• KGS/USD = 0.01144 0%
  • KZT/USD = 0.00193 -0%
  • TJS/USD = 0.10811 -0.28%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28490 0%
  • KGS/USD = 0.01144 0%
  • KZT/USD = 0.00193 -0%
  • TJS/USD = 0.10811 -0.28%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28490 0%
  • KGS/USD = 0.01144 0%
  • KZT/USD = 0.00193 -0%
  • TJS/USD = 0.10811 -0.28%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28490 0%
  • KGS/USD = 0.01144 0%
  • KZT/USD = 0.00193 -0%
  • TJS/USD = 0.10811 -0.28%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28490 0%
  • KGS/USD = 0.01144 0%
  • KZT/USD = 0.00193 -0%
  • TJS/USD = 0.10811 -0.28%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28490 0%
  • KGS/USD = 0.01144 0%
  • KZT/USD = 0.00193 -0%
  • TJS/USD = 0.10811 -0.28%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28490 0%
  • KGS/USD = 0.01144 0%
  • KZT/USD = 0.00193 -0%
  • TJS/USD = 0.10811 -0.28%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28490 0%
  • KGS/USD = 0.01144 0%
  • KZT/USD = 0.00193 -0%
  • TJS/USD = 0.10811 -0.28%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28490 0%
10 December 2025

Kazakhstan Emerges as Regional Leader in Medical Tourism

Kazakhstan has taken the lead in the post-Soviet space in terms of the rapid development of medical tourism, surpassing its closest regional competitors, according to Kristina Krivets, President of the Kazakhstan Medical Tourism Association.

Rapid Growth in Patient Numbers

The sector has experienced explosive growth in recent years. In 2022, when the association was first established, just 1,280 medical tourists were recorded. By 2023, that figure had jumped to 8,000 and by 2024, it reached 80,000.

“This is a very sharp increase, which shows that Kazakhstan is becoming a notable player in the region,” Krivets said.

According to the association, around 90% of foreign patients come from neighboring countries, Kyrgyzstan, Russia, Uzbekistan, plus nearby Tajikistan. The remaining 10% hail from countries such as the United States, Germany, Israel, Austria, and Switzerland.

The most in-demand services include reproductive medicine, dentistry, and aesthetic procedures. Kazakhstan offers these treatments at lower costs while maintaining acceptable standards of quality. In parallel, there is growing interest in more complex procedures such as cardiac surgery, neurosurgery, and radiation therapy for cancer.

The average bill for a foreign patient is approximately 1.5 million KZT ($2,780) for medical services alone. However, the total spending per patient is roughly ten times higher than that of a typical tourist, once accommodation, transportation, and additional services are factored in, underscoring the sector’s growing economic significance and its multiplier effect on related industries.

Meeting International Standards

Currently, nine clinics in Kazakhstan hold Joint Commission International (JCI) accreditation, seven in Astana and two in Almaty. While the accreditation process is costly and time-consuming, it is seen as essential for attracting international patients.

“Today, Kazakhstan ranks first in medical tourism in Central Asia. Our main competitor is Uzbekistan, but we have every reason to become a medical tourism hub not just for our neighbors, but for a broader international audience,” Krivets stated.

To help position Kazakhstan globally, the first international medical tourism exhibition, GlobalMedKZ, will be held in Astana on November 27-28. The event will focus on promoting the sector through information tours, social media campaigns, participation in international exhibitions, and consultations with foreign doctors.

“GlobalMedKZ will become a platform for Kazakhstan to be known to the whole world,” Krivets emphasized.

Legal Barriers Remain

Despite its rapid development, the sector still faces significant legal challenges. Krivets pointed out that medical tourism is not yet defined in Kazakh legislation.

“We are working with the Ministry of Health to include a definition in the Law ‘On Health,’ but ideally, a separate law on medical tourism is needed,” she said.

Visa access is not a major hurdle, as most citizens from countries in Eurasia can enter Kazakhstan without a visa. However, state medical institutions are currently prohibited from paying commissions to foreign agents, limiting efforts to attract more international patients.

Still, Krivets remains optimistic. “Medical tourism is a paid service that, with a well-structured system, can generate substantial revenue for the state. We see successful models in Turkey and South Korea, where it has become one of the most profitable sectors of the economy,” she said.

UK Gifts Kazakhstan a Copy of Rare 11th-Century Map

Kazakhstan’s National Center for Manuscripts and Rare Books has received a valuable addition to its historical archive, a facsimile of a unique medieval map of Central Asia, gifted by the British Embassy. The original is held at the Bodleian Library at Oxford University.

