Connect with us

Backgrounder

Over a Third of China’s Babies Are Delivered via C-Section – The National Health Commission Wants to Change That

Fear of pain is a major reason for nonmedical cesarian deliveries on maternal request.

Manya Koetse

Published

on

Image by Sohu News

China’s National Health Commission wants to lower the nation’s high C-section rates. On Chinese social media, many women argue it should be up to the mother to decide how she wants to give birth.

In 2018 the percentage of deliveries by cesarean was 36.7% in mainland China, according to the latest Report on Women’s & Children’s Health (中国妇幼健康事业发展报告) that was launched by the National Health Commission on May 27.

This means that together with Hong Kong, Taiwan, Brazil, Egypt, and Turkey, the People’s Republic of China (PRC) now has the highest C-section rates in the world.

A World Health Organization report from 2010 estimated that 46% of Chinese babies were delivered via C-section. In 2017, another study found that this percentage was incorrect, although some urban and wealthier regions in China, such as Shanghai, did see C-section (CS) rates as a high as 68% (Black & Bhattacharya 2018, 1; McNeil 2017).

China’s CS rates have recently become a hot topic in Chinese newspapers and on social media. On May 27, the National Health Commission of the People’s Republic of China held a Beijing news conference in which Qin Geng (秦耕), the director, announced that more actions will be taken to encourage natural childbirth among Chinese women.

Qin Geng during the press conference on May 27.

These actions will, among others, include stricter regulation of cesarian section operations and the provision of more support and pain relief for laboring women, as well as a higher hospital income for natural births. The National Health Comission hopes to significantly reduce the number of unneccesssary C-sections without medical indication in this way (Beijing News 2019; Caijing 2019).

Since 1985, the international healthcare community has considered 10-15% to be “the ideal rate” for C-sections, of which the highest percentage are those CS deliveries with medical indications that can actually save the lives of mothers and babies.

Although the worldwide rates for CS deliveries have increased throughout the years, there is no evidence for the benefits of nonmedically indicated C-sections for women or children, according to the World Health Organization.

This is not the first time Chinese authorities try to combat the country’s high CS rates. After reports by the World Health Organization from 2010 and 2015 pointing out the potential hazards of unnecessary C-sections, there have been various state efforts to reduce the number of nonmedical cesarian surgeries.

Besides the introduction of free prenatal education classes, these efforts included monitoring public hospital CS rates and removing bonuses or cutting portions of a hospital’s income once their CS rates reached a certain threshold (e.g. 40%) (Wang 2017, 3). These government initiatives seem to have had effect: the country’s C-section growth rates have slowed down, but were not decreasing yet.

Since the Chinese government announced an end to its one-child policy in 2015, lowering cesarean sections rates has become a more urgent matter, as Chinese couples are now allowed to have a second child.

Although various studies from mainland China and beyond challenge the idea that nonmedical C-sections are less ‘safe’ than vaginal births for single deliveries, this risk changes when a woman who previously had a CS section plans another pregnancy: multiple cesarean sections are associated with additional risks including CS scar rupture and abnormal placental invasion (Biler et al 2017, 1074; Black & Bhattacharya 2018, 2; Liu et al 2015, 817).

 

Why So Many C-sections in China?

 

But why does China have such a high cesarian delivery rate at all? Since the early 1990s, mainland China saw a more dramatic rise in CS rates than, for example, the USA; from less than 10% (with only 3.4% in 1988), China went to one of the highest in the world (Hellerstein 2011; Wolf 2018, 13).

The answer to why this is, is not so straightforward and relates to socio-economic changes as well as cultural factors that come into play.

One reason is that there is a general belief in the ‘safety’ of cesarian births that influence women’s choices for a (nonmedical and planned) C-section (Black & Bhattacharya 2017, 2).

An insightful study into this matter is that of researcher Eileen Wang (2017), who found that anxiety about giving birth and fear of pain is also a major reason for nonmedical cesarian deliveries on maternal request, especially considering that only a minority of Chinese women are given any form of pain relief during labor. Besides traditional concepts, this is also because China faces a shortage of anesthetists and because obstetricians are not always well-informed to prescribe other forms of pain medication (2017, 5).

