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Visas: Many Kyrgyz embassies now issue visas without letters of support. If you arrive with only a Russian or Kazak visa, you can stay 72 hours, during which time you might be able to get a Kyrgyz visa in Bishkek. All foreigners staying in the country for more than three days are expected to register with the Office of Visas & Regulations, preferably in Bishkek. A stamp from Bishkek is good for the whole country and normally lasts a month.
Health risks: Hepatitis A & E, diphtheria, undulant fever, altitude sickness, and tuberculosis. Play it safe and don't drink the water even if locals say it's OK to drink.