This report summarizes the findings of a field visit to Kzyl Orda, Novokazalinsk, and Aralsk in the Kzyl Orda Oblast in western Kazakhstan during November, 1994 by anEnvironmental Policy and Technology (EPT) Project team. the purpose of the trip was to rapidly assess among people who live in the above areas the health problems, priorities, and needs that are related to water and sanitation, and to recommend health education programs and services relative to these needs, including training to implement this. Thisproject is part of the program as defined in the Memorandum of Understanding executed on 18 April 1994 between the Governments of the United States and Kazakhstan to"promote improved environmental health" in the Aral Sea disaster zone of Kazakhstan".