Public health - The Times Of Central Asia

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Taxation

Kyrgyzstan Weighs Higher Sugary Drink Taxes as Child Health Concerns Rise

Kyrgyzstan is considering higher taxes on sugar-sweetened beverages, including a new sugar-content-based excise system, as officials seek to curb rising rates of obesity, diabetes, and cardiovascular disease among children and adolescents. On May 26, the Kyrgyz Ministry of Health organized a high-level policy dialogue on the taxation of sugary drinks as part of the country’s strategy to prevent noncommunicable diseases and promote healthier diets. According to the ministry, noncommunicable diseases, including cardiovascular illnesses, cancer, and diabetes, remain the leading cause of premature deaths in Kyrgyzstan. Excessive consumption of sugary beverages is increasingly recognized as a major risk factor for obesity and diabetes, especially among younger age groups. The proposal would replace the current flat excise rate with a tiered system in which drinks with higher sugar content are taxed more heavily. The Ministry of Health has also proposed a separate excise tax on energy drinks, citing their sugar and caffeine content and potential risks for adolescents. The policy discussion brought together representatives of the Ministry of Health, parliament, international development organizations, civil society groups, and public health experts to review international experience, economic evidence, and possible approaches to taxing sugary beverages. According to the World Health Organization, more than 115 countries worldwide, including 22 countries in the WHO European Region, have already implemented various forms of taxation on sugar-sweetened beverages as part of efforts to improve public nutrition and reduce the health and economic burden caused by chronic diseases. International studies show that increasing the price of sugary drinks can reduce consumption and encourage healthier dietary habits. “Today, we are facing a significant increase in diabetes, obesity, and cardiovascular diseases, and the situation among children and adolescents is particularly alarming,” Deputy Health Minister Gulbara Ishenapysova said during the dialogue. “Sugar-sweetened beverages form unhealthy eating habits from an early age while providing no nutritional value. The state already incurs enormous costs for treating complications of diabetes, including hemodialysis, heart attacks, strokes, amputations, and disability.” According to Ishenapysova, increasing taxes on sugary drinks should be viewed “first and foremost as an investment in public health and the prevention of chronic diseases.” WHO Representative to Kyrgyzstan, Dr. Liviu Vedrasco, said the taxation of sugary beverages is not only a health policy measure but also an investment in the country’s future productivity and economic resilience. “International experience convincingly demonstrates that well-designed fiscal policy helps reduce sugar consumption, encourages producers to manufacture healthier products, and helps prevent noncommunicable diseases, especially among children and adolescents,” Vedrasco said. UNICEF Representative in Kyrgyzstan, Samman Thapa, warned that the situation in the country is becoming increasingly concerning. “According to the 2023 Multiple Indicator Cluster Survey, 78% of children aged six to 23 months already consume sugary beverages,” Thapa said. “At the same time, the rate of overweight and obesity among children continues to rise.” The World Bank backed the proposal, citing modeling that projected long-term health and fiscal benefits. “Our analysis of the Kyrgyz Republic shows that there are practical measures capable of delivering significant benefits for both public...

Hantavirus

Kazakhstan Assesses Risk of Hantavirus Spread After Cruise Ship Outbreak

Kazakhstan’s public health authorities say the risk of imported hantavirus infections remains due to international travel but insist the country’s epidemiological surveillance system is prepared to detect and respond to potential cases. The statement followed an outbreak of hantavirus aboard the cruise ship MV Hondius, which was traveling from Argentina to Cape Verde. According to media reports, three people died and eight confirmed infections were recorded among the ship’s 150 passengers. Kazakhstan’s National Center for Public Health said the Andes orthohantavirus (ANDV) strain responsible for the outbreak is not circulating in Kazakhstan. “Hantavirus infections remain under constant epidemiological control. Kazakhstan has a functioning sanitary and epidemiological surveillance system, infectious threats are continuously monitored, and laboratory facilities and specialists are prepared to diagnose and respond to possible imported cases,” the center said in a statement. Officials added that the current situation remains under control and there are no grounds for public concern at this stage. Health authorities advised citizens to consider the epidemiological situation when traveling abroad, including by consulting the Saqbol health risk map. Residents were also urged to avoid contact with wild rodents, refrain from touching dead animals without protective equipment, ventilate enclosed spaces, and follow basic hygiene rules. The center noted that hantaviruses belong to a group of zoonotic infections carried primarily by rodents. Infection usually occurs through inhalation of air contaminated with particles from the urine, saliva, or droppings of infected animals. Special attention is being paid to the Andes orthohantavirus strain, which differs from most other hantaviruses in its ability to spread from person to person through close and prolonged contact. “This feature makes it epidemiologically significant,” the center said. The incubation period can range from one week to more than a month. Symptoms include fever, headache, muscle weakness, nausea, vomiting, diarrhea, cough, and shortness of breath. In severe cases, the virus can rapidly damage the lungs, leading to respiratory failure and shock. According to health officials, the fatality rate for Andes virus infections can reach 30–40%. The Times of Central Asia previously reported that Kazakhstan declined to introduce quarantine restrictions in response to detected cases of metapneumovirus.

