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‘The Last Downer’: China and the End of Down Syndrome

With screenings for Down syndrome becoming more advanced, there are less and less babies being born with Down in China every year. Unborn babies with Down syndrome are allowed to be aborted to up to nine months of pregnancy.

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New screenings that can predict if an unborn baby has Down syndrome have sparked wide debate across the world – mostly because their results often lead to parents choosing for abortion. The ethical debate that is so alive in many countries seems practically non-existent in China, where Down syndrome is slowly disappearing from society. Unborn babies with Down syndrome are allowed to be aborted to up to the ninth month of pregnancy; 21% of Down-related abortions in China occur during or after the seventh month.

Last month was World Down Dyndrome Day (世界唐氏综合征日, March 21) and next month marks China’s National Disability Day (全国助残日, May 15) – both are occasions when Chinese media pay extra attention to Down syndrome, a disorder that is slowly disappearing from Chinese society.

On World Down Syndrome Day, Chinese state media broadcaster CCTV wrote on its Weibo account: “Currently, medical science does not have effective prevention and treatment methods for Down syndrome, but it can be detected early through prenatal screening. You might have seen this kind of face: mouth slightly open, a blank expression, eyes somewhat wide apart,.. break your prejudices and understand them!” This text is accompanied by different facts about Down syndrome pictured with a cartoon baby on CCTV’s account page (pictured below).

angrbaby

“I’m still nervously awaiting the results of the amniotic fluid test,” one netizen responds to the post: “I hope my baby is healthy and normal.”

On Chinese social media, many expecting mothers express their worries about screening results and the health of their unborn child. But the ethical debate that is so alive in many other countries about Down syndrome screening and abortion seems practically non-existent in China. One Weibo user comments: “In foreign countries, there are many mothers raising kids with Down, because their religion does not allow them to abort the baby.”

 

THE LAST DOWNER

“New medical techniques and the ethical questions that come with it have caused ample discussion on Down syndrome in many nations across the world.”

 

Down syndrome (DS) is a congenital disorder caused by a chromosome defect, that exists in all regions worldwide. Children with DS often have an intellectual disability and are also affected physically in their appearance and general health. Down syndrome has an incidence of 1 in 600–1000 live births, differing per country (UN; Wang et al 2013, 273). The disorder was named after John Langdon Down, the British physician who first classified this genetic disorder in 1862. In Chinese, it is known as 唐氏综合征 (Tángshì zònghézhēng) or as 先天愚型 (Xiāntiān yúxíng), the latter literally meaning ‘naturally stupid-type’.

With new techniques, it has become easier for doctors to safely detect whether or not a fetus has Down syndrome. In many countries, women can now choose for first-trimester prenatal screenings that can indicate the likelihood they are carrying a baby with Down syndrome. These tests can be followed up with diagnostic tests, either through amniocentesis (amniotic fluid test) or a DNA blood test, that can give a conclusive answer. If the unborn baby turns out to have DS, parents often have the option to abort it.

These new medical techniques and the ethical questions that come with them have caused ample discussions on Down syndrome in many nations across the world. Denmark introduced national guidelines for prenatal screening and diagnosis as early as 2004, which has led to an all-time low of Danish infants with Down syndrome – 95%-98% of pregnant women choose to abort a fetus with DS (Vice 2015). This means that Down could become something of the past; not just in Denmark, but also in other countries that have followed its example after 2004.

According to anti-abortion media, what is happening in Denmark is a “targeted form of genocide.” In the United States, the test has also become a focus of controversy, as it is intertwined with America’s general debate over abortion.

NRC

The Dutch TV-series ‘The Last Downer’ explored the gradual disappearance of Down Syndrome. The show was co-hosted by two young adults who were born with DS themselves. Photo via NPO/NRC of TV Show “De Laatste Downer.”

