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Surprisingly enough, the coal-mining Karagandy region in Central Kazakhstan with a total population of 1,, residents and HIV cases registers on the top of the list of the most infected areas, whereas the most densely populated South Kazakhstan 1,, residents has only cases to report. Second on the list is Pavlodar region in the North, where the population barely totals , Nevertheless, cases of HIV-infections were detected in that region. This indicates that the assumption that HIV-infection occurs almost exclusively in densely populated areas may be wrong.
More than half of the HIV-infected people, persons, are unemployed residents of Kazakhstan, and only people with fixed or seasonal employment are listed among the infected with HIV. For one thing, it does not include the socially marginalized high-risk groups such as prostitutes, homosexuals and drug addicts.
Inconceivable as it may appear, official health centers and authorities in the regions are reluctant to even recognize the fact of the existence of homosexuals and lesbians in Kazakh society. In traditional Kazakh community governed for centuries by Islamic laws, pre-marital sex, abortion and even divorce, whatever may be the reason, are considered the most shameful acts.
For centuries, this puritan mindset served as deterrent against sexual promiscuity, which, in the eyes of the Muslim population of Kazakhstan, emanates solely from Western culture.
Hence the widespread fear of being stigmatized as outcasts among the Kazakhs infected with HIV, particularly women, who in cases of contracting AIDS or extra-marital childbirth are often ostracized from their families. For reasons of Islamic ethics, anti-AIDS campaigners and volunteers cannot simply go to Kazakh villages to teach safe sex or distribute condoms. This old-age morality clashes with realities of today. Market economy has caused a host of social problems, impoverished rural areas, and also broken up traditional family units.