1. Russian and Kazakhstan Medical Facilities - Aug 2026_Amendment 2.pdf

This document is a reference table identifying Russian and Kazakhstan medical facilities used in support of Soyuz crew operations and training. The table lists medical facilities across multiple cities in Kazakhstan (Arkylik, Baikonur, Dzhezkazgan, Karaganda, Kostanay, Kyzylorda, and Astana) and Russia (Moscow and Star City), including both government and private institutions ranging from regional hospitals to specialized research and surgical centers.

The document provides contextual notes on facility usage related to Soyuz operations. Baikonur, Kazakhstan serves as the primary launch site for Soyuz crew launches to the International Space Station. Karaganda and Dzhezkazgan are used frequently for aircraft staging in support of southern Soyuz landing zones, while Kostanay and Arkylik support northern landing zone operations. Kyzlorida is designated for aircraft staging related to 61S landings. Noginsk Central Hospital in Russia is identified as the closest medical facility to Soyuz water survival training locations. The facilities listed represent the medical infrastructure available to support crew medical needs across the Soyuz program's operational geography.