A 3-year-old boy's death in Honolulu fireworks explosion raises toll to 4

HONOLULU (AP) — A 3-year-old boy who died Monday was the fourth person to succumb to injuries from a massive explosion of fireworks on New Year's Eve at a Honolulu home, and a doctor said six others faced long recoveries in Arizona, where they were sent to be treated for severe burns.

The blast also killed three women and injured more than 20 people, many of whom have burns over most of their bodies.

The Honolulu medical examiner identified the toddler as Cassius Ramos-Benigno. The cause and manner of death were listed as pending.

After the disaster, Hawaii’s leaders intensified their oft-repeated calls to crack down on the state’s vast illegal fireworks trade with stepped-up enforcement and greater penalties.

The U.S. military flew six of the injured to Phoenix for treatment on Saturday because Hawaii’s lone burn unit doesn’t have enough capacity to care for all the victims.

They are all in their 20s or 30s and have extensive burns, Dr. Kevin Foster, the director of the Arizona Burn Center, said at a news conference streamed online.

The person with the least has burns over 45% of their body while the most has burns over nearly 80% of their body. Each of the six is using a breathing tube and five are in medically induced comas.

Foster said they are all doing “very well” and have good vital signs. But it will be six months to a year before any are able to return to anything resembling a normal life, Foster said. Four patients will likely have to remain intubated and in a coma for weeks, he said.

The patients will likely suffer post-traumatic stress disorder, Foster said, adding the burn center has two full-time psychologists and a psychiatrist hospital on staff to help them.

“There’s something uniquely and particularly horrifying about being burned, especially from this type of injury,” Foster said. “And we anticipate that all of these patients are going to have some adjustment issues.”

Many required emergency surgery before leaving Hawaii and a number had traumatic injuries in addition to burns, because of the explosions and resulting projectiles, he said.

The Arizona Burn Center operated on all six on Sunday, performed three other surgeries Monday and plan three others Tuesday. By then, doctors should be done with removing burns and will progress to closing wounds and grafting skin, Foster said. Infections are the most dangerous and feared complication for burn patients, he said, while also predicting all would likely get them at some point.

“It’s just the way burn injury works, especially when you have large percent-of-total-body-surface-area burns like this,” Foster said.

The scars, and the physical limitations that come with them, will likely be the biggest thing that the patients have to deal with and are what will make these wounds lifelong injuries, he said.

Foundations affiliated with the burn center and the hospital it is a part of, Valleywise Health, are providing housing for patient relatives. Some burn center employees have even volunteered their homes, Foster said.

In Honolulu, Straub Benioff Medical Center admitted 10 patients from the blast — more than from any other single mass casualty event including the 2023 Maui wildfires — and is still caring for nine after one was among those who went to Arizona.

Specially trained nurses in the hospital’s burn unit are changing the wound dressings at least once every 12 hours. It takes them about 30 minutes to an hour to change the dressings of a standard wound patient. But some New Year's explosion victims have such extensive burns that a team of at least four people will spend a couple of hours on the job.

“We’re doing dressing changes around the clock and needing to definitely recruit extra staff just to support that,” said Amy Chong, supervisor of the hospital's burn care unit.

Hawaii’s diverse population has long celebrated New Year’s with fireworks, but in recent years, professional-grade aerial explosives have been growing in popularity even though they are illegal for amateurs. Neighborhoods across Oahu light up for hours as residents launch aerial fireworks into the sky from the narrow streets in front of their homes.

Honolulu authorities say a person attending a party lit a bundle of aerial fireworks, which fell on its side and shot explosives into two crates that contained additional aerials. Video of the resulting explosion shows a rapid series of blasts shooting fireworks in the air and around the front of a house.

Hawaii’s counties have varying rules on other types of fireworks. On Oahu, the state’s most populous island, only certain types of firecrackers are allowed to be used during specific timeframes on New Year’s Eve, Chinese New Year and Fourth of July. However, many residents set off fireworks of all kinds year-round.

This story has been corrected to fix a typographical error in the first name of a Straub Benioff Medical Center supervisor. It has also been correct to show that four of the patients taken to Arizona for treatment will likely have to remain intubated and in a coma for weeks, not months.

Associated Press writer Jennifer Sinco Kelleher contributed to this report.

People walk past the home where a New Year's Eve fireworks explosion killed and injured people, Wednesday, Jan. 1, 2025, in Honolulu. (AP Photo/Marco Garcia)

A woman sweeps debris from a driveway across the street from the home where a New Year's Eve fireworks explosion killed and injured people, Wednesday, Jan. 1, 2025, in Honolulu. (AP Photo/Marco Garcia)

Evelyn Paguirigan points to broken windows at her home across the street from where a New Year's Eve fireworks explosion killed and injured people in Honolulu, on Wednesday, Jan. 1, 2025. (AP Photo/Marco Garcia)

A woman walks in front of the home where a New Year's Eve fireworks explosion killed and injured people, Wednesday, Jan. 1, 2025, in Honolulu. (AP Photo/Marco Garcia)

A view of the home where a New Year's Eve fireworks explosion killed and injured people, Wednesday, Jan. 1, 2025, in Honolulu. (AP Photo/Marco Garcia)