Science

Researchers in Kazakhstan Develop Central Asia’s First Digital Food Atlas

Researchers at Nazarbayev University in Astana have unveiled Central Asia’s first digital food atlas, a tool designed to improve how diets in the region are measured and studied. The development is expected to strengthen research in public health and nutrition. Developed by the Central Asia Food Innovation Lab (CAFI Lab), the atlas addresses a long-standing gap in public health research: the lack of accurate, region-specific data on dietary habits. As the researchers note, even minor errors in estimating portion sizes can lead to significant distortions in calculating calorie and nutrient intake. Until now, specialists in Central Asia have largely relied on Western or East Asian dietary databases. However, the structure of the regional diet, characterized by high consumption of red meat, flour-based foods, and dairy products, limits the accuracy of such tools. [caption id="attachment_47557" align="alignnone" width="300"] @NU[/caption] The atlas introduces a standardized approach based on two previously developed regional datasets: the Central Asian Food Dataset (CAFD) and the Central Asian Food Scenes Dataset (CAFSD). It includes 115 items, ranging from traditional dishes such as beshbarmak, plov, and manty to commonly consumed foods such as pizza, cereals, and ice cream. Each item has been digitized under laboratory conditions with precisely measured portions, an essential factor for accurate dietary assessment. “This is not just a visual guide,” said Dr. Mei Yen Chan, assistant professor at the university's school of medicine. “It aligns with international standards and allows researchers in Central Asia to generate data that are globally comparable.” At the same time, the atlas represents only a first step. It does not directly calculate calorie content and requires an additional analytical layer. As the authors note, regional dishes vary widely in composition and preparation methods, while “hidden” components, such as fats, broths, and density, make precise assessment difficult. In theory, caloric value is calculated as the sum of the energy provided by all ingredients (e.g., 4 kcal per gram of protein and carbohydrates, and 9 kcal per gram of fat). In practice, however, accurate calculation would require weighing every ingredient, an approach rarely feasible in real-life settings. Visual atlases therefore serve as a practical compromise, helping estimate portion size and approximate calorie intake, albeit with some margin of error. Even AI-based systems still struggle to accurately analyze complex, multi-ingredient dishes. [caption id="attachment_47558" align="alignnone" width="300"] @NU[/caption] In this context, the project’s significance extends beyond calorie counting. By standardizing portion sizes, the atlas addresses a fundamental prerequisite for reliable dietary assessment and the advancement of digital nutrition technologies. Beyond research, the atlas supports the development of AI-driven health applications. The datasets are already being used to train machine learning models, including multi-task deep learning systems capable of recognizing dishes, estimating nutritional value, and supporting digital health tools from mobile applications to telemedicine platforms. The findings have been published in the international peer-reviewed journals Nutrients, IEEE Access, and Scientific Reports, and are available in open access. The research team is currently working to expand the project by incorporating detailed nutritional data and is seeking additional...

Desertification

Environmental Pressures Affect Up to 80% of Irrigated Land in Turkmenistan

Environmental pressures in Turkmenistan are intensifying, with desertification, water scarcity, and ecological degradation posing increasing risks to agriculture and public health, according to a recent analysis cited by News-Asia. The study was prepared by experts from the Central Asia Climate Foundation (CACF)’s climate change and green energy project office ahead of a regional environmental summit scheduled for April 22–24 in Astana. Researchers warn that desertification has reached critical levels across large parts of the country. The expansion of the Karakum and Kyzylkum deserts is described as among the fastest globally, threatening farmland, infrastructure, and living standards. Land degradation is being exacerbated by overgrazing, soil salinization and inefficient water use. As a result, up to 80% of irrigated land is affected by elevated groundwater salinity, reducing soil productivity. Water scarcity remains another major challenge. Turkmenistan relies heavily on transboundary rivers, particularly the Amu Darya, leaving it vulnerable to upstream water management decisions. Climate change is also contributing to reduced flows in rivers such as the Atrek, Murgab, and Tejen. Much of the irrigation infrastructure dates back to the Soviet era and suffers from significant losses, while agriculture accounts for around 90% of total water consumption. The analysis highlights the continuing regional impact of the Aral Sea crisis. The drying of the sea has increased the frequency of salt and dust storms carrying harmful substances across Central Asia. In northern regions, including Dashoguz, medical specialists have reported rising rates of respiratory illness and other health problems linked to deteriorating air quality. Environmental risks are also growing along the Caspian Sea coast. According to the report, pollution from hydrocarbon extraction combined with declining water levels is affecting biodiversity and undermining fisheries. At the same time, the government has taken steps to address environmental challenges through national climate programs and reforestation initiatives. Turkmenistan is also participating in international projects, including a regional effort launched earlier this year to combat marine litter in the Caspian Sea with support from the United Nations Development Programme and the United Nations Environment Programme. The upcoming summit in Astana is expected to bring together around 1,500 participants, including government officials and representatives of international organizations, to discuss coordinated responses to environmental threats. Organizers say the meeting could result in a regional action program for 2026-2030 and a joint declaration by Central Asian leaders.