The map is a reproduction of the only known copy of Kitab al-Garib al-Funun wa Mulakh al-Uyun (The Book of Wonderful Sciences and Delights of the Eye), an anonymous 11th-century manuscript. Scholars believe the original work was produced in Egypt between the late 12th and early 13th centuries.

Among the notable features of the map is the depiction of the ancient city of Zhankent, referred to in Arabic sources as “Al-Karia al-Hadisa” (Zhana Qala), located in modern-day Zhetysu, Kazakhstan. Between the 8th and 11th centuries, Zhankent served as the capital of the Oghuz state, a confederation of 24 Turkic tribes. Several other historic cities in southern Kazakhstan are also identified on the map.

Digitized in full after its arrival at the Bodleian Library in 2002, the manuscript is now recognized as a valuable resource in the study of Islamic geography and medieval manuscript art.

Founded in the 14th century, the Bodleian Library is one of Europe’s oldest and largest academic libraries. It is named after Sir Thomas Bodley (1545-1613), an English diplomat and noted collector of manuscripts.

Kazakhstan’s own National Center for Manuscripts and Rare Books continues to expand its holdings. A recent expedition to the Abai region uncovered nearly 1,000 manuscripts from the 19th and 20th centuries, with 27 of those works, ranging from religious texts to early printed books, now integrated into the national collection. Notable additions include a work by Abdullah Rumi in Old Turkic, collections of hadiths, and publications printed in Kazan, Orenburg, and Ufa during the late imperial period.

In related cultural developments, The Times of Central Asia previously reported that, in late 2024, the British Library and the John Rylands Library in Manchester transferred more than 100 digitized manuscripts to Central Asian scholars. The collection includes rare works by Eastern luminaries such as Makhtumkuli Fargi, Alisher Navoi, and Fizuli.

Trump Reengages Central Asia Amid Tariffs and Rising Competition

In a bid that signals renewed U.S. interest in Central Asia, U.S. President Donald Trump on September 7, 2025, held what he described as a “great conversation” with Kazakhstan’s President Kassym-Jomart Tokayev.

Earlier in the week, Trump also spoke over the phone with Uzbek President Shavkat Mirziyoyev, with both sides highlighting plans to expand their strategic partnership. Commentators have noted that Trump’s rhetoric and transactional approach to foreign policy in his second term create both challenges and opportunities for sustained U.S. engagement in the region.

“Great Conversation” With Tokayev

As he departed the White House for the U.S. Open men’s final, President Trump told reporters, “We had a great conversation,” though he offered no further details on the substance of the discussion.

On Kazakhstan’s side, President Tokayev had reached out in July, expressing his openness to constructive trade talks following Trump’s imposition of 25% U.S. tariffs on Kazakh goods. In that July letter, Tokayev committed to “developing fair, predictable, and mutually beneficial trade relations.” He also emphasized his readiness for “constructive dialogue aimed at finding a rational solution.”

The exchange reflects the broader importance of the U.S.–Kazakhstan relationship, which extends far beyond tariffs. Since 2017, the two nations have maintained an “enhanced strategic partnership,” covering trade, security, and energy cooperation. Kazakhstan is the world’s largest uranium producer and a leading supplier to U.S. nuclear power plants, while American firms such as Chevron and ExxonMobil are deeply invested in the country’s vast oil fields. Strategically located between Russia, China, and Europe, Kazakhstan offers Washington a critical partner in promoting regional stability and developing alternative trade corridors traditionally reliant on Russian land. By engaging closely with Astana, the U.S. strengthens its foothold in Central Asia while securing vital resources and supporting Kazakhstan’s multi-vector diplomacy.

Strategic Outreach to Uzbekistan

Earlier the same week, Trump and Uzbekistan’s Mirziyoyev agreed to broaden their strategic partnership across economic, security, and cultural domains, the Uzbekistan press office reported. According to the office, Trump praised Uzbekistan’s “irreversible reforms” aimed at modernizing its economy and improving living standards, while Mirziyoyev lauded what he termed the “impressive results of the domestic and foreign policy” of the U.S. administration.

This extension of engagement to Tashkent comes against a backdrop of longstanding U.S. involvement in Uzbekistan, including trade under bilateral agreements since the mid-1990s and cooperation on border control and counter-terrorism programs. In late 2024, shortly before Trump’s second term began, Washington reaffirmed its support for Uzbekistan’s bid to join the World Trade Organization, with U.S. Trade Representative Katherine Tai announcing the completion of bilateral market-access negotiations. That same year, U.S. officials also underscored opportunities in critical minerals cooperation with Tashkent through the C5+1 diplomatic framework.

