Humanitarian Crises

The United States and Israel have carried out multiple attacks on medical facilities in the course of their war on Iran.

On Thursday, Iranian President Masoud Pezeshkian appealed to international health organisations to respond to attacks on medical facilities in Iran, including the Pasteur Institute in capital Tehran, a key centre that Iranian officials said had been targeted that day.

At least 2,076 people have been killed and 26,500 have been wounded in Iran since the US and Israel first launched strikes on the country on February 28.

Here is a closer look at how the US and Israel have hit healthcare facilities in Iran.

What has the Iranian president said about attacks on healthcare?

On Thursday, Pezeshkian wrote in an X post: “What message does attacking hospitals, pharmaceutical companies and the Pasteur Institute as a medical research center in Iran convey?”

The Iranian president, 71, a heart surgeon by profession, continued: “As a specialist physician, I urge WHO [the World Health Organization], the Red Cross, Doctors Without Borders and physicians worldwide to respond to this crime against humanity.”

What is the Pasteur Institute, which has been targeted?

On Thursday, Iranian Foreign Ministry spokesman Esmaeil Baghaei wrote in an X post: “The American-Israeli aggressors have attacked the Pasteur Institute of Iran – the oldest and most prestigious research and public health centre in Iran and the entire Middle East, founded in 1920 through an agreement between the Pasteur Institute of Paris and the Iranian government.”

Baghaei deemed the attack “heartbreaking, cruel, despicable, and utterly outrageous”.

He did not specify whether there were casualties from the attack.

The institute was founded more than 100 years ago in collaboration with the Institut Pasteur in Paris, an internationally renowned centre for biomedical research, which itself was founded in 1887.

The institute in Iran conducts research on infectious diseases, produces vaccines and biological products and provides advanced diagnostics.

The centre has played a central role in fighting endemic diseases such as smallpox and cholera. It also supports Iran’s national immunisation programme by developing and producing vaccines and related biologicals – including those used against diseases such as tetanus, hepatitis B and measles.

Tedros Adhanom Ghebreyesus, the director general of the WHO, wrote in an X post on Friday that two departments of the Pasteur Institute of Iran have also been working closely with the WHO.

“The conflict in Iran, and the region, is impacting the delivery of health services and the safety of health workers, patients, and civilians present at health facilities,” Ghebreyesus wrote.

Which other healthcare facilities have been hit in Iran?

“Since 1 March, WHO has verified over 20 attacks on health care in Iran, resulting in at least nine deaths, including that of an infectious diseases health worker and a member of the Iranian Red Crescent Society,” Ghebreyesus wrote in his X post.

Some of the facilities hit include:

Red Crescent warehouse

On Friday morning, a drone strike hit a Red Crescent relief warehouse in Iran’s Bushehr province.

While no casualties were reported, the attack destroyed two relief containers, two buses and emergency vehicles, Fars news agency reported.

Tofigh Daru

On March 31, Israeli-US strikes hit one of Iran’s largest pharmaceutical companies in Tehran, the Iranian government said in a post on X.

The company was later identified as Tofigh Daru Research and Engineering Company, which is owned by the Social Security Investment Company, a state-run holding firm. On LinkedIn, Tofigh Daru states that it develops and produces active pharmaceutical ingredients “in the anticancer, narcotics, cardiovascular to immunomodulatory segments”.

No confirmed casualty numbers were reported from that strike.

Delaram Sina Psychiatric Hospital

This newly constructed hospital in Tehran was significantly damaged during an attack on the capital on March 29, according to the state-run Islamic Republic News Agency (IRNA).

About 30 patients were in the hospital at the time of the strike late on Monday, the hospital’s director told IRNA. No specific casualty figures for the hospital have been reported.

Ali Hospital

The hospital in Andimeshk in Iran’s Khuzestan province sustained damage from an explosion on March 21, according to the Mehr and Fars news agencies.

In his post on Friday, Ghebreyesus confirmed this attack and said the facility had been forced to evacuate staff and cease services.

Reports about the attack do not mention casualties at the hospital.

Gandhi Hospital

On March 2, Gandhi Hospital in Tehran was damaged during attacks on a television communications tower nearby.

No confirmed casualty figures were reported for the hospital itself.

