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China and Covid19

Chinese Online Discussions on the Origins of Covid-19 after FBI Statement on Wuhan Lab Leak

After the FBI suggested it is likely that Covid-19 originated in a Wuhan lab, commentator Hu Xijin posted about “the United States of Rumors.”

Manya Koetse

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Is it a political issue or a scientific problem? The recent FBI statements on the origin of Covid-19 have brought the lab leak theory back on the table and, once again, triggered political blameshifting and online discussions about the roots of the pandemic.

Over three years since Covid-19 was first discovered in Wuhan and was linked to the local Huanan Seafood Market, the debate on the roots of the Covid-19 pandemic is still ongoing and has again made headlines this week as FBI director Christopher Wray endorsed a theory that the Covid pandemic was a result of a laboratory leak in China.

Wray’s remarks came after a Wall Street Journal report about an updated classified intelligence report from the United States Department of Energy. That report concluded that the pandemic probably – with “low-confidence” assessment – started with an unintentional lab leak in Wuhan.

China’s Foreign Ministry responded to the issue during a regular press conference earlier this week, blaming the Americans for using the problem regarding the origins of SARS‑CoV‑2 (the strain of coronavirus that causes Covid-19) for “political manipulation” (“政治操弄”). Spokesperson Mao Ning (毛宁) also said that the claims lacked credibility and were simply politicizing the issue instead of taking a scientific approach.

 
LAB LEAK THEORIES

“Although many lab leak conspiracy theories started in the U.S., some also began on the Chinese internet.”

 

Over the past years, discussions over the origins of SARS-CoV-2 have become increasingly politicized and both American and Chinese sides have pointed the finger at each other and shifted blame for the spread of the virus and the pandemic response on both sides.

Speculations, rumors, and theories that Covid-19 may have emerged from a laboratory in Wuhan were first raised in early 2020. Although many of these lab leak conspiracy theories started in the U.S., some also began on the Chinese internet.

In February of 2020, a rumor circulated on Chinese social media that a postgraduate named Yanling Huang from the high-security lab Wuhan Institute of Virology was the “Patient Zero” of Covid-19 (Wang et al 2021, 73). This was determined to be false, and other similar rumors making their rounds were also refuted and sidelined as a “conspiracy theory” by many scientists.1

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 World Health Organization (WHO) research team investigating the origins of Covid-19, and which visited China in January of 2021, also called it “extremely unlikely” that the virus leaked from a lab in China. At the same time, all hypotheses on the origin of the virus remained on the table, and later on in 2021, the debate intensified after American President Biden called for a next phase study into the origins of the virus.

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

The Chinese official side has consistently refuted claims that Covid-19 might have come from a Chinese laboratory leak, saying it is all about “political manipulation” and “blame shifting.”

China’s Foreign Ministry has turned the tables on the U.S. multiple times, demanding a thorough investigation into the source of the epidemic in the United States and a further probe into safety concerns at Fort Detrick and other American biological labs.

 
COVID-19 ORIGINS: HARDER TO TRACE

“The Covid-19 origin debate remains to be both a political and a scientific conundrum.”

 

Important keys to the SARS-CoV-2 origin question seem caught in a web of strategic narratives, political games, and colored perspectives.

Despite the recent U.S. Department of Energy report, there is still consensus among scientists – supported by a substantial body of research – that SARS-CoV-2 is of zoonotic origin, although the specific animal host has not been identified.

A study published in Science in July of 2022 concludes that SARS-Cov-2 most likely jumped from animals to humans at the Huanan Seafood Wholesale Market back in December 2019 (Worobey et al 2022).

Other recent studies that have come out on the research surrounding the origins of the Covid-19 pandemic argue that the complexity of the virus and the lack of harmonious international cooperation are making it harder to draw definite conclusions. Since the research requires international data from 2019 and is time-sensitive, the delays are also making it more tricky to identify the source of SARS-CoV-2 (see Hao et al 2022, 3189-3190).

The official Chinese stance (August 2021) is that the virus is of zoonotic origin and that China supports scientific research into the sources of the virus, as long as this does not become a political tool. The Chinese side also stresses that the fact that the virus was first discovered in Wuhan does not mean that the “Patient Zero” was also in Wuhan, as some studies indicate that there were positive Covid-19 cases before December 2019 in America, Brazil, and Italy (Hao et al 2022, 3185-3186).