Childhood Obesity

Childhood Obesity Rising in Tajikistan and Across Central Asia, Report Warns

The number of overweight and obese children in Tajikistan is increasing, raising concerns among international researchers who warn that the trend could lead to serious health problems at an early age and requires urgent preventive action. According to the World Obesity Atlas 2026, around 12,000 children aged 5-9 in Tajikistan are overweight or obese. Among adolescents aged 10-19, the figure is estimated at approximately 20,000. Researchers note that the consequences of an elevated body mass index can emerge early in life. Among affected children and adolescents, about 2,000 are estimated to show signs of hypertension, roughly 1,000 may have elevated blood glucose levels, around 3,000 may experience high triglyceride levels, and approximately 6,000 may suffer from metabolic dysfunction-associated steatotic liver disease (MASLD). These findings indicate that health conditions traditionally associated with adulthood are increasingly being detected among younger age groups. Changing diets and early-life factors Experts identify several factors contributing to rising obesity rates, including dietary habits. On average, children aged 6-10 consume between 50 and 100 milliliters of sweetened beverages daily, increasing the risk of excessive weight gain. Early childhood nutrition also plays an important role. The rate of incomplete breastfeeding among infants aged 1-5 months reaches 71.3%, which researchers suggest may raise the likelihood of obesity later in life. Maternal health is another significant factor. The report estimates that around 23% of women aged 15-49 in Tajikistan are overweight, while the prevalence of diabetes in this group is approximately 1.5%. Experts stress that maternal health and early nutrition have long-term effects on children’s metabolic risks. Regional trends Similar patterns are emerging across Central Asia. The study indicates that Kazakhstan has comparatively higher rates of childhood overweight and obesity, while Uzbekistan also faces a substantial share of affected children. In Kyrgyzstan and Turkmenistan, the situation remains less severe but is gradually worsening, according to researchers. One of the main drivers identified is a shift in dietary patterns. Rising consumption of sugar, sweetened beverages, and ultra-processed foods is associated with urbanization, lifestyle changes, and increased availability of high-calorie products. Regional governments have begun to respond. As The Times of Central Asia previously reported, authorities in Kyrgyzstan recently approved higher excise taxes on sugar-sweetened beverages, including products marketed to children.

Public health

Kyrgyzstan’s Health Ministry Proposes Higher Taxes on Sugary Drinks and Salty Foods to Protect Public Health

Kyrgyzstan’s Ministry of Health has proposed reforms to the country’s excise tax system targeting sugar-sweetened beverages and foods with high salt content in an effort to reduce their consumption and improve public health. The proposal was discussed on March 9 at a meeting involving representatives of the Ministry of Economy and Commerce, the Ministry of Finance, the State Tax Service, the Ministry of Agriculture, the World Health Organization (WHO), UNICEF, and leading business associations. Currently, Kyrgyzstan applies a uniform excise tax of 3 soms (about $0.03) per liter on sugar-sweetened non-alcoholic beverages, regardless of their sugar content. The Ministry of Health proposes introducing a differentiated excise tax system in which the rate would depend on the amount of sugar in a beverage: Up to 5 grams of sugar per 100 ml - 5 soms (about $0.06) per liter 5-8 grams per 100 ml - 7 soms (about $0.08) per liter 8-11 grams per 100 ml - 9 soms (about $0.10) per liter More than 11 grams per 100 ml - 11 soms (about $0.12) per liter Officials say the new structure would encourage manufacturers to reduce sugar content in beverages, promote healthier consumer habits, and decrease consumption of high-sugar products. The ministry also proposes introducing a fixed excise tax of 20 soms (about $0.20) per liter on energy drinks, citing their high levels of sugar and caffeine and the potential health risks they pose, particularly for adolescents. Authorities are also considering similar differentiated taxation for foods with high salt content, including fried and salty snacks such as chips, salted crackers, and similar products. The goal is to discourage excessive consumption of high-salt foods and reduce related health risks. Representatives of the World Health Organization and UNICEF have expressed support for the proposal. WHO representative Alina Altymyshova noted that similar measures are widely used around the world. According to her, 116 countries already apply various forms of taxation or regulation on foods and beverages high in sugar and salt to help prevent noncommunicable diseases and promote healthier diets. She also highlighted numerous international studies demonstrating the negative health impacts of regular consumption of sugary beverages, particularly among children and adolescents. Deputy Health Minister Temirbek Erkinov warned that unhealthy diets are becoming a growing public health challenge in Kyrgyzstan. According to data from the National Statistical Committee for 2023, about 9% of children in Kyrgyzstan, roughly one in eleven, are overweight. Other indicators highlight widespread unhealthy dietary habits: 75% of children aged 6-23 months consume unhealthy foods 78% regularly drink sugary beverages 16% do not consume fruits and vegetables daily More than 84,000 people in Kyrgyzstan are currently registered with diabetes, with the number increasing by 5,000 to 7,000 cases each year. “The issue of nutrition and related diseases is becoming one of the most serious challenges for the public health system,” Erkinov said. Health officials believe measures to reduce the consumption of foods high in sugar and salt should become an important tool in preventing noncommunicable diseases and improving the country’s...