PEOPLE, RAISE YOUR HEADS! They are mistaken if they think that fire will stop patriots. Our outrage at the vile attack on the health of the people in the medicine warehouses for kidney patients in Puerto La Guaira is today transforming into strength, national unity, and the will to fight. To our kidney patients we say: YOU ARE NOT ALONE. Our President Nicolás Maduro, together with Acting President Delcy Rodríguez, have everything under control and your dialysis is guaranteed. What the empire destroys, love and the Revolution will rebuild with greater strength! (Translated with DeepL.com (free version))

¡PUEBLO LEVANTA LA CARA! Se equivocan si creen que el fuego detendrá a los patriotas. Esta indignación de ver el vil ataque a la salud del pueblo en los almacenes de medicinas para pacientes renales en el Puerto La Guaira se transforma hoy en fuerza, en unidad nacional y en voluntad de lucha. A nuestros pacientes renales les decimos: NO ESTÁN SOLOS. Nuestro Presidente Nicolás Maduro junto a la Presidenta Encargada Delcy Rodríguez tienen todo bajo control y sus diálisis están garantizadas. ¡Lo que el imperio destruye, el amor y la Revolución lo reconstruirán con más fuerza!

La Guaira: The U.S. bombed a medical supplies distribution center during its terror attack on Venezuela, destroying a warehouse which stored supplies for a nephrology program for patients undergoing hemodialysis and peritoneal dialysis, affecting at least 9,000 kidney patients.

Brazil’s government will send urgently needed supplies for dialysis patients in Venezuela after a U.S. bombing destroyed a center responsible for renal treatment and medicine distribution. The announcement was made on Monday (5) by Health Minister Alexandre Padilha during a press conference in Brasília. “We are mobilizing, through our public health system and in coordination with private companies in Brazil, dialysis supplies and essential medicines,” Padilha said. “This is humanitarian support for the Venezuelan people, whose distribution center was attacked.” According to the Pan American Health Organization (PAHO), the U.S. airstrike destroyed a facility in the state of La Guaira that served both as a medicine depot and a treatment center for kidney patients. Padilha stressed the humanitarian and reciprocal nature of the assistance. He recalled that during the collapse of oxygen supplies in Manaus at the height of the Covid-19 pandemic, Venezuela sent 135,000 cubic meters of oxygen to Brazil to save lives. In 2021, the Venezuelan government coordinated directly with Amazonas state authorities to deliver oxygen trucks, after Brazil’s federal government at the time refused to accept the aid. Border preparedness in Roraima Padilha also said Brazil’s Health Ministry is prepared for a possible increase in migration at the Venezuela-Brazil border. After the January 3 attack, teams from Brazil’s National Health Force were dispatched to Roraima to assess hospital capacity, staffing, vaccines, and medical supplies. So far, the migratory flow remains stable, according to the ministry. “Our teams, with extensive experience in emergency situations, are already on the ground identifying hospital capacity and evaluating whether expansion is needed,” the minister said. Since July 2025, the ministry has maintained around 40 permanent health professionals in Pacaraima, at the border, and in Boa Vista, Roraima’s capital, to support Venezuelans arriving in Brazil through Acolhida Operation. If necessary, Padilha said, Brazil will set up field hospitals or expand existing facilities to reduce pressure on the public health system. Created in 2018 to respond to Venezuelan migration, Acolhida Operation was fully taken over by Brazil’s Health Ministry in 2025, after the United States suspended funding for international agencies that had supported the humanitarian response. Background In the early hours of Saturday (3), U.S. forces launched an attack on Venezuela, striking civilian and military targets in Caracas and other regions. The operation resulted in the abduction of President Nicolás Maduro and First Lady Cilia Flores, who were taken to the United States. The Venezuelan government declared a state of external emergency and called for mass mobilizations in defense of national sovereignty. Later that day, U.S. President Donald Trump said the White House intended to “administer” Venezuela until what he called a “democratic and fair transition” could take place, praising the seizure of Maduro as an “extraordinary attack” and openly signaling interest in controlling Venezuela’s oil reserves. Accused by U.S. authorities of involvement in drug trafficking, Maduro declared himself innocent during his first court appearance in New York on Monday (5). The U.S. government has so far presented no evidence to support the charges.