In May of 2022, Chinese researchers published a blood-donors study analyzing samples supplied to the Wuhan Blood Center before December 2019, researching if there were SARS-Cov-2 antibodies in the blood provided between Sept-Dec of that year. That study reportedly did not find antibodies amid over 88,000 samples, showing the virus was not widespread in Wuhan in late 2019 (Chang et al 2023; Mallapaty 2023).

With so many questions left unanswered, a second phase study by the WHO into the origins of Covid-19 was much-anticipated. But it recently became known that the WHO shelved this investigation. According to Nature, the stalling of the research relates to ongoing challenges over attempts to conduct crucial studies in China.

And so the Covid-19 origin debate remains to be both a political and a scientific conundrum. Some scientists have voiced concerns that the FBI statement could lead to a renewed wave of harassment against scientists, with such statements only further clouding the debate instead of contributing to it (Euronews).

 
WEIBO DISCUSSIONS

“As long as politics and science cannot operate independently of each other, there is no conclusion in sight.”

 

Although the Chinese side supposedly condemns blame-shifting and finger-pointing in the Covid-19 origins issue, the media-led and official online discourse regarding the ‘origins problem’ is mostly accusing the U.S. of hyping the issue and making China the scapegoat. Various Weibo hashtags that are used in posts about the topic literally include the words “hyping” and “politicizing” (#美方应该停止搞政治溯源情报溯源#, #美方再次翻炒实验室泄漏论抹黑不了中国#, #有关方面应停止对新冠溯源政治化#, #FBI局长炒作新冠病毒实验室泄漏论#).

Well-known political commentator Sima Nan (@司马南) accused the American side of dredging up and repeating the same old issues again and that the U.S. is “increasingly becoming the world’s laughingstock” for spreading rumors via its official and media channels.

On March 3rd, another Chinese political commentator, Hu Xijin (@胡锡进) also published about the issue, again raising the issue of how Fort Detrick and a lab leak may be connected to the roots of the pandemic:

“In China, there are also many people who think that Covid-19 could come from a laboratory, but that it is America’s Fort Detrick lab. The WHO experts have already visited the Wuhan lab, but the expert group still has not visited the Fort Detrick lab despite the serious doubts about a Covid lab leak there. If the U.S. has nothing to hide, then it should do what China did in 2021 and open the doors of Fort Detrick to the WHO. The biggest lie in human history is that of former U.S. Secretary of State Colin Powell holding a bottle of washing powder at the United Nations and saying it was an Iraqi chemical weapon. That lie was used as pretext to launch a bloody war. The United States should change its name to “the United States of Rumors” (“谣言合众国”).”

One of the top replies on Hu’s post mentioned the American “vaping disease” that broke out in 2019 and peaked in September of that year. “It must have been the Yankees,” another commenter wrote.

The claim that Fort Detrick is related to the start of the pandemic or that the U.S. army brought Covid-19 to Wuhan has already been circulating since 2020, and these speculations were strengthened by Chinese official sources, including Foreign Ministry spokesperson Zhao Lijian, that pointed the finger at the U.S.

Many online discussions on Chinese social media, including those on Q&A platform Zhihu.com, still accuse the United States for covering up Covid-related facts and for putting the blame on China to cover their own tracks.

In light of the recent balloon controversy, some called the latest statements “another balloon.” By now, it seems impossible to separate the problem of Covid-19 origins from the bilateral relationships between China and the U.S. anymore.

In this regard, the online discussions surrounding the origins of Covid-19 have not changed a lot since 2020. It is a bit of a Catch-22, since these discussions are politicized as they are focused on how the U.S. is politicizing the issue. As long as (international) politics and science cannot operate independently of each other, there is no conclusion in sight that will bring the discussion on the exact origin of Covid-19 to a definitive end.

By Manya Koetse 

1 Besides the Wuhan Institute of Virology, the Wuhan-based Chinese Center for Disease Control has also been considered a possible source of a lab leak – the latter is also the one mentioned in the U.S. Department of Energy report.

