About 14% of Iran’s adult population, roughly 7.5 million people, live with diabetes, and nearly one in three are unaware of their condition, the head of Iran’s Endocrine and Metabolism Research Institute, Bagher Larijani, said on Monday.
Larijani told reporters that 500,000 new cases are added each year, warning that poor diet, obesity, and low physical activity are driving a “growing national health burden.”
He said diabetes and its complications consume up to 15% of Iran’s healthcare spending and shorten healthy life expectancy by about 300,000 years annually.
He added that 9 million Iranians have pre-diabetes and that only a quarter of treated patients maintain proper glucose control.
The health ministry, he said, plans to boost public awareness and expand early screening under a new “80-80-80” plan – ensuring 80% of citizens know their status, 80% receive treatment, and 80% achieve stable blood-sugar control.
"No water rationing — the scheduled and announced distribution and supply of water on a rotating basis — has so far been implemented in Tehran or any other city in the country," the Revolutionary Guards-affiliated Fars News reported citing the National Water and Wastewater Company.
Energy Minister Abbas Aliabadi on Sunday called the nightly pressure cuts a temporary management tool to stabilize the city’s aging water network and reduce leakage. Similar steps taken during the summer, he said, conserved significant volumes.
The measure, in effect from midnight until early morning, is designed to conserve supplies and reduce network losses, the spokesperson for Iran’s water industry, Issa Bozorgzadeh, said.
“We lower water pressure from midnight until around dawn to reduce urban leakage and allow reservoirs to refill,” he said.
The energy minister said on Saturday “Tehran's water pipeline system is more than 100 years old and worn-out."
"During the 12-day war (with Israel in June), the pipelines also suffered damage, which further added to the deterioration. We are sometimes forced to reduce water pressure to zero on certain nights.”
Residents report repeated disruptions
Households across eastern and northern Tehran have reported recurring water cuts and sharp pressure drops in recent nights, according to IRNA. Residents told the outlet that the disruptions have become routine. Many apartment buildings have installed small pumps and storage tanks to mitigate the problem, while others without such systems face hours-long outages.
Inflow to Tehran’s dams has dropped by 43 percent compared with the previous water year, Behzad Parsa, managing director of the Tehran Regional Water Company, told IRNA. Parsa described the situation as unprecedented in decades, attributing it to a 100-percent decrease in rainfall in Tehran province compared with long-term averages.
Expert links crisis to long-term relocation plans
President Masoud Pezeshkian’s repeated focus on Tehran’s water crisis serves two purposes, Water and environmental expert Mohsen Mousavi-Khansari wrote in a piece on Etemad daily.
“The first is to encourage conservation among citizens and to prompt coordinated planning among agencies responsible for water supply, distribution, and use. The second is to prepare public opinion in Tehran and other major cities on the central plateau for the eventual transfer of part of the population and infrastructure toward Iran’s southern coasts.”
He linked this to Pezeshkian’s proposal to relocate the capital to the Makran region.
Speaking at a ceremony marking the anniversary of the 1979 US embassy takeover on Monday, Khamenei urged women to remind those around them to observe Islamic dress codes.
“Remind the women around you to view the hijab as a religious, Islamic, Zahra-like and Zeynab-like matter,” he said, referring to early Islamic matriarchs.
The word choice was careful and subtle, but more than enough for the intended audience.
Following the speech, Judiciary Chief Gholamhossein Mohseni Ejei told prosecutors and citizens they “have a duty to carry out (the religious duty of) commanding good and forbidding evil,” promising full judicial backing for such actions.
Conservative voices quickly circulated Khamenei’s comments on social media, portraying them as permission to confront unveiled women.
“Does our dear Leader’s order mean anything but jihad of explanation and to command good? May those who claim he has compromised on Sharia and hijab be struck dumb!” one ultra-hardliner wrote on X.
Another posted: “Once again the Leader of the Ummah himself intervened, reminding us of the duty to enjoin hijab and forbid indecency—both in positive and preventive ways.”
Writer Mohammad Nikbakht interpreted the remarks as signaling a softer, bottom-up approach, arguing that Khamenei meant that hijab enforcement should start within families, “not through morality police, legislation, fines, or arrests.”
Rare intervention
Khamenei has rarely addressed hijab directly in the past year.
In April 2023, he accused foreign intelligence services of encouraging Iranian women to disobey the mandatory hijab and declared such defiance “religiously and politically haram.”
That statement spurred a short-lived official campaign to restore control after the Woman, Life, Freedom protests.
He did not revisit the issue publicly until now, and earlier this year appeared to sidestep an ultra-hardline lawmaker’s question about why the law had not been implemented.
Law stalled
Iran’s Parliament passed the “Hijab and Chastity Law” in September 2024, imposing sweeping new restrictions. But the Supreme National Security Council quietly suspended its enforcement amid fears of renewed unrest.
That decision was widely viewed as carrying Khamenei’s consent, but his latest remarks are now being read by hardliners as a cue to resume implementation.
In late March, police even dispersed about two dozen pro-hijab vigilantes who had camped outside parliament for over 45 days; no arrests were reported.
A user named Seyyedeh lamented online: “How many people can we warn? How long can we walk the streets? Unveiling has spread everywhere like locusts. God, take our revenge on these traitorous, indifferent officials who have no honor!!”
