Tehran, Tel Aviv Exchange Displays of Power During Gaza Conflict

Iranian Supreme Leader Ali Khamenei stands before the coffins of seven Revolutionary Guard officers killed in the Iranian consulate strike in Syria. (EPA)
Iranian Supreme Leader Ali Khamenei stands before the coffins of seven Revolutionary Guard officers killed in the Iranian consulate strike in Syria. (EPA)
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Tehran, Tel Aviv Exchange Displays of Power During Gaza Conflict

Iranian Supreme Leader Ali Khamenei stands before the coffins of seven Revolutionary Guard officers killed in the Iranian consulate strike in Syria. (EPA)
Iranian Supreme Leader Ali Khamenei stands before the coffins of seven Revolutionary Guard officers killed in the Iranian consulate strike in Syria. (EPA)

Since the start of the Gaza conflict following Hamas’ attack on Israel on October 7, Iran has been visibly involved in the regional crisis. This involvement spans its support for allied militant groups in Iraq, Syria, Lebanon and Yemen, as well as political, diplomatic and military actions under President Ebrahim Raisi.

Two hundred days into the war on Gaza, tensions between Tel Aviv and Tehran have intensified. This escalation signals a shift from years of a shadow Iranian-Israeli conflict towards a potentially direct confrontation, primarily driven by Iran.

In the early days of the war, Iranian officials hinted at their ability to escalate the conflict and confront Israel by unifying fronts if Gaza continued to be targeted. This was seen as a political maneuver.

While Iran implied involvement in the confrontation, Western reports, especially American ones, differed on Iran’s role in Hamas’ Oct. 7 Al-Aqsa Flood Operation that sparked the war.

In the blame game and attempts to involve international parties, based on Israeli sources, some Western newspapers accused Iran of orchestrating the attack. On the other hand, media outlets and agencies turned to Iranian sources to challenge the Israeli narrative.

As Iran tried to leverage Israel’s surprise over the Al-Aqsa Flood, Iranian Revolutionary Guard leaders sent a strong message. They mentioned Iran’s motives for the attack, including revenge for Quds Force commander Qassem Soleimani’s killing in a US strike in early 2020. Yet, Iran swiftly denied any direct link to Hamas’ attack to avoid upsetting the delicate balances it has achieved in the region.

Diplomatic moves

Iran has been quick to amp up its regional diplomacy under Raisi, aiming to improve ties with neighboring countries and counter its international isolation, especially after the Ukraine conflict complicated efforts to revive its nuclear deal with Western powers.

Foreign Minister Hossein Amir-Abdollahian’s recent statement at Tehran University, suggesting that Iran must be consulted for any Palestine agreement, has meanwhile raised eyebrows.

Abdollahian’s visits to Jeddah, Geneva, and New York for Palestine-related conferences have sparked questions in Iranian media about the authorities’ delayed actions on pressing domestic issues, including nuclear negotiations to lift US sanctions.

However, the aftermath of the war has somewhat eased Western pressure on Iran’s nuclear program, with Western powers avoiding turning to the UN Security Council or issuing condemnations of Iran because they don’t want to deepen the crisis with Tehran amid the Gaza conflict.

Iran has highlighted its ties to powers around Israel while pursuing diplomacy. It continues to support Hamas and the Islamic Jihad, with top Iranian officials, like the foreign minister, visiting Doha, Beirut, and Damascus to coordinate with the two groups.

Iran also backs armed groups linked to Tehran, such as Lebanese Hezbollah, the Houthi militias in Yemen and Iraqi armed factions.

The Iranians see the Gaza war as the greatest evidence of coordination between diplomacy and field activities by the Revolutionary Guard and allied groups. However, Tehran officially denies direct involvement in decisions or operations of these groups, though it still supports their actions.

Maritime developments

In early November, Iranian Supreme Leader Ali Khamenei called for disrupting Israel’s key supply routes by blocking maritime access for energy, food and trade.

Following his statement, the Houthi militias in Yemen began attacking commercial ships in the Red Sea.

These attacks sparked renewed tensions at sea. The US and UK responded with strikes on Houthi positions to deter further assaults. Meanwhile, Western and regional powers formed maritime alliances to safeguard navigation routes.

The Revolutionary Guard further heightened tensions by announcing Iranian naval escorts to the Red Sea and threatening to block key waterways like the Bab el-Mandeb and the Strait of Gibraltar, as well as disrupting navigation in the Mediterranean.

They also formed a “Naval Basij” unit comprising maritime units of groups loyal to Iran.

Israel strikes back

As tensions rose in the Red Sea and Iran-aligned factions targeted US forces, Israel launched two precise airstrikes in December. The first, in Damascus on December 2 killed two Revolutionary Guard officers: Brigadier Generals Panah Taghizadeh and Mohammad-Ali Ataie Shourcheh.

They were reportedly killed during “advisory operations” at a military base in the Sayyida Zainab area.

On December 25, Razi Mousavi, the logistics chief for the Revolutionary Guard in Syria and Lebanon, was killed in an Israeli airstrike on his home in the Sayyida Zainab area. The strike came shortly after he left his office at the Iranian embassy compound.

The third strike occurred in the Mazzeh area on January 20, killing Brig. Gen. Hojjatollah Amidwar, the Revolutionary Guard’s intelligence chief in Syria, and four other Iranian officers.

Later, the Revolutionary Guard reported the deaths of three more officers in separate operations in Damascus, Homs and Deir Ezzor between February and March.

Losses and heightened tensions

As tensions rose, Damascus saw the deadliest blow to Iran’s Revolutionary Guard in the ongoing power struggle between Tehran and Tel Aviv.

