Due to the earthquake, relations between Iran and the United States thawed. The U.S. generally treated Iran as part of the "axis of evil", as its President George W. Bush referred to those states regarded to sponsor terrorism. However, following the earthquake the U.S. offered direct humanitarian assistance to Iran and in return the state promised to comply with an agreement with theInternational Atomic Energy Agency which supports greater monitoring of its nuclear interests. In total a reported 44 countries sent in personnel to assist in relief operations and 60 countries offered assistance.
Following the earthquake, the Iranian government seriously considered moving the capital of Tehran in fear of an earthquake occurring there. Psychologically the earthquake had an impact on many of the victims for years afterwards. A new institutional framework in Iran was established to address problems of urban planning and to reconstruct the city of Bam in compliance with strict seismic regulations. This process marked a turning point, as government ministers and international organizations collaborated under this framework with local engineers and local people to organize the systematic rebuilding of the city.