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Jews in Shanghai: Memories of a Nearly Forgotten Community

New initiatives bring back the memories of Shanghai’s Jewish community.

Manya Koetse

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As modern buildings mushroom and old neighborhoods disappear, the traces of Jewish history are fading in today’s Shanghai. But recent initiatives, such as a Jews in Shanghai musical and the launch of a Shanghai Jewish diaspora website, keep the memories of China’s Jewish heritage more alive than ever. A short history of Jews in Shanghai and how their history is remembered in 21st century China.

 
Story by Manya Koetse, photo-reportage by Maarten van der Meer.
 

Perhaps Jewish history is not the first thing that springs to mind when thinking about Shanghai. Yet the vibrant city harbors a rich history of Jewish heritage – a history that has recently seen a revival in Chinese media and entertainment.

The increased attention for the Jewish community of Shanghai and the history of Jews in China comes at a time when relations between China and Israel are at a new height. The two countries recently signed a visa deal that has encouraged mutual travel. Tel Aviv and Beijing are also making plans to establish a free trade zone.

 

DISAPPEARING HISTORIES

“While bulldozers are rumbling, discoveries of historically important buildings make the news.”

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The ‘memory revival’ of China’s Jewish history also comes at a time when old Jewish neighborhoods in Shanghai are being demolished. A reviving Jewish community in the city of Kaifeng is facing an ongoing crackdown by the government, as Judaism does not belong to China’s five state-approved religions of Buddhism, Taoism, Islam, Christianity and Protestantism.

Shanghai’s northern district of Hongkou is at the heart of Shanghai’s old Jewish neighborhood. Although many buildings are well-preserved, large parts of the neighborhood have been demolished over the past few years. Residents are located to other, more remote, areas of the city.

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While bulldozers are rumbling, discoveries of historically important buildings sometimes make the news. In 2014, an old residence set for demolition turned out to be a meeting place for Sun Yat-sen and other well-known people during the 1910s. The building was preserved after a Weibo user asked for help to save it.

In February 2016, another Hongkou building remained intact after it was discovered to be be a former ‘comfort women’ house used by Japanese troops during WWII.

While parts of the old neighborhood are disappearing, new initiatives are keeping its memories alive.

 

NEW WAYS OF REMEMBERING

“China has seen a ‘revival’ in remembering China’s and Shanghai’s Jewish history.”

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Just 3 kilometers from Shanghai’s famous Peace Hotel (its Victor’s Café was named after famous Shanghai Jew Sir Victor Sassoon) lies the Shanghai Jewish Refugees Museum; opened in 2007 to commemorate the Jewish refugees who lived in Shanghai during WWII. The museum frequently holds new displays and events to catch the audience’s attention.

But the history of Jews in Shanghai is kept alive through more than only the museum. Over the past few years, China has seen a ‘revival’ in remembering China’s and Shanghai’s Jewish history. Its historical revival mainly takes place outside museums, namely in popular culture and cyberspace.

China’s first animated movie about the Jewish history of Shanghai premiered in 2010. A Jewish Girl in Shanghai (犹太女孩在上海) tells the story and hardships of Jewish girl Rena who flees Nazi persecution by traveling to Shanghai during the WWII. The film has been described as “China’s first homegrown Jewish film”. A sequel to the anime appeared in 2015.

In the same year (2015), the first musical themed around the Jews in Shanghai saw the light at the Shanghai International Arts Festival in October. The musical Jews in Shanghai (犹太人在上海) revolves around the blossoming love between a Jewish man and Shanghai woman during the chaos of WWII. The Chinese-Israeli musical premiered in Beijing in June of 2016 (Yuan 2016: 30).

Jews in Shanghai, the musical (image via mypiao.com).

Jews in Shanghai, the musical (image via mypiao.com).

Shanghai’s Jewish history is also being commemorated through digital channels. On September 28, Shanghai’s Hongkou district government released a multilingual website telling different stories of the Jewish diaspora in Shanghai during the World War II. The project, launched by Shanghai International Studies University and the Shanghai Jewish Refugees Museum, has collected stories from the time Jews fled to Shanghai to escape Nazi persecution.

E-learners can now also learn about the Jewish history in China through Coursera. Nanjing University has started offering an online course on Jewish Diaspora in China , taught by Dr. Xu Xin – an expert on the history of Judaism in China. The course requires enrollment but is offered for free.

 

JEWS IN CHINA/SHANGHAI: A SHORT HISTORY

“They have entirely lost their religion and are scarcely distinguishable in any way from the Chinese.”

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China has a long history of Jewish diaspora, although it is not entirely clear when and where this history began. What is clear, however, is that China is the only country in East Asia where Jews have consecutively lived for the last 1000 years. Marco Polo already mentioned the presence of Jews in China in 1286, and there is historical evidence that Jews lived in the old city of Kaifeng since the 11th century (Xin 2010: 133).

