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Healthcare

Turkmenistan Strengthens Cooperation with IAEA to Equip New Cancer Center

Turkmenistan is deepening its collaboration with the International Atomic Energy Agency (IAEA) to advance nuclear medicine, as announced by Gurbanguly Berdimuhamedov, Chairman of the Halk Maslahaty (People's Council). The announcement came during his visit to the construction site of the new International Scientific and Clinical Center for Oncology in Ashgabat, as reported by the TDH news agency. Berdimuhamedov highlighted the importance of consulting with IAEA experts to ensure the center’s safe operation, particularly in handling radioactive waste. He stressed that equipping the facility with state-of-the-art technology is essential for meeting high standards in cancer treatment. The new center, under construction in the Choganly district in northern Ashgabat, will have a capacity of 500 beds. It will feature specialized departments for the diagnosis, treatment, and rehabilitation of cancer patients. Berdimuhamedov also emphasized the need to develop highly skilled medical personnel for the center. Medical professionals will be offered training opportunities in leading international clinics and encouraged to collaborate with foreign specialists. The facility aims to build strong partnerships with specialized medical institutions both within Turkmenistan and abroad. “International cooperation, particularly with the IAEA, is vital in the fight against cancer. Strengthening these ties is a key factor in the effective operation of the new center,” Berdimuhamedov stated. The oncology center is set to greatly enhance Turkmenistan’s healthcare system by providing advanced cancer care and contributing to global progress in nuclear medicine and cancer research.

Public Security

Kazakhstan Considers Body Cameras for Ambulance Workers Amid Rising Violence

Kazakhstan’s Health Minister, Akmaral Alnazarova, has announced that her ministry is exploring the possibility of equipping ambulance doctors and paramedics with body-mounted video cameras to address the increasing aggression against medical workers. Over the past four years, more than 150 incidents of attacks on ambulance personnel have been reported in the country. “We are considering equipping our employees with video tags, similar to the devices used by law enforcement agencies. This issue will be regulated normatively, and I believe it is not so difficult to implement,” Alnazarova told reporters during a parliamentary session. Kazakhstani patrol officers have used body-mounted video recorders since 2017 to ensure accountability in law enforcement and to prevent corruption. For ambulance workers, the cameras aim to protect employees and document incidents of violence. According to the Ministry of Health, 158 medical workers were injured while performing their duties between 2019 and 2023. The urgency of this measure was highlighted by a recent incident in the town of Kostanay, where a paramedic was assaulted by relatives of a deceased patient. The assailants, against whom a criminal case has been opened, allegedly obstructed resuscitation efforts. The paramedic suffered a concussion and required hospitalization. Alnazarova previously stated on her Instagram page that her ministry, with the support of lawmakers, has initiated measures to introduce criminal liability for acts of violence against medical workers. “Such crimes must be met with fair punishment, including restrictions on freedom and condemnation by society. We must send a clear message: violence against medical workers is unacceptable and will not go unpunished.”

health security

Justice for Veterans: U.S. Acknowledges Cancer Cases Tied to Service at Uzbekistan’s K2 Base

Thousands of American veterans who served at Uzbekistan’s K2 airbase have reported rare cancers and diseases - but only now, more than two decades later, is the U.S. government taking steps to address their dire situation. The U.S. Department of Veterans Affairs (VA) has announced plans to include bladder, urinary tract, and genitourinary cancers as conditions presumed to be linked to service at Uzbekistan’s Karshi-Khanabad airbase, known as K2. In 2001, the U.S. military moved into K2, a former Soviet airbase, to support a series of operations named “Enduring Freedom” which were purportedly aimed at tackling terrorism and Al-Qaeda in the wake of 9/11. However, in addition to the threat of terrorism, the troops faced another danger: the toxic environment. Reports from the base describe exposure to chemicals and radioactive materials. Soldiers recalled an underground “black bubble,” glowing lakes, and a chemical odor lingering in the air. [caption id="attachment_26149" align="aligncenter" width="634"] Image: Stronghold Freedom Foundation[/caption] The Karshi-Khanabad airbase was heavily used by the Soviet military during its operations in Afghanistan from 1979 to 1989, when it served as a site for producing, storing, and testing various weapons, including chemical weapons. The base also stored fuel, solvents, and other harmful substances. Additionally, it became a dumping ground for toxic waste, asbestos, enriched uranium, and other hazardous materials. Spills of these substances were frequent, leaving lasting environmental damage. Before the U.S. occupied K2, the destruction of Soviet-era missiles left some soil contaminated with low-level radioactive depleted uranium. The destruction of Soviet missiles was part of disarmament obligations under the 1987 Intermediate-Range Nuclear Forces (INF) Treaty. A 2001 survey found traces that could be harmful if inhaled, and a 2002 assessment confirmed small amounts of uranium, identified as non-U.S. depleted uranium, outside Camp Stronghold Freedom’s perimeter. The affected area was covered with clean soil, fenced off, and marked as off-limits in November 2001. Furthermore, approximately 392 chemical compounds were found at the K2 Air Base. Thousands of military personnel who served in K2 suffered from severe illnesses, including rare forms of cancer, associated with their time at the base. However, over the years, the U.S. government and the VA have delayed recognition of the link between service in K2 and these health issues, leaving many veterans without adequate support. [caption id="attachment_26150" align="aligncenter" width="1140"] Image: Stronghold Freedom Foundation[/caption] According to the Stronghold Freedom Foundation, K2 veterans are 500% more likely to get cancer than other veterans - 75% of U.S. service members deployed to Uzbekistan alone have developed at least one type of K2-related illness. On November 11, President Joe Biden announced an expansion of the PACT Act (Promise to Address Comprehensive Toxics Act), a law he signed in August 2022 to improve healthcare for veterans exposed to toxins. President Biden stated that the act has already helped over a million veterans and their families access benefits. Under new efforts, the VA will add bladder cancer, ureter cancer, multiple myeloma, and certain types of leukemia to the list of presumptive conditions. This expansion applies...

