Trade between Iran and Pakistan remained suspended at two major border crossings on Tuesday, leaving trucks and cargo stranded, with Pakistani authorities citing security and anti-smuggling measures and Iran pointing to technical difficulties.
Commercial traffic through the Gabd-Rimdan and Taftan crossings was halted as of October 20, although passenger movement reportedly continued at Gabd-Rimdan.
Pakistan described the suspension as a temporary measure to strengthen security and combat smuggling, while Iran attributed the disruption to technical issues and precautionary measures.
The two countries remain in contact to resolve the problem, Iranian Foreign Ministry spokesman Esmail Baghaei said on Tuesday.
The closures come as Iran increasingly relies on land routes to sustain foreign trade following restrictions on maritime shipping during the war.
Before the conflict and the US military blockade of Iran's southern ports, more than 80 percent of the country's foreign trade passed through the southern ports of Rajaei and Khomeini.
The diversion of shipments to road networks has increased transport costs and congestion, although land crossings lack the capacity to replace maritime trade.
Thousands of trucks stranded
Iranian media had already reported queues of approximately 3,000 trucks at Rimdan before the latest suspension, with some drivers waiting between 20 and 30 days to cross.
Limited processing capacity on the Pakistani side and requirements to transfer cargo from Iranian trucks to Pakistani vehicles have contributed to the delays.
An industry circular issued in August also described difficulties unloading Iranian trucks in Pakistan and transferring their cargo.
“I urge all truck drivers not to bring cargo toward the borders. The situation is so bad that since last night and throughout October 20, huge queues of trucks have been turning back. The border is closed and is being cleared. Do not come!” a person affected by the disruption told Iran International.
Another person contacted the broadcaster with a similar warning, urging drivers to avoid sending additional shipments until the crossings reopen.
The latest suspension has increased the risk of prolonged vehicle inactivity and financial losses for transport operators and cargo owners.
Talks continue on reopening
Negotiations with Pakistani authorities to remove obstacles at Rimdan were continuing, border market director Abdolsalim Hoot said on October 18, adding that perishable goods were receiving priority.
An official in Pakistan's Balochistan province also described progress in negotiations and the possibility of reopening the crossings soon.
No timetable for resuming commercial traffic had been announced by Tuesday.
Iran and Pakistan had previously set a target of increasing annual bilateral trade to $10 billion, but border disruptions, banking difficulties and limited freight capacity have complicated efforts to reach that goal.
The suspension also coincides with Washington's efforts to increase economic pressure on the Islamic Republic, including warnings of sanctions against countries and companies maintaining financial and commercial dealings with Iran.
Between 30 and 40 of Iran’s operational aircraft were destroyed during the war, while another 70 to 80 were hit, Iran Air chief executive Taher Abdolhai said on Monday.
Abdolhai said Iran had a little over 300 aircraft in total, but only around 130 to 140 were operational before the latest losses, according to Nournews, a media outlet close to Iran’s Supreme National Security Council.
He said the scale of damage varied. Some aircraft were hit by missiles and suffered holes in their fuselages, while one Iran Air aircraft was “completely pulverized.”
Wartime losses cut into an already limited fleet
The figures suggest the war significantly reduced an aviation fleet that was already constrained by sanctions, aging aircraft and difficulties obtaining spare parts.
Abdolhai’s estimate is higher than some earlier figures given by Iranian officials. The secretary of Iran’s Association of Airlines had previously estimated that about 20 aircraft suffered serious damage.
Mohammadreza Rezaei Kouchi, head of parliament’s Civil Commission, had separately said around 50 aircraft were damaged and 10 destroyed.
It remains unclear how many of the damaged aircraft can be repaired and returned to service.
Sanctions have long constrained Iran’s aviation sector
Iran’s commercial aviation industry has for years faced restrictions on buying aircraft, sourcing parts, carrying out maintenance and receiving services at some foreign airports.
Abdolhai said those restrictions had made it harder for Iran Air to maintain its fleet and had also cut the airline off from some profitable markets.
The wartime losses have added another layer of pressure by shrinking the pool of aircraft available for commercial flights and reducing the industry’s ability to preserve routes and revenue.
Final scale of damage remains unclear
Abdolhai did not give a final estimate for the financial cost of the losses or say how many damaged aircraft were beyond repair.
The differing figures offered by Iranian officials also make the full scale of the damage difficult to establish independently.
Iranian military officials warned of a stronger response to any renewed US attack on Monday, as Russia's foreign minister visited Tehran for talks and regional security concerns grew following Houthi attacks on Saudi Arabia.