Beyond trade and security, Uzbekistan is strategically important as Central Asia’s most populous nation and a key transit hub between China, Russia, and South Asia. Closer U.S.–Uzbek ties complement Washington’s regional engagement with Kazakhstan, creating overlapping partnerships that strengthen American influence, promote economic diversification, and reinforce stability across Central Asia.

Why Now? Geopolitics, Tariffs, and Regional Recalibration

These calls come at a time when U.S. policy towards Central Asia is undergoing an unmistakable shift. In mid-2025, the Trump administration imposed sweeping new tariffs – including a 25% duty on Kazakh goods (excluding key raw materials) – unsettling regional partners and heightening concerns about supply-chain resilience and inflation. The Times of Central Asia has previously reported that Central Asia stands at a “critical crossroads” as disruptions hit regional supply chains and inflationary pressures rise.

Concurrent cuts to aid programs and soft power tools have also reduced Washington’s presence on the ground, with executive orders slashing 83% of USAID programs and massively downsizing U.S.-funded media.

At the April 2025 EU–Central Asia summit in Samarkand, Brussels unveiled a €12 billion (US$13.2 billion) Global Gateway package for infrastructure and green energy. Two months later, the China–Central Asia Summit in Astana produced wide-ranging agreements in energy, agriculture, and education, deepening Beijing’s role. Regional leaders also gathered in Tianjin for the largest Shanghai Cooperation Organization (SCO) summit to date, where China, Russia, India, and Iran advanced proposals for a development bank and expanded integration. With all five Central Asian presidents in attendance, the SCO projected itself as an alternative to U.S.-led frameworks.

Against this backdrop, Trump’s outreach to Kazakhstan’s Tokayev and Uzbekistan’s Mirziyoyev appears aimed at recalibrating Washington’s influence. Since January 2025, U.S. engagement has leaned heavily on tariffs, law-enforcement cooperation, and migration deals – including the deportation of 131 Uzbek nationals in April – while cutting aid programs to combat child labor in Uzbekistan. These moves signal a pivot from aid-driven diplomacy to transactional leverage. The question now is whether this toolkit can sustain U.S. influence in a region increasingly courted by Europe, China, and Russia.

Implications and outlook

The blend of tariffs, reduced assistance, and selective cooperation has complicated Washington’s regional engagement. For Kazakhstan, sustained dialogue with the U.S. could help ease trade tensions and safeguard critical exports, while for Uzbekistan, American backing for reforms and expanded commerce remains attractive even as aid channels have narrowed. With China and the European Union expanding their economic reach, Central Asian governments are increasingly interested in building deeper trade and investment ties with the United States – not only to reduce reliance on any single power, but also to secure access to technology, capital, and markets that support their long-term development strategies.

The United States stands to benefit from Central Asia’s energy reserves, mineral wealth, and strategic geography, but long-term relevance cannot be secured through tariffs and enforcement tools alone. Washington will need to find common ground with leaders in Kazakhstan, Uzbekistan, and beyond, offering practical avenues for closer economic and security cooperation. If framed around shared interests – from stable energy markets to counterterrorism and diversified trade – such cooperation can sustain U.S. influence while respecting Central Asia’s drive for autonomy in an increasingly multipolar world.

U.S. Deports 39 Uzbek Nationals, Thanks Uzbekistan for Cooperation

Several dozen citizens of Uzbekistan who didn’t have legal authorization to remain in the United States were deported from the U.S. to their home country over the weekend, the U.S. Embassy in Tashkent said

The embassy said the operation to return the 39 nationals concluded on Sunday and it thanked Uzbekistan’s government “for its close cooperation in facilitating U.S. deportation operations.”

Uzbekistan has collaborated with the United States on previous deportations of its citizens this year, funding a similar flight in April though it later said that its repatriated citizens should pay for their travel. 

In a sign of improving relations, U.S. President Donald Trump and President Shavkat Mirziyoyev of Uzbekistan spoke about working together on trade, security and other issues in a telephone conversation on Friday.

The Trump administration has conducted numerous deportation flights, many of them to Central America, as part of what it describes as an effort to secure U.S. borders. Critics describe the U.S. immigration crackdown as heavy-handed. Last week, hundreds of South Korean workers were arrested at a factory in the U.S. state of Georgia and the South Korean government said it would bring them home on a charter flight. 

 

EDB Estimates Central Asia-China Transport Connectivity Projects at $9 Billion

China has emerged as the principal investor in regional transport infrastructure, with analysts from the Eurasian Development Bank (EDB) estimating that cross-border projects linking Central Asia and China will require $9 billion in funding through 2035.

According to the EDB, 12 projects valued at more than $9 billion are either underway or in the planning stages. These account for 17% of the $52.8 billion allocated to 90 transport corridor projects across Central Asia. The initiatives are expected to significantly boost trade and cargo flows with China, already the region’s largest trading partner.