Although the city of Kaifeng once had a lively Jewish community, it gradually diminished throughout the 19th century. By the early 20th century, it had become nearly non-existent. When a bishop of the Anglican church visited the city in 1867, he already noted about the Kaifeng Jews that “they have entirely lost their religion and are scarcely distinguishable in any way from the Chinese” (Rhee 1973: 118).

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The reason for the Jewish demise could be explained through their complete assimilation in China. Throughout time, they took on Confucianism, practiced patrilineal descent, intermarried, and identified with Chinese culture so much that they were no longer really considered “Jewish” at all (1973: 115).

In Shanghai, however, something different was happening. After China was defeated by Britain during the first Opium War (1839-1842), Shanghai became an open port where foreign trade was allowed and where Britain could establish settlements. It was at this time that the first wave of Jewish people came to Shanghai, along with British merchants, to start businesses there. This early Jewish community of modern China, who were Sephardi Jews, settled down in Shanghai and other cities (Hong Kong, Tianjin) to make money and establish companies.

The second wave of Jewish came to Shanghai in the early 20th century. These Ashkenazi Jews came from Eastern Europe and Russia, and also settled down in the bustling city to start small businesses. Together with the first wave of Jews in Shanghai, they had a thriving Jewish community with Jewish synagogues, cemeteries, and institutions.

But the history of Jews in Shanghai is mostly known for the third wave of Jewish diaspora: German and Austrian Jewish who came to Shanghai as refugees before and during the WWII.

 

THE SHANGHAI GHETTO

“Shanghai became their destination not by choice, but because they had no other choice.”

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Why Shanghai? For many Jews at the time, Shanghai became their destination not by choice, but because they had no other choice (Xin 2016). As anti-Jewish violence grew strong in Nazi-ruled Germany and Austria, many Jews wanted to leave the country. But despite the 1938 Evian Conference in France, that was joined by 32 nations to resolve the Jewish refugee crisis, other countries remained reluctant to take in Jewish refugees. Without the required visas needed to enter countries such as America, many Jews were desperate.

Shanghai, however, was an exceptional place: it was an open port under the control of foreign powers, and it already was home to two relatively large Jewish communities. There was no need for a visa. For those who could afford to go on a boat to China, it was the best refugee haven (Gao 2011: 203; Meyer 2000: 71). After the anti-Jewish pogroms during the 1938 Kristallnacht, many Jews arrived in China. In the 1933-1940 period, approximately 20,000 European Jews came to China, of which a large majority arrived in Shanghai per boat (Xin 2016; Gao 2011: 203)

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The fourth and final wave of Jewish arrived in China via the Japanese city of Kobe. It was a Polish Jewish community who had ended up in Kobe via Siberia, but left again after the outbreak of the Pacific War. By the early 1940s, four different Jewish communities, coming from four different “waves” of diaspora, lived in Shanghai together at the same time.

It was Shanghai’s Hongkou district (also spelled as ‘Hongkew’) that became the main Jewish neighborhood. Since it was amongst the lesser developed areas of Shanghai, the cost of living was cheap there. But under Japanese control, the area’s Tilanqiao neighborhood (提篮桥) turned into a “designated area for stateless refugees”, simply a “ghetto”, where around 20,000 of its 50,000 residents were Jewish. Japanese authorities controlled the district and prohibited Jews from leaving the “Hongkou ghetto” without the required papers, which were hard to obtain.

According to Evelyn Pike Rubin, one of the German-Jewish refugees who survived in Shanghai during the 1939-1947 period, the designated area only came in 1943. She told What’s on Weibo: “Until 1943 we could live anywhere. As a matter of fact, I lived with my parents on Avenue Joffre. It was not until May of 1943 that the so-called ‘ghetto’ was established. Mr. Ghoya gave out the passes – sometimes with difficulty. My mother got a pass and did business outside the ghetto and I and my friends got passes to continue attending the Shanghai Jewish school in the former International Settlerment on Seymour Road.”

Evelyn Pike Rubin later published a book about her experiences in Shanghai, titled Ghetto Shanghai (1998: link).

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Despite suffering hardships, the Jews in the Shanghai Ghetto were safe and far removed from the horrors of Europe. Jewish children attended school and could freely play around the streets with their Chinese friends.

Nina Admoni, who spent her childhood in the Shanghai ghetto, with her Chinese friends [image timesofisrael.com].

Nina Admoni, who spent her childhood in the Shanghai ghetto, with her Chinese friends [image timesofisrael.com].

Nina Admoni, a Polish Jew who spent her childhood in the ghetto, told Times of Israel in 2012 that she looked back on her experience in Shanghai fondly and even idyllically: “The Chinese people in Shanghai were very kind, that’s what I remember.”

