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Nipah Virus

Kyrgyzstan Bans Animal Imports from India to Prevent Nipah Virus Spread

On January 28, Kyrgyzstan’s Veterinary Service imposed temporary restrictions on the import of live animals and animal products from India in response to confirmed cases of Nipah virus infections. According to the World Health Organization (WHO), Nipah virus is a severe zoonotic disease transmitted to humans through contact with infected animals, such as fruit bats or pigs, or through consumption of food contaminated by bat secretions. Human-to-human transmission is also possible through close contact. The virus has an estimated case-fatality rate of 40% to 75%. Two confirmed cases of Nipah virus were reported in late December in India’s eastern state of West Bengal. Both infected individuals were healthcare workers. Following these reports, authorities in Thailand, Singapore, Hong Kong, and Malaysia intensified airport screenings to contain the risk of cross-border transmission. Kyrgyzstan’s Ministry of Health has issued a statement urging the public to remain calm, noting that no cases of Nipah virus have been registered in the country. The ministry assured that the healthcare system is prepared to respond swiftly to potential epidemiological threats. As a preventive measure, sanitary and quarantine controls have been tightened at Kyrgyzstan’s border crossings. The ministry continues to collaborate with the WHO and other international partners to monitor developments and coordinate containment efforts. In neighboring Kazakhstan, the Ministry of Health issued a similar statement confirming that no cases of Nipah virus infection have been detected and that the epidemiological situation remains under control. As a precaution, Kazakhstan has also enhanced screening procedures at all border checkpoints, with special attention to travelers arriving from India and Southeast Asia.

Healthcare

Vaccine Refusals Nearly Quadruple in Kazakhstan Over Eight Years

The number of vaccine refusals in Kazakhstan has surged nearly fourfold over the past eight years, according to Sarkhat Beisenova, Chair of the Sanitary and Epidemiological Control Committee at the Ministry of Health. Speaking at a recent briefing, Beisenova said the rise in vaccine hesitancy reflects a broader global trend that has also taken hold in Kazakhstan. “If we compare with 2017, the number of refusals has increased by a factor of 3.8. At that time, around 5,300 individuals declined vaccination; this year, nearly 20,000 have already been registered. The increase is evident,” she said. Beisenova noted that refusals span all types of vaccinations, except for flu shots, which, she said, no one has refused this year. As part of the country’s guaranteed volume of free medical care, the government purchased 2.1 million doses of the Grippol+ influenza vaccine, enough to cover about 11% of Kazakhstan’s 20.5 million population. So far, 1.9 million people, or 9.4% of the population, have been vaccinated. Free flu vaccination is offered to vulnerable groups, including healthcare workers, children with chronic illnesses, orphans, seniors over 65, people with disabilities, military personnel, pregnant women, and patients with cardiovascular or respiratory conditions. “The World Health Organization forecasts that three strains of influenza, A (H1N1), A (H3N2), and B, will be dominant this season. All are included in the vaccine, which offers protection against severe forms of the disease,” Beisenova emphasized. Since the start of the flu season, Kazakhstan has recorded 84 cases of COVID-19, alongside 150,600 cases of acute respiratory viral infection (ARVI) between October 30 and November 5. Since the beginning of autumn, the total has reached 1.2 million ARVI cases. Laboratories have also confirmed 304 cases of influenza A (H3N2), with 173 occurring in children under the age of 14. This year, the virus began circulating earlier than usual: the first cases appeared in early October, whereas last year’s outbreak began in November. According to Beisenova, this year’s strain is not new but consistent with typical seasonal influenza patterns. Annually, Kazakhstan registers up to 4 million ARVI cases and around 2,000 cases of influenza, the Ministry of Health reported. As previously reported by The Times of Central Asia, this year Kazakhstani citizens have also faced medicine shortages and a sharp rise in drug prices.

