1. KAZAKHSTAN HEALTH PROFILE
Meruert Rakhimova, MPH, MD, National Supercourse Director
for Kazakhstan, Kanat Shakenov, MPH, DMD and Supercourse’s Team

2. Authors:
Meruert Rakhimova – alumni of Kazakh National Medical University (general therapy, 1999); MPH-Graduate School of Public Health, University of Pittsburgh
Kanat Shakenov - graduate of Kazakh State Medical University (Dentistry, 2000); MPH-Graduate School of Public Health, University of Pittsburgh

3. Kazakhstan Geography MAP OF KAZAKHSTAN
Location: Central Asia, northwest of China
Area: total: 2,717,300 sq km land: 2,669,800 sq km water: 47,500 sq km Area--comparative: slightly less than four times the size of Texas
Land boundaries: total: 12,012 km border countries: China 1,533 km, Kyrgyzstan 1,051 km, Russia 6,846 km, Turkmenistan 379 km, Uzbekistan 2,203 km note: Kazakhstan borders the Aral Sea (1,015 km) and the Caspian Sea (1,894 km)
Climate: continental, cold winters and hot summers, arid and semiarid Terrain: extends from the Volga to the Altai Mountains and from the plains in western Siberia to oasis and desert in Central Asia
Elevation extremes: lowest point: Vpadina Kaundy -132 m highest point: Zhengis Shingy (Pik Khan-Tengri) 6,995 m Natural resources: major deposits of petroleum, natural gas, coal, iron ore, manganese, chrome ore, nickel, cobalt, copper, molybdenum, lead, zinc, bauxite, gold, uranium
Land use: arable land: 12% permanent crops: 11% permanent pastures: 57% forests and woodland: 4% other: 16% (1996 est.) Irrigated land: 22,000 sq km (1996 est.)
Natural hazards: earthquakes in the south, mudslides around Almaty Environment--current issues: radioactive or toxic chemical sites associated with its former defense industries and test ranges are found throughout the country and pose health risks for humans and animals; industrial pollution is severe in some cities; because the two main rivers which flowed into the Aral Sea have been diverted for irrigation, it is drying up and leaving behind a harmful layer of chemical pesticides and natural salts; these substances are then picked up by the wind and blown into noxious dust storms; pollution in the Caspian Sea; soil pollution from overuse of agricultural chemicals and salinization from faulty irrigation practices

4. Economics and Health Indicators
1. GDP (2000): - purchasing power parity - $85.6 billion - real growth rate % - GDP per capita: purchasing power parity - $5, Total expenditure on Health (2000) – ~ 350 million dollars 3. Total expenditure on Health (1999) – 1.5-2% to GNP 4. Number of Physicians (2000) – 7.5 per 10, Inpatient care beds (2000) – 7.2 (per 1,000 population)
Your Comments

5. Life Expectancy at Birth (2000)
                                                            
Your Comments

6. Crude birth rate and death rate per 100,000 (years 1991-2000)
Your Comments

7. Age-specific death rate by sex and age (1997) deaths per 1,000
Total
0-4
5-14
15-24
25-34
Males 47 10 37 64
Fe-
males 33 7 14 21
35-44
45-54
55-64
65-74
75+
108
111
201
188
115 35 46
103
174
277
Your Comments

8. Deaths by major causes per 100,000 (2000)
TOTAL
Total
1,005.1
Diseases of the circulatory system
502.3
Neoplasms (malignant and benign)
130.4
Diseases of the digestive system
37.8
Diseases of the respiratory system
71.4
Infectious and parasitic diseases
34.5
Accidents, traumas, poisoning
141.1
Others
87.6
Your Comments

9. Maternal Mortality (years 1998-2000)
Your Comments

10. Infant Mortality Rate
deaths per 1,000 born
                                     
                                 
                                     
                                     
Your Comments

11. Morbidity Ranking The Top 10 health events causing morbidity in Kazakhstan – incidence per 100,000
3,617.3
3,434.4
10. Bone, muscle and connective tissue
3,688.5
3,933.2
9. Infectious and parasitic
3,773.4
3,361.0
8. Neurological
3,748.5
3,561.6
7. Accidents and poisoning
4,726.1
4,664.5
6. Skin+subcutaneous tissue
5,192.7
4,967.3
5. Ophthalmologic
6,270.2
6,320,3
4. Genitourinary tract
6,528.1
6,289.0
3. Cardiovascular
7,679.6
7,396.2
2. GI tract
24,719.3
22,636.7
1. Respiratory system
Incidence in 2000
Incidence in 1999
Disease
Your Comments

12. Major health risk factors in Kazakhstan:
High levels of alcohol and drug abuse
Poor quality of drinking water (in some areas)
High levels of unemployment
Your Comments

13. Useful Internet links related to health in Kazakhstan
Official web site of Kazakhstan (Background)
Republic of Kazakhstan Social Protection Project, supported by World Bank
targeting kindergarten age children
Maternal Health Around the World
Maternal Mortality in Asia

14. Useful Internet links related to health in Kazakhstan (cont’d)
Also some websites in Russian language:

15. This lecture is based on the following sources of information
Statistical report on health and health care in Kazakhstan for the year Ministry of Health, RK (2001).
Statistical report on health and health care in Kazakhstan for the year Ministry of Health, RK (2000).
CIA report on Republic of Kazakhstan –
Kazakhstan Demographic and Health Survey 1999.// Academy of Preventive Medicine, Almaty, Kazakhstan, Macro International Inc., Calverton, Maryland, USA.

16. Thank you for taking health profile Tour for Kazakhstan
Would you like to create your own country’s Health profile?
Send Your Countries Data’s
Set and your lecture will be
opened during next week!
Would you like to add your own slides
to Kazakhstan Health profile?
Please be sure that your original materials and data will be posted only with the mention of your name.
Send Your Slides with new or
updated information