Russian Foreign Minister Sergei Lavrov met his Iranian counterpart Abbas Araghchi during an official visit, with talks also planned with President Masoud Pezeshkian.
The visit came as Iranian officials discussed the prospect of renewed fighting with the United States and the country's military capabilities.
Iran threatens US against new attack
The Revolutionary Guards said that Iran would respond more forcefully to any renewed US military action.
“The US entered the war with all its might, and it is certainly not in a position now to start a new conflict that would bring it any new gains,” Revolutionary Guards spokesman Hossein Mohebi said on Monday.
Mohebi said most US bases in the region were inactive and American forces had moved hundreds of kilometers away from Iran.
Revolutionary Guards deputy commander Mostafa Izadi said US naval forces had moved approximately 700 kilometers away to avoid Iranian missiles, according to the Guards-affiliated Fars news agency.
Senior Guards adviser Mohammadreza Naghdi separately said Iran's missile facilities had survived heavy bombardment and its strategic stockpiles remained intact.
Germany summons Iranian ambassador
Germany summoned Iran's ambassador on Monday over attempted attacks targeting Josef Schuster, head of the Central Council of Jews in Germany, and Volker Beck, chairman of the German-Israeli Society.
“Attacks on Jewish life and on those who defend it are something we will not tolerate - anywhere, and especially not in Germany,” the German Foreign Ministry wrote on X.
The ministry condemned Iran's activities and said the attempted attacks would have legal consequences.
Israeli Foreign Minister Gideon Sa'ar also criticized Araghchi after the Iranian foreign minister accused French President Emmanuel Macron of supporting US military action against Iran.
Sa'ar accused Iran of suppressing protesters at home while criticizing France over its response to unrest.
Regional security concerns grow
Saudi Arabia's Civil Defense said the danger had passed in the southern Najran region after an earlier alert over a potential threat.
The announcement followed a Houthi attack on a Yemeni government military camp in Shabwa province that killed at least 18 people, Reuters reported, citing government and medical sources.
The US State Department urged Americans across the Middle East to exercise heightened vigilance, warning that Houthi attacks could disrupt flights and airspace.
The US Embassy in Riyadh separately warned that Iran and groups supporting it could target American interests overseas.
Economic uncertainty weighs on Iran
The prospect of renewed conflict has also affected economic activity, according to an Iranian lawmaker.
“When conditions are unstable, no one can make decisions about their life and future; they cannot make a deal, invest or take action,” Mohammadmehdi Shahriari, a member of parliament's national security committee, said on Monday.
Shahriari said proposals for negotiations with Washington had been raised and officials should be allowed to formulate a response.
Another lawmaker, Mohammad Rashidi, rejected suggestions that Iran's economy was approaching collapse under US pressure.
Meanwhile, Iran Air chief executive Taher Abdolhay said the national airline had only six operational aircraft despite employing more than 9,000 people, down from a fleet of 40.
Abdolhay cited operational restrictions and air traffic difficulties, adding that the airline had faced obstacles to flights intended to bring medicine into Iran.
The developments featured the competing pressures facing Iran, with officials emphasizing military preparedness and diplomatic engagement as concerns over renewed fighting continue to affect regional security and economic activity.
People in Iran have described deteriorating hospital services, rising treatment costs, shortages of medical staff and equipment, and long waits for care, as healthcare workers struggle with low wages and growing workloads, according to accounts shared with Iran International.
The complaints come as health officials report a growing shift from private to public hospitals because of financial hardship, with the country's nursing workforce at roughly half the national standard.
Rising costs and pressure on public hospitals
Four hospitals refused to admit a patient because they lacked specialist doctors, forcing the patient to seek private treatment at a cost of 200 million rials (about $76) in a single night, according to an account sent to Iran International.
The US dollar is trading at around 2.62 million rials in Iran, reflecting the sharp decline in the national currency's purchasing power.
Iran's minimum monthly base wage stands at around 166 million rials ($63), meaning the patient's single-night medical bill exceeded a full month's minimum wage, even before other living expenses.
Another patient said an emergency department at a public hospital charged around 100 million rials (about $38), provided no invoice and said emergency expenses were not covered by insurance.
A resident of Shiraz described worsening conditions at hospitals, where shortages of doctors and nurses have disrupted patient care.
Economic hardship and higher medical tariffs have shifted 30 to 40 percent of patient visits from private facilities to public hospitals this year, Yaser Foroughi, deputy for treatment at Iran University of Medical Sciences, said.
Other patients described overwhelmed medical staff struggling to meet growing demand despite efforts to provide adequate care.
