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China Health & Science

Let’s Talk about Sex, Grandpa: HIV on the Rise among China’s Elderly Men

There’s a sharp rise in HIV among Chinese elderly men, partly caused by a general lack of HIV & safe sex awareness.

Manya Koetse

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HIV among China’s elderly is a growing problem; it is mostly older men who get infected with HIV through extramarital sex. Their knowledge regarding safe sex is often lacking.

As it is World AIDS Day on December 1st, and while major discussions on the alleged first gene-edited babies immune to HIV are still top trending, other noteworthy HIV-related news is also gaining a lot of attention on Chinese social media these days.

At time of writing, more than 220 million people have viewed the Weibo hashtag “Number of Elderly AIDS Cases on the Rise” (#老年艾滋病病例上升#). The hashtag has emerged amidst news reports that there is a significant rise in the number of HIV cases among the elderly in China, particularly among men.

According to an article published on Weibo by Chinese news outlet The Paper, the number of known cases of HIV among Chinese men above the age of 60 has risen from 8391 cases in 2012 to 19815 cases in 2017.

One WeChat blogger’s response to the rise in number of HIV cases among Chinese elderly men (脊梁in上海).

On November 27, the Hangzhou Center for Disease Control and Prevention (杭州市疾控中心) released news information relating to the problems of the rising cases of HIV and AIDS among the elderly.

In the city of Hangzhou, the detection of HIV among patients who are over 50 years old has doubled over the past three years.

According to a specialist from the Hangzhou center, this rise of HIV has to do with the limited HIV awareness among elderly communities, and with the fact that they are often not accustomed to using condoms.

Extramarital heterosexual sex is the main way of transmission for elderly men, with some also getting HIV because of homosexual sex. For elderly women, marital sex is the main way of transmission.

Because they are often late in seeking medical treatment when they feel unwell, the detection of HIV is often late, which makes that there is a relatively high number of AIDS-related deaths among elderly patients.

The problem of the rising number of HIV patients among China’s elderly population has received more scholarly attention of the past few years. According to a 2014 study by Tang et al, the sharp rise of HIV among elderly became more visible after 2010. In 2011, people over the age of 60 accounted for 28.4% of the total HIV cases Guangxi province (this was 18.7% in 2009).

A study in Nanning, capital of Guangxi, found that heterosexual transmission accounted for 90% of HIV cases among those over 50 years old, and that low-cost commercial sex venues were a primary site of infection (Tang et al 2014, 2).

The research by Tang et al shows that the use of aphrodisiacs (cheaper alternatives to Viagra, often illegally produced in local workshops) is significantly associated with an increased HIV risk for men over 50 who purchase commercial sex with female prostitutes (3).

One popular WeChat blog explained the reasons behind the problem of HIV among China’s elderly as follows:

1. They see prostitutes because they are seeking ways to fulfill their sexual needs.
2. There is little awareness on HIV or AIDS. (According to one story quoted in the blog, an elderly man who was diagnosed with HIV even told the doctor he had washed himself with detergent every time after he had sex with a prostitute – he “did not understand” how he got infected.)
3. They do not know how to use condoms / they are not accustomed to using condoms.

A man washed himself with detergent after visiting a prostitute.

On Weibo, there are many commenters who show their sympathy for the elderly women who get infected with HIV within their marriage because of their husband’s extramarital sexual behaviors. “How tragic for them,” a popular comment said, while others wonder: “What’s the purpose of marriage then?”

The Center for Disease Control and Prevention advises people who have had extramarital sex, homosexual or heterosexual, to get themselves checked on HIV – also if there are people who suspect that their partner might have had sexual encounters outside of the marriage.

“The sex life of the elderly is a sensitive topic, but it needs to be talked about,” well-known lawyer Yi Shenghua (易胜华) writes on Weibo: “If we do not attach importance to the [open] discussion of this topic, the problem of AIDS among China’s eldery will only grow bigger.”

By Manya Koetse and Miranda Barnes

Tang Z, Wu X, Li G, Shen Z, Zhang H, et al. 2014. “Aphrodisiac Use Associated with HIV Infection in Elderly Male Clients of Low-Cost Commercial Sex Venues in Guangxi, China: A Matched Case-Control Study.” PLOS ONE 9(10): e109452. https://doi.org/10.1371/journal.pone.0109452.

Photo used in featured image by David Sinclair.

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

©2018 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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1 Comment

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  1. Avatar

    Jazz Player

    January 7, 2019 at 7:04 am

    How do Families deal with the secrets? I’m from the US and my wife Chinese. Her father has the virus. Her mother doesn’t want anyone to know. I’m not sure what happens to Family Value, held in such high regards, here in China…Comments and Suggestions Appreciated…

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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.

Featured image:
Background image by Martin Sanchez.

 

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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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