 

In the Netherlands, a TV show revolving around ‘the end of Down syndrome’ was recently aired on national television. The series, that was titled ‘The Last Downer’, explored what society loses if Down syndrome disappears. It also talked about the ethical, social and psychological consequences of having a child with Down syndrome. ‘The Last Downer’ also triggered debate, as some critics deemed that it was too much in favor of the pro-life movement.

 

DOWN SYNDROME IN CHINA

“21% of abortions related to DS in China take place after the 28th week of pregnancy.”

 

In China, it is estimated that 1 out of 700 infants are affected with Down syndrome. Although this percentage is relatively low compared to other countries, it is an enormous figure nevertheless due to China’s huge population (Deng et al 2015, 311).

China’s Ministry of Health has promoted nationwide prenatal screenings for birth defects since 2003 (312). As pointed out in recent Chinese research, there has since been a sharp increase in the percentage of prenatal diagnosis and consequential birth termination (Deng et al 2015, 315).

The detection of Down syndrome through prenatal diagnosis in China went from nearly 13% in 2003 to over 69% in 2011 – with urban women having better access to early screenings and diagnosis than women living in the more rural areas of China. Around 95% of women terminate their pregnancy after learning the baby has DS, which is close to similarly high numbers in countries like Denmark or Hungary.

What is different in China, is that abortions can take place up to the ninth month of pregnancy.* In nearly 80% of the cases where the DS diagnosis led to abortion, this termination took place before 28 weeks. In the other cases, the pregnancy was terminated later than 28 weeks; meaning that 21% of abortions related to DS take place after the 28th week of pregnancy (ibid. 2015, 315).** In, for example, the Netherlands, abortion can take place up to 24 weeks of pregnancy, which is determined as the moment after which a fetus would be able to survive outside the uterus. Denmark allows for abortions to take place until the 12th week of pregnancy.

Chinese doctors encourage screening more strongly when pregnant women are older. According to current regulations in China, pregnant women aged 35 or above will be suggested to have an amniocentesis test directly, and, as research points out, “most Chinese women opt to abort fetuses with malformations” (Deng et al 2015, 316). Overall, the prevalence of prenatal diagnosis of DS and the number of related abortions is higher in urban areas than in China’s rural areas due to better medical facilities in cities. This also suggests that the majority of babies with DS are now born in the countryside, where parents do not always have access to the medical care they need.

 

ABORTION IS OKAY

“Bright-pink advertisements on ‘painless abortions’ depict smiling women, butterflies and flowers.”

 

On Weibo, many netizens share their experiences with prenatal screening. One pregnant woman says the test has cost her 191 RMB (±30 US$), another netizen responds: “In my hometown, these screenings are free of charge!” Another Weibo user shares her anxiousness: “I’ve been worrying about this Down screening all week,” she writes on April 21st. The following day, she replies to the comments with crying emoticons.

Although the screenings are a big issue on Chinese social media, the ethical question of the abortions is seemingly not. This might relate to the fact that abortion is not as contentious in China as it is in many other countries.

Pregnancy termination became quite common in China during the 20th century in relation to the one-child policy. By now, China has the highest abortion rate in the world. According to the National Health and Family Planning Commission, 13 million abortions are carried out in China every year. The actual number is probably much higher, as the official number does not include the abortion numbers from private clinics, nor the estimated 10 million induced abortions per year through medicine (Xinhua 2014), nor the numbers of sex-selective abortions– a practice that has officially been illegal since 2004.

The prevalence of abortions in China has led to a booming industry focused on abortion procedures. Bright-pink advertisements on ‘painless abortions’ depict smiling women, butterflies and flowers.

beaqueen

Some even promise that the abortion will be over within ‘a dreamlike three minutes’ (for more on this read: Glamorous & Painless – China’s Booming Abortion Industry). Although China has a painful past when it comes to forced abortions, the personal choice for abortion is not as controversial as it is in many countries where the Down syndrome detection debate is more alive.

abortion

“I’m drinking fresh rosedew after my abortion,” one netizen writes: “It’s good for my cold womb.”

