Healthcare - The Times Of Central Asia

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WHO and UNDP to Upgrade Kazakhstan’s Virological Labs

Kazakhstan’s Ministry of Healthcare, the World Health Organization (WHO) Office in Kazakhstan, and the United Nations Development Programme (UNDP) have announced a strategic partnership to upgrade the country's critical health infrastructure, supported by a three-year grant from the Pandemic Fund. As reported by UNDP in Kazakhstan, the collaboration will better prepare Kazakhstan for potential pandemics by enhancing its management of response to infectious diseases. Key components of the initiative include renovating and modernizing Almaty's virological laboratory and the construction of another in Turkestan. Both facilities will incorporate SMART (Self-Monitoring Analysis and Reporting Technology) as well as “green” technologies to ensure sustainability and environmental responsibility. The project also includes the renovation of the National Scientific Center of Especially Dangerous Infections in Almaty to improve the infrastructure, functionality, and safety standards of its virological and bacteriological laboratories, and the modernization of sanitary and quarantine checkpoints across Kazakhstan. Russia earlier reported on the alleged existence of US laboratories developing biological weapons in Kazakhstan. Issued by the Kremlin-controlled media in the wake of Russia’s invasion of Ukraine, the report's claims have been staunchly denied by Zauresh Zhumadilova, Director General of the National Scientific Center of Especially Dangerous Infections under the Ministry of Health of Kazakhstan. According to Zhumadilova, all laboratories in Kazakhstan belong to the government and are controlled by the country’s Ministry of Health. In June, Kazakhstan’s Deputy Minister of Culture and Information Kanat Iskakov, also commented on rumors concerning the alleged existence of foreign biological laboratories in Kazakhstan and reiterated, “The [Kazakh] Ministry of Foreign Affairs and authorized bodies have several times stated that there are no biological laboratories run by the USA or any other country, in Kazakhstan." He added that the research center in Almaty, fully funded by the state, is run by local specialists. Reuters has reported that artificial intelligence (AI) was behind the fake news, originated in China, about the existence of U.S. laboratories allegedly developing biological weapons in Kazakhstan. Referencing the U.S. Department of Homeland Security (DHS) 2024 Homeland Threat Assessment, the agency stated that a Chinese government-controlled news site using a generative AI platform, had promoted a previously circulated false claim that the United States was running a lab in Kazakhstan to create biological weapons for use against China. According to DHS, China and other adversaries are developing AI technologies that could undermine U.S. cyber defenses, including generative AI programs that support malware attacks. In response, Reuters reports that the Biden administration is poised to launch a new front to safeguard the U.S. from AI technologies developed by China and Russia, and comments on the potential employment of AI by U.S. adversaries to wage aggressive cyberattacks or even create potent biological weapons.

Healthcare Legislation Parliament Traditions Health Medicine

Kyrgyzstan Seeks Legalization of Traditional Medicines and Practices

Kyrgyzstan's Health Ministry has devised an initiative to legalize traditional folk medicine. A draft decree of the Cabinet of Ministers on the procedure for training specialists has now been submitted for public discussion. Proposed by Minister of Health Alymkadyr Beishenaliev, the initiative concerns the study of traditional healing methods such as phytotherapy, massage, acupuncture, apitherapy, and hippotherapy, conducted through specialist training programs. He has also mooted the establishment of a research institute or Academy of Traditional Kyrgyz Medicine offering courses in theoretical and practical skills taught by professionals in the field, alongside the foundation of a dissertation council for the defense of academic degrees in the discipline. Central to the project, is the introduction of a budget for traditional medicine specialists, such as acupuncturists and physiotherapists, in all medical institutions of the country. There are also plans to open a research institute to test the efficacy of medicinal plants and conduct clinical trials. In addition, the Cabinet of Ministers has proposed the implementation of medicinal herb plantations for the subsequent production of related medical drugs. It is worth noting that in both several former Soviet Union and countries worldwide, traditional medicine has been legalized and integrated into state healthcare systems. For example, Russia and Belarus practice traditional treatments, including phytotherapy, acupuncture, alongside modern medical procedures. Traditional Chinese medicine is widely practiced in China, Japan, and Korea, and Ayurveda and Yunani are actively being developed in India. The World Health Organization also supports the development of traditional medicine by helping countries develop recognized international standards.