What does international law say about attacks on healthcare?

International humanitarian law states that health establishments and units, including hospitals, should not be attacked, according to the International Committee of the Red Cross.

These protections also apply to the sick and wounded, to medical staff and to means of transport such as ambulances.

In 2016, the United Nations Security Council resolution 2286 was adopted unanimously. This condemns attacks on healthcare and calls on nations to respect international law.

However, last year record attacks on healthcare during armed conflict were recorded, according to the WHO’s Surveillance System for Attacks on Health Care (SSA).

The SSA said that in armed conflicts worldwide, 1,348 attacks on medical facilities resulted in the killing of 1,981 people. The majority of these deaths were in Sudan, where 1,620 people were killed, followed by Myanmar, where 148 people were killed.

This was a sharp uptick from 2024, when 944 patients and medical personnel were killed in armed conflict.

Where else has Israel targeted medical staff and facilities?

Lebanon

Besides Iran, Israeli attacks have also targeted healthcare facilities in Lebanon.

A month into its latest bombardment of Lebanon, Israel has killed 53 medical workers, destroyed 87 ambulances or medical centres, and forced the closure of five hospitals, according to Lebanon’s Ministry of Public Health.

“Israeli strikes and blanket evacuation orders are cutting people off from care and shrinking the space for health services to function,” Luna Hammad, the Lebanon medical coordinator for Doctors Without Borders (MSF), told Al Jazeera, adding that MSF has seen “a documented pattern of attacks affecting healthcare”.

Gaza

Throughout its genocidal war in Gaza, Israel has also attacked healthcare facilities in the Palestinian enclave.

In October 2023, hundreds of people sheltering in the car park of Gaza’s al-Ahli Hospital were killed in an Israeli attack, according to Palestinian health officials.

Israel attributed the explosion at the facility to a misfired rocket launched by the Palestinian Islamic Jihad, an allegation denied by the armed group.

In March 2024, the Israeli military said it killed 90 people in its raid on al-Shifa Hospital during a siege, as displaced Palestinians sheltering in the facility described long detentions and abuse.

In December 2024, the Israeli army arrested Dr Hussam Abu Safia, the director of Kamal Adwan Hospital, after refusing to follow orders to abandon one of the last functioning hospitals in northern Gaza. His arrest came a day after the military killed approximately 20 Palestinians and apprehended about 240 in a raid inside the hospital, which was one of the “largest operations” conducted in the territory until that time.

In March 2025, Israeli forces reportedly shot dead 15 Palestinian medics for the Palestine Red Crescent Society and inside clearly identifiable PRCS ambulances, during a rescue mission in Rafah’s Tal as-Sultan neighbourhood.

Rescue teams from the Iranian Red Crescent Society have been searching the rubble of residential buildings hit in US-Israeli attacks in Iran, where officials say around 2,000 people have been killed.

A blast occurred in an apartment above a restaurant in Gaza City, causing a blaze. Rescue teams headed to the site to put off the fires. The cause of the blast is suspected to be an Israeli drone attack, several people had died in the blast.

The attack on a teaching hospital in Al Deain, the capital of East Darfur state, has rendered the facility non-functional.

An attack on a ⁠hospital in Sudan’s Darfur region has killed at least ‌64 people, including 13 children, according to the head of ⁠the World ⁠Health Organization (WHO).

In a social media post, Tedros Adhanom Ghebreyesus said on Saturday that multiple patients, two female nurses and one male doctor were also among those killed in the attack on Al Deain Teaching Hospital in Al Deain, the capital of East Darfur state, on Friday night.

Another 89 people, including eight health staff, were wounded, he added.

The attack damaged the hospital’s paediatric, maternity, and emergency departments, rendering the facility non-functional and cutting off ‌essential medical services in the ‌city.

“As a result of this tragedy, the total number of fatalities linked to attacks on health facilities during Sudan’s war has now surpassed 2,000,” said Tedros, adding that over the nearly three-year conflict between Sudan’s army and the paramilitary Rapid Support Forces (RSF), the WHO had confirmed the killing of 2,036 people in 213 attacks on healthcare.

There was no immediate information about who was behind the attack.