 

THE HARDSHIPS OF DOWN CHILDREN IN CHINA

“Giving a child with Down syndrome up for adoption is very difficult, as China’s DS children are generally deemed ‘unadoptable’.”

 

Besides the fact that abortion is considered relatively uncontroversial in China, the high rate of abortions for DS-diagnosed babies might also relate to the fact that disabled children face many difficulties in China due to stigmatization and practical hurdles.

Raising a handicapped child is a heavy burden for many parents in China, who receive little government support and often do not have the means to make sure their child gets the medical care and education they need. This means that abandoning the child sometimes is the only solution for parents to make sure their child is taken into an institution (Yoxall 2008, 25).

downer

Giving a child with Down syndrome up for adoption is very difficult, as China’s DS children are generally deemed ‘unadoptable‘. Until recently, it was legally not possible to adopt a child with Down within China. Since this has now changed, international organizations like the Bamboo Project help parents who want to adopt a child with Down syndrome from China.

 

SCREENINGS FOR DOWN: ANXIETY & CONFUSION

“If your baby has Down syndrome, you can’t keep it – you do understand this, don’t you?”

 

In China’s urban areas, first-trimester screenings for DS (唐氏筛查) through a blood test have become practically mandatory. Some clinics have 100% screening guidelines for all of their patients, but do ask parents to sign for consent first; other hospitals simply proceed to include the test with general pregnancy check-ups without any permission.

Screening procedures differ per hospital and can be confusing for expecting mothers: “Today my doctor told me that because I am already 35, I should do an amniocentesis test,” one netizen writes on Weibo: “but the blood test in my first trimester indicated I had low risk of having a baby with Down. I’m very confused if I should do it or not.”

China’s screening procedures and prevalent attitudes on how to deal with a baby that possibly has DS can be shocking to some. A 31-year-old Dutch mum named Anna (alias), who lives in Shanghai, recently shared her experiences on Facebook. Anna, pregnant with her second baby, writes:

I was unable to come on Facebook for some time due to problems with my VPN. During this period, I’ve come across something that I loathe even more than China’s internet censorship. “They’ve tried calling you but you didn’t pick up,” the Chinese nurse tells me while looking up from a form, as she points me to an examination room. I walk in, and ask the doctor what’s going on – I vaguely remember a ‘standard’ blood test (..) – “‘You have an increased risk for a child with a mental disability,’ the doctor straightforwardly tells me. ‘Excuse me?’ – I ask her to repeat her sentence. ‘The child might be retarded,’ she tells me.

Anna writes: “In the Netherlands, the availability of prenatal tests for Down syndrome has caused quite some controversy earlier this year. It is not allowed for doctors to proactively encourage women to do this test unless there’s an increased risk for them to have a child with an intellectual disability – because they are above the age of 40, for example. But this is not the case in China, where every pregnant woman, no matter her age, is tested for heightened risk through blood screening. I ask the doctor what the test results are, since I’m only 31. ‘Well, that’s not like being 21 anymore, now it is?’ she snarls at me.”

Anna explains that the results of her blood test showed there was a 1-in-200 chance her baby had Down syndrome. After informing Anna about this, the doctor says: “You can choose if you now want an amniocentesis or a DNA test. The first is more expensive and needs to be done in a private clinic, here’s an information leaflet, just think about it.”

She chooses to do the DNA test, which is safer for mothers and their unborn babies than the amniocentesis. She says: “I was initially just shocked to hear there was an increased risk for me to have a child with a disorder, but it also bothered me that the initial screening was done without my consent. I ask the doctor what happens if my baby turns out to have Down syndrome. ‘Then you can’t keep it,’ she gives me a piercing look: ‘You do understand this, don’t you?’

Anna writes: “She advised me to timely book a possible abortion, but that the procedure would be possible until 32 (!) weeks.” Anna receives the DNA test results a week later through text message, and her baby shows no signs of abnormalities. Despite her relief, she feels uncomfortable about the intrusive way in which her prenatal screening and its possible outcome was handled.