Transport Healthcare Social Local Economy Air Pollution

Better Buses Help Air Quality in Bishkek to Improve

Officials claim that the air quality in Kyrgyzstan’s capital, Bishkek, has significantly improved over the last two years due to the ongoing renewal of the municipal transport fleet, switching residential heating from coal to natural gas, and extinguishing the sanitary landfill near Bishkek that had burned for decades. Chyngyzbek Abdymalik Uulu, an atmospheric air specialist at the Kyrgyz Ministry of Natural Resources, Ecology, and Technical Supervision, told Birinchi Radio that the primary sources of air pollution in Bishkek were low-quality coal, exhaust gases from motor transport, and the burning of municipal solid waste at the city landfill. The official says that, in large part, the air quality has improved due to the decreasing number of minibuses on Bishkek streets. Over the past 30 years, "markhrutka" minibuses — mainly aged Mercedes minivans — have been the primary type of municipal transport in Bishkek, vastly surpassing in number the limited fleet of large buses and trolleybuses. Running on diesel, these old marshrutkas spew harmful gases into the atmosphere and congest city traffic, since they stop anywhere on demand. Abdymalik Uulu said more than 3,000 minibuses ran in the capital until 2022. After their number was reduced over the last two years, diesel fuel consumption decreased by 100 tons daily. The Bishkek municipality has now removed the minibuses from the central part of the city and replaced them with large buses running on liquefied natural gas. In 2023, Bishkek purchased a thousand large buses from China, which have been arriving in the capital city in batches over the past year. Today, the municipal fleet has 1,200 buses. In addition, by the end of 2024, the city will receive 100 12-meter-long buses, and 120 electric buses will arrive in the second quarter of 2025. Both officials and analysts agree that renewing the municipal transport fleet will improve the air quality in Bishkek. Abdymalik Uulu added that gasification is another reason for the improved air quality. To date, about 20,000 households have been connected to natural gas networks, which has decreased coal burning by 58,000 tons. Also, he said, all of Bishkek’s 74 large boiler houses that used to burn large amounts of coal daily have now been converted to electricity and natural gas. Finally, the Bishkek sanitary landfill, which burned for decades and released large volumes of harmful emissions, has been completely extinguished.

Healthcare health security restrictions Abortion

Doctors in Turkmenistan Ordered Not To Perform Abortions

Turkmenistan has imposed severe restrictions on conducting abortions, effectively banning them. In recent weeks, government officials have been visiting hospitals and clinics, and warning doctors that they will be stripped of their diplomas if they do. According to Radio Azatlyk, sources from different regions of the country say that doctors have been forced to refuse women seeking abortions, even though the law allows it within the first five weeks of pregnancy. The authorities have not commented on the reasons for yet another tightening of measures to prevent abortions. However, according to several doctors in Ashgabat, it may be due to a sharp increase in teenage pregnancies. At the same time, doctors note that many young girls, unable to have a legal abortion, resort to dangerous methods of terminating pregnancy, resulting in serious risks to their health. Despite the bans, there are still doctors who continue to perform abortions clandestinely. The cost of such services has increased significantly, and varies depending on the term of the pregnancy.