Patients face steep bills and demands for unofficial payments
Several citizens described doctors requesting cash or gold coins outside formal hospital payment procedures before performing surgery.
One patient said a doctor at Tehran's Atieh Hospital quoted 4 billion rials for leg surgery alone, with at least two weeks of hospitalization due to an infection and accommodation for a companion expected to cost another 15 billion rials.
Others complained about rising out-of-pocket expenses and insurance coverage that failed to meet their medical needs.
Equipment shortages and long treatment delays
Patients said hospitals were running short of basic supplies, forcing them to purchase items including bedsheets, syringes and gloves themselves.
Healthcare workers and patients had previously told Iran International in September that syringes, sterile gauze, intravenous cannulas and latex gloves were either scarce or subject to rationing.
Another patient said MRI machines at public hospitals were frequently broken or required waits of up to three months for appointments.
Some private hospitals were also refusing supplementary health insurance, according to accounts submitted to Iran International.
One person said emergency services refused to dispatch an ambulance for their 73-year-old mother, who has cancer, after she fell, because two hours had passed since the fall.
Several patients also complained about declining patience among hospital staff when dealing with patients and their families.
Nurses say they are doing the work of two people
Iran's nursing workforce stands at roughly half the national standard, forcing individual nurses to carry the workload of two people, Ahmad Nejatian, head of Iran's Nursing Organization, said on October 17.
Nurses work an average of 80 hours of overtime each month, Nejatian said.
Healthcare workers linked deteriorating services to severe staffing shortages, exhaustion and inadequate pay.
One nurse said better salaries and living conditions, comparable to those in Persian Gulf countries, Europe and the United States, would improve healthcare workers' ability to care for patients.
A patient hospitalized for 12 days, however, described nurses continuing to treat patients respectfully and work diligently despite severe staff shortages and demanding conditions.
Low wages deepen pressure on healthcare workers
One healthcare worker said medical staff were expected to provide specialized care, particularly in intensive care units, on monthly salaries of just 250 million to 300 million rials ($95–$115), with a housing allowance of 10 million rials (about $4).
Another citizen blamed the government's economic policies for making it increasingly difficult for healthcare workers to concentrate on their duties.
Some nurses have gone months without receiving their salaries, leaving them with little motivation to train new staff, a medical trainee told Iran International in September.
The accounts point to mounting pressure on Iran's healthcare system, with rising treatment costs pushing more patients toward overstretched public hospitals as staff shortages, low wages and equipment shortages constrain the care available to them.
Retirees staged protests in several Iranian cities on Sunday over soaring living costs, inadequate pensions and healthcare problems, with some demonstrators also chanting against government corruption, repression and executions.
Social Security and steel industry retirees gathered in Tehran, Rasht, Kermanshah, Isfahan, Shush and Ahvaz, demanding higher pensions, payment of overdue benefits and improved access to healthcare.
Videos obtained by Iran International showed protesters chanting slogans including "Our enemy is right here, they lie when they say it's America" and "Cut back on one case of embezzlement and solve our problems."
In Tehran, retirees gathered outside the headquarters of the Social Security Organization, Iran's state pension and social insurance body, chanting "High prices, embezzlement — this is your economy," according to Pezhvak-e Kar Iran, a labor news outlet affiliated with the Iran Labor Confederation Abroad.
In the northern city of Rasht, demonstrators also condemned executions, chanting "We swear by the blood of our comrades, we will stand until the death sentences are overturned."
More than 70 political prisoners have been executed since December 2025, while at least 20 others face execution on politically motivated charges.
The US-based Human Rights Activists in Iran group said in an October 9 report that at least 2,003 people had been executed over the preceding year, a 29% increase from the previous 12-month period.
In the western city of Kermanshah, retirees protested the declining purchasing power of their pensions, chanting "Where are the oil dollars? We bear the inflation" and "War and sanctions are excuses; our lives are the evidence."
Protesters also demanded the release of imprisoned workers, teachers and protesters, including labor activist Nahid Khodajoo, who was arrested at her home by security forces about two weeks ago. Her whereabouts remain unknown.
In the central city of Isfahan, retired steelworkers marched to the provincial governor's office, demanding free and continuous healthcare, payment of overdue benefits and pensions equivalent to 90% of the salaries of comparable active workers.
Iran's semi-official ILNA news agency reported that repeated promises by officials to address the steelworkers' grievances had not been fulfilled.
In the southwestern city of Shush, retired workers from the Haft Tappeh sugarcane complex protested low pensions, inflation, unemployment, housing shortages and the suppression of independent labor organizations, according to the Haft Tappeh Sugarcane Workers' Syndicate.
