• Iranians feel the pain of sanctions: 'Everything has doubled in price'

    TEHRAN – The economy here is in shambles, according to Iranians, whether the government will admit it or not.

    The United States, the European Union and the U.N. have imposed tough economic sanctions against Iran –- blocking access to the international banking system and hurting sales of Iranian crude oil -– as a way to persuade Tehran to abandon its nuclear program. 

    In the short term, the harsh sanctions have had an impact on Iran’s economy -– inflation has gone through the roof, and the unemployment rate is staggering, especially among young Iranians. Prices of consumer goods have doubled, tripled, even quadrupled in some cases, according to consumers. 

    The business community is in disarray, and as things keep getting worse, it’s all people are talking about.


    Reuters

    CLICK ON THE GRAPHIC ABOVE TO ENLARGE THE IMAGE. Iran Sanctions: Key areas affected by sanctions imposed by the international community against Iran.

    Barely getting by 
    At the Tajrish Bazaar in North Tehran on a recent afternoon, Ahmed, a 31-year-old unemployed man, poured his heart out to me. Speaking on the condition of anonymity, as all those interviewed for this story did because of the political sensitivity of speaking out in Iran, he told me his story. 

    He said he has been unemployed for the past year, doing odd jobs, and that he barely makes enough to feed himself, let alone his wife and children. The lack of jobs and the extraordinary rise in food prices have hamstrung him. But he was most worried about what the crippled economy is doing to the youth of Iran, who he said are turning to crime and drugs if they can’t find work. 

    In Iran, appearance is everything. How you dress and wear your beard says a lot about your politics. 

    As I talked to Ahmed, who was dressed in Western-style clothes, another man looked on disapprovingly. He had a full dark black beard and was dressed in conservative black clothes. He was listening to everything Ahmed said and wanted to talk to us, although he declined to give us his name.

    He said that people like Ahmed were making excuses and were lazy. He argued that the economy had become tougher, but no more so than the Iranian people were used to over the years. He blamed the U.S. for the bad economy, accusing President Barack Obama of unfairly trying to squeeze Iran. But he said that in the end, the rough economic times had taught Iran to be more self-reliant. 

    “We need to tighten our belts for now and weather this storm with the West as we have always done. And we will be victorious again,” he said.

    NBC's Ali Arouzi reported from Istanbul, Turkey in April during the most recent meeting between world leaders and Iranian representatives to discuss Iran's nuclear intentions.

    New sanctions' real impact
    The most recent international sanctions have targeted Iran’s crude oil and banking sectors. In addition to harsh U.S. measures, 27 countries in the European Union agreed in January to ban Iranian oil imports –- giving countries until July 1 to terminate their deals. They also put a freeze on assets belonging to the Central Bank of Iran and a ban on trade in gold and other precious metals.  

    Anthony Cordesman, who holds the Burke chair in strategy at the Center for Strategic and International Studies and is a long-time Iran watcher, said that despite years of sanctions against Iran, the most recent ones have had the greatest impact –- partly because they target banking.

    The banking sanctions “have had the most popular, or broad, impact. Right now Iran can’t even operate on the international clearinghouse.”   

    “I think that this is the first time that sanctions have really had a major bite. Up to now, they have all been fairly limited,” said Cordesman.  “But beginning in November, and it’s just beginning to bite, you can’t bank internationally effectively, you can’t move money. You don’t have a stable conversion rate –- but the rial [Iran’s currency] is way down, so your savings are of very uncertain value unless you’ve invested in property.  You don’t know what’s going to happen to your business. You have to be very cautious about how much money you can spend on a marriage for your children or their education.” 

    He added that we really won’t begin to see the full impact of the sanctions until summer, when they have all gone into effect.  “So everyone knows it’s getting worse, but no one knows yet how serious.” 

    Vali Nasr, the incoming dean
    at the Johns Hopkins School of Advanced International Studies, explained how these sanctions differ from 30 years of sanctions that mostly targeted imports into Iran. 

    At schools, in shops, and on the streets of big cities and small towns, daily life plays out in Iran.

    “The new set of sanctions targeting Iran’s oil industry, central bank, ability to conduct international financial transactions, are of a different nature largely because they are going after the government’s source of income –- the ability to sell oil or receive money for oil,” said Nasr. “So these have had an impact because they have caused extensive inflation inside Iran. They’ve caused the government to scrap a variety of projects, which has caused unemployment.  

    “There is no doubt that economic hardship has become much more pronounced. And there is on top of that a layer of uncertainty. So there is significant economic hardship that is hitting the lower rung of society and the Iranian middle class,” said Nasr.
     
    Back in Tajrish Bazaar, Roya, a well-dressed woman in her 60s wearing a Hermes scarf for a hijab and carrying a Louis Vuitton bag, explained how even she is being hit by the economic uncertainty. While she is a wealthy Iranian living in the leafy suburbs of affluent North Tehran, she said her purchasing power has been halved by the struggling economy. 

    “Everything has doubled in price,” Roya said. “My son lives in Los Angeles, and it’s cheaper to go shopping there -- amazing. Things have become difficult for me even though I am among the better off Iranians. I can’t imagine how difficult it is for folks downtown.” 
    When I asked her what the solution was, she replied sarcastically, “That’s for the country’s economists to figure out.”

    Close to the bone
    For international relations analysts, like Cordesman and Nasr, getting reliable information on what’s going on in Iran is very difficult. Both analysts said that basically all of their information on the impact of the current sanctions is anecdotal. 

    “You have to rely on anecdotal information especially because the Iranian government does not have an interest in revealing how painful the sanctions are. They may admit that they are hurting, but they don’t want to put numbers out there,” said Nasr. 

