What's Next for Iran's Government after Death of its President in Helicopter Crash?

The Iranian flag is seen flying over a street in Tehran, Iran, February 1, 2023. Majid Asgaripour/WANA (West Asia News Agency) via REUTERS/File Photo Purchase Licensing Rights
The Iranian flag is seen flying over a street in Tehran, Iran, February 1, 2023. Majid Asgaripour/WANA (West Asia News Agency) via REUTERS/File Photo Purchase Licensing Rights
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What's Next for Iran's Government after Death of its President in Helicopter Crash?

The Iranian flag is seen flying over a street in Tehran, Iran, February 1, 2023. Majid Asgaripour/WANA (West Asia News Agency) via REUTERS/File Photo Purchase Licensing Rights
The Iranian flag is seen flying over a street in Tehran, Iran, February 1, 2023. Majid Asgaripour/WANA (West Asia News Agency) via REUTERS/File Photo Purchase Licensing Rights

The death of Iran's president is unlikely to lead to any immediate changes in Iran's ruling system or to its overarching policies, which are decided by Supreme Leader Ali Khamenei.

But Ebrahim Raisi, who died in a helicopter crash Sunday, was seen as a prime candidate to succeed the 85-year-old supreme leader, and his death makes it more likely that the job could eventually go to Khamenei's son, The AP reported.

A hereditary succession would pose a potential crisis of legitimacy for the Islamic Republic, which was established as an alternative to monarchy but which many Iranians already see as a corrupt and dictatorial regime. Here's a look at what comes next.

HOW DOES IRAN'S GOVERNMENT WORK?

Iran holds regular elections for president and parliament with universal suffrage.

But the supreme leader has final say on all major policies, serves as commander-in-chief of the armed forces and controls the powerful Revolutionary Guard.

The supreme leader also appoints half of the 12-member Guardian Council, a clerical body that vets candidates for president, parliament and the Assembly of Experts, an elected body of jurists in charge of choosing the supreme leader.

In theory, the clerics oversee the republic to ensure it complies with Islamic law. In practice, the supreme leader carefully manages the ruling system to balance competing interests, advance his own priorities and ensure that no one challenges the Islamic Republic or his role atop it.

Raisi, a hard-liner who was seen as a protege of Khamenei, was elected president in 2021 after the Guardian Council blocked any other well-known candidate from running against him, and turnout was the lowest in the history of the Islamic Republic. He succeeded Hassan Rouhani, a relative moderate who had served as president for the past eight years and defeated Raisi in 2017.

After Raisi's death, in accordance with Iran's constitution, Vice President Mohammad Mokhber, a relative unknown, became caretaker president, with elections mandated within 50 days. That vote will likely be carefully managed to produce a president who maintains the status quo.

That means Iran will continue to impose some degree of Islamic rule and crack down on dissent. It will enrich uranium, support armed groups across the Middle East and view the West with deep suspicion.

WHAT DOES THIS MEAN FOR SUCCESSION?

Presidents come and go, some more moderate than others, but each operates under the structure of the ruling system.

If any major change occurs in Iran, it is likely to come after the passing of Khamenei, when a new supreme leader will be chosen for only the second time since the 1979 Islamic Revolution. Khamenei succeeded the founder of the Islamic Republic, Ayatollah Khomeini, in 1989.

The next supreme leader will be chosen by the 88-seat Assembly of Experts, who are elected every eight years from candidates vetted by the Guardian Council. In the most recent election, in March, Rouhani was barred from running, while Raisi won a seat.

Any discussion of the succession, or machinations related to it, occur far from the public eye, making it hard to know who may be in the running. But the two people seen by analysts as most likely to succeed Khamenei were Raisi and the supreme leader's own son, Mojtaba, 55, a Shiite cleric who has never held government office.

WHAT HAPPENS IF THE SUPREME LEADER'S SON SUCCEEDS HIM?

Leaders of the Islamic Republic going back to the 1979 revolution have portrayed their system as superior.

The transfer of power from the supreme leader to his son could spark anger, not only among Iranians who are already critical of clerical rule, but supporters of the system who might see it as un-Islamic.

Western sanctions linked to the nuclear program have devastated Iran's economy. And the enforcement of Islamic rule, which grew more severe under Raisi, has further alienated women and young people.

The Islamic Republic has faced several waves of popular protests in recent years, most recently after the 2022 death of Mahsa Amini, who had been arrested for allegedly not covering her hair in public. More than 500 people were killed and over 22,000 were detained in a violent crackdown.

Raisi's death may make the transition to a new supreme leader trickier, and it could spark more unrest.

