severe

US president says he would back attacks if Tehran rebuilds nuclear or missile programmes.

Iran has promised to respond harshly to any aggression after United States President Donald Trump threatened further military action, should Tehran attempt to rebuild its nuclear programme or missile capabilities.

President Masoud Pezeshkian issued the warning on X on Tuesday, a day after Trump met Prime Minister Benjamin Netanyahu at his Florida estate, where he firmly leaned into the Israeli regional narrative yet again.

The US had not previously said it would target Iran’s missile capabilities, which has long been an Israeli aspiration, focusing instead on Tehran’s nuclear programme. Iran has repeatedly said its nuclear activities are for civilian purposes only, and neither US intelligence nor the UN’s nuclear watchdog found any evidence of atomic weapons production before the June attacks by the US and Israel.

Iran has ruled out negotiating over its missile programme.

The leaders’ comments raise the spectre of renewed conflict just months after a devastating 12-day war in June that killed more than 1,100 Iranians and left 28 in Israel dead.

Pezeshkian said the response of Iran to any aggression would be “severe and regret-inducing”. His defiant message came hours after Trump told reporters at his Mar-a-Lago resort that Washington could carry out another major assault on Iran.

“Now I hear that Iran is trying to build up again, and if they are, we’re going to have to knock them down,” Trump said, standing alongside Netanyahu. “We’ll knock the hell out of them.”

The US president said he would support strikes on Iran’s nuclear programme “immediately” and on its missile facilities if Tehran continues developing long-range weapons.

Israeli officials have expressed concern in recent weeks that Iran is quietly rebuilding its ballistic missile stockpile, which was significantly depleted during the June conflict.

“If the Americans do not reach an agreement with the Iranians that halts their ballistic missile program, it may be necessary to confront Tehran,” an Israeli official told Ynet this week.

Pezeshkian recently described the standoff as a “full-scale war” with the US, Israel and Europe that is “more complicated and more difficult” than Iran’s bloody conflict with Iraq in the 1980s, which left more than one million dead.

The June war saw Israel launch nearly 360 strikes across 27 Iranian provinces over 12 days, according to conflict monitoring group ACLED, targeting military installations, nuclear facilities and government buildings.

The assault destroyed an estimated 1,000 Iranian ballistic missiles and killed more than 30 senior military commanders and at least 11 nuclear scientists.

Iran fired more than 500 missiles at Israel during the conflict, with approximately 36 landing in populated areas. While Trump claimed Iranian nuclear capabilities were “completely obliterated” by the strikes, experts disputed that, saying Tehran may have hidden stockpiles of enriched uranium and could resume production within months.

Despite the losses, Iranian officials insist the country is now better prepared for confrontation. In a recent interview, Pezeshkian said Iran’s military forces are “stronger in terms of equipment and manpower” than before the ceasefire.

The war failed to trigger the internal unrest it is suspected that Netanyahu had hoped for. No significant protests materialised, and daily life in Tehran largely continued despite the bombardment.

MSF official tells Al Jazeera South Darfur hospital ‘overwhelmed’ by rapid increase in measles cases.

Displaced Sudanese families in the war-torn Darfur region are grappling with a dangerous measles outbreak that is spreading rapidly, a Doctors Without Borders (MSF) official warns.

Dr Ali Almohammed, an MSF emergency health manager, told Al Jazeera on Monday that the group has been “overwhelmed” by measles cases arriving each day at the Nyala Teaching Hospital in South Darfur, where MSF provides paediatric and maternal healthcare.

“We have 25 beds [in] isolation for measles, but every day the number of cases is increasing,” Almohammed said in an interview from Amsterdam.

“The capacity of MSF to respond to all the needs of the people in Darfur is really limited. We cannot cover everything. Yes, we are trying to focus on the most lifesaving medical care, but still, our capacity is also limited,” he said.

The outbreak of measles, a vaccine-preventable virus, comes as violence between the Sudanese military and the paramilitary Rapid Support Forces (RSF) in the western region of Darfur and neighbouring areas has surged in recent weeks.

More than 100,000 people have fled their homes in el-Fasher, the capital of North Darfur State, after the RSF seized control of the city in late October after an 18-month siege.

The United Nations recently warned that Darfur has become “the epicentre of human suffering in the world” and UN and other humanitarian agencies have stressed that trapped civilians lack medicines, food and other critical supplies.

More than 1,300 new cases

According to MSF, more than 1,300 new measles cases have been reported in Darfur since September.

An extremely contagious virus, measles causes high fevers, coughing and rashes.

It is particularly dangerous for children under age five because it can cause serious health complications, according to a fact sheet from the United States Centers for Disease Control and Prevention.

This week, MSF said that while nearly 179,000 Sudanese children had been vaccinated against the disease over six months last year, they are only a fraction of the 5 million who are at risk.

The organisation said it is not able to operate in most of North Darfur, including el-Fasher, or in East Darfur as a result of the ongoing conflict.

Almohammed also warned that other preventable diseases, such as diphtheria and whooping cough, are now appearing in Darfur with the number of vaccines arriving just a “drop in the ocean” of what’s needed.

According to MSF, shipping vaccines has been difficult due to ongoing violence as well as “significant administrative and bureaucratic hurdles”.

“We urge authorities to immediately eliminate all bureaucratic and administrative barriers to transporting vaccines throughout Darfur,” the organisation said in a statement.

“At the same time, there must be greater urgency from UNICEF to coordinate efforts to increase the transport and delivery of vaccines, syringes and the necessary supplies.”

Attacks on healthcare

Meanwhile, attacks on healthcare facilities in Sudan have worsened the situation for civilians and medical personnel.

On Saturday, the Sudan Doctors Network said the RSF released nine medical workers from detention in Nyala in South Darfur out of a total of 73 health workers who had been detained by the paramilitary group.

The network welcomed the move as a “positive” step but called for the release of all detained medical workers and civilians without exception.

On Friday, the World Health Organization said attacks on healthcare facilities in Sudan have killed 1,858 people and wounded 490 since the conflict began in mid-April 2023.

At least 70 health workers and about 5,000 civilians have been detained in Nyala in recent months, it added.

A day earlier, the Sudan Doctors Network said 234 medical workers have been killed, 507 injured and 59 reported missing since the war began.