    But it’s not all doom and gloom for the regime. President Mahmoud Ahmadinejad often touts during public events that Iran has a record $90 billion in foreign exchange reserves, as well as untold reserves of gold, silver and precious stones. 

    Even though experts estimate that Iran has seen a decline in sales of about 300, 000 barrels of oil per day as a result of the sanctions, this has been offset by a 15 percent rise in crude prices. 

    And the effect and pain of sanctions have not been distributed evenly. While blue-collar workers in downtown Tehran can expect to eat meat once a month only as a treat, North Tehran is awash with Mercedes and Porsche SUVs costing as much as $500,000 after the import tax has been paid.    

    Will the sanctions achieve goal?
    So the question remains as to whether the sanctions will achieve their goal: curtailing Iran’s nuclear program.

    “The sanctions have had an impact of getting Iran to the negotiating table. Iran came to Istanbul [the site of the latest diplomatic talks] with much more seriousness than in the past,” said Nasr. 

    But he added that the sanctions alone won’t be enough for Iran’s leaders to give up a program they have invested heavily in –- both financially and in terms of building the nuclear program as a point of national pride.  “Just because the Iranian public dislikes this regime –- that does not mean that they dislike the nuclear program. They don’t see this as the regime’s nuclear program, they see it as Iran’s nuclear program,” said Nasr.  

    In order for the sanctions to work, Nasr explained, the U.S. and other parties at the table need to give something back -– otherwise it would just seem like Iran is surrendering to the West’s demands, not an easy sell at home. 

    “Until now, the whole approach has been stick-heavy and carrot-poor. And the sticks are very explicit and the carrots are vague. And maybe that was necessary to get their attention and to show that we meant business. But now going forward -– [the U.S.] can’t ask [Iran] for concrete concessions –- like stop this, stop that -– but not put concrete things on the table, like this sanction will be lifted.  If all the concessions are on the Iranian side and what they get is just a promissory note, I don’t think it will fly.”   

    “End of the day, these two countries have not had a single thing they’ve agreed on or done together in the last 30 years. So you couldn’t expect them to actually be able to conclude a deal without some sort of reciprocal, trust-building, concrete steps going forward.”

    Msnbc.com’s Petra Cahill contributed to this report. 

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  • Bottles, binkies and sippy cups: Dr. Nancy Snyderman's safety tips for parents with young children

    A new study in the journal Pediatrics found that in 2009 a child was taken to the emergency room every 90 minutes because of battery injuries, twice as many visits as 20 years ago. NBC's Dr. Nancy Snyderman reports.

    By Stacey Naggiar and Dr. Nancy Snyderman
    NBC News

    For parents of babies and toddlers, safety is always on the mind.  But despite parents’ best efforts, some common household products can be an unlikely source of danger.  Two studies published Monday in the journal Pediatrics describe the hazards associated with popular button batteries as well as with bottles, pacifiers and sippy cups.  


    Swallowed batteries

    The first study looked at a terrifying increase in the number of pediatric emergency department visits for battery-related injuries.  Researchers at Nationwide Children’s Hospital in Columbus, Ohio found that the number of children under the age of 18 visiting emergency departments for these injuries doubled in the last 20 years, to an average of one visit every three hours. The growing trend of products that require 3V 20-mm lithium button batteries is likely to blame for these staggering numbers.  The study found that the injuries mostly involved the use of toys, hearing aids, watches, calculators, flashlights and remote controls. 

    The problem with these button batteries that’s different from other batteries is that they set up a current inside the body, causing dangerous complications.  If a button battery is ingested, it can cause damage in as little as two hours and sometimes there are no initial symptoms. Radiologists have a small window of time to distinguish whether the foreign object is a coin or a battery.  They look for a ring near the edge of the object as the tell-tale sign that it’s a battery. 

    But some experts say that’s not enough, the battery industry should put a distinctive mark such as an ‘X’ or a skull and crossbones on both sides, so radiologists can tell the difference right away.  Once diagnosis is confirmed, these patients are immediately taken into surgery and the battery is removed.  The window of safety is narrow, no more than three hours.

    Dr. Ian Jacobs, a pediatric otolaryngologist at the Children’s Hospital of Philadelphia, says he sees these cases all too often and that most of the time parents are completely surprised when they find out what their child has swallowed. 

    “These batteries can erode through the front wall of the esophagus and into adjacent structures like the aorta and cause a massive fatal bleed,” he said. 

    Dr. Jacobs is heading up a task force with the American Bronchoesophagological Association to design better labeling and safety features for products with button batteries as well as to increase public awareness.  

    Battery safety tips

    • Limit exposure to products with button batteries in children under 5 years old
    • Tape battery compartments closed
    • Keep remotes, car keys and other objects with button batteries out of children’s hands
    • If there is any question as to whether or not the child swallowed a battery, get to the emergency room ASAP

     

    Bottles, binkies and sippy cups

    The second study looked at injuries associated with bottles, sippy cups and pacifiers (also known as binkies), over a 20-year period.  The researchers, also at Nationwide Children’s Hospital, found that an average 2,270 children per year visit emergency departments for injuries related to those three products.  In more than 86  percent of these cases, the injury was caused by a fall and in over 70 percent of the cases the injury body part was the mouth.  The good news is that product malfunction was only to blame in 4.4 percent of cases.  The researchers recommend that parents follow the American Academy of Pediatrics guidelines for transitioning children from bottles to cups as well as the appropriate times to say bye-bye to binkies. 

    Safety tips for using bottles, sippy cups and pacifiers

    • Use pacifiers during infancy to help prevent sudden infant death syndrome
    • Discontinue pacifier use at 6 months  to prevent ear infections
    • Discontinue pacifier use at age 3 to prevent dental problems
    • When the child is 1 year old, transition from a bottle to a lidless cup 
    • Keep kids seated when they are drinking from a bottle or sippy cup
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