As noted by Wang, epidurals are denied to laboring women not just because anesthesiologists are too busy, but also because of various other factors: different from a scheduled C-section on their agenda, they are not always available during nighttimes and in weekends to administer anesthesia to women in labor, do not have the time to monitor a patient for hours during labor (whereas a cesarean could be done in an hour), or were not even trained to administer epidurals (2017, 5).

“Giving labor without pain: removing mom’s fear for giving birth” – image by Chinese website http://www.8bb.com/huaiyun/1381.html.

According to Wang, the concerns about labor pain result in more requests for C-sections, both before and during labor. With relatively low awareness and availability of labor pain relief methods many Chinese women simply opt for a C-section as a way to control their pain.

But there are also other factors that contribute to the relatively high rate of women requesting C-sections for nonmedical reasons. One of them is the importance placed in the astrological calendar: having a baby on that one ‘lucky day’ or within that ‘lucky year’ is considered enough reason to plan a cesarian birth for many Chinese families.

In early 2015, ahead of the Chinese New Year, many women rushed to the hospital to make sure their baby was born in the Year of the Horse (2014) as the Year of the Goat (2015) was coming up. There is an old Chinese saying that nine out of ten people born in the Year of the Goat are incomplete and will suffer from great misfortune throughout their life (“十羊九不全”).

Another factor that leads to more cesareans on maternal request relates to the existing concerns among women that vaginal delivery will affect their figure or sex life (Wang 2017, 2).

 

Responses on Chinese Social Media

 

Since the Beijing news conference of May 27, the hashtag “Reducing Unnecessary Cesarean Section Surgery” (#减少非必需剖宫产手术#) has taken off on Chinese social media.

On Weibo, the hashtag page received 340 million views at time of writing. One thread about this topic even received over 28400 comments.

“What do you call ‘unnecessary cesarian’?” one of the most popular comments said: “Isn’t it that so many women in labor choose to have a C-section because natural childbirth is too painful?”

Other commenters also called for a normalization of pain relief in labor, saying that the high percentage of C-sections lies in the fact that Chinese women lack access to “wútòng fēnmiǎn” (无痛分娩) or “painless birth,” meaning vaginal delivery with pain relief.

Some Weibo users also stress that women should have the freedom of choice on how they wish to give birth, saying: “C-section or natural should be my own choice” and “If you leave me no choice I might as well not give birth at all.”

Multiple commenters write: “The lower the C-section rate, the higher the suicides,” referring to an incident that occurred in Shaanxi in 2017 when a pregnant woman committed suicide by jumping from the fifth floor of the hospital after she was allegedly denied a CS delivery.

Other Chinese netizens also complain about the fact that it seems to be men who are promoting the new policies to combat the high C-section rates, writing: “Isn’t there a way to have them suffer the pain of labor instead?”

In her study, scholar Eileen Wang also argues that the lack of pain relief is one of the major issues that should be addressed by policymakers who are hoping to reduce the number of C-sections in China. Further improving the childbirth experience by, for example, integrating a midwifery model, is also essential in making natural childbirth more attractive for Chinese women, Wang argues.

For now, many hospitals in China are still offering C-section “packages”: some prices start at RMB 5800 ($840) for a C-section, other hospitals have packages that start from RMB 88,000 ($12,741) including a three-day hospital stay in a private room.

“It’s a pregnant’s woman body, so she should decide how she wants to deliver her baby,” one commenter on Weibo writes: “It should be a woman’s right to decide.”

By Manya Koetse

References

Biler, A., Ekin, A., Ozcan, A., Inan, A. H., Vural, T., & Toz, E. 2017. “Is It Safe to Have Multiple Repeat Cesarean Sections? A High Volume Tertiary Care Center Experience.” Pakistan Journal of Medical Sciences 33(5): 1074–1079.

Black, Mairead & Sohinee Bhattacharya. 2018. “Cesarean Section in China, Taiwan, and Hong Kong— A Safe Choice for Women and Clinicians?” PLOS Medicine 15(10): 1-3.