China-Kyrgyzstan-Uzbekistan Railway

The most ambitious among them is the long-anticipated China-Kyrgyzstan-Uzbekistan (CKU) railway, a $4.7 billion project that will establish the first direct rail link between China and these two Central Asian states.

Half of the funding will come from a Chinese concessional loan, while the remainder will be provided by a joint venture created to build and operate the railway. China will hold a 51% stake in the venture, while Kyrgyzstan’s contribution is valued at $575.75 million.

On August 31 in Tianjin, Kyrgyz President Sadyr Japarov met with Chinese President Xi Jinping. Following the meeting, officials signed a letter of intent regarding China’s preferential loan to finance Kyrgyzstan’s share, according to the Kyrgyz presidency.

The 523-kilometer railway officially broke ground on December 27, 2024, in Jalal-Abad, Kyrgyzstan. Once completed, the CKU will link Kashgar (China) with Torugart, Makmal, and Jalal-Abad (Kyrgyzstan), and Andijan (Uzbekistan). The line is projected to carry up to 15 million tons of cargo annually, significantly reshaping regional trade flows. Currently, Kazakhstan is the only Central Asian country with a direct railway connection to China.

Kazakhstan’s Leading Role

Kazakhstan leads Central Asia in cross-border infrastructure investment with China, accounting for $3.4 billion or 37% of the total. Key projects include:

  • The modernization of the Dostyk-Moiynty railway section (836 km), scheduled for completion in 2025, which will increase freight capacity fivefold.
  • Construction of the Ayagoz-Bakhty railway line and the launch of a third border crossing with China, aimed at further diversifying transit corridors.

Regional Impact

The scale and scope of these initiatives underscore the strategic importance of transport connectivity in China-Central Asia relations, particularly under the Belt and Road Initiative. By 2035, upgraded infrastructure is expected not only to enhance regional logistics and reduce transport bottlenecks but also to strengthen Central Asia’s position as a vital transit corridor between China and Europe, fostering deeper economic integration across the Eurasian continent.

Chinese Mining Firm Lists on AIX in Landmark Belt and Road IPO

China’s Jiaxin International Resources Investment Limited, the world’s leading tungsten mining and production company, has successfully completed an offering of common shares on the Astana International Exchange (AIX) in Kazakhstan.

The listing ceremony took place on September 5 during Astana Finance Days 2025, marking a milestone for Kazakhstan’s capital market. According to the Ministry of Industry and Construction, the transaction represents the first IPO in Central Asia denominated in Chinese yuan (CNY) and the first IPO on AIX’s dedicated Belt and Road Initiative segment.

Strategic Importance of the Boguty Mine

Jiaxin International is currently developing the Boguty tungsten deposit in Kazakhstan’s Almaty region. With reserves of approximately 107 million tons of ore, Boguty is ranked as the fourth-largest tungsten deposit in the world, positioning Kazakhstan as a critical player in the global supply chain for this strategic metal.

At the listing ceremony, Minister of Industry and Construction Ersayin Nagaspayev emphasized the strategic value of the transaction:

“This event once again demonstrates the high level of investor confidence in the Astana International Financial Center. I am confident that the example of such a large and reputable company will significantly increase the investment attractiveness of Kazakhstan and attract new foreign participants.”

AIX, established in 2017 under the Astana International Financial Center (AIFC), counts among its shareholders the AIFC, Shanghai Stock Exchange, Silk Road Fund, and NASDAQ which also provides its trading platform.

Record-Breaking Demand

Ordinary shares of Jiaxin International were admitted to listing on August 28 on both AIX and the Hong Kong Stock Exchange (HKEX).

The final offer price was set at CNY 9.93. Global demand exceeded $34 billion, with the IPO more than 220 times oversubscribed compared to the targeted amount.

Confidence in Kazakhstan’s Market

Assel Mukazhanova, CEO of AIX, highlighted the significance of the deal:

“It has been about 10 years since Jiaxin first entered the Kazakh market with a tungsten investment project, and today we are proud to celebrate the inclusion of its shares into the AIX Official List. This achievement not only demonstrates the trust placed in our market but also sets a strong precedent for other issuers to follow.”

For Jiaxin International, the dual listing underscores the growing economic ties between China and Kazakhstan. Liu Liqiang, Chairman of Jiaxin International Resources Investment Limited, stated:

“This milestone not only marks a significant chapter in the company’s growth journey, but also reflects our solid step forward in deepening China-Kazakhstan economic cooperation in the context of High-Quality Belt and Road Cooperation.”