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China and Covid19

Fangcang Forever: China’s Temporary Covid19 Makeshift Hospitals To Become Permanent

China’s temporary ‘Fangcang’ shelter hospitals are here to stay.

Manya Koetse

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A new term has been added to China’s pandemic lexicon today: Permanent Fangcang Hospital. Although China’s ‘Fangcang’ shelter hospitals are, by definition, temporary, these healthcare facilities to isolate and treat Covid patients are now becoming a permanent feature of China’s Zero-Covid approach.

Over the past few days, Chinese authorities have emphasized the need for China’s bigger cities to build or renovate existing makeshift Covid hospitals, and turn them into permanent sites.

So-called ‘Fangcang hospitals’ (方舱医院, square cabin hospitals) are large, temporary makeshift shelter hospitals to isolate and treat Covid-19 patients. Fangcang shelter hospitals were first established in China during the Wuhan outbreak as a countermeasure to stop the spread of the virus.

January 5 2022, a Fangcang or Isolation Point with over 1000 separate isolations rooms is constructed in Baqiao District of Xi’an (Image via Renmin Shijue).

They have since become an important part of China’s management of the pandemic and the country’s Zero-Covid policy as a place to isolate and treat people who have tested positive for Covid-19, both asymptomatic and mild-to-moderate symptomatic cases. In this way, the Fangcang hospitals alleviate the pressure on (designated) hospitals, so that they have more beds for patients with serious or severe symptoms.

On May 5th, Chinese state media reported about an important top leadership meeting regarding China’s Covid-19 situation. In this meeting, the Politburo Standing Committee stressed that China would “unswervingly adhere to the general Zero-Covid policy” and that victory over the virus would come with persistence. At the meeting, chaired by Xi Jinping, the seven-member Politburo Standing Committee also declared that China would fight against any words or acts that “distort, doubt, or deny” the country’s dynamic Zero-Covid policy.

Life inside one of Shanghai’s Fangcang, photo via UDN.com.

Following the meeting, there have been multiple official reports and statements that provide a peek into China’s ‘zero Covid’ future.

On May 13, China’s National Health Commission called on all provinces to build or renovate city-level Fangcang hospitals, and to make sure they are equipped with electricity, ventilation systems, medical appliances, toilets, and washing facilities (Weibo hashtag ##以地级市为单位建设或者改造方舱医院#).

On May 16, the term ‘Permanent Fangcang Hospital’ (Weibo hashtag #永久性方舱医院) became a trending topic on Weibo after Ma Xiaowei (马晓伟), Minister of China’s National Health Commission, introduced the term in Qiushi (求是), the leading official theoretical journal of the Chinese Communist Party.

The term is new and is somewhat contradictory as a concept, since ‘Fangcang hospitals’ are actually defined by their temporary nature.

Ma Xiaowei stressed the need for Chinese bigger cities to be ready for the next stage of China’s Covid control. This also includes the need for some central ‘Fangcang’ makeshift hospitals to become permanent ones.

In order to ‘normalize’ the control and monitoring that comes with living in Zero-Covid society, Chinese provincial capitals and bigger cities (more than ten million inhabitants) should do more to improve Covid testing capacities and procedures. Ma proposes that there should be nucleic acid sample collection points across the city within a 15-minute walking distance radius, and testing frequency should be increased to maximize efficient control and prevention.

Cities should be prepared to take in patients for isolation and/or treatment at designated hospitals, centralized isolation sites, and the permanent Fangcang hospitals. The recent Covid outbreak in Shanghai showed that local authorities were unprepared to deal with the outbreak, and sites that were used as Fangcang hospitals often lacked proper facilities, leading to chaotic scenes.

A Fangcang Isolation Center in Quanzhou, March 2022, via People’s Daily.

The hashtag “Permanent Fangcang Hospitals” received over 140 million views on Weibo on Monday.

One of the Weibo threads by state media reporting on the Permanent Fangcang hospitals and the publication by Ma Xiaowei received nearly 2000 comments, yet the comment section only displayed three comments praising the newly announced measures, leaving out the other 1987 comments.

Elsewhere on Weibo, people shared their views on the Permanent Fangcang Hospitals, and most were not very positive – most commenters shared their worries about China’s Covid situation and about the stringent measures being a never-ending story.

“We’re normalizing nucleic acid test, we’re introducing permanent fangcang hospitals, [but] why isn’t the third Covid vaccination coming through?” one person wondered.

“If there was still a little bit of passion inside me, it was just killed by reading these words ‘Permanent Fangcang Hospital,'” another commenter writes, with one Weibo user adding: “I feel desperate hearing the words ‘Permanent Fangcang Hospital.'”

“Building permanent Fangcang? Why? Why don’t you use the resources you’re now spending on normalizing testing to create more hospital beds, more medical staff and more medications?”