The Iranian consulate in Mazzeh was struck, killing Brig. Gen. Mohammad Reza Zahedi, commander of the Revolutionary Guard forces in Syria and Lebanon, along with Hezbollah’s advisory council member and five other senior Guard officers.

Iran promised retaliation, sparking intense speculation, and Khamenei declared the consulate Iranian soil and pledged a response.

Israel remained quiet after all the attacks, while Iran launched over 300 missiles and drones two weeks later. Israel claimed to have intercepted most.

Khamenei stated Iran aimed to show its power.

In response, Israel threatened retaliation deep in Iranian territory. Western powers tried to discourage Israel, but it struck a military airport near Isfahan. Satellite images showed damage to the S-300 radar system protecting nuclear facilities.

The exchange continues, with its lessons likely to keep tensions high between Israel and Iran, even after the dust settles in the Gaza conflict.



Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
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Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed

The baby in Gaza who was recently paralyzed by polio was infected with a mutated strain of the virus that vaccinated people shed in their waste, according to scientists who say the case is the result of “an unqualified failure” of public health policy.
The infection, which marked the first detection of polio in the war-torn Palestinian territory in more than 25 years, paralyzed the lower part of one leg in the unvaccinated 10-month-old child. The baby boy was one of hundreds of thousands of children who missed vaccinations because of the fighting between Israel and Hamas.
Scientists who have been monitoring polio outbreaks said the baby's illness showed the failures of a global effort by the World Health Organization and its partners to fix serious problems in their otherwise largely successful eradication campaign, which has nearly wiped out the highly infectious disease. Separately, a draft report by experts deemed the WHO effort a failure and “a severe setback.”
The polio strain in question evolved from a weakened virus that was originally part of an oral vaccine credited with preventing millions of children worldwide from being paralyzed. But that virus was removed from the vaccine in 2016 in hopes of preventing vaccine-derived outbreaks.
Public health authorities knew that decision would leave people unprotected against that particular strain, but they thought they had a plan to ward off and quickly contain any outbreaks. Instead, the move resulted in a surge of thousands of cases, The Associated Press reported.
“It was a really horrible strategy,” said Columbia University virologist Vincent Racaniello, who was not involved with the report or the WHO. “The decision to switch vaccines was based on an incorrect assumption, and the result is now we have more polio and more paralyzed children.”
A draft copy of the report commissioned by the WHO and independent experts said the plan underestimated the amount of the strain in the environment and overestimated how well officials would be able to squash outbreaks.
The plan led to vaccine-linked polio outbreaks in 43 countries that paralyzed more than 3,300 children, the report concluded.
Even before the Gaza case was detected, officials reviewing the initiative to tinker with the vaccine concluded that “the worst-case scenario has materialized,” the report said.
The report has not yet been published, and some changes will likely be made before the final version is released next month, the WHO said.
The strain that infected the baby in Gaza had lingered in the environment and mutated into a version capable of starting outbreaks. It was traced to polio viruses spreading last year in Egypt, according to genetic sequencing, the WHO said.
In 2022, vaccine-linked polio viruses were found to be spreading in Britain, Israel and the US, where an unvaccinated man was paralyzed in upstate New York.
Scientists now worry that the emergence of polio in a war zone with an under-immunized population could fuel further spread.
Racaniello said the failure to track polio carefully and to sufficiently protect children against the strain removed from the vaccine has had devastating consequences.
“Only about 1% of polio cases are symptomatic, so 99% of infections are silently spreading the disease,” he said.
The oral polio vaccine, which contains a weakened live virus, was withdrawn in the US in 2000. Doctors continued to vaccinate children and eventually moved to an injected vaccine, which uses a dead virus and does not come with the risk that polio will be present in human waste. Such waste-borne virus could mutate into a form that triggers outbreaks in unvaccinated people.
The report's authors faulted leaders at the WHO and its partners, saying they were unable or unwilling “to recognize the seriousness of the evolving problem and take corrective action.”
WHO spokesman Oliver Rosenbauer acknowledged that the vaccine strategy “exacerbated” the risk of epidemics linked to the vaccine.
He said in an email that immunization “was not implemented in such a way to rapidly stop outbreaks or to prevent new strains from emerging.” Rosenbauer said not hitting vaccination targets was the biggest risk for allowing vaccine-linked viruses to emerge.
“You need to reach the children with the vaccines ... regardless of which vaccines are used,” he said.
The WHO estimates that 95% of the population needs to be immunized against polio to stop outbreaks. The UN health agency said only about 90% of Gaza’s population was vaccinated earlier this year.
To try to stop polio in Gaza and the wider region, the WHO and its partners plan two rounds of vaccination campaigns later this week and next month, aiming to cover 640,000 children. Authorities will use a newer version of the oral polio vaccine that targets the problematic strain. The weakened live virus in the new vaccine is less likely to cause vaccine-derived outbreaks, but they are still possible.
Racaniello said it was “unethical” that the WHO and its partners were using a vaccine that is unlicensed in rich countries precisely because it can increase the risk of polio in unvaccinated children.
The oral polio vaccine, which has reduced infections globally by more than 99%, is easy to make and distribute. Children require just two drops per dose that can be administered by volunteers. The oral vaccine is better at stopping transmission than the injected version, and it is cheaper and easier to administer.
But as the number of polio cases caused by the wild virus have plummeted in recent years, health officials have been struggling to contain the increasing spread of vaccine-linked cases, which now comprise the majority of polio infections in more than a dozen countries, in addition to Afghanistan and Pakistan, where transmission of the wild virus has never been stopped.
“This is the result of the Faustian bargain we made when we decided to use" the oral polio vaccine, said Dr. Paul Offit, director of the Vaccine Education Center at the University of Philadelphia. “If we really want to eradicate polio, then we need to stop using the vaccine with live (weakened) virus.”