References

Chang, Le, Lei Zhao, Yan Xiao, Tingting Xu, Lan Chen, Yan Cai, Xiaojing Dong et al. 2023. “Serosurvey for SARS-CoV-2 among blood donors in Wuhan, China from September to December 2019.” Protein & Cell 14 (1): 28-36.

Hao, Ying-Jian, and Yu-Lan Wang. 2022. “The origins of COVID-19 pandemic: A brief overview.” Transboundary and Emerging Diseases (69): 3181–3197.

Khatsenkova, Sophia. 2023. “China COVID lab leak: What we know and what we don’t know about the origins of the virus.” Euronews, # March https://www.euronews.com/next/2023/03/02/china-covid-lab-leak-what-we-know-and-what-we-dont-know-about-the-origins-of-the-virus [4 March 2023].

Mallapaty, Smriti. 2023. “WHO abandons plans for crucial second phase of COVID-origins investigation.” Nature, 14 February (Updated 3 March) https://www.nature.com/articles/d41586-023-00283-y#ref-CR1 [4 March 2023].

Wang, Xin, Fan Chao, Guang Yu. 2021. “Evaluating Rumor Debunking Effectiveness During the Covid-19 Pandemic Crisis: Utilizing User Stance in Comments on Sina Weibo.” Frontiers in Public Health (9): 70-87.

Worobey, Michael, Joshua Levy, Lorena Serrano, Alexander Crits-Christoph, Jonathan Pekar, Stephen Goldstein, Angela Rasmussen, Moritz Kraemer, Chris Newman, Marion Koopmans, Marc Suchard, Joel Wertheim, Philippe Lemey, David Robertson, Robert Garry, Edward Holmes, Andrew Rambaut, Kristian Andersen. 2022. “The Huanan Seafood Wholesale Market in Wuhan was the early epicenter of the COVID-19 pandemic.” Science 377 (6609): 951-959.

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Background image by Martin Sanchez.

 

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Manya is the founder and editor-in-chief of What's on Weibo, offering independent analysis of social trends, online media, and digital culture in China for over a decade. Subscribe to gain access to content, including the Weibo Watch newsletter, which provides deeper insights into the China trends that matter. More about Manya at manyakoetse.com or follow on X.

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China and Covid19

Weibo Watch: Small Earthquakes in Wuhan

How Wuhan is shaking off its past with a new wave of innovation, the hot topics to know, and the Weibo catchphrase of the week: ‘the Three Questions of Patriotism.’

Manya Koetse

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PREMIUM NEWSLETTER | ISSUE #37

 

Dear Reader,

 

“Wuhan Earthquake” (#武汉地震#) momentarily became the number one trending topic on Weibo this Friday night, after residents of Jiangxia District reported feeling their homes and buildings shake. “Was there an earthquake, or am I drunk?” some wondered.

I also felt a bit tipsy in Wuhan this month. Neon signs, dancing livestreamers, flying drones, bustling night markets, and holographic lights. On my first night in Wuhan, the lights made me dizzy and I discovered that the city was nothing like I had imagined.

Until now, I couldn’t help but associate Wuhan with the wet market, crowded fever clinics, and China’s first Covid hospitals. As the world watched the pandemic unfold in 2020, Wuhan became instantly famous as an early epicenter of the Covid-19 crisis. It became known as the quarantined city, the city of Dr. Li Wenliang, and the city of the “invincible Wuhan man.” At the time, it seemed like such a monumental event that Wuhan would not recover anytime soon, even after enduring the worst peak of Covid.

Now, over four years later, everything feels different. I felt a rush of energy as I strolled through the lively streets. It was evident that Wuhan is much more than the city that gained global notoriety as the pandemic hotspot. Beyond its vibrant atmosphere, it is making international headlines for its leadership in autonomous driving, having emerged as the world’s largest testing ground for self-driving cars, particularly in unmanned ride-hailing services.

Baidu’s Apollo Go, referred to as Luobo Kuaipao (萝卜快跑) in Chinese, is the driving force behind the robotaxi revolution in Wuhan. Since their arrival earlier this year, they have become a hot topic on Chinese social media, and I was eager to experience it for myself.