Healthcare

Kyrgyz Health Ministry Pushes for Laws to Shield Medics from Violence

The Kyrgyz Ministry of Health has called for amendments to the country’s criminal code to establish a legal framework protecting medical professionals from violence by citizens. The proposed measures aim to address a growing concern for the safety of doctors, nurses, and other healthcare workers. “Violence against medical workers is a serious problem that requires immediate action,” the ministry stated in its justification for the bill. “Doctors, nurses, and other staff face physical aggression from patients, relatives, or even bystanders. This threatens the health and lives of medical personnel and disrupts the normal functioning of healthcare institutions.” The ministry emphasized that threats or acts of physical harm create a stressful work environment, distract medical workers from their duties, and may lead to errors in diagnosing and treating patients. Proposed Penalties The Ministry of Health outlined specific punishments for various forms of violence and disrespect toward medical workers: • Minor harm: A fine of up to 100,000 KGS ($1,200), correctional labor for six months to one year, or deprivation of the right to hold certain positions. • Severe harm: A fine or imprisonment for one to three years. Additionally, the ministry seeks penalties for disrespectful or insulting behavior toward doctors. This includes demonstrating obscene gestures, verbal abuse, or indecent conduct, which could also result in fines or correctional labor. Growing Concerns Healthcare workers in Kyrgyzstan have long faced violence in their workplaces. After several incidents of attacks on doctors by patients and their relatives, the National Hospital implemented stricter security measures, including the installation of panic buttons and video surveillance cameras. Medical professionals have voiced the need for stronger protections to ensure a safer working environment. The proposed amendments aim to deter violence and foster greater respect for those who provide critical healthcare services.

Social protection

Uzbekistan Engages Elders in Poverty Alleviation Efforts

In a unique initiative, Uzbekistan is involving community elders as mentors to support poor families. This program, outlined in a decree by President Shavkat Mirziyoyev, seeks to reduce poverty and enhance living conditions for disadvantaged populations. Empowering Through Mentorship Under the “From Poverty to Prosperity” program, elders will mentor families in agricultural practices, promoting self-sufficiency through farming. The initiative also assists families in renting mobile stores and obtaining equipment to start small businesses. In addition to economic support, the program encourages healthy living. Mentors will educate families about balanced diets, physical activity, and disease prevention. Elders will also engage citizens in community service and address child-rearing issues within impoverished households. This approach combines the efforts of the state, society, and active citizens, creating a unique model of community-driven poverty alleviation in Uzbekistan. Comprehensive Anti-Poverty Measures The “From Poverty to Prosperity” program aims to lift 500,000 people out of poverty by the end of 2024 and an additional 1 million in 2025. In September 2024, Mirziyoyev approved initiatives focused on entrepreneurship, vocational training, and infrastructure development in low-income areas. In 2025, $1.6 billion will be allocated to infrastructure projects, including installing water pumps and solar panels in 300 underdeveloped neighborhoods. These measures aim to unlock the potential of citizens while encouraging personal responsibility for wellbeing.

Society

Unified Digital Health System to Transform Kyrgyzstan’s Healthcare

The United Nations Office in Kyrgyzstan, in collaboration with the Ministry of Health, has launched a program to create a unified digital health system in the country. The Ministry of Health stated that the digitization initiative aims to harmonize Kyrgyzstan’s healthcare system. By providing easier access to medical information, the program is expected to expedite the delivery of medical services, even to the most remote and underserved communities. As part of this effort, specialists will enhance government e-services and telemedicine. According to the UN, the project will require an investment of over $4 million, and is scheduled to run until 2027. “One of the key features of the program is to improve the digital health profile, giving citizens access to information about their health,” the Ministry of Health noted in a press release. The authorities plan to integrate a unified registry of citizen vaccinations, which currently holds approximately 3 million records, with a national electronic medical records platform. The program will also focus on supporting vulnerable groups. For example: • 120,000 people will receive digital disability certificates; and • 280,000 people will gain access to digital sick leave documentation, reducing hospital queues and making medical services faster and more convenient. Telemedicine will be expanded to 10 districts, offering medical consultations to more than 700,000 children under the age of 14. Additionally, 60 healthcare facilities will provide specialized care to 140,000 mothers and newborns, all connected to the unified electronic health records (EHR) platform. “This digital health initiative is an important step forward for Kyrgyzstan. By improving access to important medical information, we can make healthcare more efficient and improve outcomes for all,” said Bakyt Dzhangaziev, Deputy Minister for Digital Development of Kyrgyzstan. UN Resident Coordinator in Kyrgyzstan Antje Grave added: “Digital technologies are transforming our world, opening up new opportunities. It is necessary to bridge the digital divide between countries, promote the goals of sustainable development, and ensure that no one is left behind.” The program is being implemented with support from international organizations, including the World Health Organization (WHO), UNICEF, the UN Population Fund, and the UN Development Programme (UNDP).