By Eric Vandenbroeck and co-workers
The current problem in Iran
Iran is the 17th
largest country in the world. It measures 1,684,000 square kilometers. That means
that its territory is larger than the combined territories of France, Germany,
the Netherlands, Belgium, Spain, and Portugal in Western Europe. Iran is the
16th most populous country in the world, with about 75 million people. Its
population is larger than the populations of either France or the United
Kingdom.
An earlier 12-day period,
which saw the United States join Israel in bombing Iran, was the culmination of
four decades of mistrust, antipathy, and confrontation.

Then on 28 December
2025, anti-government protests erupted in Iran, with two human rights groups
reporting that at least 78 protesters had been killed. and more than 2,600
arrested during two weeks of anti-government protests that have rocked Iran, according
to a US-based human rights group.
The
demonstrations have spread to more than 180 cities across all of Iran’s
provinces, in a wave of nationwide unrest triggered by crippling economic
conditions.
Protesters have
described enormous crowds and feelings of hope, but also brutal violence and
“bodies piled up on each other” in a hospital. A doctor reported that hospitals
are “extremely chaotic” and patients are terrified to be identified amid the
crackdown by authorities.
Protesters
demonstrating against the Iranian regime have been gathering outside embassies
across the world.
Underneath Protesters carrying an image of Reza Pahlavi

At least 78
protesters have been killed and more than 2,600 arrested during two weeks of
anti-government protests that have rocked Iran, according to a US-based human
rights group. The demonstrations have spread to more than 180 cities across all
of Iran’s provinces, in a wave of nationwide unrest triggered by crippling
economic conditions.
Protesters have
described enormous crowds and feelings of hope, but also brutal violence and
“bodies piled up on each other” in a hospital. A doctor said that hospitals are
“extremely chaotic” and patients are terrified to be identified amid the
crackdown by authorities.

US President Donald
Trump has said the US is ready to help the Iranian people, without spelling out
what that help might look like, posting a message in solidarity with those
standing up to the Iranian regime.
Earlier, he
threatened to attack Iran if security forces respond violently to protests, and
US Secretary of State Marco Rubio said the US supports the country’s people.
Supreme Leader Ayatollah Ali Khamenei blamed the US for inciting protests.

A doctor at a medical
center in Tehran told the BBC: "The number of injured people and
fatalities was very high. I saw one person who had been shot in the eye, with
the bullet exiting from the back of his head.
"Around
midnight, the center's doors were closed. A group of people broke the door and
threw a man who had been shot inside, then left. But it was too late - he had
died before reaching hospital and could not be saved."
The BBC also obtained
a video and audio message from a medic at a hospital in the south-west city of
Shiraz on Thursday, who said large numbers of injured were being brought in,
and the hospital did not have enough surgeons to cope with the influx.
Staff at three
hospitals in Iran have said that their facilities are overwhelmed with dead or
injured patients, as major anti-government protests continue.
A medic at one Tehran
hospital said there were "direct shots to the heads of the young people,
to their hearts as well", while a doctor said an eye hospital in the
capital had gone into crisis mode.
Two medical workers
said they treated gunshot wounds from both live ammunition and pellets.
On Friday, the US
repeated that killing protesters would be met with a military response. Iran
blamed the US for turning peaceful protests into what it called "violent
subversive acts and widespread vandalism".

Underneath a
protester is seen climbing onto the balcony of the Iranian embassy in west
London as hundreds gathered outside the building, waving flags and
shouting anti-government slogans.
Thursday night produced similar accounts.
BBC Persian has
verified that 70 bodies were brought to Poursina
Hospital in Rasht city on Friday night. The morgue there was at full capacity,
so the bodies were taken away. The authorities asked the relatives of the dead
for 7 billion rials (£5,222; $7,000) to release them for burial, a hospital
source said.
The BBC and most
other international news organizations are unable to report from inside Iran,
and the country has been under a near-total internet blackout since Thursday
evening, making obtaining and verifying information difficult.
A hospital worker in
Tehran described "very horrible scenes", saying there were so many
wounded that staff did not have time to perform CPR.
"Around 38
people died. Many as soon as they reached the emergency beds... direct shots to
the heads of the young people, to their hearts as well. Many of them didn't
even make it to the hospital.
"The number was
so large that there wasn't enough space in the morgue; the bodies were placed
on top of one another.
"After the
morgue became full, they stacked them on top of one another in the prayer
room," she said.
The hospital worker
said the dead or wounded were young people. "Couldn't look at many of
them, they were 20-25 years old."