(Brief explainer: Luóbo (萝卜) means radish or turnip in Chinese, but when pronounced, it sounds similar to “robo.” Kuàipǎo (快跑) translates to “run fast.” Combined, it creates a playful name that can be interpreted as “Radish Runs Fast” or “Robo Go.” I’ll use ‘Luobo’ here, as it is the most common way to refer to Apollo Go in China and has a cute sound.)

In the areas where the robotaxis operate, people already seem to have become accustomed to the driverless ‘Luobo.’ During a 1.5-hour ride in the unmanned taxi—I took a long journey and then needed to return again—I was surprised to see so many of them on the road. Other drivers, motorcyclists, and passengers didn’t even bat an eye anymore when encountering the new AI taxi.

Currently, there is an active fleet of 400 cars in Wuhan, and Baidu plans to expand this to 1,000 in the fourth quarter of this year. Although these taxis still comprise only a fraction of the city’s entire taxi industry, their impact is noticeable on the roads, where you will inevitably encounter them. I stood at one drop-off point near an urban shopping center for at least forty minutes and witnessed passengers being dropped off continually, with some proceeding their journeys into areas where Luobo doesn’t operate by calling the ride-hailing service Didi from there.  

As for the experience itself, it was thrilling to see the steering wheel move with no driver in the front seat. I was surprised at how quickly I adapted to something so unfamiliar. It’s incredibly comfortable to have a car to yourself—no driver, no worries—while you choose your own music (and sing along), set the air conditioning, and relax as the Luobo navigates the traffic.

Even inside the vehicle, Baidu emphasizes the safety of their self-driving cars, providing information about how Apollo Go has accumulated over 100 million kilometers of autonomous driving testing without any major accidents, thanks to a strict safety management system.

If you close your eyes, the experience feels like riding with a regular driver. Luobo speeds up, slows down, and occasionally makes unexpected maneuvers when a car or bike suddenly approaches. It ensures there’s enough space between itself and the car in front. While I can’t say that merging onto the highway or encountering unexpected traffic situations didn’t feel a bit scary, I soon felt at ease and came to rely on the technology.

That said, there are still bumps in the road. Luobo has often been ridiculed on Chinese social media for getting stuck at a green light, stopping for a garbage bag, or struggling to make a U-turn. While riding and observing the robotaxis in Wuhan, I noticed plenty of honking and road rage as Luobo chooses safety first, often appearing sluggish, earning them the nickname ‘Sháo Luóbo’ (勺萝卜/苕萝卜, “silly radish”).

While Luobo might still have its silly moments, it is a serious part of the future. Already, it is popular among commuters for its low cost, privacy, and convenience.

After spending an entire morning riding and watching the Luobos, I excitedly felt like I had experienced a glimpse of the future. Right now, Luobo Kuaipao operates in various cities across China, including Beijing, but it’s still in the testing phase there—none of my friends from Beijing have ever seen or taken one yet. However, this will likely change soon, heavily relying on policy support.

That night, I spoke to a young local in a busy commercial area near my hotel. Like many residents, he was curious about where I came from and what I was doing in Wuhan. (During the four days I spent there, I noticed very few foreign tourists.) We briefly discussed the pandemic; he reflected on the difficulties it brought but treated it as something from the past—just another bump in the road in the city’s long history.

Instead of dwelling on the pandemic, our conversation focused on the future: Wuhan’s robotaxis, his confidence in China’s technology, and the rising importance of his country on the geopolitical stage. He was just one of several young people I spoke to, from shopkeepers to students, who seemed very focused on China’s growth and development and how its technological advancements reflect its position in a world where the U.S. is no longer leading.

When it comes to China’s driverless innovations, they are shaking the foundations of transportation like an earthquake. Besides Apollo Go, companies like Pony.ai (小马智行), WeRide (文远知行), SAIC Motor (上汽集团), AutoX (安途), FAW (一汽), Changan Automobile (长安汽车), BYD (比亚迪), Yutong (宇通), and many other industry players are also working to realize driverless passenger cars, shuttle services, freight trucks, delivery vehicles, public transport buses, and much more.

What we’re witnessing in Wuhan is merely a glimpse into a future under construction, actively promoted by Chinese state media. Over the past week alone, CCTV featured Luobo Kuaipao in three segments as a key example of China’s new technological advancements and the national strategy to build a strong tech-driven economy.

