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Justice for Veterans: U.S. Acknowledges Cancer Cases Tied to Service at Uzbekistan’s K2 Base

Thousands of American veterans who served at Uzbekistan’s K2 airbase have reported rare cancers and diseases - but only now, more than two decades later, is the U.S. government taking steps to address their dire situation. The U.S. Department of Veterans Affairs (VA) has announced plans to include bladder, urinary tract, and genitourinary cancers as conditions presumed to be linked to service at Uzbekistan’s Karshi-Khanabad airbase, known as K2. In 2001, the U.S. military moved into K2, a former Soviet airbase, to support a series of operations named “Enduring Freedom” which were purportedly aimed at tackling terrorism and Al-Qaeda in the wake of 9/11. However, in addition to the threat of terrorism, the troops faced another danger: the toxic environment. Reports from the base describe exposure to chemicals and radioactive materials. Soldiers recalled an underground “black bubble,” glowing lakes, and a chemical odor lingering in the air. [caption id="attachment_26149" align="aligncenter" width="634"] Image: Stronghold Freedom Foundation[/caption] The Karshi-Khanabad airbase was heavily used by the Soviet military during its operations in Afghanistan from 1979 to 1989, when it served as a site for producing, storing, and testing various weapons, including chemical weapons. The base also stored fuel, solvents, and other harmful substances. Additionally, it became a dumping ground for toxic waste, asbestos, enriched uranium, and other hazardous materials. Spills of these substances were frequent, leaving lasting environmental damage. Before the U.S. occupied K2, the destruction of Soviet-era missiles left some soil contaminated with low-level radioactive depleted uranium. The destruction of Soviet missiles was part of disarmament obligations under the 1987 Intermediate-Range Nuclear Forces (INF) Treaty. A 2001 survey found traces that could be harmful if inhaled, and a 2002 assessment confirmed small amounts of uranium, identified as non-U.S. depleted uranium, outside Camp Stronghold Freedom’s perimeter. The affected area was covered with clean soil, fenced off, and marked as off-limits in November 2001. Furthermore, approximately 392 chemical compounds were found at the K2 Air Base. Thousands of military personnel who served in K2 suffered from severe illnesses, including rare forms of cancer, associated with their time at the base. However, over the years, the U.S. government and the VA have delayed recognition of the link between service in K2 and these health issues, leaving many veterans without adequate support. [caption id="attachment_26150" align="aligncenter" width="1140"] Image: Stronghold Freedom Foundation[/caption] According to the Stronghold Freedom Foundation, K2 veterans are 500% more likely to get cancer than other veterans - 75% of U.S. service members deployed to Uzbekistan alone have developed at least one type of K2-related illness. On November 11, President Joe Biden announced an expansion of the PACT Act (Promise to Address Comprehensive Toxics Act), a law he signed in August 2022 to improve healthcare for veterans exposed to toxins. President Biden stated that the act has already helped over a million veterans and their families access benefits. Under new efforts, the VA will add bladder cancer, ureter cancer, multiple myeloma, and certain types of leukemia to the list of presumptive conditions. This expansion applies...

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Kyrgyz Health Ministry Pushes for Laws to Shield Medics from Violence

The Kyrgyz Ministry of Health has called for amendments to the country’s criminal code to establish a legal framework protecting medical professionals from violence by citizens. The proposed measures aim to address a growing concern for the safety of doctors, nurses, and other healthcare workers. “Violence against medical workers is a serious problem that requires immediate action,” the ministry stated in its justification for the bill. “Doctors, nurses, and other staff face physical aggression from patients, relatives, or even bystanders. This threatens the health and lives of medical personnel and disrupts the normal functioning of healthcare institutions.” The ministry emphasized that threats or acts of physical harm create a stressful work environment, distract medical workers from their duties, and may lead to errors in diagnosing and treating patients. Proposed Penalties The Ministry of Health outlined specific punishments for various forms of violence and disrespect toward medical workers: • Minor harm: A fine of up to 100,000 KGS ($1,200), correctional labor for six months to one year, or deprivation of the right to hold certain positions. • Severe harm: A fine or imprisonment for one to three years. Additionally, the ministry seeks penalties for disrespectful or insulting behavior toward doctors. This includes demonstrating obscene gestures, verbal abuse, or indecent conduct, which could also result in fines or correctional labor. Growing Concerns Healthcare workers in Kyrgyzstan have long faced violence in their workplaces. After several incidents of attacks on doctors by patients and their relatives, the National Hospital implemented stricter security measures, including the installation of panic buttons and video surveillance cameras. Medical professionals have voiced the need for stronger protections to ensure a safer working environment. The proposed amendments aim to deter violence and foster greater respect for those who provide critical healthcare services.

