Public health - The Times Of Central Asia

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Marriage Law

Uzbekistan Proposes Ban on Marriages Between Relatives

Uzbekistan’s Ministry of Justice has drafted legislation that would ban marriages between distant blood relatives, including unions between uncles and nieces, aunts and nephews, and cousins up to the third degree, UzNews.uz reported. The proposed penalties for violating the ban include fines or correctional labor of up to two years. Exceptions would apply only in cases where one of the prospective spouses is an adopted child and no biological relationship exists. Under current law, Uzbekistan’s Family Code prohibits marriages between close blood relatives in a direct ascending or descending line, as well as between full and half-siblings and between adoptive parents and adopted children. The proposal follows alarming findings from a recent study highlighting the genetic risks associated with consanguineous marriages. According to Zamin.uz, researchers from the Center for Advanced Technologies have identified dozens of new genetic mutations in Uzbek individuals. The study revealed that every second child tested carried a hereditary mutation, and nearly 86% of children were found to be carriers of at least one damaged gene, twice the international average. Researchers attribute this trend to the high prevalence of kinship marriages, which in some Uzbek regions account for roughly one-quarter of all unions. Experts warn that these genetic anomalies not only increase the likelihood of hereditary disorders but also elevate the risks of diabetes, cardiovascular conditions, and cancer. The study's authors strongly recommend introducing genetic testing for couples prior to marriage as a public health measure.

Public health

Kazakhstan’s Youth Struggle with Access to Sexual Health Information

One in five young people in Kazakhstan lacks access to information about reproductive and sexual health, according to an analysis by Ranking.kz based on a survey conducted by the Youth Research Center. Where Young People Seek Information The study reveals a significant gender disparity: 34.2% of female respondents seek information from medical specialists, compared to only 19.4% of male respondents. Alarmingly, 24.4% of young men report having no information on reproductive health at all, versus 14.9% of young women. The most commonly cited sources of reproductive health information are gynecologists, urologists, and reproductive specialists (26.6%), followed by online resources and articles (17.9%). Family discussions (16.6%), conversations with peers (15.4%), consultations with family doctors (15.3%), social media (14.4%), and printed materials from medical institutions (11.3%) also play a role. Despite these resources, 9.3% of respondents admitted they feel uncomfortable discussing such topics, while 19.8% reported receiving no information at all, underscoring the persistent knowledge gap. Infections and Awareness Sexually transmitted infections (STIs) remain a pressing concern. Only 16.8% of respondents said they are well informed about STIs. A further 36.7% reported partial awareness, 26.9% had only heard vague references, 15.4% were entirely uninformed, and 4.4% found the question difficult to answer. According to the Ministry of Health, Kazakhstan recorded 89.1 cases of STIs per 100,000 population in 2024, down from 96.4 in 2023, but still considered high. The most common infections included chlamydia (13.9 cases per 100,000), trichomoniasis (13.8), syphilis (8.5), and gonorrhea (6). The highest infection rates were recorded in Shymkent (247.7 per 100,000), Almaty (139.3), and Astana (127.1), followed by the Abai (125.9) and North Kazakhstan (118.6) regions. The lowest rates were reported in Zhambyl (24.6), Ulytau (30.7), and West Kazakhstan (31.4). Debate Over Sex Education in Schools When asked about the introduction of sex education in schools, 58.9% of survey respondents supported the idea, citing benefits such as improved understanding of physiology and anatomy, and a reduced risk of unwanted pregnancies and STIs. However, 35.6% opposed such initiatives. Among them, 15% found the topic too “embarrassing,” while 20.6% feared that sex education might encourage early sexual activity among teenagers.