In the early morning hours of January 3, 2026, more than 200 U.S. special operations forces (SOF) surged through Caracas to capture Venezuelan dictator Nicolas Maduro and his wife, Cilia Flores, in Operation Absolute Resolve. Extensive intelligence collection—overhead and on the ground—built a “pattern of life” on Maduro and provided the foundation for a successful mission: Maduro and his wife were captured, and no U.S. personnel were killed. It was an extraordinary military and intelligence achievement.Using satellite imagery, combined with details that have emerged since the operation, CSIS was able to estimate the military activity and battle damage at four sites: the Fort Tiuna Military Complex, La Carlota Air Base, La Guaira Port, and El Higuerote Airport.The picture that emerges from these images is that of a military operation in furtherance of a law enforcement mission—an operation laser-focused on the capture of Maduro with minimal collateral damage. This was not a “shock and awe” campaign intended to bring the entire Venezuelan security apparatus to heel with overwhelming force, although that too would be within U.S. capabilities given the force posture in the southern Caribbean. It was thus unlike the U.S. air attacks against Iraq in 1991 and 2003, where the objective was to shut the country down via a broad set of attacks on electrical, communications, and transportation infrastructure, thus forcing capitulation. No such targets were struck here.In addition to these four sites, open-source reporting has confirmed that, at a minimum, additional strikes were carried out against communications infrastructure in El Volcán as well as air defenses in Catia del Mar and Fort Guaicaipuro. These more minor sites are not covered in this analysis. U.S. forces focused on a limited number of sites, primarily the Fort Tiuna Military Complex where Maduro was known to have several bunkers. Air defense batteries and radars were also attacked to create a corridor for helicopters to enter Venezuelan territory and reach the target without interference. Many air defense sites remained untouched, however. U.S. military doctrine prescribes corridors: It was not necessary to take out the entire air defense system.Venezuela’s regular military forces and their headquarters were also not struck. While an air defense unit was hit in the Port of La Guaira, for example, nearby Venezuelan navy ships were not. None of the buildings at La Carlota Air Base, reported to be part of the Venezuelan air force headquarters, were struck. This narrow target set may reflect a sincere desire to reduce casualties—both military and civilian. Even striking buildings at night, when many are virtually deserted, produces some casualties. It may also reflect a deliberate signal to the Venezuelan armed forces and the remainder of Maduro’s inner circle of the limited U.S. objectives. The Trump administration could have already decided to work through the existing Venezuelan structure and, therefore, did not want to destabilize or decapitate the military because it would be needed to keep order.The inept force posture of the National Bolivarian Armed Forces of Venezuela (FANB) prior to January 3, 2026, facilitated the U.S. strikes. Air defenses were caught undisguised and out in the open, making them easy targets for U.S. attacks. It seems obvious in retrospect that these units should have been well camouflaged, possibly with decoys. However, units often fight as they train. If the training is undemanding—for example, taking place in the open, where it is easier to set up and conduct operations—units will do the same in wartime.Venezuelan command and control, heavily degraded by electronic warfare and possibly cyber, failed to react until it was too late, allowing the force to enter Caracas. In the words of General Dan Caine, they “maintained totally the element of surprise.” Even in the face of imminent U.S. attack, the FANB failed to prepare adequately for the task at hand. It seems likely that, had the United States opted for a larger-scale campaign as its opening maneuver, the FANB would have suffered much greater losses than those reported. Years of neglect, combined with endemic corruption, low morale, and cronyism, have eroded the FANB’s operational capabilities significantly.While U.S. strikes were limited, they still produced casualties. Current estimates report that approximately 75 people were killed, including 32 Cuban special forces who served as bodyguards for Maduro. Two civilian deaths have been identified, while residential buildings throughout Caracas were damaged. An investigation by Bellingcat found that one woman was killed when an AGM-88 anti-radiation missile detonated near an apartment block in Catia del Mar. Another civilian was reportedly killed when U.S. forces struck a communications array near El Volcán.Fort Tiuna Military ComplexThe sprawling military complex at Fort Tiuna constitutes the nerve center of the FANB. It is also reportedly where Maduro and his wife had taken up residence as the United States stepped up its military pressure against the regime. Accordingly, this site sustained the heaviest damage of the four locations reviewed by CSIS. However, the damage at Fort Tiuna is tightly focused, with no evidence of widespread strikes against barracks, training facilities, and administrative headquarters. This suggests a deliberate effort to isolate and neutralize those specific capabilities tied directly to rapid response and regime protection.A January 3, 2026, Vantor image of Fort Tiuna shows the damage concentrated in several discrete areas within the complex. The most heavily damaged site is a motor vehicle maintenance and storage facility that is likely supporting a mechanized unit. The damage shows widespread destruction without clearly defined impact craters, suggesting it was struck by rocket or missile systems rather than bombs. Several heavy equipment transporters (HETs) are visible within the compound, further indicating that the facility supported a high-readiness mechanized unit capable of rapid movement. Open-source reporting suggests the unit may have been the FANB’s 312th “Ayala” Armored Cavalry Battalion. U.S. operational planners did not want this mobile force, with its considerable firepower, to mount a counterattack against SOF operators on the ground. Although special operators are superbly trained, they are light infantry without heavy weapons. They could easily be overrun by determined mechanized forces.