 

GONE, BUT NOT FORGOTTEN

“The last synagogue of Shanghai stopped its services in 1956.”

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There is a world of difference between what once was the “Shanghai Ghetto” and the same area today. The first synagogue of Hongkou, from the 1920s, now houses the Shanghai Jewish Refugee Museum. The Jewish community is no longer active here. The last synagogue of Shanghai stopped its services in 1956.

After WWII ended, Jews in China gradually left the country. It was not possible for them to become Chinese nationals, as the country did not have a naturalization procedure. The upheaval of the Chinese Civil War followed by the communist victory in 1949 meant that the Jewish could no longer continue to do business in China. As many left for North America, Australia, New Zealand or Palestine, only a few hundred Jews were left across China by the 1960s (Xin 2016).

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What once was a home and safe haven for thousands of Jews has now turned into a quiet neighbourhood with local shops and a street market. Many parts are being deconstructed for renovation.

Shanghai still has a small Jewish community, but it is not comparable to what it once was.

The Ohel Rachel Synagogue on North Shaanxi Road is now regulated by the Chinese government. The Jews in Shanghai are allowed to hold a religious ceremony no more than three times per year.

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In Kaifeng, once home to China’s oldest Jewish community, a revival of Judaism amongst around 1000 residents who claim to be of Jewish ancestry has been met by opposition from the local government. It has shut down Jewish heritage organizations and has prohibited residents from gathering to worship for Passover and other holidays. Signs and relics of the city’s Jewish past have been removed from public places.

China’s Jewish communities have changed through time. They have grown smaller, they have become Chinese, or they have vanished altogether.

Although the visibility of Jewish history might be disappearing from the streets of Shanghai, its stories are kept alive through books, museums, musicals, cinemas and on the internet. Its presence may be gone, but its history will never be lost.

– By Manya Koetse, photographs by Maarten van der Meer

About the photographer:
Maarten van der Meer is an independent/freelance photographer focusing on photographic stories, both fictive & real. He likes to mix various image styles and tries to find the narrative and excitement within everyday scenes. Besides his story projects, Van der Meer shoots portraits & landscapes.

References (news article sources in links)

– Gao, Bei. 2011. “The Chinese Nationionalist Government’s Policy Toward European Jewish Refguees During World War II.” Modern China 37 (2): 202-237.
– Meyer, Maisie J. 2000. “The Interrelationship of Jewish Communities in Shanghai.” Immigrants & Minorities 19 (2): 71-90.
– Rhee, Song Nai. 1973. “Jewish Assimilation: The Case of Chinese Jews.” Comparative Studies in Society and History 15(1): 115–126.
– Xin, Xu. 2010. “Tracing Judaism in China.” Social Sciences in China 31 (1), 130–161.
– Xin, Xu. 2016. “Jewish Diaspora in China” [online course]. Coursera. https://www.coursera.org/learn/jews-in-china/home/welcome [1.10.16]
– Yuan, Kang. 2016. “Jews in Shanghai: Love is Boundless.” Women of China (July): 30-31.

©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.

2 Comments

2 Comments

  1. Avatar

    Henry B Meisel

    February 11, 2017 at 1:43 am

    I am a survivor of the Shanghai Ghetto 1939-49…………lived in the Ghetto because we were declared stateless not because we were Jews….other Jews besides German,Viennese,Polish lived outside……..in fact the Japanese saved our lives though Germany an ally tried to find a solution. I lecture on the survival by showing the film “Shanghai Ghetto” with question and answer periods. In recent years Shanghai TV produced another film “Survival in Shanghai” which will be shown at Temple Emanuel in NYCity in April 2017

    (one part of this comment that included a link to a private website has been removed by whatsonweibo for as the link contained malware. sorry for any inconvenience)

  2. Avatar

    Kevin Dwyer

    November 24, 2018 at 7:08 pm

    Keep up the good work, Ms. Koetse. Read your stuff all the time but don’t think I’ve thanked you for you b/f for your excellent reporting. (P.S. ‘Dwyer’ is the Irish cousin of the Dutch ‘zwart’ & the German ‘schwarz’)

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Backgrounder

Coronavirus on Chinese Social Media: The 8 Major Trends in Times of the 2019-nCoV Crisis

The 8 main trends defining the online responses to the Wuhan coronavirus on Chinese social media.

Manya Koetse

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Since the outbreak of the new coronavirus becoming big news in China and around the world, there have been few other topics going trending on Chinese social media than those related to 2019-nCoV. What’s on Weibo gives an overview of the most noteworthy online media trends in China regarding the corona-crisis.

 
By Manya Koetse, further research and news-gathering by Miranda Barnes
 

From panic to patriotism, the outbreak of the coronavirus has led to a wide range of different responses from Chinese netizens and online media outlets over the past few weeks.

