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‘Mass murder’: medics reveal grim reality of Iran's hidden death toll

The Guardian

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January 28, 2026

Deaths estimated to exceed 30,000 after surge in regime brutality

- Tess McClure Deepa Parent

‘Mass murder’: medics reveal grim reality of Iran's hidden death toll

Tributes at the Iranian embassy in London honouring people believed to have been killed in Iran amid anti-regime protests

(TONY MELVILLE/REUTERS)

On Thursday 8 January, in a midsize Iranian town, Dr Ahmadi’s* phone began to buzz. His colleagues in local emergency wards were getting worried.

All week, people had taken to the streets and had been met by police with batons and pellet guns. With treatment, their injuries should not have been too serious. But emergency room staff believed many wounded young people were avoiding hospitals, terrified that registering as trauma patients would lead to their identification and arrest.

Quietly, Ahmadi [who remains anonymous due to fear of reprisals, but whose identity, credentials and presence within Iran during the unrest have been verified by the Guardian] and his wife began treating patients at a location outside Iran's government hospital system. Alerted by a local whisper network, wounded young people flocked to them. Mostly, they brought superficial injuries - laceration wounds needing stitches and antibiotics. As Thursday evening wore on, more and more arrived to be patched up.

The next day, everything abruptly changed. Protesters kept coming, but their injuries were close-range gunshots and severe stab wounds, typically to the chest, eyes and genitals. Many proved fatal.

Ahmadi was shocked by the number being killed - more than 40 in his small town alone - but with the internet blacked out, no one knew what the national picture was. To piece it together, Ahmadi assembled a network of more than 80 medical professionals across 12 of Iran's 31 provinces to share observations and data, and to build a clearer picture of the violence.

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