The war between the army and the RSF erupted in mid-April 2023, unleashing a wave of violence that has led to one of the world’s fastest-growing man-made humanitarian crises, with tens of thousands of people killed and more than 12 million forced from their homes.

Both sides have been accused of war crimes and crimes against humanity, while the RSF has been implicated in atrocities in Darfur that United Nations experts say bear the hallmarks of genocide.

“Enough blood has been spilled. Enough suffering has been inflicted,” Tedros said. “The time has come to de-escalate the conflict in Sudan and ensure the protection of civilians, health workers, and humanitarians.”

“Cuba, yes! Blockade, no!” An aid flotilla from Mexico is sailing for Cuba as the country suffers under a tightening US fuel blockade.

Israeli forces have attacked multiple towns in southern Lebanon after announcing “limited and targeted ground operations” against Hezbollah. Israel has warned residents will not be able to return to their homes until the military says so.

Gaza City, the Gaza Strip – Shortly before the call to sunset prayer, Islam Dardouna stretches her hand towards a pot hanging over a makeshift stove fashioned from a battered metal can, with scraps of paper and pieces of wood feeding the fire beneath it.

Then she pauses. She turns her face away from the rising tongues of smoke. Her face stained with a thin layer of soot and her clothes steeped in the lingering smell of fumes, she takes a deep breath but does not immediately lift the lid.

In her right hand, Dardouna holds an asthma inhaler as though it were a ladle or tongs. With her other hand, she tries to prepare food for her three children.

“I can no longer tolerate the fire at all,” the 34-year-old says in a strained voice as she raises the inhaler to her mouth.

“We heat water on it, cook on it … everything. It completely destroyed my health,” she said, pointing to her chest.

Dardouna has been displaced from Jabalia in northern Gaza since the start of Israel’s genocidal war against Palestinians in the territory in October 2023.

She now lives with her husband – 37-year-old Muath Dardouna – and their children in Sheikh Ajleen, west of Gaza City.

A year and a half ago, their home was destroyed. Since then, the family has moved from place to place until they eventually settled in this camp alongside other displaced families.

Everything changed after the war began. But for Dardouna, having to cook daily over an open fire in the face of cooking gas and fuel ranks among the worst.

“Our entire life now is a struggle, searching for wood and things we never imagined we would need one day,” she says. “There is no cooking gas and no gas cylinders. We lost all of that during displacement.”

What makes the situation even harder is that she suffers from asthma and chronic chest allergies, conditions she says began during Israel’s 2008 war on Gaza when she inhaled the smoke of a phosphorus bomb that dropped on her house. Her situation improved over the years, but has dramatically worsened during the current war.

“I developed airway obstruction, and recently there were masses found in my lungs,” said Dardouna, who in January was hospitalised for six days after suffering from oxygen shortage.

“The doctors prescribed an oxygen cylinder for me,” she says, quietly. “But unfortunately, I cannot afford it.”

A prolonged shortage

Like so many others across Gaza, Dardouna is struggling amid a prolonged shortage of cooking gas and fuel that has persisted since the start of the war.

Supplies have remained severely limited even after a “ceasefire” came into effect in October that included provisions allowing the entry of fuel and essential goods into the territory.

However, the quantities that have entered since then remain far below the population’s actual needs, according to official sources in Gaza and United Nations agencies.

The UN Office for the Coordination of Humanitarian Affairs says the availability of cooking gas in Gaza remains “critically constrained”, with the limited quantities entering the territory covering less than three percent of what is required.

As a result, many families have been forced to rely on alternative and often hazardous cooking methods.

UN data indicates that about 54.5 percent of households rely on firewood for cooking, roughly 43 percent burn waste or plastic, and only around 1.5 percent are able to cook with gas.

Humanitarian groups warn that such unsafe alternatives endanger people’s health and the environment due to prolonged exposure to smoke and toxic fumes produced by burning plastic and other waste.

Amid these conditions, cooking over open fires made from wood, scrap materials or plastic has become a daily reality across displacement camps and neighbourhoods throughout Gaza.

The crisis has intensified during the Muslim holy month Ramadan, when families must prepare both suhoor meals before their daily fast and iftar meals afterwards.