Healthcare UNICEF Climate Change Adaptation Strategy FAO Aral Sea Karakalpakstan UNDP UN

UN Launches Projects to Improve Health and Environment in the Aral Sea Region

The UN has launched two new projects to address environmental and health issues in Karakalpakstan, Uzbekistan. These projects are “Enhancing Climate-Resilient and Safe Water, Sanitation, Hygiene, and Health Services for the Most Affected Communities in Four Districts of Karakalpakstan,” and the joint project between its development programme (UNDP) and its food and agriculture organization (FAO), "Building Knowledge and Skills of Local Partners and Communities to Address Environmental Insecurities through Innovative Air, Land, and Water Management Solutions in the Aral Sea Region.” “The launch of these projects marks a significant milestone in our collective efforts to address the Aral Sea Region's profound environmental and health challenges," said Sabine Machl, the UN's Resident Coordinator in Uzbekistan. "By fostering resilience through innovative solutions in water management, health services, and community empowerment, we are laying the groundwork for a sustainable future in Karakalpakstan.” The project between the UNDP and FAO aims to increase the knowledge and skills needed by local partners and communities to solve environmental security problems. It also aims to develop practical solutions for managing air, land and water, enabling communities to adapt to and mitigate climate change. In addition, within the project's framework, special attention will be paid to introducing new approaches to water treatment, forest restoration, and soil stabilization in the region. These activities have the potential to directly benefit over 376,000 residents of the three northern districts of Moynaq, Kungrad, and Takhtakupir in Karakalpakstan, particularly women in at-risk communities. The indirect impact will extend to 200,000 more people and build on the results of the previous projects. On 16 August, the UN programme “Laying the Foundations for People-Centered, Climate-Resilient Primary Health Care and Water, Sanitation, and Hygiene Practices at Healthcare Facilities and Schools” was officially completed. During his visit to Karakalpakstan on August 19, Uzbek President Shavkat Mirziyoyev announced the establishment of the Aral Sea Region International Innovation Center to improve the ecosystem and create new varieties and seeds in a saline, water-less environment. $80 million will be allocated to mitigate the consequences of climate change in the Aral Sea region. The Times of Central Asia has published several articles about the problems arising from the drying up the Aral Sea and the work being done to combat this.

Infectious Diseases Outbreak Healthcare

Central Asia Takes Steps to Ward off Mpox after WHO Declares Emergency

Central Asian countries have prepared mpox test kits and taken other precautions since the U.N. World Health Organization said last week that the sharp increase in cases of the virus in Africa posed an international health emergency. Kyrgyzstan and Kazakhstan are among countries in the region that say they have not registered any suspected cases of the virus. They are heeding the advice of WHO, which is appealing for a coordinated international response to prevent its wider spread. The U.N. health agency also declared a global health emergency because of mpox in 2022, and cases were reported around the world before declining. Kyrgyzstan’s Ministry of Health said on Monday that it has increased sanitary and quarantine measures at airports, railway stations and border crossings, and is focusing on people coming from countries where cases of mpox have been reported. “Today, sanitary and quarantine points are equipped with thermal imagers and contactless thermometers for the timely detection of people with fever,” the ministry said. It added that WHO had assisted with the delivery to Kyrgyzstan of 3,000 PCR tests for detecting mpox in 2022. Some 500 tests were available as of Monday and efforts are underway to procure more tests, according to the ministry. Kazakhstan and Uzbekistan are also conducting similar precautionary measures. Timur Sultangaziyev, Kazakhstan’s deputy health minister, said methods for detecting people infected with the mpox virus are based on the COVID-19 pandemic and treatment guidelines are in place, according to the Kazinform News Agency. Health officials in Uzbekistan said they are planning for a 21-day medical observation period of anyone who has had contact with a patient sick with mpox. Like other Central Asian countries, they plan to build up their reserve of test kits for the virus. Medical specialists are also being trained in how to handle the disease. Mpox has been reported in the Democratic Republic of Congo, or DRC, for more than a decade, with cases increasing each year, according to WHO. The number of cases reported so far this year is more than last year’s total, with more than 15,000 cases and at least 500 deaths, according to WHO. Some other African countries have reported a far smaller number of cases. The DRC outbreak is being driven by two strains – one that mostly affects children, and a new one that “primarily affects adults and is spreading rapidly, sustained largely, but not exclusively, through transmission linked to sexual contact and amplified in networks associated with commercial sex and sex workers,” WHO said. Mpox symptoms can include fever, skin rash, lesions and chills. Most treatment is aimed at relieving symptoms. The disease can spread through close contact with an infected animal or person.