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.

Decrease of saline lakes, which comprise 44% of all available lake water, is a major concern. It additionally accelerates the desertification process of the region. Thus, various countries have taken different actions in protecting their lake water levels. The aim of this paper is to assess different strategies directed to tackle the decreased lake water levels in Lake Urmia and the Aral Sea, which split into the North Aral Sea and South Aral Sea. These are among the world’s largest and fastest drying saline lakes observed in the past 50 years and have both reduced to 10% of their original size. The paper presents a thorough review of academic reports, official documents, and databases. Although the dry-up of a lake is a natural process, it has been sped up by human interventions in the hydrological cycle. Dust storms (strong winds) cause problems in the surroundings. In the case of the Aral Sea, they transmit the pollutants from the dry lake bed causing severe health issues. Various strategies were implemented to manage the socio-economic conditions caused due to the drying of lakes. The strategy implemented for the North Aral Sea was to restore the lake by reducing the water withdrawals from the Syr Darya river, which lead to increased water inflow to the sea. The suggested strategy for Lake Urmia was to restore the lake by water transfer activities from various water sources. These projects have not yet been realized. The strategy implemented for the South Aral Sea was to use a dry lake bed to diversify the economy by oil and mineral extraction along with developing a tourist industry based on the considerable interest to come and observe an ecological disaster of such monumental proportions. These findings show that there is no common best solution for this type of problem. The best fit depends on the local context and it is strongly path-dependent.

Decrease of saline lakes, which comprises of 44% of all the available lake water, is a major concern. It additionally brings to desertification process to the region. Thus, various countries have taken different actions in protecting their lake’s water level. The aim of this paper is to assess different strategies directed to tackle the decreasing saline lake water levels. Lake Urmia and the Aral Sea which split into North Aral and South Aral were among the world's largest saline lakes and now have reduced to 10% of their original size. A thorough review of academic reports, official documents and databases were considered. Although the dry-up of the lake is a natural process, it has been sped up by human interventions in the hydrology cycle. Dust storms (strong winds) in the case of the Aral Sea, transmit the pollutants from dry lake surface which initially accumulated in the lakebed causing severe health issue. Various strategies were implemented to manage the socio-economic conditions caused due to the drying of lakes. The strategy implemented for the North Aral Sea was to restore the lake by reducing the water withdrawal from tributary rivers which leads to increased water level in the sea. The strategy implemented for Lake Urmia was to restore the lake by water transfer activities from neighbouring water sources which until now show no increase in water level. The strategy implemented for the South Aral Sea was to use a dry lakebed to diversify the economy by oil and mineral extraction which shows the adaptation to the environmental conditions with no restoration strategy. As a conclusion, it is found that there is no common best solution for this kind of problem. The best fit depends on the local context and it is strongly path dependent. Keywords: Drying saline lake; Dust storms; Aral sea; Health impacts; Lake Urmia; Restoration of saline lake; Strategies.