Another foreigner living in Beijing told What’s on Weibo they also were tested for Down syndrome risks in the first trimester of pregnancy at Beijing United hospital without being asked for permission first. Although they were surprised to get the results, they did not react strongly to it as the test turned out to be very low risk.

Although the ethical debate on this issue is generally lacking from mainstream media, one story did make headlines last year when a woman from Hubei was determined to end her pregnancy at 16 weeks because of the Down syndrome screening. The initial blood screenings showed an increased risk of DS, and the woman arranged an abortion – in spite of the doctors convincing her that she should wait for the actual diagnoses screening first. This story also shows how intertwined prenatal screenings and abortion have become.

 

DS IN CHINA: TABOOS AND SOCIAL STIGMA

“I think my sister’s baby has Down syndrome, but I am too afraid to ask her.”

 

Chinese netizens share their experience with Down syndrome on various online message boards. One netizen tells how it is growing up with a brother with Down syndrome. “My brother was born prematurely and was in weak health. The doctor told my parents to just give up on him. But my father refused to give up, because it was a boy, and he thinks boys are worth more than girls. So my brother lived.” The netizen tells how his parents were told by doctors that their child was simply “hopeless”, and that his brother was always teased in school.

On message board Douban, multiple netizens share how doctors encourage couples to have an abortion if their unborn baby is diagnosed with DS.  The discussion of Down on Chinese social media shows that DS is heavily stigmatized and that it is sometimes also considered a taboo.  Some netizens tell about former classmates with Down who were constantly bullied, and one netizen writes: “I think my sister’s baby has Down syndrome, but I am too afraid to ask her.”

Now that rapidly advancing medical techniques have decreased the prevalence of DS in China, chances are that the less common the disorder is, the more stigmatized it will become. It is also probable that over the next one or two decades, if rural areas get better access to medical care, Down syndrome will altogether disappear from China.
downsscreening

For China’s upcoming ‘day for the handicapped’, multiple organizations try to raise more public awareness for Down syndrome. This year, the day will specifically focus on handicapped orphans. For this occasion Chinese media recently wrote about an orphanage in Tianjin, where one-third of all children are Down syndrome babies who were left behind by their parents.

Although the article describes children with DS as little “happy angels”, one Chinese birth clinic seems to think otherwise. In their ad (see image), their message is loud and clear: “Reject children with Down syndrome! Give birth to a healthy baby!” Angels or not, modern-day China seems to have no place for Down syndrome children.

– By Manya Koetse

[rp4wp]

References

Wang, S.-S., Wang, C., Qiao, F.-Y., Lv, J.-J. & Feng, L. 2013. “Polymorphisms in genes RFC-1/CBS as maternal risk factors for Down syndrome in China.” Arch Gyneocol Obstet 288: 273-277.

Deng, C., Yi, L., Mu, Y., Zhu, J., Qin, Y., Fan, X., Li, Q. & Dai, L. 2015. “Recent trends in the birth prevalence of Down syndrome in China: impact of prenatal diagnosis and subsequent terminations.” Prenatal Diagnosis, 35(4), 311–318.

Yoxal, James W. 2008. China’s Social Policy: Meeting the Needs of Orphaned and Disabled Children. Master Thesis, Union Institute & University.

NB: other references are linked to in-text.

* As written by Deng et al (2015): “Following a systemic and standardized diagnostic process, pregnancy affected by severe anomalies such as DS is allowed to be terminated at any gestational age following informed consent” (312).

** According to 2003-2011 surveillance data, study by Deng et al uses data from the Chinese Birth Defects Monitoring Network.

©2016 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

Manya Koetse is the editor-in-chief of www.whatsonweibo.com. She is a writer and consultant (Sinologist, MPhil) on social trends in China, with a focus on social media and digital developments, popular culture, and gender issues. Contact at manya@whatsonweibo.com, or follow on Twitter.

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3 Comments

3 Comments

  1. Colette

    July 18, 2016 at 1:02 am

    In the UK termination for DS is also permitted until 9 months………Lord Shinkwin is trying to change this.