A doctor who
contacted the BBC via a Starlink satellite connection on Friday night said
Tehran's main eye specialist centre, Farabi Hospital,
had gone into crisis mode with emergency services overwhelmed.
Non-urgent admissions
and surgeries were suspended and staff called in to deal with emergency cases,
he said.
Iran's security
forces often use shotguns that fire cartridges filled with pellets during
confrontations with protesters.
Another doctor from
the city of Kashan in central Iran told the BBC many injured protesters had
been hit in the eyes, and that his colleagues in hospitals across the city
reported receiving many wounded people during Friday night's unrest.
At least 78
protesters have been killed and more than 2,600 arrested during two weeks of
anti-government protests that have rocked Iran, according to a US-based human
rights group.
The demonstrations
have spread to more than 180 cities across all of Iran’s provinces, in a wave
of nationwide unrest triggered by crippling economic conditions.
Protesters have
described enormous crowds and feelings of hope, but also brutal violence and
“bodies piled up on each other” in a hospital. A doctor said that hospitals are
“extremely chaotic” and patients are terrified to be identified amid the
crackdown by authorities.
An internet blackout
imposed by officials is also ongoing, according to a watchdog, but one Tehran
resident said it has failed to quell protests.

What footage is
emerging from Iran shows protesters in Tehran taking to the streets en masse on Friday night, burning vehicles, and a
government building set alight in Karaj, near the capital.
The Iranian army has
since said it will join security forces in defending public property.
It follows reports
that Iranian security forces were spread thin as the unrest extended throughout
the country.
Iranian authorities
issued a series of coordinated warnings to protesters on Friday, with the
National Security Council saying "decisive" legal action would be
taken against "armed vandals".
Iranian police
maintained that no one was killed in Tehran on Friday night, though they said
26 buildings were set on fire, causing extensive damage.
An eyewitness who joined
the protests on Thursday and Friday nights in Tehran told BBC Persian
Television that Gen Z Iranians have been instrumental in encouraging their
parents and older people to come out and join the protest marches, urging them
not to be afraid.

Several people who
protested in Iran in recent days have told of enormous crowds as well as brutal
violence on the streets of Tehran, with one woman saying she saw “bodies piled
up on each other” in a hospital.
A woman in her
mid-60s and a 70-year-old man described seeing people of all ages out in the
streets of the Iranian capital on Thursday and Friday.
On Friday night,
however, security forces brandishing military rifles killed “many people,” they
said, speaking on condition of anonymity for security reasons. The protests,
which began on December 28 as demonstrations in Tehran’s bazaars over rampant
inflation, have since spread to more than 100 cities, posing the biggest
challenge to the Iranian regime in years.
A hospital worker in
Tehran described "very horrible scenes, saying there were so many wounded
that staff did not have time to perform CPR, and that morgues did not have
enough room to store the bodies of those who had died.
"Around 38
people died. Many as soon as they reached the emergency beds... direct shots to
the heads of the young people, to their hearts as well. Many of them didn't
even make it to the hospital."

The hospital worker
said the dead or wounded were young people. "Couldn't look at many of
them, they were 20-25 years old."
The protests have
been the most widespread since an uprising in 2022 sparked by the death in custody of Mahsa Amini, a young
Kurdish woman who was detained by morality police for allegedly not wearing her
hijab properly.
More than 550 people
were killed and 20,000 detained by security forces over several months,
according to human rights groups.
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