Public health - The Times Of Central Asia

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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.

Health

Kazakh Villages Voluntarily Embrace Alcohol-Free Lifestyle

An increasing number of villages across Kazakhstan are voluntarily banning the sale of alcohol, reflecting a grassroots movement aimed at improving public health, safety, and the wellbeing of future generations. Prosecutor General Berik Asylov highlighted the trend on his official X (formerly Twitter) account, describing it as a conscious decision made by ordinary citizens, not a top-down directive. “When citizens take responsibility, reality itself changes,” he wrote, emphasizing that the initiative stems from the community level. Bottom-Up Initiative, Top-Level Support One notable example comes from a village in the Mangistau region, where residents released a video declaring their collective decision to stop selling alcohol. Similar efforts have emerged in Akmola, Zhambyl, Karaganda, Atyrau, and other regions. While still relatively isolated, these cases are increasing, Asylov noted, with the number of “dry” villages steadily growing. The movement is often driven by local community councils and elders, supported by the prosecutor’s office, police, and akimats (local government offices), which help implement preventive measures and maintain order. Entrepreneurs have also played a key role. Responding to requests from fellow villagers, many voluntarily removed alcohol from their shelves. Contrary to concerns, these businesses did not suffer losses, residents began purchasing more nutritious food and products for children instead. Visible Impact on Communities According to Asylov, the results are already apparent: crime rates are dropping, domestic violence is decreasing, and more young people are choosing sports and healthier lifestyles over alcohol. “This is a real-life demonstration of the principle of ‘Law and Order’, not enforced by fear, but built on trust; not through punishment, but through personal choice,” he said. Official Data Reflects the Trend Law enforcement statistics support this development. In the first quarter of 2025, the number of crimes committed under the influence of alcohol declined nationwide, a direct outcome of such community-led initiatives. In Aktobe region, 33 villages across nine of the region’s twelve districts have officially stopped selling alcohol, according to local media. In Turkestan region, 61 more villages have taken similar steps, according to Murat Kabdenov, head of the regional police department. Meanwhile, the village of Sunkar in Almaty region stands out for its complete elimination of alcohol from daily life, not just retail outlets. A Vision for the Future Prosecutor General Asylov reaffirmed that the General Prosecutor’s Office supports any community-driven initiative that promotes social harmony, respect for the law, and a shared vision for a better future. “People value trust, stability, and peace. They inspire each other through personal example,” he concluded.

Health

Tajikistan Steps Up Efforts to Combat Obesity and Malnutrition

The Food and Agriculture Organization (FAO) of the United Nations , in collaboration with Tajikistan’s Ministries of Health and Agriculture, has launched an initiative to develop national nutrition guidelines aimed at promoting sustainable food systems. The project was presented at a national workshop focused on improving public health through better nutrition. Rising Obesity Rates in Tajikistan Tajikistan has experienced a steady increase in obesity over the past 11 years. In 2012, 46.3% of the population was classified as overweight; by 2023, this figure had risen to 51%. During the same period, obesity rates increased from 13.4% to 17.4%. Despite these concerns, food insecurity and malnutrition remain significant challenges in the country. FAO’s acting representative in Tajikistan Aghasi Harutyunyan says that addressing these issues requires a collaborative approach: “This [initiative] is an important milestone for Tajikistan in developing a healthy eating framework based on sustainable food systems. All stakeholders in the food system have a responsibility to ensure that consumers have access to nutritious food. Through collaboration, we can develop policies that improve nutrition and strengthen the country’s agri-food system.” Food Security and Nutritional Deficiencies Although there have been some positive trends, food security remains a major concern for many Tajik citizens. According to Nushervoni Bilol, deputy director of the National Nutrition Centre, ongoing issues include lack of trained specialists, weak laboratory infrastructure, insufficient equipment, limited international support, and low government funding for nutrition initiatives. Health Ministry Data on Nutrition Trends A 2023 report from Tajikistan’s Ministry of Health highlighted both improvements and continuing challenges in the country’s nutrition landscape: The rate of exclusive breastfeeding among infants under six months increased from 34% (2012) to 41% (2023). The proportion of stunted children decreased from 23% to 14%. Anemia rates among women of childbearing age and children under five dropped to 35-36% (down from 41.2%). However, acute malnutrition remained at 5.6%, and the number of overweight individuals continues to rise. As Tajikistan works to improve public health and food security, experts emphasize the need for greater investment in nutrition programs, better-equipped laboratories, and stronger collaboration with international partners.