Demographics

Kazakhstan’s Aging Population: Analysts Warn of Healthcare and Economic Risks

Kazakhstan is undergoing a rapid demographic shift as its population ages at an unprecedented pace. According to a recent study by Ranking.kz, the number of citizens aged 60 and above is growing by 3-4% annually. As of early 2025, Kazakhstan had 2.8 million residents over the age of 60, an increase of 3.7% compared to the previous year. Seniors now make up 13.9% of the population, up from 12% in 2020 and 9.8% in 2010. The average annual growth rate for this age group has remained steady at around 3.8% since 2010. The gender disparity is notable: 16.4% of women in Kazakhstan are over 60, compared to just 11.3% of men. This demographic shift is largely driven by increasing life expectancy. In 2024, life expectancy in Kazakhstan reached 75.44 years, up from 75.1 the previous year. Women live an average of 79.42 years, while men live 71.33. The only recent decline in life expectancy occurred during the COVID-19 pandemic. The trend mirrors global developments. According to data from the IMF, UN, and WHO, global life expectancy has more than doubled over the past century from just 34 years in 1913 to 72 years by 2022 and continues to rise, even as fertility rates fall. When the UN and WHO were founded, children under 15 outnumbered people over 65 by seven to one. By 2050, the two groups are projected to be equal. The proportion of people aged 80 and older is expected to nearly quadruple, reaching 5% of the global population. “These shifts foreshadow a vast array of problems in healthcare, as well as in the social and economic spheres,” IMF analysts caution. Experts warn that aging will reshape Kazakhstan’s labor market, change consumption patterns, and place mounting pressure on the pension system. Like many other countries, Kazakhstan faces the challenge of balancing support for its growing elderly population with the need to sustain long-term economic development.

Healthcare

Maternal and Infant Mortality Rates Continue to Decline in Kazakhstan

Kazakhstan's Health Minister Akmaral Alnazaraeva has announced further reductions in maternal and infant mortality rates, although some regions are showing a troubling reversal of the trend. Speaking at a recent government meeting, Alnazaraeva attributed the improvements to the adoption of recommendations from the World Health Organization (WHO) and UNICEF. In 2024, maternal mortality declined by 12 percent to 10.1 deaths per 100,000 live births, while infant mortality dropped by 11 percent to 6.88 deaths per 1,000 live births. The positive trend continued into the first half of 2025, with maternal mortality falling by another 10 percent and infant mortality by 26 percent. The minister noted that clinical protocols in obstetrics and pediatrics have been revised nationwide. Since June 2024, tariffs for obstetric and pediatric services, including childbirth, surgeries, and neonatal care, have been increased. These changes have improved access to expensive medications, reduced the debt burden of medical institutions, and helped attract qualified specialists to the sector. The Health Ministry also highlighted the expanded role of air ambulance services, which have saved 96 percent of women in labor and their newborns in remote areas. In 2025, for the first time, medications for pregnant women with conditions such as pyelonephritis, diabetes, and hypertension were added to the list of free drugs. To improve rural maternal care, "Salaawatty Ana" (Healthy Mother) boarding houses have opened in Turkestan, East Kazakhstan, and Akmola regions. These facilities offer pre-hospital care and postnatal rehabilitation for women with complicated births, with their effectiveness monitored in real time by regional situation centers. Kazakhstan is also making strides in healthcare digitalization. The electronic child health passport, now mandatory for kindergarten and school enrollment, has been introduced nationwide. A monitoring system for early detection of pediatric health problems has been deployed, and a digital health profile is being developed for every child under 18. Despite overall national progress, the minister acknowledged rising maternal mortality in Akmola, Zhambyl, Aktobe, Kostanay, Zhetysu, and Abai regions. Infant mortality has also increased in Kostanay, West Kazakhstan, Zhambyl, Abai, and Zhetysu. The situation is most severe in Akmola, where maternal mortality is seven times the national average. Key factors include severe extragenital conditions, obstetric complications, congenital malformations, and neonatal respiratory disorders. In response, stricter regulatory oversight will be introduced starting in September 2025. The Medical and Pharmaceutical Control Committee will be granted new powers to suspend the licenses of medical facilities and dismiss uncertified personnel. Qualification standards will be raised, and patient support services will be expanded. As previously reported by The Times of Central Asia, Kazakhstan continues to experience a steady decline in birth rates despite government efforts to encourage demographic growth.