Although the first reports on the emergence of a pneumonia-like illness in the city of Wuhan came out in late December, it wasn’t until mid-January that the new virus, belonging to the coronavirus family, started dominating the top trending lists on social media in China and beyond.

The hashtag “Nationally Confirmed Cases of New Pneumonia” (#全国确诊新型肺炎病例#) became one of the biggest news-related topics we have ever seen on Weibo, receiving eight billion views by January 25, and reaching a staggering 13,5 billion views by February 2.

As of February 6th, approximately 28,200 cases of the new virus were confirmed, with over 170 cases reported in countries outside of China. The death toll also became much higher than days before, rising to 564. With these numbers, the coronavirus has exceeded the scale of the 2003 SARS outbreak in terms of infected patients.

Along with the quick spread of the new coronavirus across the country, the general mood and direction of the discussions and trends in the Chinese online media environment have also been in constant flux.

At What’s on Weibo, we have been glued to our social media screens, but because editor-in-chief Manya Koetse has been flooded with daily media requests we have not been able to update the site with regular updates (meanwhile, @manyapan did post regular updates on Twitter).

Here, we will highlight some of the main social media trends we spotted during the outbreak of the new Chinese coronavirus, now and over the past weeks.

 

TREND #1:

Online Backlash against the Eating of Wild Game

As an online media panic broke out around January 20, when a third person had died of the new Wuhan virus, one of the main trends to come up on Chinese social media was an online backlash against the eating of wild game (as reported here by Jessica Colwell).

The backlash flooded Weibo after the downtown Wuhan Huanan Seafood Wholesale Market (武汉华南海鲜批发市场), selling a wide range of dead and alive wild animals – anything from snakes and crocodiles to rats, hedgehogs or bats, – was identified as the suspected source of the deadly coronavirus outbreak.

Image posted by Sina Parenting on February 1st.

Since Chinese researchers linked the novel coronavirus (nCoV-2019) to bats, videos and images of bat dishes and people eating bat soon made their rounds on social media.

Many of these videos were actually unrelated to Wuhan, but were used in condemning the practice of eating (illegal/unsafe) wild game in general.

Around January 23, hashtags such as “Support the Banning of Wild Game Markets” (#支持禁绝野味市场#), “Refusing Eating of Wild Game Starts with You” (#拒吃野味从我做起#), “Control Your Mouth, Refuse Wild Game” (#管住嘴拒绝吃野味#) went viral on Weibo.

As images or videos of people eating bats or other exotic animals soon also spread to Twitter and other non-Chinese social media, some English-language media labeled them as “xenophobic” or “racist” – ignoring the fact that the anti-wild game storm actually started in the Chinese online media environment.

Online information leaflet spread by People’s Daily, “Resisting the Consumption of Wild Game Starts with Ourselves”

State media outlets such as People’s Daily, for example, played a role in the online dissemination of information against the eating of wild game and actually hosted some of these hashtag pages on Weibo.

The main argument behind the backlash is that those eating (unsafe, illegal) exotic and/or wild animals could risk their own health and that of their community and that what you eat is also your responsibility in keeping others safe.

A news story of a man hunting wild animals for consumption made its rounds on Weibo this week.

The backlash against the eating of wild game and online anger against people hunting or illegally buying wild animals for consumption is still ongoing, with some directing their anger against Wuhan people in specific.

This has also triggered discussions on Weibo about discrimination – not against Chinese people in general, but against Chinese netizens discriminating against Wuhan people or even against people from the Hubei province.

 

TREND #2:

Fake News and Censorship

Chinese social media platforms such as Weibo are tightly controlled online environments. When certain sensitive topics pop up, such as the anniversary of the Tiananmen protests, the Hong Kong demonstrations in their early phases, or big political events, virtually all related posts and news sharing will sometimes be removed by online censors.

In the wake of the coronavirus outbreak, this was not necessarily the case. From the start, there was a lot of reporting, sharing, and discussion of the virus online.

However, there certainly has been ongoing censorship of the topic. This was mainly done in the case of netizens reposting videos of chaotic situations in streets or at hospitals, but also in the case of ‘fake news’ posts (mostly called “starting rumors”).

Posts that could potentially trigger unrest or panic also were censored. One hashtag that made its rounds around January 22 was “Escaping Wuhan” (#逃离武汉#), with people trying to leave Wuhan before the city would go on lockdown. That hashtag page was soon completely removed from Weibo.

The comments sections of some posts reporting on controversial or sensitive news were also completely turned off (such as this report addressing local authorities in Wuhan allegedly taking donated face masks).

One Weibo user (@魔女小稀), an alleged nurse, posted a video of people in a hospital hallway on January 24th, claiming that “three [dead] bodies” had been lying in a Wuhan hospital for the entire afternoon covered in white sheets without being removed.