Healthcare

Tajikistan’s Health Ministry Seeks Alternative to USAID Assistance in Combating Deadly Diseases

Tajikistan’s Ministry of Health is exploring alternative funding sources following the suspension of USAID programs. The recent freeze on U.S. foreign aid has affected several health initiatives in Tajikistan, particularly those focused on combating HIV/AIDS, tuberculosis, and malaria. At a press conference, Health Minister Jamoliddin Abdullozoda stated that authorities are seeking new mechanisms to sustain these programs. “USAID has played a key role in the fight against HIV, tuberculosis, malaria, as well as in maternal and child health. Until the agency’s future involvement is clarified, we intend to mobilize other resources,” Abdullozoda said. One of Tajikistan’s main partners remains the Global Fund to Fight AIDS, Tuberculosis, and Malaria, which continues to finance drug supplies and testing. The Health Ministry confirmed its commitment to strengthening cooperation with the Fund and engaging additional international organizations. Tajikistan's Republican Center for AIDS Prevention and Control clarified that USAID did not provide antiretroviral therapy (ARV) drugs or testing kits. Instead, the agency’s primary role was offering psychological and social support to HIV patients, mainly through nongovernmental organizations. According to official data, 12,480 people living with HIV are currently registered in Tajikistan’s healthcare system, including 1,022 children. In 2023, 293 new cases were detected among labor migrants. However, the overall number of registered HIV cases declined by 98 compared to previous years. Regarding tuberculosis, Tajikistan recorded 4,545 new cases in 2023 and 4,537 in 2024. The health minister attributed the slight increase to improved diagnostic capabilities. The country now has 77 tuberculosis diagnostic machines, 84 BAG laboratories, and 40 specialized devices for detecting infections.

Air Pollution

Kyrgyz Engineer Develops Unique Air Purification Filter

Amid rising air pollution in Kyrgyzstan, hydraulic engineer Amantur Salymbayev has developed an innovative smoke filter that operates without electricity or water, relying solely on aerodynamic principles. The device is currently undergoing patent registration with Kyrgyzpatent. According to the Department of Environmental Monitoring, research has confirmed that the filter captures 98% of harmful pollutants, including soot and carbon dioxide (CO₂). A key feature of the Salymbayev filter is its complete autonomy - it requires no connection to power or water supplies. This makes it particularly effective in reducing harmful emissions and improving air quality in highly polluted areas. So far, six filters have been installed in various locations, including Bishkek and Naryn, as part of a pilot project. The installations were carried out free of charge to demonstrate the filter’s effectiveness and affordability to the public. With a lifespan of five to six years and no maintenance requirements, the filter offers a cost-effective and durable solution. Each unit is priced at 25,000 soms (approximately $285), but as Salymbayev emphasizes, his primary motivation is environmental improvement rather than financial gain. “Earnings are not my priority. I want my grandchildren to breathe clean air. I am a patriot of my country,” Salymbayev said. If widely adopted, the technology could significantly reduce harmful emissions in Kyrgyzstan and serve as a model for eco-friendly innovation.

Healthcare

Criticism of Kazakhstan’s Health Insurance System Reaches Parliament

Members of Kazakhstan's Mazhilis (lower house of parliament) have voiced strong criticism of the country’s healthcare system, particularly the Social Health Insurance Fund, which they argue has lost public trust. Many citizens reportedly view the quality of medical services as unsatisfactory. Kazakhstan operates a system of compulsory social medical insurance, wherein doctors' services are funded through a combination of contributions from working citizens, their employers, and the state budget. These financial contributions are collected by the Social Health Insurance Fund, which then allocates the funds to medical institutions based on the volume of services provided to the population. Speaking in Parliament, Health Minister Akmaral Alnazarova defended the system, claiming that it has led to improvements in key health and demographic indicators since its introduction. “Today, 83% of Kazakhstanis are connected to the compulsory social health insurance system, 72% of whom are from vulnerable segments of the population. This demonstrates the availability of medical care in the country,” Alnazarova stated. However, Mazhilis Deputy Chairman Dania Yespayeva pointed out that despite increasing healthcare budgets, public satisfaction with medical services continues to decline. According to surveys, up to 47% of Kazakhstanis consider the quality of domestic healthcare to be poor. Deputy Askhat Aimagambetov echoed these concerns, accusing medical institutions of manipulating service statistics to secure additional funding from the Social Health Insurance Fund. He cited a case where a five-month-old child, who had not yet developed teeth, was recorded as having received dental services. Aimagambetov also claimed that hospitals sometimes charge the insurance fund for dozens of services provided to the same patient in a single day - an impossibility. “The financing system encourages such behavior because payments are based on the quantity of services rendered, not on the effectiveness of treatment. As a result, the [Social Health Insurance Fund] has become a de facto bank for the Ministry of Health. Citizens and doctors alike have become hostages of inconsistent and poorly planned reforms, while the availability and quality of care have deteriorated. The system remains underfunded, and the resources it does have are spent inefficiently,” Aimagambetov stated. He emphasized the need for stricter oversight of the reports submitted by medical institutions to the insurance fund for reimbursement. Currently, inspections cover only about 1% of these reports, a figure Aimagambetov described as insufficient. Public dissatisfaction with health care is also reflected in broader trends. As previously reported by The Times of Central Asia, approximately 5% of Kazakhstanis considering emigration cite access to better medical services abroad as a primary reason.