  2. jack

    October 27, 2016 at 3:40 am

    The truth is the chinese and the Japanese are a mongoloid race they were created from the daughters of a man called Lot the nephew of abraham in the bible read the story of Sodom and gomorrah this will tell of Lots two daughters and there plan…the modern day chinese are the moabites and the Japanese are the modern day ammonites,incest causes down syndrome or retardation these two nations are the product of incest…BASTARD babies…truth is hard to accept

    • Anonymous

      December 27, 2016 at 6:11 am

      Please go back to /pol/.

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China Health & Science

Viral Politics: Next-Stage Investigation Into Covid-19 Origins Discussed on Weibo

Many Weibo users agree with Chinese officials that the U.S. re-investigation of the Covid-19 origin is about “political manipulation” and “blame-shifting.”

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While President Biden ordered a closer review into the origins of the Covid-19 and more countries are calling for action on a next phase study, Chinese officials demand that the U.S. thoroughly investigates the source of the epidemic within America’s own borders and biological labs.

Fifteen months after the WHO declared the novel coronavirus (Covid-19) outbreak a global pandemic, the origin of the virus is still unclear. After the Wuhan field visit of the international WHO research team earlier in 2021, all hypotheses on the origin of the virus remain on the table.

As the efforts to get more people vaccinated continue and the outlook on containing Covid-19 are more positive, the question of where the virus that causes Covid-19 came from is attracting attention again. The issue of the ‘origin investigation problem’ (“溯源问题”) is also generating discussions on Chinese social media.

 

The U.S. Side: “Looking for a Definitive Conclusion”

 

On May 26, the White House released President Joe Biden’s statement calling for further investigation into the origins of Covid-19.

The statement says that there is still no definitive conclusion on the origins of the virus, with two scenarios being most likely: human contact with an infected animal or a laboratory accident. Biden writes that he has asked the Intelligence Community to “redouble their efforts to collect and analyze information that could bring us closer to a definitive conclusion,” asking for a follow-up within 90 days, with a special focus on China.

Speculation that the coronavirus may have emerged from a laboratory in Wuhan was first raised in early 2020, before being refuted and sidelined as a “conspiracy theory” by many scientists.

A statement in The Lancet published in February of 2020 condemned any rumors on the virus origins, claiming that scientific research “overwhelmingly” concludes that the new coronavirus originated in wildlife. The WHO research team investigating the origins of Covid-19 also called it “extremely unlikely” that the virus leaked from a lab in China.

The American Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, was among those scientists who originally refuted the ‘lab leak’ theory. But in May of 2021, Fauci said he was “no longer convinced” that the Covid-19 pandemic originated naturally.

In American media, reports on the ‘lab leak theory’ have also seen shifting narratives, going from a ‘conspiracy theory’ to a seemingly credible one. Last month, a Wall Street Journal published an opinion article titled ‘The Science Suggests a Wuhan Lab Leak,’ which claims that the pathogen of the novel coronavirus has a genetic footprint that has never been observed in a natural coronavirus.

The Wall Street Journal also reported on a study by the Lawrence Livermore National Laboratory in California, which concluded that the hypothesis of a virus leak from a Chinese lab in Wuhan is plausible and deserves further investigation. The report by Wall Street Journal included an alleged American State Department’s assertion that the U.S. government has reason to believe that several researchers inside the Wuhan Institute of Virology became sick in autumn 2019, “with symptoms that were consistent with Covid-19 or a seasonal flu.”

 

The Chinese Side: “It’s All about Blame-Shifting”

 

Chinese officials have repeatedly denied a possible leak from a Chinese laboratory and have emphasized their cooperation with international efforts to find the origins of the pandemic.

On May 27 of this year, a day after Biden’s statement was released, Zhao Lijian (赵立坚), spokesperson for the Foreign Ministry, responded to the reinvestigation of China regarding the origins of the novel coronavirus.