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Unified Digital Health System to Transform Kyrgyzstan’s Healthcare

The United Nations Office in Kyrgyzstan, in collaboration with the Ministry of Health, has launched a program to create a unified digital health system in the country. The Ministry of Health stated that the digitization initiative aims to harmonize Kyrgyzstan’s healthcare system. By providing easier access to medical information, the program is expected to expedite the delivery of medical services, even to the most remote and underserved communities. As part of this effort, specialists will enhance government e-services and telemedicine. According to the UN, the project will require an investment of over $4 million, and is scheduled to run until 2027. “One of the key features of the program is to improve the digital health profile, giving citizens access to information about their health,” the Ministry of Health noted in a press release. The authorities plan to integrate a unified registry of citizen vaccinations, which currently holds approximately 3 million records, with a national electronic medical records platform. The program will also focus on supporting vulnerable groups. For example: • 120,000 people will receive digital disability certificates; and • 280,000 people will gain access to digital sick leave documentation, reducing hospital queues and making medical services faster and more convenient. Telemedicine will be expanded to 10 districts, offering medical consultations to more than 700,000 children under the age of 14. Additionally, 60 healthcare facilities will provide specialized care to 140,000 mothers and newborns, all connected to the unified electronic health records (EHR) platform. “This digital health initiative is an important step forward for Kyrgyzstan. By improving access to important medical information, we can make healthcare more efficient and improve outcomes for all,” said Bakyt Dzhangaziev, Deputy Minister for Digital Development of Kyrgyzstan. UN Resident Coordinator in Kyrgyzstan Antje Grave added: “Digital technologies are transforming our world, opening up new opportunities. It is necessary to bridge the digital divide between countries, promote the goals of sustainable development, and ensure that no one is left behind.” The program is being implemented with support from international organizations, including the World Health Organization (WHO), UNICEF, the UN Population Fund, and the UN Development Programme (UNDP).

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Aging Kyrgyzstan: Economic Challenges and Empowering Seniors

According to the National Statistical Committee of the Kyrgyz Republic, the country's population is aging quickly. Based on UN data, the agency predicts that the proportion of elderly people (65 and over) in Kyrgyzstan will significantly increase by 2030. According to the analysis, currently, 5.7% of the total population is elderly, and this figure may reach 8% by 2030. Speaking about the processes associated with an aging population, experts have highlighted social funds related to the payment of pensions, benefits, and other contributions to people who have finished their careers. Additionally, an aging population will produce fewer materials and public goods, and state tax revenues will decrease, which could lead to a decline in the country's standard of living. However, economist Kubanychbek Idinov sees this as a manageable problem. The 61-year-old believes that the increase in the average age is indicative of an improvement in Kyrgyzstan's standard of living. “The country's GDP is growing, and state budget spending on social projects is increasing. But we need to give pensioners more opportunities to work. This will be a great help to the revenue side of the budget. People who retire can work elsewhere. This allows them not to rely on their pensions alone, to have additional income,” Idinov told The Times of Central Asia. Most retirees in Kyrgyzstan continue to work. Idinov said they start small businesses or enterprises and pass on their experience to young people. According to official data, the country currently has about 150,000 working pensioners. “It is necessary at the state level to support trade unions' work in attracting retirees to work. It is possible to work at the level of local authorities. Then the issue of small pension growth will not be acute for people and the state,” Idinov said. On a related matter, Kyrgyz sociologists say that despite a slowdown, the country's population grew by almost half a million people (+7.8%) over the year. Kyrgyzstan remains the second-largest Central Asian country in terms of population growth after Tajikistan. “The increase in population, despite a slight decrease in the growth rate, is provided by the excess of births over deaths with a negative balance of external migration,” the report of the National Statistical Committee states. The large number of labor migrants returning home is also helping to combat the decrease in the number of able-bodied people. In 2007, experts from the UN Demography Department suggested evaluating countries as those with an old population if more than 7% of its citizens are over 65 years old.

