For the 150,000 people with hearing disabilities in Kazkhstan, it can, indeed, be a silent, lonely existence. Services for the deaf and understanding of support are still a challenge in many areas, particularly those living in poverty. Some grow up never learning any formal sign language because their families are unable to access support. Our Christmas cards in 2016 were made by deaf and hearing impaired young adults. They carefully crafted the cards’ hand-made components, drawing on cultural elements traditional to the region and even the humour with which, despite life’s difficulties, they wonderfully embed in their craft.

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