As I left Wuhan in a traditional taxi, I suddenly felt like a time traveler. Wuhan was the birthplace of the 1911 revolution and will also appear in foreign history books as the initial epicenter of the Covid-19 pandemic. Now, it is at the center of an international robotaxi revolution, and it won’t be the same the next time I return.

While my friendly elderly driver—I estimated him to be in his late 50s—honked at other cars, I realized he had witnessed many other revolutions, including the Cultural Revolution as a young boy, the economic reforms, and the major social changes of the 1980s, as well as the digital revolution of the 2000s. With the growth of Wuhan’s robotaxi fleet, his job might be affected, adding another tremor to his city and his life—though he may already be retired by then.

As he helped me with my luggage and wished me a safe trip home at the Wuhan Hankou Station, I couldn’t help but feel nostalgic about how everything always changes and gets shaken up as we move forward into a future driven by technology.

As for Friday’s earthquake in Wuhan—it turns out it was a 1.6. Despite the online interest in the topic, it means virtually nothing in a city where things of much greater magnitude are happening.

If you’d like to know more about my experiences and the slight setback I encountered while searching for Wuhan’s robotaxis, check out the short videos I made here:

Part 1 (also on Instagram)
Part 2 (also on Instagram).

Best,
Manya Koetse
(@manyapan)

 

What To Know

A recap of hot highlights and online discussions

 
🚀 China’s First Intercontinental Ballistic Missile Test-Launch Since 1980

On the morning of September 25, China announced a successful test launch of an intercontinental ballistic missile (ICBM) carrying a ‘dummy warhead’ into the Pacific Ocean. This marked the first ICBM launch in decades, described by official media as part of routine annual training.

The People’s Daily Weibo account of the Communist Party shared a video of the People’s Liberation Army (PLA) announcing the successful test launch, accompanied by suspenseful and patriotic music, specifically the “March of the Steel Torrent” (钢铁洪流进行曲) (see video). This launch quickly became a trending topic (#我军向太平洋发射洲际弹道导弹#). While Chinese state media claimed that Beijing informed relevant countries in advance, Japan stated that it did not receive any prior notice, further heightening tensions between China and Japan.

 
🇯🇵 Aftermath of Japanese Schoolboy Stabbing

The incident in which a Chinese man fatally stabbed a ten-year-old Japanese schoolboy near the Shenzhen Japanese School on September 18 has become a widely discussed topic this month. The attacker, a 44-year-old Chinese national, was immediately arrested. However, discussions about the stabbing are ongoing, as it has sparked a wave of anger in Japan, where critics argue that anti-Japanese sentiments in China are fueled by official media and national education.

Meanwhile, China and Japan have effectively resolved their diplomatic dispute regarding the Fukushima water discharge, with some suggesting a connection between the two events. China’s Foreign Ministry spokesperson Mao Ning (毛宁) stated on September 20 that the issues are not related (#中日共识与日本男童遇袭无关#). Beyond the geopolitical implications, the international media coverage of the stabbing incident has also provoked anger on Chinese social media, where many netizens reject the supposed negative portrayal of China. The topic is quite sensitive and continues to face significant censorship online.

 
📱 Huawei Trifold Phone

The launch of Huawei’s ‘trifold’ phone earlier this month generated significant excitement in China, with many believing that Huawei—and, by extension, China—is now at the forefront of innovation in the folding screen smartphone race. The Mate XT is the first triple-folding screen phone, leading some top commenters to proclaim, “Huawei’s innovation capability is truly the best in the world. While other manufacturers are still researching foldable phones, Huawei has already released the trifold.”

During my travels in China over the past few weeks, I visited several Huawei stores, but unfortunately, the trifold was never on display; it’s available only by reservation and has allegedly garnered millions of pre-orders, despite its hefty price tag of CNY 19,999 (USD 2,850). There’s also been some lighthearted banter surrounding the phone, including a viral post that humorously depicts what it looks like when you make a phone call with the screen unfolded (it looks ridiculous), and a user who taped two phones together to create a sixfold.

 
👴 Retirement Age Discussions

News came out last week that China will raise its retirement age for the first time since the 1950s. China’s current retirement ages are among the world’s lowest. Facing an aging society and declining birth rates, the ages will now be increased in a step-by-step implementation process: 50 to 55 for women in blue-collar jobs, 55 to 58 for females in white-collar jobs, and 60 to 63 for male workers.