Caijing. 2019. “卫健委:全国剖宫产率为36.7% 积极推广分娩镇痛.” Caijing , May 27 http://economy.caijing.com.cn/20190527/4591594.shtml [5.31.19].

Hellerstein, Susan Celia. 2011. “Cesarean Delivery in China Analysis of Cesarean Deliveries Without Indication.” The American College of Obstetricians and Gynecologists: 20s.

McNeil, Donald. 2017. “Study Finds Lower, but Still High, Rate of C-Sections in China.” New York Times, Jan 9 https://www.nytimes.com/2017/01/09/health/c-section-births-china.html [6.2.19].

Wang, Eileen. 2017. “Requests for Cesarean Deliveries: The Politics of Labor Pain and Pain Relief in Shanghai, China.” Social Science and Medicine (173): 1–8.

WHO. 2015. “WHO statement on caesarean section rates.” World Health Organization, April https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/ [6.2.19].

Wolf, Jacqueline H. 2018. Cesarean Section – An American History of Risk, Technology, and Consequence. Baltimore, Maryland: Johns Hopkins University Press.

Featured image by Sohu News.

Spotted a mistake or want to add something? Please let us know in comments below or email us. Please note that your comment below will need to be manually approved if you’re a first-time poster here.

©2019 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.

Advertisement
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Backgrounder

‘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

Published

on

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.

Continue Reading

Backgrounder

How Chinese Kuaishou Rebel ‘Pangzai’ Became a Twitter King

He’s been called a ‘Twitter king’, but how did the unexpected online fame of this ‘Hebei Pangzai’ start?

Jessica Colwell

Published

on

Twitter has fallen in love with a Chinese farmer after his drinking videos on Kuaishou were cross-posted abroad and went viral. He has embraced his new fans and Western social media, arguably becoming one of China’s most successful cultural ambassadors of the year.

He describes himself as the “inventor of tornado beer drinking style” and as an “ordinary peasant from China.” ‘Hebei Pangzai’ only joined Twitter in August of 2019, but he already has a Twitter following of more than 111.6K.

Although his account is temporarily restricted by Twitter at time of writing (“due to suspicious activity”), his popularity is only growing. Some Twitterers, such as the China twitterer Carl Zha (@CarlZha), are even initiating a “#FreePangzai campaign” to restore the account of the “one true King.”

But where and when did the online fame of ‘Hebei Pangzai’ start?

Let’s begin our introduction to Pangzai with one tweet from March of this year, when Twitter user ‘Hunnaban Trenchboss’ posted a video from Chinese short video app Kuaishou (快手) showing a man – ‘Pangzai’ – wearing sunglasses and smoking a cigarette while preparing an incredible mixed drink.

The man in the video smoothly pops the cap off a bottle of beer with a chopstick, pours some in a large jar, then twirls the bottle and propels the rest of the beer in a tornado of force down his throat.

He follows that up by pouring in more beer, some blue liquor, an egg, some Pepsi, and a hefty glass of baijiu – which he dumps in only after lighting it on fire, igniting his finger, and coolly lighting his cigarette. He then chugs the entire concoction in a matter of seconds.

“How do I become as cool as this guy, The Coolest Guy?”, the tweet said.

The same video was shared again in August by a few Russian accounts, was retweeted by an American account, and then went completely viral, racking up millions of views and tens of thousands of retweets.

That video has now been viewed almost 12 million times on Twitter, and has inspired tens of thousands of fans who herald him as ‘king.’

The man in the video referred to as ‘Pangzai’ (胖仔, ‘chubby dude’) is Liu Shichao (刘世超), a 33-year-old farmer and small-time Chinese internet celebrity from a city called Xingtai in Hebei Province.

According to an interview with Technode, he found out about the video on Twitter when some of his new foreign fans opened Chinese social media accounts to find him and tell him about his overnight online fame.

“One message told me that I was a celebrity now in America,” he told Technode: “So I chatted with the person [who sent the message] for a whole day, with the help of translation software.”