Zhao argued that the US is not actually interested in the scientific origin of the virus, but that its determination to reinvestigate China despite previous scientific conclusions is all about “political manipulation” and “blame-shifting.” He further said that the US – with over 33 million confirmed Covid-19 cases and 600,000 deaths from Covid-19 – should examine its own behavior, instead of “attempting to scapegoat China.”

Although China was the first country to report Covid-19 infections, the official stance has been that this does not necessarily mean that the new coronavirus “patient zero” was also in China.

Prior to the Wuhan lab leak theory, China had been questioning the US military base Fort Detrick in Fredrick, Maryland, about the leak of Covid-19 as an agent of biochemical warfare. In May of last year, China’s Foreign Ministry Spokesperson Hua Chunying asked for an international review of Fort Detrick and other bio-labs.

In light of recent developments, Chinese Foreign Ministry spokesperson Wang Wenbin (汪文斌) also, again, suggested that the U.S. should invite an international team of scientists to conduct an independent investigation on Fort Detrick on its potential link to the origin of Covid-19.

Chinese Ministry of Foreign Affairs spokesperson Zhao Lijian during the press conference.

This stance was again reiterated by Zhao Lijian in a June 17 press conference, where the MFA spokesperson asked the U.S. to explain why, being the most medically country in the world, their COVID19 death toll was so high and why nobody would take responsibility for this and give more transparency on Fort Detrick.

On June 22, China’s Ministry of Foreign Affairs turned the tables on the U.S. and demanded a thorough investigation of (1) the source of the epidemic in the United States, a (2) thorough investigation of the why’s and who’s of the American inadequate response in fighting the epidemic, and then also (3) an investigation into the safety concerns at Fort Detrick other biological labs (#赵立坚请美国赶紧回答3个问题#).

 

Weibo Discussions and Hashtags

 

On Chinese social media, various discussions and hashtags have come up in response to the recent developments regarding the research into the COVID19 origins. Most commenters agree on one thing, namely that the next stage of Covid-19 origin investigations is seemingly more about politics than about the virus itself.

A hashtag titled “Biden Ordered US Intelligence to Investigate the Origins of Covid-19” (#拜登令美情报部门调查新冠病毒起源) appeared on the same day as the White House statement was released and immediately attracted over 35 million views. Another relating hashtag on Weibo is “U.S. Specialists Have Changed Their Tune Regarding COVID19 Origin” (#美国专家在新冠病毒的来源上改口了#).

On Weibo, the most common reaction to Biden’s investigation and American media coverage of the origins of the virus is one of suspicion towards their true intentions, ranging from intense emotions to sarcastic humor. Weibo users suggest that Biden’s call to action is a politically charged move to further blame China for the pandemic amidst growing China-US tensions. Most netizens commenting under this hashtag feel that the U.S. is deliberately hyping the issue to discredit China, turning the COVID19 origins issue into a geopolitical issue, rather than a scientific one.

One popular comment (@乐隐灯清) said: “If I say you have it, then you have it – [this is] the second season of ‘Laundry Detergent’!” This sarcastic comment refers to the famous UN meeting where US Secretary of State Colin Powell presented a vial containing white powder, supposedly proving that Saddam Hussein was stockpiling anthrax, in order to justify the US’s invasion of Iraq. Putin fired back by calling this vial of powder “laundry detergent.”

There are also web users who are concerned with the 90-day limit of Biden’s announced investigation, questioning whether such a relatively short time would be enough for a thorough and fair study. One user, whose profile image is the Chinese national flag, wrote: “90 days? If you investigated Fort Detrick starting in the morning, you would already have the conclusion before lunchtime!”

One user questioned the US President’s move to trace Covid-19’s origin in China instead of in his own country: “Are they giving 90 days to investigate the origin or 90 days to fabricate a rumor?”

Another hashtag is “Where did the new coronavirus originate?” (#新冠肺炎病毒起源于哪里#). On this hashtag page, most discussions revolve around the fact that COVID19 was already found in various countries outside of China during or just before the early days of the Wuhan outbreak. Various studies suggest that the coronavirus might have been circulating in the US and France a month before it was officially confirmed.