A woman stands in front of the home where a New Year's Eve fireworks explosion killed and injured people, Wednesday, Jan. 1, 2025, in Honolulu. (AP Photo/Marco Garcia)

A damaged vehicle is seen near the home where a New Year's Eve fireworks explosion killed and injured people, Wednesday, Jan. 1, 2025, in Honolulu. (AP Photo/Marco Garcia)

Fireworks debris is seen outside the home where a New Year's Eve fireworks explosion killed and injured people, Wednesday, Jan. 1, 2025, in Honolulu. (AP Photo/Marco Garcia)

A view of the home where a New Year's Eve fireworks explosion killed and injured people, Wednesday, Jan. 1, 2025, in Honolulu. (AP Photo/Marco Garcia)

DUBAI, United Arab Emirates (AP) — U.S. President Donald Trump said Iran wants to negotiate with Washington after his threat to strike the Islamic Republic over its bloody crackdown on protesters, a move coming as activists said Monday the death toll in the nationwide demonstrations rose to at least 544.

Iran had no immediate reaction to the news, which came after the foreign minister of Oman — long an interlocutor between Washington and Tehran — traveled to Iran this weekend. It also remains unclear just what Iran could promise, particularly as Trump has set strict demands over its nuclear program and its ballistic missile arsenal, which Tehran insists is crucial for its national defense.

Meanwhile Monday, Iran called for pro-government demonstrators to head to the streets in support of the theocracy, a show of force after days of protests directly challenging the rule of 86-year-old Supreme Leader Ayatollah Ali Khamenei. Iranian state television aired chants from the crowd, who shouted “Death to America!” and “Death to Israel!”

Trump and his national security team have been weighing a range of potential responses against Iran including cyberattacks and direct strikes by the U.S. or Israel, according to two people familiar with internal White House discussions who were not authorized to comment publicly and spoke on condition of anonymity.

“The military is looking at it, and we’re looking at some very strong options,” Trump told reporters on Air Force One on Sunday night. Asked about Iran’s threats of retaliation, he said: “If they do that, we will hit them at levels that they’ve never been hit before.”

Trump said that his administration was in talks to set up a meeting with Tehran, but cautioned that he may have to act first as reports of the death toll in Iran mount and the government continues to arrest protesters.

“I think they’re tired of being beat up by the United States,” Trump said. “Iran wants to negotiate.”

He added: “The meeting is being set up, but we may have to act because of what’s happening before the meeting. But a meeting is being set up. Iran called, they want to negotiate.”

Iran through country's parliamentary speaker warned Sunday that the U.S. military and Israel would be “legitimate targets” if America uses force to protect demonstrators.

More than 10,600 people also have been detained over the two weeks of protests, said the U.S.-based Human Rights Activists News Agency, which has been accurate in previous unrest in recent years and gave the death toll. It relies on supporters in Iran crosschecking information. It said 496 of the dead were protesters and 48 were with security forces.

With the internet down in Iran and phone lines cut off, gauging the demonstrations from abroad has grown more difficult. The Associated Press has been unable to independently assess the toll. Iran’s government has not offered overall casualty figures.

Those abroad fear the information blackout is emboldening hard-liners within Iran’s security services to launch a bloody crackdown. Protesters flooded the streets in the country’s capital and its second-largest city on Saturday night into Sunday morning. Online videos purported to show more demonstrations Sunday night into Monday, with a Tehran official acknowledging them in state media.

In Tehran, a witness told the AP that the streets of the capital empty at the sunset call to prayers each night. By the Isha, or nighttime prayer, the streets are deserted.

Part of that stems from the fear of getting caught in the crackdown. Police sent the public a text message that warned: “Given the presence of terrorist groups and armed individuals in some gatherings last night and their plans to cause death, and the firm decision to not tolerate any appeasement and to deal decisively with the rioters, families are strongly advised to take care of their youth and teenagers.”

Another text, which claimed to come from the intelligence arm of the paramilitary Revolutionary Guard, also directly warned people not to take part in demonstrations.

“Dear parents, in view of the enemy’s plan to increase the level of naked violence and the decision to kill people, ... refrain from being on the streets and gathering in places involved in violence, and inform your children about the consequences of cooperating with terrorist mercenaries, which is an example of treason against the country,” the text warned.

The witness spoke to the AP on condition of anonymity due to the ongoing crackdown.

The demonstrations began Dec. 28 over the collapse of the Iranian rial currency, which trades at over 1.4 million to $1, as the country’s economy is squeezed by international sanctions in part levied over its nuclear program. The protests intensified and grew into calls directly challenging Iran’s theocracy.

Nikhinson reported from aboard Air Force One.

In this frame grab from video obtained by the AP outside Iran, a masked demonstrator holds a picture of Iran's Crown Prince Reza Pahlavi during a protest in Tehran, Iran, Friday, January. 9, 2026. (UGC via AP)

In this frame grab from footage circulating on social media from Iran shows protesters taking to the streets despite an intensifying crackdown as the Islamic Republic remains cut off from the rest of the world in Tehran, Iran, Friday, Jan. 9, 2026.(UGC via AP)

In this frame grab from footage circulating on social media from Iran showed protesters once again taking to the streets of Tehran despite an intensifying crackdown as the Islamic Republic remains cut off from the rest of the world in Tehran, Iran, Saturday Jan. 10, 2026. (UGC via AP)