Firewood has become expensive, requiring a daily budget. Lighting the fire before dawn is also often difficult due to the lack of lighting and unfavourable weather conditions, so the family often skips the pre-dawn meal entirely.

“Today, for example, it’s raining and windy. I couldn’t light the fire,” said Darduna’s husband, Muath, who is also helping out with the daily cooking.

“Even when we break our fast, we wish we could drink a cup of tea or coffee afterwards, but we can’t, because lighting the fire again is another struggle.”

A former psychosocial support worker for children, Muath says it pains him to see his children fasting without suhoor.

“Every detail of our lives is literally suffering,” he says. “Fetching water is suffering. Cooking is suffering. Even going to the bathroom is suffering. We are truly exhausted,” he added.

“Our lives are covered in soot,” Muath says, pointing to the black smoke stains left by the fire.

He describes gas as “one of our dreams”, recalling how “it felt like Eid day” when the family got a gas cylinder a few months ago. “But we don’t even have the stove to use it, and many families are like us,” he said.

“We are living on the edge of nothing. Displacement and war stripped us of everything,” he adds. “We are willing to live with the simplest rights in tents. But there is no heating, no gas, no lighting. It feels like we are living in open graves on Earth.”

Serious implications

In a statement on Wednesday, the General Petroleum Authority in Gaza warned of the “catastrophic and dangerous consequences of the continued halt in cooking gas supplies” to the territory, stressing that the crisis “directly affects the lives of more than two million residents” amid already dire humanitarian conditions.

The authority said Gaza had already been facing a shortfall of about 70 percent of its actual gas needs compared with the quantities that entered after the “ceasefire” announcement.

It added that the “complete suspension of gas supplies places the Gaza Strip before a looming disaster that threatens food and health security”, particularly during Ramadan.

The authority also said that preventing gas from entering the enclave constitutes a “clear violation of the ceasefire understandings”, calling on mediators and international actors to intervene urgently to ensure the regular flow of cooking gas into Gaza.

Across Gaza, many families now rely on ready-made meals from aid distributions and charity kitchens because of economic collapse and the difficulty of cooking.

“Even when food arrives ready hours before iftar,” Muath says, “heating it becomes another problem.”

The frustration of daily survival pushes Muath to the brink.

“As a father now, I cannot even provide the most basic things,” he says. “Imagine my son simply wants a cup of tea … even a little wind can stop me from making it.”

‘The fire suffocates you’

In a nearby tent, Amani Aed al-Bashleqi, 26, sits watching food being cooked over an open fire for iftar while her husband stirs the pot.

She said cooking on fire makes food taste “flavourless” – not because the taste changes, but because “exhaustion and suffering have become part of every bite”.

“We start cooking early so we can finish by iftar, and after breaking the fast, my husband and I are completely exhausted and covered in soot.”

Like Dardouna, al-Bashleqi says the smoke causes severe headaches and health problems.

“The fire suffocates you. All the women in the camp suffer health problems from cooking on fire,” she says. “But we have no choice.”

She has a seven-month-old baby, and her biggest worry is boiling water for his milk.

“Sometimes I boil water and keep it in a borrowed thermos, but I don’t always have one,” she says. “And sometimes when he wakes up at night, I mix the milk with water without boiling it, even though I know that’s not healthy. But what can I do?”

Nearby, Iman Junaid, 34, displaced from Jabalia to western Gaza City, sits with her husband Jihad, 36, in front of the fire preparing food.

Junaid blows on the flames while she pushes an empty plastic oil bottle under the fire.

Behind them, bags full of plastic bottles are piled up. The family collected them to fuel the fire because cooking gas has been unavailable for months.

A mother of six, Junaid says she knows the health dangers of burning plastic, but has “no other choice”.

“My little daughter is one year old, and her chest always hurts because she inhales the smoke,” she says. “Our life is collecting and burning plastic and nylon.”

“With the price of wood rising, we now wish we could even find wood. Gas has become almost impossible … we’ve forgotten it.”

She said there were many promises that gas would enter Gaza after the “ceasefire”, but “nothing happened”.

For Dardounah, the solution is not simply bringing cooking gas into Gaza. “What we need is for life to become possible again,” she says.

“Let gas enter. Let goods enter at reasonable prices. Let there be basic necessities for a normal life.”