The post and the Weibo user were completely removed from the platform on January 25. By that time, however, the video and allegations were already picked up and reposted internationally.

According to Sina News, the post had been completely false; there were no bodies lying around this Wuhan hospital. If there were people covered in white sheets, it was merely people sleeping in the hallway after waiting for a long time.

This is but one of many examples of ‘fake news’ floating around Chinese social media over the past two weeks, with images and videos being placed in a misleading context, people claiming that patient or deceased numbers were much higher than those reported by the official media, and some even bringing up conspiracy theories about the source of the coronavirus (e.g. that the Americans started it, that it leaked from a biolab in Wuhan, etc).

The problem in this issue is, of course, when do we call it ‘fake news’ and when do we call it ‘censorship’? Amid the chaos and uncertainty of the coronavirus outbreak, it is not always easy to separate the two.

This is also a contributing factor in the general distrust in official media reports that clearly surfaced on Weibo over the past weeks. “I don’t believe it,” is a sentence popping up everywhere on social media.

Spreading online “rumors” is a crime under China’s Criminal Law and is punishable by up to seven years in prison. Although some foreign media outlets, such as this one, make it seem as though it is illegal to share fake news about the coronavirus in particular, it is actually illegal in China to share fake news in general.

 

TREND #3:

Virus Vigilantism

Another trend we noticed on social media during the wake of the coronavirus outbreak is not just a distrust in official media and authorities, but also distrust in fellow citizens.

One clear example that blew up on Weibo is that of a young woman from Wuhan who posted about her traveling to France – and enjoying nice food – despite suffering from a fever and cough. Because she took fever reducers, she claimed to have passed airport temperature monitors without issue.

The post sparked great anger among Chinese netizens and triggered the so-called ‘human flesh search engine,’ with people digging into her personal details.

The incident even led to the Chinese embassy in France investigating the matter. The woman turned out not to have been infected with the virus.

But there are many examples of people exposing and doxing those who allegedly are hindering the collective goal of minimizing the risk of a further spreading of the virus, for example by not self-isolating after visiting Wuhan.

There’s also been widespread online condemnation of people stealing tissue paper from public elevators. Many apartment buildings around China now provide a box of tissue paper for hygienic reasons so that people do not need to touch the elevator buttons.

Surveillance videos of people stealing these boxes have been making their rounds on Weibo and WeChat, such as this lady in an elevator in Chongqing, with thousands of netizens expressing their anger over their behavior – and sometimes naming and shaming them.

 

TREND #4:

Social Media as a Practical Communication Tool

Soon after the scale of the coronavirus outbreak started to become clear, social media platforms such as Weibo were started to be used as practical communication tools for authorities, (medical) organizations, and individuals to spread information or to ask for help.

Social media is now widely used as a practical communication tool for very general matters in the coronavirus crisis (e.g. providing information on how to avoid getting the virus), but also for more specific issues.

Various hospitals in Wuhan, for example, spread digital leaflets online summing up their specific shortages in supplies (face masks, surgical gloves, etc), and how people and organizations can contribute.

Another example is how authorities at various times use social media to search for people who were on board of certain trains or where passengers were later diagnosed with the virus.

But we have also seen individuals reaching out through social media. One woman, for example, reached out to netizens online after she and her husband fell ill and needed someone to look after their children.

Through the help of social media, there are now also local volunteers who help taking care of people’s pets while they are unable to return home to feed them.

One of the hashtags increasingly receiving attention online since early February is “Rescuing the Pets Left Behind in Wuhan Homes” (#武汉滞留家中宠物救援#).

Since January 26, Tencent’s WeChat has also opened a special “epidemic supervision” channel within its app where WeChat users can go to get the latest local information about the virus in their area or ask for medical help.

 

TREND #5:

Propaganda, Pride and Patriotism in Times of Crisis

The outbreak of the coronavirus coincided with the most important holiday of the year in China: the Spring Festival. On Friday, January 24, the CCTV broadcasted its annual Spring Festival Gala (Chunwan), a 4-hour long show that has been airing since 1983. The show is the biggest live TV event in the world, with a viewership of one billion.

The show is usually meticulously planned up to every second – with rehearsals starting months before -, but this year, for the first time ever, it included a segment on the Wuhan coronavirus outbreak. It showed scenes from inside a Wuhan hospital, and the show’s main presenters paid their respects to all the medical workers working day and night.

The event became trending on Weibo under the hashtag “For the First Time in History, ‘Chunwan’ Includes a Non-Rehearsed Segment” (#春晚历史上首次没有彩排的片段#)

It was during this time, with twenty million people under travel lockdown, that the sentence “Jiayou Wuhan, Jiayou Zhongguo” (“Come on Wuhan, Come on China”) was propagated by state media and became widely used on Chinese social media.