This change, set to take effect on January 1, 2025, has already sparked considerable discussion this year after experts proposed the adjustment. A related hashtag has garnered over 870 million views on Weibo (#延迟法定退休年龄改革#), where many users expressed their dissatisfaction with the change. “Great, I’ll get to retire in September of 2051 now,” one young worker wrote. “We start studying earlier and retire later; how can we keep up with this?”

 
📷 Hidden Hotel Cameras

After a Chinese blogger known as “Shadows Don’t Lie” (@影子不会说谎) recently discovered and exposed hidden cameras in the rooms of two guesthouses in Shijiazhuang, he faced significant intimidation and threats from the owners and employees, who accused him of staging the situation for attention.

However, the situation turned out to be real, and local police arrested multiple suspects responsible for installing these cameras inside these hotel rooms, which are often rented by young couples for romantic short stays. The suspects reportedly did not know the guesthouse owners and had secretly set up the cameras to profit illegally. This incident, which continues to generate discussion online, has heightened public concern over privacy protection and the integrity of the guesthouse industry, particularly as this is not the first time such issues have been revealed.

 

Weibo Word of the Week

The catchword to know

The Three Questions of Patriotism

Our Weibo word of the week is 爱国三问 (àiguó sān wèn), which translates to “The Three Questions of Patriotism.” This phrase has recently gained attention on Chinese social media as it was highlighted and propagated by official media channels.

The three questions are:

1. Are you Chinese? (你是中国人吗)
2. Do you love China? (你爱中国吗)
3. Do you wish China well? (你愿意中国好吗)

These questions were originally posed in 1935 by Zhang Boling (张伯苓), the first president of the renowned Nankai University (南开大学) in Tianjin.

Today, they are being revived on Chinese social media through various videos released by official channels.

One notable video is part of a new online series produced by state media titled “Great Educators” (大教育家), which features reenactments of speeches by prominent Chinese educators. In this series, Zhang Boling’s speech, portrayed by actor Wang Ban (王斑), emphasizes the importance of unity in tumultuous times.

Rather than dwelling on differences, Zhang urged people to recognize their shared identity: they are all Chinese, they love China, and they all aspire for the country’s prosperity.

Another video features Nankai University’s current president, Chen Yulu (陈雨露), addressing students during a large event on September 21st. In his speech, Chen reiterates the three famous questions, prompting the hundreds of students in attendance to respond enthusiastically: “We are [Chinese]!” “We love [China]!” “We wish [China well]! We want China to be strong and prosperous!” This response is followed by enthusiastic applause.

Additionally, another video from the same day features a meeting between Chen Yulu and an AI version of Zhang Boling, digitally resurrected to address the students and celebrate the start of the new school year. During this ‘virtual dialogue,’ Chen informs Zhang that his ‘Three Questions of Patriotism’ have become a cherished tradition at Nankai’s annual opening ceremony.

According to Chinese state media, the students’ responses to these three questions illustrate how contemporary Chinese youth are aligning their personal aspirations with national progress. This alignment is seen as a revival of the patriotic spirit that Zhang Boling instilled in students during wartime. However, the current ‘revival’ of this sentiment appears to be largely reflected across various official channels, with limited engagement from ordinary netizens.

This is an on-site version of the Weibo Watch newsletter by What’s on Weibo. Missed last week’s newsletter? Find it here. If you are already subscribed to What’s on Weibo but are not yet receiving this newsletter in your inbox, please contact us directly to let us know.

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China and Covid19

Sick Kids, Worried Parents, Overcrowded Hospitals: China’s Peak Flu Season on the Way

“Besides Mycoplasma infections, cases include influenza, Covid-19, Norovirus, and Adenovirus. Heading straight to the hospital could mean entering a cesspool of viruses.”

Manya Koetse

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In the early morning of November 21, parents are already queuing up at Xi’an Children’s Hospital with their sons and daughters. It’s not even the line for a doctor’s appointment, but rather for the removal of IV needles.

The scene was captured in a recent video, only one among many videos and images that have been making their rounds on Chinese social media these days (#凌晨的儿童医院拔针也要排队#).