Within two days of his video going viral, Pangzai had figured out how to use a VPN, opened his own Twitter account and started uploading videos.

He even posted a reply on the original viral video to alert everybody to his account.

Liu’s early response to his viral video on Twitter.

Since then, Liu ‘Pangzai’ has amassed over 111,000 followers and has posted many more videos of everything from drinking, to cooking, to exploring his countryside hometown.

But it was the drinking videos specifically that earned him his following, both abroad and in China.

 

IT STARTED ON KUAISHOU

“Pangzai epitomizes the typical Kuaishou account.”

 

Liu began his internet career three years ago on Kuaishou, a Chinese short video app massively popular among China’s lower-tier cities and countryside.

In contrast to the polished, celeb-heavy platform Douyin, which is most popular among urban youths, Kuaishou is a platform for the masses. Its users are known for their crazy antics and general disregard for personal safety.

Liu Shichao’s Kuaishou account has 354,000 followers, but the majority of his videos have been removed.

Pangzai epitomizes the typical Kuaishou account. Posting under the handle “Chubby Dude from Hebei” (@河北胖仔), he uploads videos of himself eating and drinking in eye-popping combinations, or sometimes smashing things – from bricks to unopened water bottles – with his bare hands.

Liu’s video of breaking bricks with his hands was also popular on Twitter.

Liu also gained notoriety, and a couple hundred thousand followers, from his mastery of the so-called ‘beer tornado technique’ (小旋风 xiǎo xuànfēng).

According to an interview with the BBC, he peaked at 470,000 followers on Kuaishou and was monetizing his online fame with some 10,000 RMB ($1420) per month.

Liu’s signature beer tornado technique features in the first video he posted to Twitter.

Unfortunately for Liu, China’s Cyberspace Administration announced a crackdown on vulgar and illegal content across multiple social media platforms in spring of 2018, with a focus on Douyin, Kuaishou, and its sister news company Jinri Toutiao. Kuaishou was pulled from app stores until it cleaned up its act.

It is unclear just how many videos and accounts have been removed as a result of the cleanup. We can get a rough idea from an announcement by Kuaishou earlier this year that in March of 2019 alone, it removed an average of over 11,000 videos and blocked almost 1,000 accounts every day.

The result for Liu was that his account was suspended for four months and the majority of his most popular videos, including the one that went viral abroad, were removed for promoting ‘unhealthy drinking habits.’

When you look at his Kuaishou account today, you won’t see many videos focused solely on baijiu and beer chugging.

The videos that remain on his account do include drinking (and his signature tornado move) but it is always accompanied by eating food or some other activity (such as sitting deep in a field of corn, munching on roast duck and dribbling baijiu down a corn leaf into a glass.)

In a video posted to Kuaishou, Liu pours baijiu into a glass from a corn leaf, before then lighting it on fire and chugging it.

Liu still has 354,000 followers on Kuaishou. His Chinese fans, like his foreign ones, marvel at his cool and collected manner as he eats and drinks all sorts of disgusting things.

Canned herring features heavily in his most popular recent videos, where he can be seen sipping the juice directly from the can.

In one of his videos on Kuaishou, Liu eating herring directly from the can, to the disgust of his fans.

“This has to be the most unaffected anyone has ever been by eating canned herring,” says one fan. “The flavor is disgusting! 99.9% of people who try this would vomit,” another online commenter replies.

 

AN UNEXPECTED TWITTER KING

“Liu is like many young men from the countryside of Northern China: open, friendly, humble, and genuinely excited to share his life.”

 

This year, Liu seems to have embraced his newfound international stardom with grace and savvy.

He uses Twitter’s in-app translation to help him communicate with fans and has been highly interactive on the platform.

Liu ‘Pangzai’ was also quick to open up a Paypal account and share it with followers, and has recently made YouTube and Instagram accounts to prevent scams pretending to be him. He has also collaborated with a Twitter fan to sell T-shirts online in America.

Many online fans have dubbed him ‘king’, perhaps the highest praise one can receive on the internet today.