Public health

Central Asian Nations Rank Low in Global Mental Health Index

Mental health remains a significant challenge across Central Asia, with populations reporting high levels of distress and rising rates of self-harm. According to the Mental State of the World survey, Uzbekistan ranked 74th out of 82 countries on the Mental Health and Wellbeing Index, scoring 54.5 points. Kazakhstan followed at 76th (52.3), Kyrgyzstan at 79th (51.2), and Tajikistan at 80th (51.2). The global average stands at 63 points, suggesting that, on average, people around the world feel mentally stable and active for about 21 days each month. Experts point to a range of factors driving poor mental health in the region, including anxiety, depression, fatigue, loneliness, and unresolved personal issues. A joint survey by the UN Population Fund (UNFPA) and YouGov, which included more than 14,000 respondents across 14 countries, found that 32 percent had experienced unplanned pregnancies and 23 percent were unable to start families when they wished. Financial hardship was the most frequently cited barrier to wellbeing (39 percent), followed by job insecurity (21 percent), inadequate housing (19 percent), and fear of war or pandemics (19 percent). A study published in BMC Public Health reported age-standardized suicide rates per 100,000 people in 2019 as follows: Kazakhstan at 18.05; Uzbekistan and Kyrgyzstan both at 8.28; Turkmenistan at 6.07; and Tajikistan at 5.32. By comparison, the global suicide rate that year was approximately 9 per 100,000. Despite its relative economic strength, Kazakhstan ranked 17th globally for suicide rate in 2020, with 18 deaths per 100,000 people, according to World Health Organization (WHO) data. UNICEF has also recorded a disturbing trend among the country’s youth: between January and August 2024, over 2,300 self-harm incidents were reported, including 128 involving children aged 5 to 18. Among adolescents aged 15 to 19, self-harm has become the leading cause of death. Uzbekistan, which received the highest score in the region, is expanding access to counseling services and training school psychologists. Meanwhile, Kyrgyzstan and Tajikistan are piloting community-based mental health centers. However, specialists warn that without broader social reforms, such as stable employment, affordable housing, and gender equality, both reproductive and mental health will continue to fall short of international standards. “True progress means giving people freedom to choose and live without fear,” the UNFPA report concludes. For Central Asia, this requires greater investment in rights, services, and long-term wellbeing.

Anthrax

Anthrax Outbreak Reported in Northern Kazakhstan

An outbreak of anthrax has been confirmed in the Akmola region of northern Kazakhstan. According to official data, at least seven people have been infected after coming into contact with contaminated livestock. Kazakhstan’s Minister of Agriculture, Aidarbek Saparov, identified the source as unvaccinated and unregistered animals grazing near an old cattle burial ground located approximately seven kilometers from the villages of Magdalinovka and Novomarinovka. Ten infected cattle have been identified and culled. “There are many questions for the owners of these animals. They were not registered anywhere,” Saparov said at a press briefing. Authorities have imposed a quarantine, carried out disinfection procedures, and restricted access to the affected pastures. Sanitary measures have also been intensified in nearby settlements. The Ministry of Health reported that 19 individuals underwent medical examinations, with seven cases confirmed in laboratory tests. One patient is in serious condition, while the remaining six are in stable condition. Four of these cases had been previously reported. Saparov also dismissed speculation that contaminated meat had entered Astana’s markets. "We checked everything, even the door handles. All samples tested negative. Suspicious meat was immediately seized," the minister stated. The outbreak in the Atbasar district has exposed long-standing deficiencies in Kazakhstan’s veterinary oversight and livestock registration systems. Although the country maintains an electronic livestock registration system, its usage is inconsistent, particularly in remote regions where many farmers fail to register or vaccinate their animals. In response, the government has pledged to tighten regulatory enforcement. Inspections will begin in the affected areas, with violators facing increased fines. Authorities also plan to target so-called “dealers,” middlemen trading in unregistered livestock. “This is not just about private property. It is a threat to public health,” Saparov added. The quarantine in the outbreak zone will last a minimum of 15 days. Authorities will assess whether to lift the restrictions following additional inspections. Anthrax is a dangerous bacterial infection transmitted from animals to humans, primarily through contact with infected meat or contaminated soil. Outbreaks occur periodically in Kazakhstan, particularly in areas where Soviet-era cattle burial sites remain unregistered and unmapped. Regional veterinary officials have warned that many of these burial grounds have not yet been properly identified, posing a continuing risk to grazing livestock. In recent days, Minister Saparov proposed introducing criminal liability for the sale of meat that bypasses veterinary and sanitary controls.

