdown to control the outbreak.
Yet travel between China and Iran continued.
The first two coronavirus cases were reported Feb. 19, with the announcement that both died in Qom. Since it can take up to two weeks to show symptoms, they could have gotten it in early February.
Iranian authorities havent offered any details. Iran analysts suggest it might be because the country markedthe 41st anniversary of the Islamic Revolutionduring that period.
Iran also held parliamentary elections Feb. 21. The government desperately wanted a large turnout to boost its legitimacy aftershooting down a Ukrainian passenger jet, killing all 176 people on board. Days earlier,a U.S. drone strike in Baghdad killed top Revolutionary Guard Gen. Qassem Soleimani, further shaking its credibility.
Iranian authorities already had disqualified thousands of candidates from running, ultimatelytilting the election to conservatives. Supreme Leader Ayatollah Ali Khamenei even later accused foreign enemies of trying to influence turnout with the outbreak.
The pretext of an illness and virus was used, and their media did not miss the slightest opportunity to discourage people from voting, he said.
The election saw Irans lowest turnout since the revolution, with some voters wearing the masks that everyone soon would want. But people already were dying and fear was spreading.
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SHRINES AND HAZMAT SUITS
Qom long has been the stronghold of Irans Shiite clergy. A focal point of devotion is the golden-domed shrine of Fatima Masumeh, a Shiite saint. Crowds pray there 24 hours a day, seven days a week, touching and kissing the shrine.
That raises the risks for visitors.In Saudi Arabia, authorities have closed off access to the holiest sites in Islamover concerns about the virus. Churches, mosques, temples and shrines around the world have been closed or subject to stringent disinfecting campaigns.
But in Qom and elsewhere in Iran, the shrines stayed open despite civilian health authorities demanding they close. Mohammad Saidi, who oversees the Fatima Masumeh shrine, insinuated that closing shrines was part of a plot against Shiites by President Donald Trump.
Defeating Qom is the dream of treacherous Trump and his domestic mercenaries, but this dream will not be realized even in their grave, Saidi said on Feb. 22.
That decision likely gave the virus time to spread. Police later arrested those who posted online video of themselves licking and kissing shrines.
The citys religious epithet the nest of the Prophet and his family was intended to reassure believers worldwide that it was insulated against epidemics and other disasters, wrote Mehdi Khalaji, a Qom-trained Shiite theologian who is an analyst at the Washington Institute for Near-East Policy. If early reports about the spread of the coronavirus prove correct, Qoms status as the ideological capital of the Islamic Revolution helped make it the pathogens transmitting center to the rest of Iran and at least seven other countries.
Since then, hazmat-suited workers have fogged disinfectant and cleaned the shrines. Some mosques even hand out alcohol as a disinfectant to the poor despite Islam forbidding its consumption.
By Monday night, the Fatima Masumeh shrine and another one in Mashhad had closed, only to see online videos purport to show hard-line faithful storming the shrines courtyard, demanding they open. But by that point, the virus had spread, reaching the highest levels of Irans theocracy.
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THE SITUATION IS TERRIBLE HERE AND I HOPE GOD HELPS US
Like blood from a beating heart, the infections in Qom coursed out across Iran in maps later shared by the Health Ministry. In Tehran, the virus began moving through the government and the Shiite theocracy.
Among those first infected was Harirchi, the deputy health minister who tested positive only a day after he downplayed the virus in a televised news conference.
It didnt stop there.
The virus killed Expediency Council member Mohammad Mirmohammadi,described as a close confidant of Ayatollah Khamenei. Hadi Khosroshahi, Irans former ambassador to the Vatican, and Ahmad Tuyserkani, an adviser to Irans judiciary chief, also died along with several lawmakers and a member of the countrys Assembly of Experts.
The sick included Vice President Masoumeh Ebtekar, better known as Sister Mary, the English-speaking spokeswoman for the students who seized the U.S. Embassy in Tehran in 1979 in the 444-day hostage crisis. The virus also infected senior Vice President Eshaq Jahangiri and two other Cabinet members, along with Revolutionary Guard members and doctors.
Soon, even 80-year-old Khamenei was seen wearing disposable gloves at a tree-planting ceremony. President Hassan Rouhani, 71, was pictured at a teleconference with the nearest official a few meters (several feet) away.
The numbers soared. Irans death rate from the virus now is higher than in other hard-hit nations.
That could be from the initial lack of testing kits and facilities. It also could be from what outside experts, Tehran lawmakers and other local leaders have alleged from the start: Iran was hiding the true number of infections and deaths.
Authorities initially denied that, especially after the BBCs Persian service said deaths far exceeded those reported at the beginning of the crisis. But that denial appeared to weaken over time.
We found out a little late that the coronavirus had entered Iran because we mistook it for the flu, Reza Malekzadeh, a deputy health minister, later said.
A man in Qom filmed rows of bodies in black bags and caskets awaiting burial for days in a trench lined with lime. He alleged all had tested positive for the coronavirus, although officials later said the bodies had been held pending test results.
The situation is terrible here and I hope God helps us, he said while walking through the mortuary.
Authorities later arrested him.
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PAST EXPERIENCES, NEW WORRIES
Diseases have influenced Iranian history. Cholera outbreaks plagued its Qajar dynasty, long indebted to British and Russian powers. The chaos and debt set the stage for Irans 1906 Constitutional Revolution and the creation of parliament.
That cholera outbreak saw Shiite religious leaders lash out at the West. Now, Iranian leaders, such as the head of its Revolutionary Guard and Khamenei himself, traffic in the baseless conspiracy theory that the coronavirus is a biological weapon created by the U.S., something echoed by Chinese officials as well.
The psychology of the leadership in Iran has sort of an almost self-destructive need to double down on a lie just to sort of portray itself as competent, Afkhami said.
Thats contrasted with the response to the El Tor strain of cholera that caused a pandemic through the 1960s. Iran produced millions of vaccine doses and inoculated its people, controlling its spread. It even gave broad-range antibiotics from the U.S. to pilgrims visiting Shiite shrines, Afkhami said.
This rapid mobilization and this rapid response allowed the country to control the epidemic, he said.
That was under Irans shah, toppled in the 1979 revolution. But even after, Iran fought off other outbreaks, and its hospitals, doctors and nurses are known as some of the best in the wider Middle East, with a network of clinics from villages to big cities.
However, the system appears to be stretching at the seams, with online videos purporting to show field hospitals going up. Meanwhile, Irans 80 million people, whose sense of high risk has been dulled by years of international isolation, crowd into grocery stores and butcher shops, suspicious of anything in the state media.
Nowruz, the Persian New Year, looms on Friday, a holiday when millions travel. The government repeatedly has stopped short of ordering any major travel restrictions. It hasnt explained why, but there could be worry about further angering its people or slowing down its anemic, sanctions-hurt economy.
Online videos show Iranians ignoring government demands to stay home and moving instead toward the coast of the Caspian Sea and the Persian Gulf. Residents of hard-hit Rasht, on Irans coast, have threatened to attack out-of-towners.
We expect that, God willing, we can contain the rising trend of the disease, not the disease itself, by March 26, said Harirchi, the health official who is recovering from COVID-19. But I say this very frankly: if the great people dont cooperate, the disease will continue to be there until late May or even in June, and turn into a huge crisis.
And the man who once called quarantines a thing of the past added: I beg the people to minimize their trips and contacts, and isolate the infected people from others completely.
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The Associated Press receives support for health and science coverage from the Howard Hughes Medical Institutes Department of Science Education. The AP is solely responsible for all content.
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