By now, the hashtag “Go Wuhan!” (#武汉加油#, hosted by Party newspaper People’s Daily) has over 12 billion views on Weibo.

“1.4 billion Chinese salute you”

Starting from the Spring Festival weekend, Chinese state media began to propagate more positive, patriotic, and nationalistic messages online during the corona crisis, focusing on the unity of China and the dedication and resilience of common Chinese people, with a specific emphasis on medical and army staff.

It is not uncommon, or actually rather common, for Chinese authorities and state media to propagate nationalism in times of hardship (also see our article on online propaganda during the Hong Kong protests).

 

TREND #6:

Quarantine Boredom: From Panic to Humor

From late January, the first humorous memes and videos starting flooding Chinese social media in light of the coronavirus.

Around January 25, there were over forty confirmed deaths due to the new coronavirus and over 1380 known infected patients. Along with the travel lockdown, most of the major tourist attractions across China had shut down, and driving bans were implemented in the city of Wuhan to restrict people’s movements in efforts to contain the outbreak.

What was supposed to be a time of joy and reunion and entertainment (the Chinese New Year) turned into a time of fear and self-isolation for many families in Wuhan and beyond.

Practically locked up in their homes, some people used humor as a ‘defense mechanism’ in times of coronacrisis.

The videos embedded in the thread below are some examples of people making the most of their times in lockdown.

But besides the creative solutions of people avoiding boredom inside the home, there were also many memes going around WeChat and Weibo making fun of the extreme measures taken by people and authorities, such as this photo below that was allegedly taken at a station in Yiwu, Zhejiang, saying: “Some people got off the train in Yiwu but thought they’d ended up in Saudi Arabia.”

There was also this viral image below of an office canteen where people were self-isolating for safety reasons, saying: “Eating at the cantine of my unit now feels more like taking an exam.”

Videos and images of people using sanitary pads, bras, plastic bags, or even fruit to protect their faces due to a scarcity of face masks also continue to make their rounds on social media, with people sometimes mocking neighbors, their friends or family, or even themselves in the extreme and sometimes silly measures they are taking to avoid getting the coronavirus.

 

TREND #7:

Anger against Local Authorities and Illegal Lock-Ins

As panic over the spreading coronavirus has become bigger over the past few weeks, the voices criticizing local authorities and organizations for mishandling the situation have also grown louder.

While loud criticism of the central government is usually censored before triggering bigger discussions, there has been ample criticism of provincial, city, and county authorities and organizations – and not without consequence.

In Hubei, local authorities have been criticized for, among others, initially censoring reports of an emerging new illness in December of 2019.

The mayor of Wuhan, Zhou Xianwang, became a major target of netizens’ anger. In late January, Zhou admitted that he had failed in disclosing information in a timely manner and also “did not use effective information” to improve the local government’s work.

The Hubei branch of the Red Cross Society of China (RCSC, 中国红十字会) also received massive criticism online in early February when it turned out that, while the public donated medical supplies and money, most of it remained in the Red Cross warehouse.

On February 4, Chinese state media reported that the Hubei Red Cross deputy director had been removed from office and dismissed from the leading Party members group of the RCSC branch.

On village and prefecture-level, there has also been public condemnation of how authorities are handling the corona crisis.

Some videos going around social media showed how people, seemingly against their will, were locked up inside their own homes by local authorities after returning from Wuhan (“武汉返乡人员”).

China Youth Daily, the official newspaper of the Communist Youth League of China, also condemned these practices as “illegal” and “inhumane” in an article that has since been deleted.

Through a new WeChat function mentioned earlier in this post, Chinese netizens can now also report any mishandlings of the coronavirus situation.

At the time of writing, there seems to have been some increased censorship, but nevertheless, criticism on local authorities keeps flooding Weibo.

“While people are busy helping themselves and each other, what are the leaders of Hubei and Wuhan doing?”, some people wonder: “Supplies in the hospitals are still scarce, there are still people who are unable to receive help!”

 

TREND #8:

Corona Panic Buying

It was around January 21st when the coronavirus panic reached a peak in China; a third infected patient had died of the virus the day before, the first cases were confirmed outside of China, and several big travel platforms had started to offer refunds or change flights via Wuhan.

Similar to the SARS outbreak in 2003, news of the coronavirus led to waves of “scare shopping” – a trend that also became very visible on social media.

Medical face masks soon sold out in Chinese pharmacies and on e-commerce platforms: around 80 million face masks were sold on Alibaba’s Taobao platform alone on January 20 and January 21st. Those (online) shops still offering face masks exploited the shortage of face masks, and would only sell them at exorbitant prices.

Twenty dollars for a face mask?

Although Alibaba soon announced it would remove sales of face masks from shops that were selling them at unstable prices, the sales and availability of (disposable) N95 masks is still an issue across China, with netizens complaining about it on Weibo every single day.