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Report Addresses Air Pollution in Almaty

On October 30, the United Nations Development Programme (UNDP) in Kazakhstan, together with the Urban Center of Almaty Management University, presented the results of their joint efforts within the Green and Safe Streets Initiative, which aims to address air pollution in Kazakhstan’s largest city, Almaty. This initiative is part of the regional City Experiment Fund program funded by the Ministry of Finance of Slovakia. The Green and Safe Streets Initiative included three interrelated clusters of activities: a social impact campaign, tactical urban actions on Berezovsky, Turgut Ozal, and Kazybek bi streets in Almaty, and the installation of air pollution measuring devices, which resulted in the development of methodological recommendations. These actions helped identify further steps to address the complex challenge of improving air quality in Almaty. The actions and approaches implemented within the City Experiment Fund framework are expected to help reduce air pollution by increasing green spaces, introducing energy-efficient technologies in the housing sector, improving infrastructure for pedestrians and cyclists, and prioritizing public transport. According to IQAir, Almaty, along with the industrial city of Karaganda, has the highest level of air pollution in Kazakhstan and is among the 25 most polluted cities in the world. The primary sources of air pollution in Almaty are motor vehicles and private-sector and municipal heating that burns coal. During the winter, Almaty is covered by a deep smog that causes severe health problems and a high prevalence of respiratory diseases in the local population. According to an Asian Development Bank report, the decline in Almaty’s air quality is attributable to the city’s population growth, rapid urbanization, inefficient public transportation, and heavy reliance on coal for power generation and residential heating. The city’s valley setting exacerbates these factors, creating ideal conditions for solid temperature inversions during the late fall and winter that trap pollutants in the lower atmosphere. Additionally, the ADB report concludes that the city’s low wind speeds cause pollutants to accumulate and recirculate at the city's surface level.

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IDB to Fund $156.3 Million for Cancer Hospitals in Turkmenistan

Turkmenportal reported that a Turkmenistan delegation visited Washington DC from October 22 to 26 to participate in the annual meetings of the International Monetary Fund (IMF) and the World Bank, along with related events. During the visit, representatives of Turkmenistan's financial and banking sector engaged in bilateral discussions with foreign partners. According to the Saudi Press Agency, the Islamic Development Bank (IDB) has approved $156.3 million in funding to build three specialized cancer treatment hospitals in Turkmenistan. These modern facilities will be located in Balkanabad, Turkmenabad, and Mari, with a combined capacity to serve over 11,750 patients. The agreement was signed in a meeting between IDB President Muhammad Al Jasser and Rahimberdi Jepbarov, Chairman of the State Bank for Foreign Economic Affairs of Turkmenistan. Meanwhile, on October 24, Swiss pharmaceutical company Roche, in partnership with Nobel Almaty Pharmaceutical Factory, launched the production of innovative drugs in Almaty, Kazakhstan. This initiative is part of an agreement between Roche, Kazakhstan’s SK-Pharmacy, Nobel, and the Kazakh Research Institute of Oncology and Radiology, supported by Kazakh Invest. Under this collaboration, Roche will locally produce three biotechnological drugs to treat HER2-positive breast cancer, a highly aggressive form affecting up to 20% of breast cancer patients in Kazakhstan.