One photo shows a bulletin board at a local hospital warning parents that over 700 patients are waiting in line, estimating a waiting time of more than 13 hours to see a doctor.

Another image shows children doing their homework while hooked up on an IV.

Recent discussions on Chinese social media platforms have highlighted a notable surge in flu cases. The ongoing flu season is particularly impacting children, with multiple viruses concurrently circulating and contributing to a high incidence of respiratory infections.

Among the prevalent respiratory infections affecting children are Mycoplasma pneumoniae infections, influenza, and Adenovirus infection.

The spike in flu cases has resulted in overcrowded children’s hospitals in Beijing and other Chinese cities. Parents sometimes have to wait in line for hours to get an appointment or pick up medication.

According to one reporter at Haibao News (海报新闻), there were so many patients at the Children’s Hospital of Capital Institute of Pediatrics (首都儿科研究所) on November 21st that the outpatient desk stopped accepting new patients by the afternoon. Meanwhile, 628 people were waiting in line to see a doctor at the emergency department.

Reflecting on the past few years, the current flu season marks China’s first ‘normal’ flu peak season since the outbreak of Covid-19 in late 2019 / early 2020 and the end of its stringent zero-Covid policies in December 2022. Compared to many other countries, wearing masks was also commonplace for much longer following the relaxation of Covid policies.

Hu Xijin, the well-known political commentator, noted on Weibo that this year’s flu season seems to be far worse than that of the years before. He also shared that his own granddaughter was suffering from a 40 degrees fever.

“We’re all running a fever in our home. But I didn’t dare to go to the hospital today, although I want my child to go to the hospital tomorrow. I heard waiting times are up to five hours now,” one Weibo user wrote.

“Half of the kids in my child’s class are sick now. The hospital is overflowing with people,” another person commented.

One mother described how her 7-year-old child had been running a fever for eight days already. Seeking medical attention on the first day, the initial diagnosis was a cold. As the fever persisted, daily visits to the hospital ensued, involving multiple hours for IV fluid administration.

While this account stems from a single Weibo post within a fever-advice community, it highlights a broader trend: many parents swiftly resort to hospital visits at the first signs of flu or fever. Several factors contribute to this, including a lack of General Practitioners in China, making hospitals the primary choice for medical consultations also in non-urgent cases.

There is also a strong belief in the efficacy of IV infusion therapy, whether fluid-based or containing medication, as the quickest path to recovery. Multiple factors contribute to the widespread and sometimes irrational use of IV infusions in China. Some clinics are profit-driven and see IV infusions as a way to make more money. Widespread expectations among Chinese patients that IV infusions will make them feel better also play a role, along with some physicians’ lacking knowledge of IV therapy or their uncertainty to distinguish bacterial from viral infections (read more here)

To prevent an overwhelming influx of patients to hospitals, Chinese state media, citing specialists, advise parents to seek medical attention at the hospital only for sick infants under three months old displaying clear signs of fever (with or without cough). For older children, it is recommended to consult a doctor if a high fever persists for 3 to 5 days or if there is a deterioration in respiratory symptoms. Children dealing with fever and (mild) respiratory symptoms can otherwise recover at home.

One Weibo blogger (@奶霸知道) warned parents that taking their child straight to the hospital on the first day of them getting sick could actually be a bad idea. They write:

“(..) pediatric departments are already packed with patients, and it’s not just Mycoplasma infections anymore. Cases include influenza, Covid-19, Norovirus, and Adenovirus. And then, of course, those with bad luck are cross-infected with multiple viruses at the same time, leading to endless cycles. Therefore, if your child experiences mild coughing or a slight fever, consider observing at home first. Heading straight to the hospital could mean entering a cesspool of viruses.”

The hashtag for “fever” saw over 350 million clicks on Weibo within one day on November 22.

Meanwhile, there are also other ongoing discussions on Weibo surrounding the current flu season. One topic revolves around whether children should continue doing their homework while receiving IV fluids in the hospital. Some hospitals have designated special desks and study areas for children.

Although some commenters commend the hospitals for being so considerate, others also remind the parents not to pressure their kids too much and to let them rest when they are not feeling well.

By Manya Koetse, with contributions from Miranda Barnes

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