NEW YORK - Religious pilgrims, migrant workers, businessmen, soldiers and clerics all flow constantly across Iran's frontiers, often crossing into countries with few border controls, weak and ineffective governments and fragile health systems.
"It is a recipe for a massive viral outbreak," said Peter Piot, director of the London School of Hygiene and Tropical Medicine and the former founding executive director of the Joint United Nations Program on HIV/AIDS. Iran is in many ways a case study in the risks of the disease spreading. The country reported its first case of the coronavirus less than a week ago, in Qom. On Monday health officials reported that four people had died there in the last day, bringing the total to 12. At least 61 others had been infected in Iran, the officials said, with new cases being reported in Isfahan, Hamedan and other cities, as well as in Qom.
Health Ministry officials vehemently disputed his claims."I will resign if the numbers are even half or a quarter of this," said Ahmad Harirchi, adviser to the health minister. In an interview with BBC Persian from Teheran, Dr Babak Gharaye Moghadam urged citizens to"please, please listen" to the advice of health officials and not to turn to social media feeds on their cellphones for guidance.
Health officials declared a state of emergency in Herat. The government on Sunday had already suspended all air and ground travel to and from Iran. The son of a professor at a university in Herat, who returned three days ago from Iran, called a reporter for The New York Times on Monday asking what the procedure for quarantine was.
"Many hospitals in Saudi Arabia have improved but some could still do better at prevention," said Dr. David L. Heymann, former chairman of Britain's Health Protection Agency.
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