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The Western Iranian province of Ilam has emerged as one of the epicenters of nationwide protests, with some of the deadliest confrontations yet between demonstrators and security forces.
Roughly half of all reported fatalities so far—around 20 protesters—have occurred by direct gunfire in western provinces, according to activist and local reports.
Many of the deaths have occurred in Ilam, Lorestan, Chahar-Mahal and Bakhtiari, and Kohgiluyeh and Boyer-Ahmad, areas that have long ranked among Iran’s most economically deprived and are home largely to ethnic Kurdish and Lor populations.
The scale of unrest has been especially striking in Ilam.
On Tuesday night, videos showing large crowds protesting peacefully in Abdanan, a city of about 25,000, circulated widely on social media, surprising many Iranians.
A day later, similarly large demonstrations took place in Aligudarz, a city of fewer than 100,000 in neighboring Lorestan, where crowds chanted slogans against Supreme Leader Ali Khamenei.
Witness accounts and videos suggest participation levels unusual for cities of that size—an indication, activists say, of how deeply economic grievances and political anger have penetrated Iran’s smaller, poorer communities.
Despite this, state media have continued to minimize the protests.
The state-affiliated Tasnim News Agency described demonstrations in Lorestan as failed “riots,” claiming people “did not show up,” while acknowledging that inflation there has exceeded the national average.
Attack on hospital
Anger across Ilam intensified further after events at Imam Khomeini Hospital in the provincial capital on Sunday, following the transfer of wounded protesters from demonstrations in Arkavaz, the center of Malekshahi county.
State outlets accused protesters of attacking the hospital, saying police entered the facility to restore order. Eyewitnesses, however, described a security raid in which tear gas was fired inside the hospital and injured protesters were removed.
A rare on-the-ground report by the moderate daily Ham-Mihan, citing multiple witnesses and medical staff, said protesters arriving at the hospital were unarmed and had been shot after a peaceful march.
Several were already dead on arrival, while others later died from gunshot wounds, including injuries caused by military-grade bullets. Some families, the report said, rushed wounded relatives out of the hospital to prevent their arrest.
The incident drew a rare official response from the government.
The Health Ministry stressed the “sanctity” of medical facilities, saying any entry by security forces into hospitals or harm to patients violated humanitarian principles.
Government spokeswoman Fatemeh Mohajerani said damage to medical centers was unacceptable “under any circumstances” and announced that President Masoud Pezeshkian had ordered an investigation, dispatching a representative to Ilam to prepare a report.
For many residents, however, the episode has come to symbolize a broader breakdown: a protest movement spreading from Iran’s margins, met not only with lethal force in the streets, but—according to witnesses—even inside places meant to offer refuge.
Israel’s Ambassador to the United Nations Danny Danon addressed the Iranian people in a video message, praising them for what he described as their courage during nationwide protests.
“I am seeing your bravery. I am feeling your pain. I am sharing your hope for a better future in Iran without evil and terror,” Danon said. “The entire world is watching what’s happening on the streets in Iran and is praying with you.”
The US House Foreign Affairs Committee warned Iran’s authorities against using force against protesters.
“If Tehran violently kills peaceful protestors, it will be swiftly met with justice,” it said in a post on X, citing an earlier statement by US President Donald Trump.
Protests continued into the evening in Rasht, Gilan province in northern Iran, on Wednesday, according to videos sent to Iran International.
The footage shows protesters chanting slogans including “Until the cleric is shrouded, this homeland will not become a homeland” and “Pahlavi will return.”
Iran may not be Venezuela, but the Islamic Republic may at its most vulnerable point in its near 50-year existence as pressure builds from the streets, foreign intelligence services and inside the clerical establishment, analysts told Iran International.
The question now confronting Washington is whether Donald Trump will stick to pressure and covert tools or move toward a more dramatic confrontation.
US forces captured Venezuelan President Nicolas Maduro in a daring, deadly raid over the weekend and launched a surprise attack on Iranian nuclear sites in June.
Drawing on that record, Dr. Mehrzad Boroujerdi, Vice Provost and Dean at Missouri University of Science and Technology and a longtime scholar of Iranian politics, described a president inclined toward targeted operations rather than large deployments.
Trump, he explained, “prefers low risk and no boots on the ground model of a surgical attack.”
https://www.iranintl.com/en/202601072185