Another commenter wrote: “China itself is one giant permanent Fangcang hospital.”

“The forever Fangcang are being built,” one Weibo user from Guangdong writes: “This will never end. We’ll be locked up like birds in a cage for our entire life.”

For more articles on the Covid-19 topics on Chinese social media, check here.

By Manya Koetse, with contributions by Miranda Barnes

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Featured image via user tongtong [nickname] Weibo.com.

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©2022 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

Manya Koetse is the founder and editor-in-chief of whatsonweibo.com. She is a writer, public speaker, and researcher (Sinologist, MPhil) on social trends, digital developments, and new media in an ever-changing China, with a focus on Chinese society, pop culture, and gender issues. She shares her love for hotpot on hotpotambassador.com. Contact at manya@whatsonweibo.com, or follow on Twitter.

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    Alex Zhang

    May 17, 2022 at 6:36 pm

    1987 or 1997 ಠ_ಠ

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China and Covid19

The “Final Round Players” of China’s Covid Outbreak

Those who still haven’t had Covid have made it to the “finals,” but it’s not always easy to stay positive about still testing negative.

Manya Koetse

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This Chinese Lunar New Year period, as millions of people are traveling across the country, Hangzhou Daily (杭州日报) posted a video on Weibo of a 13-year-old boy dressed in full protective clothing at the Hangzhou train station.

The young man told the reporter that he was on his way to visit his grandparents for the Chinese New Year. When asked why he was dressed in protective clothing from head to toe, he answered: “Because I haven’t had Covid yet.”

According to the video posted by Hangzhou Daily, the boy has made it to the “Final Rounds” (决赛圈) as he has managed to stay Covid-negative at a time when so many people have already been infected with Covid-19 (#挺进决赛圈的男孩穿防护服坐火车#).

Since China ‘optimized’ the last stringent measures of its ‘Zero Covid’ policy back in early December – including an end to mandatory mass testing, – a wave of Covid infections spread across the country. The number of infections and emergency department visits reportedly reached its peak in late December of 2022 and in early January of 2023.

According to Wu Zunyou (@吴尊友ChinaCDC), chief epidemiologist of the Chinese Center of Disease Control and Prevention, 80 percent of China’s population has now been infected with Covid (“这一波疫情已经使得全国约80%的人感染过”).

As it is getting rarer to come across someone who has not had Covid yet, travelers dressed in full hazmat suits and protective gear are bound to stand out. “So many people on the train, and there are still two people in the crowd wearing protective clothing,” one Weibo user from Guangdong wrote. Others also post photos on social media of some of the few travelers still fully dressed in protective gear.

One blogger photographed a child wearing protective clothing at Chongqing West Station on Jan. 24, calling the protective attire “exaggerated,” and wondering how the child was supposed to go to the toilet.

Photo posted on Weibo by @杨品-光线摄影学院 on Jan 24., 2023.

Traveler wearing protective clothing at Hangzhou East Station, photo by @百鸣老屈.

Hangzhou Daily is not the only media outlet dubbing those who managed to stay negative “final round players” (决赛圈选手). In early January, Beijing Daily (北京日报​​​​) and People’s Daily (人民日报) also published a short article using the same phrase. In the article, the Beijing expert physician Dr. Li Dong (李侗) answered some questions about the so-called ‘finalists.’

According to Dr. Li Dong, some of the people who claim to have managed to stay ‘Covid free’ were never infected due to protective measures. But there are also those who may have actually had Covid-19 without realizing it, as they barely had any symptoms or were completely asymptomatic.

“Final round players, protect yourself!” one Weibo commenter writes: “Who else has managed to reach these finals?”

“As a ‘final player,’ I finally went out to eat and visit the shopping mall today. I’ll have to wait and see if I reach the championship level. If I haven’t caught [Covid], I can go on and lead a normal life; if I did catch it, I’ll need to wait a while, and will also be able to lead a normal life.”

Other persons who did not have Covid yet also share on social media that they went out for the first time during this Spring Festival period: “I cautiously went out and saw my first movie in 2023, Wandering Earth II, I picked a morning screening so that the cinema is not so crowded yet.”

Now that the Covid infections in China have peaked and the number of infected critically ill patients is quickly dropping, the fears over catching Covid are also seemingly fading among those who were not yet infected.

But some people who have not had Covid yet are still being careful, especially if it concerns elderly family members. It’s not always easy to stay positive about still testing negative – also for loved ones who did previously have Covid and want to protect their family.

One Fujian-based social media user writes: “I recovered from Covid and I’m spending the Spring Festival with three ‘final round players.’ We’ve been stuck inside the house for days. I’ve been looking at the lanterns and the lights in the neighborhood, watching them from the balcony, and I really wanted to go down and see.”