But in contrast to the sunglasses and chill demeanor of his videos, Liu does not appear to be an internet celebrity overly obsessed with being cool.

Instead, he is like many young men from the countryside of Northern China: open, friendly, humble, and genuinely excited to share his life (and drinking habits) with the rest of the world.

Liu began using translation software to communicate with fans soon after joining Twitter.

After reposting all of his old drinking videos from Kuaishou, Liu started asking Twitter fans what they would like to see from him. Many responded that they wanted more about his life in rural China.

He has since followed up with videos showing him fixing a pipe with his friends, exploring his local market, cooking sweet potatoes, and, of course, a tutorial on how to master the ‘tornado beer’ technique.

Liu explaining on Twitter how to perform the tornado beer technique that helped make him famous.

Many have expressed concern for his health in light of his drinking habits, but he has assured everybody that everything he does is “within his ability” and that he doesn’t drink like that very often.

Liu is grateful for all the support and praise he has received from abroad. “It’s crazy to have all of these foreign friends all of a sudden,” he recently said in an interview with Deadspin: “I really have to thank them a lot. If I have a chance I will find them and we can drink together.”

Seemingly to that end, Liu has recently organized a party to be held near his hometown in China, exciting fans all over the world and spurring many to apply for passports and visas.

Once Liu began inviting people to his party, he changed the date and location in order to accommodate more attendees.

The date is set for December 14, 2019 in Zhuamadian City, Hebei Province; too soon for many to make it, but he promises another party in the spring. There is talk also of organizing a visit for Liu ‘Pangzai’ to go to America.

 

WINDOW INTO CHINESE SOCIAL MEDIA

“Liu’s growing notoriety abroad seems to have flown completely under the radar of the Chinese internet.”

 

Although there are many vloggers like Pangzai in China, he stands out on Twitter as some sort of window into Chinese social media, especially because this online world is usually so separate from the Western realms of social media.

The recent explosive growth of Chinese social media apps such as TikTok has not done much to facilitate this kind of cultural interaction between China and the West.

Although Tiktok is, in fact, a Chinese app (called Douyin 抖音 in China), there are actually two different versions of the same app in mainland China and abroad, meaning that the other ‘Pangzais’ of the Chinese internet still remain within the social media spheres of the PRC, rarely gaining fame outside of the Great Firewall.

In China, aside from his fans on Kuaishou, Liu’s growing notoriety abroad seems to have flown completely under the radar of the Chinese internet. He is mentioned only one or two times across Weibo, and searches for his name and handle on WeChat, Baidu, and various Chinese tech news sites bring up nothing.

Liu is a rare example of genuine soft power coming out of China. A pure, grassroots man of the people with strong cultural appeal who sincerely enjoys sharing his life and his culture with the rest of the world. His tweets are full of affection and appreciation for his fans, as well as frequent prompts for followers to share their own lives and customs of their home countries.

To watch his introduction to Twitter and rise to fame is to see the best of the internet: cultural interaction, genuinely shared delight, and mutual admiration inspired by hilarious antics caught on camera.

His Twitter fans express their hope that Twitter Support will soon lift the temporary ban on their ‘Twitter king.’ To them, it’s perfectly clear: this online king is nowhere near dead, long live Pangzai!

Follow the #FreePangzai hashtag on Twitter.

Update: Panghaizi is out of Twitter jail!

 
Want to read more about unexpected online celebrities from China? Also see:
The Story of Two Farmers Who Became Internet Celebrities;
The “Vagrant Shanghai Professor”;
From Farmgirl to Fashionista: Weibo Celebrity Fairy Wang.

 

By Jessica Colwell
Follow @whatsonweibo

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.

©2019 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

Continue Reading
Advertisement
Advertisement

Support What’s on Weibo

If you enjoy What’s on Weibo and support the way we report the latest trends in China, you could consider becoming a What's on Weibo patron:
Donate

Facebook

Instagram

Advertisement

Contribute

Got any tips? Or want to become a contributor or intern at What's on Weibo? Email us as at info@whatsonweibo.com.

Popular Reads