Brazil’s government will send urgently needed supplies for dialysis patients in Venezuela after a U.S. bombing destroyed a center responsible for renal treatment and medicine distribution. The announcement was made on Monday (5) by Health Minister Alexandre Padilha during a press conference in Brasília. “We are mobilizing, through our public health system and in coordination with private companies in Brazil, dialysis supplies and essential medicines,” Padilha said. “This is humanitarian support for the Venezuelan people, whose distribution center was attacked.” According to the Pan American Health Organization (PAHO), the U.S. airstrike destroyed a facility in the state of La Guaira that served both as a medicine depot and a treatment center for kidney patients. Padilha stressed the humanitarian and reciprocal nature of the assistance. He recalled that during the collapse of oxygen supplies in Manaus at the height of the Covid-19 pandemic, Venezuela sent 135,000 cubic meters of oxygen to Brazil to save lives. In 2021, the Venezuelan government coordinated directly with Amazonas state authorities to deliver oxygen trucks, after Brazil’s federal government at the time refused to accept the aid. Border preparedness in Roraima Padilha also said Brazil’s Health Ministry is prepared for a possible increase in migration at the Venezuela-Brazil border. After the January 3 attack, teams from Brazil’s National Health Force were dispatched to Roraima to assess hospital capacity, staffing, vaccines, and medical supplies. So far, the migratory flow remains stable, according to the ministry. “Our teams, with extensive experience in emergency situations, are already on the ground identifying hospital capacity and evaluating whether expansion is needed,” the minister said. Since July 2025, the ministry has maintained around 40 permanent health professionals in Pacaraima, at the border, and in Boa Vista, Roraima’s capital, to support Venezuelans arriving in Brazil through Acolhida Operation. If necessary, Padilha said, Brazil will set up field hospitals or expand existing facilities to reduce pressure on the public health system. Created in 2018 to respond to Venezuelan migration, Acolhida Operation was fully taken over by Brazil’s Health Ministry in 2025, after the United States suspended funding for international agencies that had supported the humanitarian response. Background In the early hours of Saturday (3), U.S. forces launched an attack on Venezuela, striking civilian and military targets in Caracas and other regions. The operation resulted in the abduction of President Nicolás Maduro and First Lady Cilia Flores, who were taken to the United States. The Venezuelan government declared a state of external emergency and called for mass mobilizations in defense of national sovereignty. Later that day, U.S. President Donald Trump said the White House intended to “administer” Venezuela until what he called a “democratic and fair transition” could take place, praising the seizure of Maduro as an “extraordinary attack” and openly signaling interest in controlling Venezuela’s oil reserves. Accused by U.S. authorities of involvement in drug trafficking, Maduro declared himself innocent during his first court appearance in New York on Monday (5). The U.S. government has so far presented no evidence to support the charges.

Previously unseen footage from last night’s military operation by the United States, showing the moment that strikes targeted several warehouses at the Port of La Guaira to the north of Venezuela’s capital of Caracas.