Abstract:Even though Central Asia is water rich, water disputes have characterized the region after crumbling of the Soviet Union in 1991. The uneven spatial distribution and complex pattern of transboundary water sources with contrasting national water needs have created an intricate water dilemma. Increasing national water needs, water claims by surrounding countries, uncertainties in renewable water volumes, and effects of climate change will put further strain on the future water use in Central Asia. We argue that the present power distribution with three downstream hegemons (Kazakhstan, Turkmenistan, and Uzbekistan) and two upstream much poorer countries with less political influence (Kyrgyzstan and Tajikistan) is not likely to lead forward to a greater willingness to share water. We discuss this situation with the analogue Egypt-Sudan-Ethiopia in the Nile Basin. Thus, as in the case of Ethiopia in the Nile Basin, gradually economically stronger upstream countries Kyrgyzstan and Tajikistan due to hydropower development are likely to eventually re-define the hydropolitical map of Central Asia. As in the case of the Nile Basin, a more even power balance between upstream and downstream countries may lead to an improved political structure for a much needed better collaboration on water issues.

Central Asia is one of the regions with the highest probability of conflicts over water. Kazakhstan is the main Central Asian economic power and therefore it is important to understand how the country's water management policy is influencing water availability in the other Central Asian states. Already, the Central Asian economies are developing under increasing water deficiency, resulting in developmental problems. The main reasons for this are increasing political tensions and worsening ecological and socioeconomic conditions. Kazakhstan was the first country in Central Asia to develop the prerequisites for a transition towards integrated water resources management (IWRM). Therefore, Kazakhstan has potential to lead the development of transboundary water integration between all Central Asian states. A scenario for successful regional cooperation on water management in Central Asia involves establishing legal mechanisms for water management following international water law, assistance by international agencies and donors, and integrated social, economic and environmental methodology.

Once one of the largest saline lakes, the Aral Sea, was recognized as a significant environmental disaster as the water level decreased dramatically. Water level decrease increases water salinity, affecting biodiversity. Exposed lake beds become the source for fine dust picked up by the dust storms and spread across a long distance, affecting people’s health in surrounding areas. This review paper attempts to evaluate the potential links between the Aral Sea shrinking and the existing health issues in the case of Kazakhstan. The literature-based research revealed that the population of the Aral Sea basin region has been suffering from exposure to various pollutant residues for a long time. There is an apparent increase in morbidity and mortality rates in the region, especially in people suffering from chronic illness. Furthermore, the catastrophic desiccation of the Aral Sea has led to the sharp deterioration in living conditions and negative trends in the socio-economic situation of the region’s population. While the dust storms spread the polluted salts from the exposed bottom across the Aral Sea region, specific contaminants define the relevance and importance of public health problems linked to the basin rather than the Aral Sea drying process. There is, however, no clear evidence that associated dust storms are the only primary source of the deterioration of people’s health. Moreover, One Health approach seems to play a crucial role in achieving better outcomes in the health of people and the health of the environment.