Document Type : Letter to the Editor

Author

Associate Professor, Department of operative room, Iranian Research Center on Healthy Aging. Non-Communicable Diseases Research Center. School of paramedical, Sabzevar University of Medical Sciences, Sabzevar, Iran. https://orcid.org/0000-0001-9781-9

Abstract

 
The twelve-day war between Iran and Israel (June 13–24, 2025), initiated by sudden attacks on Iran’s key military and nuclear sites, caused numerous casualties among senior military officials, nuclear scientists, and civilians. This letter reviews crisis management effectiveness in Iran’s healthcare system during the conflict. Crisis management in the health system is a complex and critical process that requires collaboration and coordination among all stakeholders. Its primary goals include protecting the health of personnel and patients, minimizing casualties and damages, and ensuring a rapid return to a normal state. In Iran, crises are not limited to wartime conditions; rather, they encompass pandemics (e.g., COVID-19), natural disasters (such as earthquakes and floods), chemical or radiological incidents, and terrorist attacks. However, evidence suggests that our current preparedness within the healthcare sector remains inadequate, particularly in responding to severe crises such as war. The existing structures do not appear to be fully responsive or resilient under such extreme conditions. In this letter, the challenges and opportunities observed in the Iranian health system during the recent 12-day war are examined.
 

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