An Unhealthy Place to Live: Prioritizing Public Health and Addressing Environmental Contamination in Karakalpakstan

Abstract

This chapter provides a brief overview of our understanding of major public health challenges and environmental concerns in Karakalpakstan today, and highlights questions that still remain unanswered. As seen in the case of Muynak, the fishing town on the southern edge of the former Aral Sea, ecological disasters do not happen alone – they spur socioeconomic disasters that only heighten the health disasters. The loss of the sea, the loss of local livelihoods, and mass out-migration of the population, along with economic depression following the collapse of the Soviet Union, have adversely affected the community living in Muynak. They face major public health challenges, such as tuberculosis, multidrug resistant tuberculosis, and anemia as a result of their impoverishment. The desiccation of the Aral Sea is but one of the many disasters linked to intensive cotton cultivation in Uzbekistan. Pesticide contamination and the salinization of drinking water in Karakalpakstan are yet other environmental disasters that further threaten the health of the population and of future generations. Currently, there is an urgent need for greater international involvement and collaboration with Uzbeks to reverse the poor public health trends and to study the extent of environmental contamination in communities across Karakalpakstan, in order to reduce the health threats presented by these.

Citation

Lall, R. (2012), "An Unhealthy Place to Live: Prioritizing Public Health and Addressing Environmental Contamination in Karakalpakstan", Edelstein, M.R., Cerny, A. and Gadaev, A. (Ed.) Disaster by Design: The Aral Sea and its Lessons for Sustainability (Research in Social Problems and Public Policy, Vol. 20), Emerald Group Publishing Limited, Leeds, pp. 261-274. https://doi.org/10.1108/S0196-1152(2012)0000020027