life expectancy

Kazakhstan Among Top Ten Countries in Reducing Premature NCD Mortality

Kazakhstan has become the first country in Central Asia and one of only ten in the World Health Organization’s (WHO) European Region to meet the target of reducing premature mortality from noncommunicable diseases (NCDs) by 25% by 2025, according to the Ministry of Health. The data is based on the WHO Regional Office for Europe’s latest report, Preventable Mortality, Risk Factors and Strategies for Responding to NCDs. The ten countries recognized for achieving this milestone are Belgium, Denmark, Israel, Kazakhstan, Luxembourg, the Netherlands, Norway, Switzerland, Sweden, and Estonia. “These countries have implemented the most effective WHO strategies, reduced risk factor prevalence, and strengthened healthcare systems, resulting in a consistent annual decline in deaths from preventable and treatable NCDs, particularly cardiovascular diseases and cancer,” the report states. Kazakhstan’s efforts in these two areas were specifically highlighted. Kazakhstan’s progress has focused on prevention, early diagnosis, expanded treatment access, and improved survival outcomes. WHO monitoring shows the country has implemented 50% of recommended NCD control measures and conducted its first national STEPS survey, a WHO-endorsed standard for assessing NCD risk factors, significantly bolstering public health capabilities. In response to the high burden of cardiovascular disease, Kazakhstan has increased the number of catheterization laboratories from 31 to 49 between 2017 and 2024, and opened 83 stroke centers, substantially reducing stroke-related mortality and disability rates. The country has also made significant progress in high-tech medical interventions. Since 2012, more than 600 ventricular assist devices have been implanted, and in 2025, Kazakhstan performed its 100th heart transplant. In 2024, it became the first country in the CIS and Central Asia to introduce a new technology for treating cardiac arrhythmias. The state health program also includes screenings for eight major diseases, including hypertension, ischemic heart disease, diabetes, and various cancers. By the end of 2024, 70% of the targeted population had been screened for breast and colorectal cancer. As a result of these initiatives, life expectancy in Kazakhstan rose from 74.44 years in 2022 to 75.09 years in 2023. Kazakhstan has also aggressively addressed behavioral risk factors. It enforces some of the region’s strictest anti-smoking laws, including public smoking bans, graphic warnings, tobacco taxes, advertising restrictions, and a complete ban on electronic cigarettes and vapes. Over the past decade, smoking rates have declined by 20%. To reduce sugar consumption, the government banned the sale of sweetened beverages in schools and, in 2024, passed legislation prohibiting energy drink sales to individuals under 21. As previously reported by The Times of Central Asia, Kazakhstan plans to fund health insurance for over one million unemployed citizens starting in 2026.

Energy

Tajikistan’s Energy Paradox

Tajikistan stands out among developing countries for having achieved near-universal access to electricity by 2022. This milestone, documented in the international SDG7-2025 report by the UN, World Bank, WHO, IEA, and IRENA, places the country alongside Eastern European and South Caucasus states in electrification. However, beneath this achievement lie persistent vulnerabilities, particularly in rural and mountainous regions, where winter brings regular power outages due to seasonal dips in hydropower generation and surging demand. Firewood and Coal Still Dominant Despite near-total electrification, Tajikistan remains significantly behind in access to clean cooking fuels. Fewer than 40% of the population use modern, safe technologies. In villages, the majority of households still rely on coal, firewood, or even manure for heating and cooking, practices that pose serious environmental and health risks, especially for women and children. Tajikistan’s power sector is heavily dependent on hydropower, which accounts for over 90% of electricity production. While this results in low CO₂ emissions, it also creates structural vulnerabilities. Climate change and glacial retreat threaten the reliability of this single energy source. Meanwhile, the potential of solar and wind energy remains largely untapped due to a lack of investment, insufficient institutional frameworks, and limited support for decentralized energy projects. Lagging in Energy Efficiency Tajikistan is one of the most energy-intensive countries in the region. Aging heating systems, poorly insulated buildings, and inefficient technologies in agriculture and industry all contribute to this inefficiency. The SDG7 report emphasizes the need to upgrade buildings and adopt energy-saving technologies. Some progress has been made: with assistance from the European Bank for Reconstruction and Development (EBRD), thermal upgrades are underway in schools and hospitals. In 2021, Tajikistan received approximately $100 million in international support for energy projects, most of it allocated to hydropower. Major donors include the World Bank, the Asian Development Bank (ADB), and various UN agencies. However, investment in solar and wind energy, as well as broader energy efficiency initiatives, remains negligible. Experts are urging international partners to revise their priorities and fund projects that directly improve living standards, particularly in remote and rural areas. A Regional Disparity in Investment The pace of energy transition varies across Central Asia. While electrification is largely complete, access to clean cooking fuels remains uneven. Tajikistan and Kyrgyzstan are notably behind in this area. In contrast, Uzbekistan has emerged as a regional leader, securing the bulk of international energy investment. Uzbekistan, on the contrary, entered the top five world leaders in attracting investments in green energy. Globally, progress toward Sustainable Development Goal 7 (SDG 7) is slowing. As of 2022, 91% of the world’s population had access to electricity, but over two billion people still rely on harmful fuels for cooking. Energy efficiency improvements are lagging, advancing at just one-quarter of the pace needed to meet 2030 targets. Charting a Path Forward Experts recommend three immediate priorities for Tajikistan. First, scaling up decentralized solar and wind energy projects. Second, investing in the energy efficiency of buildings and infrastructure. Third, expanding access to clean cooking fuels through...