artur buyuklyanov is responsible for the logistics. >> this is a mountainous region. the people generally live at an altitude of over two thousand five hundred meters. and there are extreme temperature fluctuations. that's why such regions feel the negative impacts of climate change the most. >> senior consultant muratbek aliyaskarov works under tough conditions. there are only 150 beds in this clinic for the entire region. an increasing number of patients are suffering from circulation problems or infectious diseases. the weather extremes are to blame. the number of people falling ill is rising every year. last winter was unusually long and spring has been too wet so far. the farmers at the at-bachi market are worried about their next harvest. zhildisbek kaparov has begun sowing late because the fields and meadows are still wet. he's worried that he won't have enough fodder for his horses. >> the weather's changing. last year for example we had the harvest, we hadn't yet taken in the hay. suddenly one day in fall, we had our first snow. it covered everything. and we