“The fact that Chinese scientists were the first to discover the genetic sequence of the new coronavirus does not mean that Wuhan is the source of Covid-19, and it certainly cannot be used as a pretext to conclude that the virus was made by Chinese scientists,” one Weibo blogger (@侠骨一点情) wrote.

There are those who believe it is probable that the virus did come from the U.S., saying that the American investigation into China is an issue of “zéi hǎn zhuō zéi” (贼喊捉贼), an idiom that literally means ‘a thief crying “Stop Thief!”,’ conveying the idea that it is easy for someone to accuse another in order to cover up one’s own misdeeds.

‘Investigate Thoroughly! Except Here’ (‘彻查!除了这儿’) by 半桶老阿汤 / Half Can of Old Soup

In response to the investigation, the computer graphics artist @半桶老阿汤 / ‘Half Can of Old Soup’ also released a cartoon, showing President Biden blocking the entrance to Fort Detrick, with a WHO research team standing in front of the entrance.

Many web users support the Chinese official reaction that it is time for America to investigate the epidemic within its own borders. “First, discrediting and framing China regarding the virus origin has become a ‘national policy’ of the U.S. government to get rid of their [own] predicaments,” Chinese economist Tao Yongyi (@陶永谊) wrote on Weibo: “Now, the best defense is a good offense.”

By Susanna Sun & Manya Koetse

Spotted a mistake or want to add something? Please let us know in comments below or email us.

©2021 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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China Health & Science

China’s COVID-19 Vaccine Freebies: Get One Vaccine, Get Milk & Eggs for Free!

“Do I get free transport and a freebie with that vaccine?”

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While American vaccine incentives – where some counties would offer a free beer and fries to encourage more Americans to get the COVID-19 vaccine – made international headlines, Chinese vaccine incentives have also been attracting the attention on Weibo and beyond.

Forget about free beer and fries. How about getting free milk, eggs, toilet paper, laundry detergent, or sesame oil after getting your shot? In China, and especially in Shanghai, some local vaccine sites have been offering all kinds of noteworthy freebies to encourage citizens to come and get their shots.

Since March and April of this year, netizens are sharing photos of COVID-19 vaccine posters online, such as this one, where you get a carton of milk after getting vaccinated:

Or these, where you get free vegetable oil or sesame oil:

Or how about two boxes of eggs?

One local initiative even offered free toilet paper earlier this year:

Another place in Shanghai offered bags of rice for free with your shot:

And others offered free pick-up services to those getting vaccinated:

Here you see people leaving with their milk cartons (and vaccinated!):

The freebies were meant to encourage more people to get their shots. But because of recent new COVID-19 cases in places like Anhui and Liaoning, more people are now in a rush to get vaccinated. Viral videos and posts on social media showed long queues at vaccine sites.

Popular WeChat account Xinwenge (新闻哥) reported a rapid shift in attitudes among young people towards getting the vaccine, from “do I get free transport and a freebie with that vaccine?” to “I’ll stand in line and do anything as long as I can get vaccinated.”

“Confirmed local cases will motivate people more [to get the vaccine] than eggs and milk,” one blogger from Guangdong wrote on Weibo.

Despite the surge of people going out to get their vaccine, some places still offer vaccine freebies. On social media, people are sharing the photos of their ‘vaccine souvenirs’; plastic bags with milk and cookies.

One Weibo user writes: “I was never so enthusiastic about getting my shot, until I heard they offered free milk and laundry detergent.”

Another Weibo user also shows off their ‘vaccine present’, getting free milk, soap, and rice with their COVID-19 vaccine: “And I didn’t even have to stand in line!”

By Manya Koetse & Miranda Barnes

Spotted a mistake or want to add something? Please let us know in comments below or email us. First-time commenters, please be patient – we will have to manually approve your comment before it appears.

©2021 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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