Another example of consumer panic followed the Jan 31st reports by two medical research institutions on the TCM oral medicine Shuanghuanglian, which would allegedly be effective in combating the new coronavirus.

Shortly after the reports came out, the herbal remedy sold out in stores across the country.

Chinese state media now warn people against “irrational purchases,” saying that the effectivity of herbal remedies such as Shuanghuanglian is still unsure.

Panic buying is a trend that is not just visible on Chinese social media, it is a trend that also seems to be triggered through social media, with rumors and reports of existing shortages of certain products leading to panic.

A clear example is the February 5 run on toilet paper in Hong Kong after rumors spread that the coronavirus outbreak would lead to insufficient supplies.

 

As there are still many new developments and news reports coming out concerning the coronavirus, we will keep on publishing more on What’s on Weibo about what’s trending on Chinese social media. (Also read: Distrust and despair on WeChat and Weibo after the death of Wuhan whistleblower Li Wenliang).

If it’s quiet here, please also follow us on Twitter here and here.

By Manya Koetse, additional research and news-gathering by Miranda Barnes
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‘Good Doctor’, Digital Hospitals: How Mobile Apps Are Alleviating China’s Healthcare Problems

With the rapid digitalization of China’s healthcare, Chinese patients now have more ways than one to receive medical assistance.

Manya Koetse

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China’s healthcare industry is facing some serious challenges. As Chinese society is rapidly digitalizing, mobile apps now provide innovative solutions to alleviate pressing problems in the country’s health services sector.

 
This is the “WE…WEI…WHAT?” column by Manya Koetse, originally published in German by Goethe Institut China on Goethe.de: “Good-Doctor Apps und Digitale Krankenhäuser.” 
 

Social Credit System, artificial intelligence, surveillance cameras; these are some of the hottest topics making headlines in mainstream Western media when discussing China-related developments recently.

With the rapid digitalization of Chinese society, these topics certainly have come to play a more important role in social media discussions within the People’s Republic of China (PRC). But if there is one issue that seems to concern Chinese social media users the most, it is not facial recognition nor their ‘Sesame score’: it is the topic of healthcare.

In December of 2017, a photo showing a crying mother kneeling down beside a toddler on the sidewalk in front of a Shanghai hospital went viral overnight. The moment was captured on camera by a reporter who was visiting Shanghai’s Children’s Hospital.

The photo of Guo Yinzhen and her son that went viral in China (image via NetEase, source: https://3g.163.com).

The mother, Guo Yinzhen, is a single parent who had traveled from a remote village to seek medical help for her 3-old-son, who was suffering from congenital hydrocephalus or ‘water on the brain.’ Already having traveled to the city multiple times and spending all her money on medical bills, Guo could not afford the additional 100.000 yuan (€ 12.600) for medical procedures needed to save her son’s life.

Guo’s story struck a chord with Chinese netizens, who continue to share the heartbreaking photo on social media to this day. It has become emblematic of China’s healthcare problems.

 

Crowded Hospitals and ‘Healthcare Disturbance’

 

The key to an adequate healthcare system, no matter where in the world, is that there is a right balancing in the “iron triangle” of efficiency/cost containment, high quality care, and patient access.[1] China, however, struggles with all three sides of this triangle.

Guo’s case is an extreme example, but many people in China dealing with less serious health issues and needing basic medical services also struggle to afford and access the healthcare they need.

Over 95% of people in China have health insurance, but people from different regions do not enjoy the same benefits and their out-of-pocket expenses can vary greatly. Uncovered medical costs can sometimes be catastrophic and simply unaffordable for patients and their families.

As more money flows are going to healthcare facilities in China’s cities, there is also the issue of varying levels of providers’ medical education and the overall healthcare quality, with the substantial majority of modern hospitals still existing in urban areas.

Easy access to the right kind of healthcare can be especially problematic for China’s rural population, as people often need to travel long distances and have to go through the lengthy process of registering and waiting for their doctor’s appointment, which sometimes requires them to stay in the city overnight.

For all of these reasons, China’s bigger public hospitals can get super crowded, sometimes resembling shopping malls on an end-of-season sales day. On social media, both patients and medical workers often complain about the stress brought about by the huge crowds and the shortage of doctors in hospitals across the country.

Perhaps it is no wonder that China even has a word to describe outbursts of violence between patients and doctors: ‘Yī nào’ (医闹, literally: “healthcare disturbance”).

Weibo user ‘Sunscreen’ complains about the crowds at Huashan Hospital.

One major problem within China’s healthcare conundrum is the lack of local family or primary-care doctors, which often makes bigger hospitals the first stop to any kind of medical treatment for Chinese patients.

The reasons for this issue are manifold. There is a general lack of trust in private and smaller local healthcare clinics, for example, and patients often choose to go directly to a bigger hospital to avoid making extra costs.