“Looking at WeChat Moments, all my friends are out traveling, but my family still hasn’t had Covid and we’re afraid to go out,” another netizen writes: “It’s sad to celebrate the New Year without going out. Guess we’re final-round players now, let’s hope it brings good things.”

Meanwhile, the group of ‘finalists’ is still shrinking. One Weibo user from Guangxi wrote: “I’ve left the finalist circle. It’s only been two days since I returned to my hometown and I’m already infected.”

By Manya Koetse 

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©2023 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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China and Covid19

Video Shows Real-Time “Departure” Information Board at Chinese Crematorium

From “cremation in process” to “cooling down,” the digital display shows the progress of the cremation to provide information to those waiting in the lobby. The crematorium ‘departure’ board strikes a chord with many.

Manya Koetse

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A video showing a live display screen announcing the names and status of the deceased at a Yunnan crematorium has been making its rounds on Chinese social media, from WeChat to Weibo, where one version of the video received over 1,7 million views.

Somewhat similar to a real-time platform departure display on train stations, the screen shows the waiting number of the deceased person, their name, gender, the name of the lounge/room (if any) for families, the name of the crematorium chamber, and the status of the cremation process. Below in the screen, it says “the final journey of a warm life” (温暖人生的最后旅程).

For example, the screen displays the names of a Mr. Chen and a Mr. Li; their bodies were in the process of being cremated (火化中), while other cremations were marked as “completed” (完成) or “cooling down” (降温中).

Through such a screen, located in the crematorium lobby, family members and loved ones can learn about the progress of the cremation of the deceased.

The video, recorded by a local on Jan. 7, received many comments. Among them, some people commented on the information board itself, while others simply expressed grief over those who died and the fragility of life. Many felt the display was confronting and it made them emotional.

“It makes me really sad that this how people’s lives end,” one commenter said, with another person replying that the display also shows you still need to wait in line even when you’re dead.

“I didn’t expect the screens [in the crematorium] to be like those in hospitals, where patients are waiting for their turn,” another Weibo user wrote. “It would be better if the names were hidden, like in the hospitals, to protect the privacy of the deceased,” another person replied.

Others shared their own experiences at funeral parlors also using such information screens.

Another ‘departure display’ at a Chinese crematorium, image shared by Weibo user.

“My grandfather passed away last September, and when we were at the undertaker’s, the display was also jumping from one name to the other and we could only comfort ourselves knowing that he was among those who lived a relatively long life.”

“Such a screen, it really makes me sad,” another commenter from Guangxi wrote, with others writing: “It’s distressing technology.”

Although the information screen at the crematorium is a novelty for many commenters, the phenomenon itself is not necessarily related to the Covid outbreak and the number of Covid-related deaths; some people share how they have seen them in crematoriums before, and funeral parlor businesses have used them to provide information to families since at least 2018.

According to an article published by Sohu News, more people – especially younger ones – have visited a funeral home for the first time in their lives recently due to the current Covid wave, also making it the first time for them to come across such a digital display.

The online video of such an information board has made an impact at a time when crematoriums are crowded and families report waiting for days to bury or cremate their loved ones, with especially a large number of elderly people dying due to Covid.

On Jan. 4, one social media user from Liaoning wrote:

I really suggest that the experts go to the crematoriums to take a look. There is no place to put the deceased, they’re parked outside in temporary containers, there’s no time left to hold a farewell ceremony and you can only directly cremate, and for those who were able to have a ceremony, they need to finish within ten minutes (..) At the funeral parlor’s big screen, there were eight names on every page, and there were ten pages for all the people in line that day, I stood there for half an hour and didn’t see the name of the person I was waiting for pop up anymore.”

As the video of the display in the crematorium travels around the internet, many commenters suggest that it is not necessarily the real-time ‘departure’ board itself that bothers them, but how it shows the harsh reality of death by listing the names of the deceased and their cremation status behind it. Perhaps it is the contrast between the technology of the digital display boards and the reality of the human vulnerability that it represents that strikes a chord with people.

One blogger who reposted the video on Jan. 13 wrote: “Life is short, cherish the present, let’s cherish what we have and love yourself, love your family, and love this world.” Among dozens of replies, some indicate that the video makes them feel uncomfortable.

Another commenter also wrote:

I just saw a video that showed an electronic display at a crematorium, rolling out the names of the deceased and the stage of the cremation. One name represents the ending of a life. And it just hit me, and my tears started flowing. I’m afraid of parting, I’m afraid of loss, I just want the people I love and who love me to stay by my side forever. I don’t want to leave. I’m afraid I’ll be alone one day, and that nobody will ever make me feel warm again.”

One person captured why the information board perhaps causes such unease: “The final moments that people still spent on this earth take place on the electronic screen in the memorial hall of the funeral home. Then, they are gone without a sound.”

 

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By Manya Koetse 
with contributions by Zilan Qian

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.

©2023 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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