"We will fight, we will die, we will win our rights," protesters chanted.
In nearby Ahvaz, retirees gathered outside the provincial Social Security headquarters, demanding overdue pension increases and protesting rising prices.
"Our expenses are in dollars, but our salaries are in rials," demonstrators chanted, according to the Iranian Retirees Council. Other slogans included "No to executions" and "Unity against poverty and corruption."
Retirees told ILNA that pensions below the poverty line had made it increasingly difficult to afford basic necessities, including food, medicine and medical care.
Iran's base monthly minimum wage stands at approximately 166.3 million rials ($63 at the October 18 free-market exchange rate), excluding additional allowances.
Years of inflation and the declining value of the rial have eroded purchasing power, fueling recurring demonstrations by retirees and workers demanding higher wages, improved healthcare and payment of outstanding benefits.
Iranian officials raised the possibility of a shift in nuclear policy and threatened retaliation against further US-Israeli attacks, while Tehran outlined its conditions for reopening the Strait of Hormuz on Sunday.
The developments came after Iran's parliament approved a new defense minister with longstanding ties to the Revolutionary Guards' missile program, and Israeli Prime Minister Benjamin Netanyahu called for eliminating what he described as the Iranian threat.
Nuclear doctrine comes under scrutiny
Iran's new supreme leader, Mojtaba Khamenei, may take a different position on nuclear weapons from his late father, Ali Khamenei, whose religious ruling opposed their development, Iranian lawmaker Ahmad Naderi said.
“From Mojtaba Khamenei's conduct, my understanding is that his fatwa will be different,” Naderi told.
Naderi separately expressed his own support for acquiring an atomic bomb, saying he had advocated the move for more than a decade and believed Iran should pursue what he called ultimate military deterrence.
Calls for nuclear deterrence have become more prominent among Friday prayer leaders and representatives of the supreme leader, Naderi added.
The remarks came after US Vice President JD Vance said Washington had achieved a decisive military advantage over Iran but could not consider the conflict finished without a firm commitment that Tehran would not rebuild its nuclear program.
Vance also linked US involvement to energy security, warning that Iranian control over shipping through the Strait of Hormuz could increase gasoline prices.
Hormuz proposal remains unresolved
Iran's seven-day proposal for reopening the Strait of Hormuz remains under consideration, with Tehran reviewing Washington's comments, Foreign Minister Abbas Araghchi said.
“Our conditions are completely clear and were presented to the United States in the form of a seven-day plan,” Araghchi said.
Under the proposal, the strait would reopen on the sixth day if Washington met Iran's conditions, with negotiations resuming on the seventh, Araghchi added.
The conditions were fair and had previously been accepted by the United States, he said.
New defense minister threatens retaliation
Iran's parliament approved Mehrdad Akhlaghi Ketabchi for the post of defense minister with 237 votes in favor and 15 against.
Akhlaghi, a sanctioned veteran of Iran's missile industry, replaces Aziz Nasirzadeh, who was killed during the opening day of US-Israeli strikes in February.
The new minister warned that any further American attack would bring casualties among US personnel stationed in the region.
“If he drops one bomb, he should see how many of his people he will have to carry out horizontally (dead),” Akhlaghi said, referring to President Donald Trump.
Iran's armed forces have also prepared a new operational plan for any renewed attack, Supreme National Security Council Secretary Mohsen Rezaei said.
The plan would be more destructive than those used during the previous wars and would not follow familiar patterns, Rezaei added.
Army commander-in-chief Amir Hatami separately urged the new defense minister to accelerate military modernization, citing the impact of recent wars and international sanctions.
Israel presses for further action
The complete elimination of what Israel considers the Iranian threat remains a central objective for the remainder of Trump's presidency, Netanyahu said in an interview with Life, Liberty & Levin.
Netanyahu argued that military and economic pressure should continue and called for the eventual removal of Iran's current political leadership.
The Israeli prime minister also said Tehran is pursuing intercontinental ballistic missiles capable of reaching the United States and seeking nuclear warheads for them.
Separately, Iran's hardline Kayhan newspaper urged strikes against Israeli nuclear facilities if Washington attacked the underground Pickaxe Mountain complex near Natanz.
The warning followed Trump's suggestion that US forces could target the fortified site.
The statements underscored the competing priorities shaping the confrontation: Washington's demand for guarantees against renewed Iranian nuclear activity, Tehran's conditions for restoring maritime access, and continuing threats of military escalation from both sides.