 

 

 

 

 

 



New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
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New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)

Scientists studying the new mpox strain that has spread out of Democratic Republic of Congo say the virus is changing faster than expected, and often in areas where experts lack the funding and equipment to properly track it.

That means there are numerous unknowns about the virus itself, its severity and how it is transmitting, complicating the response, half a dozen scientists in Africa, Europe and the United States told Reuters.

Mpox, formerly known as monkeypox, has been a public health problem in parts of Africa since 1970, but received little global attention until it surged internationally in 2022, prompting the World Health Organization to declare a global health emergency. That declaration ended 10 months later.

A new strain of the virus, known as clade Ib, has the world's attention again after the WHO declared a new health emergency.

The strain is a mutated version of clade I, a form of mpox spread by contact with infected animals that has been endemic in Congo for decades. Mpox typically causes flu-like symptoms and pus-filled lesions and can kill.

Congo has had more than 18,000 suspected clade I and clade Ib mpox cases and 615 deaths this year, according to the WHO. There have also been 222 confirmed clade Ib cases in four African countries in the last month, plus a case each in Sweden and Thailand in people with a travel history in Africa.

"I worry that in Africa, we are working blindly," said Dr. Dimie Ogoina, an infectious diseases expert at Niger Delta University Hospital in Nigeria who chairs the WHO's mpox emergency committee. He first raised the alarm about potential sexual transmission of mpox in 2017, now an accepted route of spread for the virus.

"We don’t understand our outbreak very well, and if we don't understand our outbreak very well, we will have difficulty addressing the problem in terms of transmission dynamics, the severity of the disease, risk factors of the disease," Ogoina said. "And I worry about the fact that the virus seems to be mutating and producing new strains."

He said it took clade IIb in Nigeria five years or more to evolve enough for sustained spread among humans, sparking the 2022 global outbreak. Clade Ib has done the same thing in less than a year.

MUTATING 'MORE RAPIDLY'

Mpox is an orthopoxvirus, from the family that causes smallpox. Population-wide protection from a global smallpox vaccine campaign 50 years ago has waned, as the vaccinating stopped when the disease was eradicated.

Genetic sequencing of clade Ib infections, which the WHO estimates emerged mid-September 2023, show they carry a mutation known as APOBEC3, a signature of adaptation in humans.

The virus that causes mpox has typically been fairly stable and slow to mutate, but APOBEC-driven mutations can accelerate viral evolution, said Dr. Miguel Paredes, who is studying the evolution of mpox and other viruses at Fred Hutchison Cancer Center in Seattle.

"All the human-to-human cases of mpox have this APOBEC signature of mutations, which means that it's mutating a little bit more rapidly than we would expect," he said.

Paredes and other scientists said a response was complicated by several mpox outbreaks happening at once.

In the past, mpox was predominantly acquired through human contact with infected animals. That is still driving a rise in Congo in clade I cases – also known as clade Ia - likely due in part to deforestation and increased consumption of bushmeat, scientists said.

The mutated versions, clade Ib and IIb, can now essentially be considered a sexually transmitted disease, said Dr. Salim Abdool Karim, a South African epidemiologist and chair of the Africa CDC’s mpox advisory committee. Most of the mutated clade Ib cases are among adults, driven at first by an epidemic among female sex workers in South Kivu, Congo.

The virus also can spread through close contact with an infected person, which is likely how clusters of children have been infected with clade Ib, particularly in Burundi and in eastern Congo’s displacement camps, where crowded living conditions may be contributing.

Children, pregnant women and people with weakened immune systems or other illnesses may be at greater risk of serious mpox disease and death, say the WHO and mpox scientists.

Clade I has typically caused more severe disease, with fatality rates of 4%-11%, compared to around 1% for clade II. Ogoina said data from Congo suggests few have died of the new Ib version, but he feared some data is being mixed up.

More research is urgently needed, but three teams tracking mpox outbreaks in Africa say they cannot even access chemicals needed for diagnostic tests. Clade Ib can also be missed by some diagnostic tests.

Planning a response, including vaccination strategies, without this is difficult, the scientists said.

Karim said around half of cases in eastern Congo, where Ib is particularly prevalent, are only being diagnosed by doctors, with no laboratory confirmation.

Getting samples to labs is difficult because the healthcare system is already under pressure, he said. And around 750,000 people have been displaced amid fighting between the M23 rebel group and the government.

Many African laboratories cannot get the supplies they need, said Dr. Emmanuel Nakoune, an mpox expert at the Institut Pasteur in Bangui, Central African Republic, which also has clade Ia cases.

"This is not a luxury," he said, but necessary to track deadly outbreaks.