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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...

Healthcare

Turkmenistan Works With WHO on Healthcare Upgrades

Turkmenistan and the World Health Organization went through a delicate period during the pandemic, when the Turkmen government said there had been no COVID-19 cases in the country. The global health agency didn’t publicly challenge the claim, which was met with widespread international skepticism. While Turkmenistan retains many of the tight controls on information that were in place at the height of the pandemic, its relationship with the World Health Organization, or WHO, has evolved into one of closer cooperation aimed at bringing parts of the country´s health system into line with international practices. In the latest initiative, WHO experts and laboratory specialists in Turkmenistan held an emergency planning workshop in Ashgabat this month, according to the health agency. The May 19-23 event focused on topics including emergency planning and the safe transport of infectious substances. “By investing in expertise and preparedness, Turkmenistan continues to strengthen its preparedness for public health emergencies,” the World Health Organization said on Instagram. Since the COVID-19 crisis, WHO specialists have also visited Turkmenistan to help with its pandemic planning and preparedness, in just one element of a broader plan to modernize the health system of one of the most closed countries in the world. Even today, the impact of the pandemic in Turkmenistan is not fully known because of limited public information. At the time, authorities implemented measures such as obligatory masking, restrictions on travel, and the closure of borders. There were, however, reports of people in Turkmenistan suffering symptoms similar to those seen during the spread of COVID-19 elsewhere. Other countries in Central Asia, meanwhile, confirmed that they had outbreaks. Some analysts speculated that a delegation that visited Turkmenistan during the pandemic didn’t directly address the government’s zero-case claim because it wanted to avoid any public fallout and was focused on maintaining access to the country and its health officials. Dr. Karen Nahapetyan, laboratory specialist at the WHO regional office for Europe, guided the Ashgabat workshop this month, according to the turkmenportal.com website. Nahapetyan recently worked on the international response to the Andes hantavirus outbreak on the cruise ship MV Hondius that killed three people. While technical coordination between WHO and Turkmenistan is advancing, some foreign advisories warn of the limits of the country’s healthcare system. The British Foreign Office advises travelers that it’s usually best to avoid anything other than basic or emergency care in Turkmenistan, especially outside Ashgabat.

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...

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.