This makes it extra difficult for many community health care centers – that are already struggling – to make enough money and to retain qualified staff. In a society that is rapidly aging, the challenges facing China’s healthcare industry are only becoming more pressing.

 

A Doctor Today, Just an App Away

 

As China’s online environment is thriving, new innovative online apps are popping up on a daily basis. Some of these apps, that have found their ways into China’s most popular app rankings, are offering solutions to some of the country’s most pressing healthcare problems.

One of these apps is Ping’an Good Doctor (平安好医生), which was developed by health insurance provider Ping’an in 2015 and calls itself China’s “one-stop healthcare ecosystem.”

“Ping’an Good Doctor” promotional image by Ping’an.

Employing some 1000 medical staff in its in-house team, contracting over 5,200 external doctors, and collaborating with 3000 hospitals and thousands of pharmacy outlets across the country, the app is somewhat of an “online hospital.”

Through the app, users can look through an online database of medical professionals, order medicine at nearby pharmacies, get 24/7 online medical consultancy, search for information about both Western and Chinese Traditional Medicine, etc., but they can also use Ping’an Good Doctor as a fitness app to track their own health.

Screenshot of Ping’an app screen, by author.

When looking for a specific doctor for a one-on-one consult, the app first lets users select an area of expertise (e.g. dermatology or gynecology), and then offers a list of different specialists in various price categories.

Doctors from well-known hospitals, for example, or those with excellent ratings, have a one-time consultation fee of 100 yuan (€ 12,60). Other doctors can be consulted starting from 30 yuan (€3,70). All costs can be paid efficiently via online payment apps.

Doctors to pick from within the app’s various price categories.

Ping’an Good Doctor uses an AI-driven system to ask patients various questions about their symptoms and to automatically create a user’s medical record to save time. Based on the AI-generated record and the conversation with the patients – files such as photos can also be uploaded to the app -, the doctors can prescribe medicine or refer the patient to a hospital for an offline appointment if needed.

Ping’an recently announced that its number of registered users exceeded 300 million users, with 62 million monthly active users. Because the app keeps building on its AI-driven system, Ping’an Good Doctor can be expected to only become a ‘smarter’ smart health app the more popular it gets.

Although Ping’an is now leading within China’s medical app category, there are many other apps providing similar services, such as Chunyu Yisheng (春雨医生), Haodafu Online (好大夫在线), or DingXiang Doctor (丁香医生).

The emergence of these apps is just one of the many ways in which China’s digital developments, online media, and tech giants are impacting the healthcare industry, profoundly changing how patients receive healthcare information and access medical services now and in the future.

List of recommended medical apps in the Tencent app store.

In a way, China’s medical consultation apps fill the void in offline primary care. Patients who would otherwise turn to hospital care as their first stop can now  access medical consultations any time, any day, at a relatively low cost. Those who suffer from relatively harmless conditions could be diagnosed by a medical specialist via the app and get the medicine they need within a matter of minutes. With the growing popularity of these kinds of apps, many patients no longer need to visit a hospital at all.

Are smart health apps such as Ping’an Good Doctor the solution to China’s healthcare problems? No, they’re not. Struggling mums like Guo Yinzhen will not find the help they need there. But they do contribute to a more efficient healthcare environment where crowd flows in hospitals can be reduced, and patients do not need to spend a lot of time and money to stand in hour-long queues to get five minutes of their doctor’s time.

Although smart health apps could not help Guo Yinzhen and her son, social media apps could. As soon as their story went viral in late 2017, Shanghai Children’s Welfare Foundation Xiaoxingxin offered to cover medical treatments for the little boy, with a notable pediatric neurosurgeon operating the child. According to the latest updates, the boy’s situation was “looking good.”

Hopefully, the same holds true for the challenging sides of China’s healthcare industry.

By Manya Koetse
Follow @whatsonweibo

[1] Burns & Liu, 2017: 3-4.

References/Linked Sources

Burns, Lawton Robert, and Gordon G. Liu. 2017. “Introduction.” In China’s Healthcare Industry: A System Perspective, Lawton Robert Burns and Gordon G. Liu (eds), pp-1-116. Cambridge: Cambridge University Press.

Economist, 2017. “China needs many more primary-care doctors.” The Economist, May 11 https://www.economist.com/china/2017/05/11/china-needs-many-more-primary-care-doctors [20.10.19].

Zhou, Viola. 2018. “Does China Have Universal Healthcare? A Long (And Better) Answer.” Inkstone, Oct 10 https://www.inkstonenews.com/health/china-translated-does-china-have-universal-health-care/article/2167579

This text was first published by Goethe-Institut China under a CC-BY-NC-ND-4.0-DE license (Creative Commons) as part of a monthly column in collaboration with What’s On Weibo.

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