Political rift, rising defiance
Officials fear that reviving morality patrols or tightening hijab rules amid economic hardship could reignite mass protests.
President Masoud Pezeshkian has said he cannot enforce the law and insists that only “dialogue” can persuade women—a stance conservatives blame for paralysis.
Senior Revolutionary Guards general Hassan-Nia rebuked him this week: “Dialogue won’t fix the problem. Firm action is required. If the Leader permits, we will tear the skin off their heads.”
Meanwhile, defiance keeps growing, even in religious cities such as Qom and Mashhad.
In Tehran, unveiled women now outnumber those covered in many neighborhoods, and social media is filled with scenes of mixed gatherings, music, dancing, and women in crop tops.
“Yes, we say there shouldn’t be excessive policing,” former conservative parliament deputy speaker Ali Motahari told Pezeshkian, “but who is supposed to stop a woman who walks around with her belly button exposed?”
The city’s water resources are in exponential decline, Reza Haji-Karim, head of Iran’s Water Industry Federation, told the website Didban Iran.
“Water rationing should have started much earlier. Right now, 62 percent of Tehran’s water comes from underground sources, and the level of these aquifers has dropped sharply.”
The crisis, he said, is the result of years of neglecting scientific warnings about groundwater depletion and climate change.
“The only way to save Tehran is through a chain of measures – from wastewater recycling and consumption reform to cutting agricultural water use,” he added.
Unannounced rationing begins
Residents of Tehran have reported repeated overnight water cuts in several districts in recent days. The Tehran Water and Wastewater Company said the outages are intended to refill storage tanks and prevent the city’s distribution network from collapsing.
Local media outlets reported that nightly rationing has already started in parts of the capital and now continues until early morning hours.
The government may be forced to reduce water pressure to almost zero at night when demand is low, Energy Minister Abbas Aliabadi said Saturday, urging households to install storage tanks.
"Pipeline infrastructure in our country is more than 100 years old; the pipes have become worn out, and some of them were also damaged during the 12-day war" with Israel in June, the minister said.
Presidential warning and vanishing reserves
President Masoud Pezeshkian warned on Thursday that if rainfall does not resume by the end of autumn, Tehran will face water rationing, adding, “If it still doesn’t rain, we will have no water and will have to evacuate the city.”
The Tehran Regional Water Company has said that the capital’s five major dams are now only 11 percent full.
Ali Shariat, secretary-general of the Water Industry Federation, blamed the deepening crisis on “mismanagement and fragmented decisions in agriculture and industry.”
“My honest advice to the public is to take the president’s words very seriously. He has told the truth – bitter but undeniable,” he added.
“Continued inaction may lead to forced migration from Tehran,” Shariat added.
Dams near collapse
A video posted on social media on Thursday showed the dry bed of the Latian Dam near Tehran, whose manager said only half of its remaining 10 percent capacity can be used. Officials in neighboring Alborz province reported that the Karaj Dam is now more than 90 percent empty, with only seven percent of its reservoir remaining.
Tehran, home to nearly nine million people, depends on five dams – all reporting sharp declines.
The Laar and Mamloo reservoirs are at 1% and 7% capacity respectively, while only Taleghan remains above one-third.
This comes as the meteorological organization forecasts no significant rainfall for the rest of November.
Tehran is experiencing one of the driest periods in the past 50 years, according to the energy ministry. If current trends persist, officials warn, the city may run out of drinkable water within weeks.
The event, titled “You Will Kneel Before Iranians Again,” was attended by government officials and supporters, many of whom appeared in diverse styles of dress, including without the mandatory Islamic head covering.
Images shared on social media showed no sign of the strict dress enforcement typically seen in public spaces.
The relaxed atmosphere contrasted sharply with the intensified street enforcement of hijab laws. In recent weeks, authorities have resumed arrests, public warnings, and the closure of businesses such as cafes and restaurants for noncompliance with compulsory dress codes.
In previous years, the government has relaxed hijab enforcement at certain high-profile state events – such as Guards Quds Force Commander Qassem Soleimani’s funeral or major state-organized marches – to project a more moderate image while maintaining repressive controls in daily life.
Contradictions in official behavior
Two days before the ceremony, Asadollah Jafari, the judiciary chief of Isfahan province, called unveiling “a disruptive act” and urged judicial officers to intervene.
“Some individuals, by engaging in and openly displaying norm-breaking behavior, offend public decency. Since these individuals commit an act that violates the law, their actions constitute an evident crime, and judicial officers must carry out their legal duty,” he said.
Hossein Shariatmadari, the Supreme Leader’s representative and editor-in-chief of Kayhan newspaper, has been one of the most outspoken voices against easing hijab enforcement.
In an editorial on November 1, he wrote that the spread of unveiled women had reached “a worrying level” and described the trend as “a home-wrecking and decency-destroying phenomenon.”
“What is deeply concerning is that some who speak about confronting semi-nudity make no mention of banning unveiling – as if unveiling itself has ceased to be forbidden by religion, law, or humanity, and one must only be careful that it does not turn into full nudity.”
Meanwhile, numerous reports have emerged of business closures over hijab violations in recent weeks, with police insisting that all public venues must enforce dress codes or face shutdown.
The sight of unveiled women at a government celebration in Tehran, while morality patrols reappear across the country, has highlighted the Islamic Republic’s double standard – using selective leniency in public displays even as everyday enforcement grows harsher.