Meat Market

Kazakhstan Proposes Criminal Penalties for Illegal Meat Sales

Kazakhstan’s Minister of Agriculture, Aidarbek Saparov, has proposed introducing criminal liability for the sale of meat that bypasses veterinary and sanitary inspections. Speaking at a government meeting, Saparov emphasized that Kazakhstan is undertaking large-scale efforts to digitize its livestock industry. Each farm animal now receives an individual identification number, with all veterinary procedures recorded in an electronic system. However, the minister warned that the system’s effectiveness depends on livestock owners maintaining accurate and transparent records. “We must strengthen oversight of livestock registration and tighten accountability, up to criminal liability, for unscrupulous livestock suppliers and buyers of animal products without proper veterinary documentation,” Saparov stated. Illegal Slaughterhouses a Threat to Public Health Saparov cited recent cases of underground slaughterhouses as a significant public health concern. In December 2024, two unlicensed facilities were discovered in Astana, distributing unregulated meat across the country. Similar operations were uncovered in Semey and Shymkent in spring 2025. Currently, criminal penalties in Kazakhstan apply only to cattle theft. Violations of veterinary and sanitary rules, unless they result in serious harm to human health, are punished administratively. Since the beginning of 2025, 64 veterinary checkpoints have inspected 28,500 vehicles transporting meat. Violations were identified in 547 cases, resulting in administrative fines for the owners. Livestock Industry Growth and Export Expansion Saparov also reported robust growth in livestock production. From January to May 2025, output increased by 4.2% compared to the same period in 2024. Meat production (in carcass weight) rose by 3%. Cow’s milk production grew by 7.5%. Almaty and Akmola regions led in meat output, while North Kazakhstan and Pavlodar regions led in milk production. The livestock population also expanded: Cattle: up 23.4 percent to 9.6 million head Small ruminants: up 7.8 percent to 26.3 million head Horses: up 12.2 percent to 5 million head Camels: up 8.5 percent to 321,300 head Poultry: up 2.2 percent to 47.7 million birds “Current production volumes fully meet domestic demand for beef and mutton and allow us to expand exports to up to 50,000 tons annually,” Saparov said. In 2024, Kazakhstan’s beef exports increased by 1.4 times to over 22,000 tons. Mutton exports grew 2.2 times, reaching 18,000 tons. As previously reported by The Times of Central Asia, Turkey expressed interest in importing Kazakh meat, reportedly offering prices nearly double those proposed by China.

Air Pollution

World Bank: Over 65,000 Premature Deaths a Year in Central Asia Linked To Air Pollution

Air pollution remains one of the most pressing environmental and public health challenges in Central Asia, with significant consequences for human life and regional economies. A new World Bank assessment highlights the scale of the crisis, linking poor air quality to more than 65,000 premature deaths in 2021 across the region. The report identifies pollution from fossil fuel combustion, especially for heating and transportation, as a major contributor to declining air quality in both urban and rural areas. Transboundary sand and dust storms are compounding the problem, affecting multiple countries simultaneously. In many Central Asian cities, concentrations of fine particulate matter (PM2.5) exceed safe limits by a wide margin. During the winter, levels can spike to six to twelve times higher than the World Health Organization’s recommended thresholds. The economic burden is also staggering: the annual health costs associated with air pollution are estimated at $15-21 billion, representing 3-5% of the region’s GDP in 2022. Human-Caused Emissions Dominate According to experts, 50-80% of PM2.5 exposure is due to human activity, primarily the burning of solid fuels for heating in households and small businesses. While natural dust is a contributing factor in some areas, anthropogenic sources remain the dominant driver. The World Bank argues that this crisis can be mitigated with the right policy interventions. Effective strategies include reducing emissions from household heating, traffic, and industrial operations, as well as expanding urban green spaces. To better coordinate efforts, the Bank advocates for an “airshed approach”, a governance model that promotes joint responsibility between national and local authorities to improve air quality. Additional recommendations include strengthening air quality laws and monitoring systems, updating standards, raising public awareness, and enhancing cross-border cooperation among Central Asian states. Impact on Children A separate report by UNICEF underscores the disproportionate toll air pollution takes on children. In 2021, approximately 6,441 children and teenagers across Europe and Central Asia died from air pollution-related causes, 85% of them under the age of one. UNICEF stressed that these deaths were entirely preventable. Experts maintain that improving air quality could yield wide-ranging benefits, including increased productivity, reduced healthcare costs, and enhanced quality of life. They urge governments to integrate air quality management into climate and development plans to unlock additional financial and technical assistance.