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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

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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.

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Backgrounder

These Are the Foreign Brands Apologizing to China amid Hong Kong Tensions

Who’s apologizing and why? An A-Z list of the foreign companies caught up in China’s online brand hunt.

Manya Koetse

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First published

Foreign luxury brands hoping to appease the Chinese market are walking on eggshells as the political crisis in Hong Kong is deepening. Chinese netizens and state media recently condemned foreign brands for showing any signs of disregarding the One-China Policy. An online witch hunt has begun: this is the list of brands.

While the political crisis in Hong Kong is deepening, the propaganda machine in mainland China is running at full speed to condemn anti-Beijing ‘rioters’ and promote the one-China principle.

As state media has been intensifying its news coverage on the situation in Hong Kong, with virtually all outlets using similar narratives, Chinese web users started to focus on foreign (luxury) brands and whether or not they list Hong Kong, Macau, or Taiwan as being part of China.

Starting on August 8, Chinese social media platform Weibo has seen dozens of hashtags taking over Chinese social media in relation to the big brand scandal; one foreign brand after the other was exposed as ‘ignoring’ China’s one-China principle on their website or products.

By the beginning of this week, the online brand hunt had almost become like an online contest, with thousands of netizens suggesting new brands that are allegedly not respecting China’s sovereignty.

Although the trend initially began with Chinese web users condemning brands -starting with Versace-, Chinese state media soon also reported about the online controversies and intensified the movement.

Communist Party newspaper People’s Daily wrote that Western brands are quick to apologize, but should also “learn from their mistakes” in the long run, and cannot disregard the One-China Policy if they want to do business in China.

“This is common knowledge, it’s the bottom line,” – online propaganda poster by People’s Daily shows foreign brands and a crack in the “One China” symbol.

State media outlet Global Times also published an illustration online, writing the slogan “China can’t be one bit less” (“中国一点都不能少”) that has been used by state media to emphasize China’s one-China principle since the 2016 South China Sea dispute.

Illustration by Global Times.

In response to the controversies, it has been raining apologies from foreign brands on Chinese social media the past days.

Who is mainly responsible for this online witch hunt? Although it first started with Chinese web users sharing images and screenshots of foreign brands and their ‘erroneous representation’ of China, state media and celebrities soon also started to play a major role in this issue and have contributed to the enormous snowball effect of the trend.

What’s the ‘correct’ way to list Hong Kong or Taiwan according to the one-China principle? Below is an image of the (adjusted) website of Valentino where it lists countries and lists Hong Kong and Taiwan as being part of China.

Here’s a list of the global brands have become tied up in controversy on the mainland this week (this list might still be updated):

 

● ASICS 亚瑟士

Japanese footwear brand

Brand Weibo account:
https://www.weibo.com/asicsofficial (240,000+ fans)

Hashtag:
“ASICS lists HK & Taiwan as Separate Countries” (#亚瑟士将香港与台湾列为国家#): 110 million views.

What’s the problem?
The ASICS website listed Hong Kong and Taiwan as countries.

Apology?
Yes, statement on August 12, followed by “ASICS apologizes” hashtag (#亚瑟士致歉#), 6,5 million views on Weibo. The footwear brand emphasized that it abides by the one-China policy and that it will correct its “mistakes.”

Consequences:
Besides some netizens who vow not to buy any of the brands in this list disregarding the PRC’s one-China policy, there are no indications as of now that the brand is affected by the issue.

 

● CALVIN KLEIN

American fashion brand

Brand Weibo account:
https://weibo.com/calvinklein (303,000 fans)

Hashtag:
“CK Exposed for Insulting China” (##CK被曝辱华##): 1,5 million views.

What’s the problem?:
Calvin Klein faced criticism for listing Taiwan and Hong Kong as separate countries or regions on its website.

Apology?
Yes, statement on August 13, followed by “CK apologizes” hashtag (#ck道歉#), 15 million views on Weibo.

Consequence:
Chinese actress Jelly Lin, Calvin Klein’s brand ambassador for the Asia-Pacific region, announced an immediate termination of collaboration with the American fashion house. The hashtag for this event (#林允终止与CK合作#) received no less than 510 million views. Zhang Yixing (Lay Zhang), a Chinese member of K-pop group Exo and a Calvin Klein model, warned the US clothing company to respect Beijing’s “one China” policy but did not stop working the brand (he did terminate collaborations with Samsung, also in this list).

 

● COACH 蔻驰

American luxury accessories company 

Brand Weibo account:
https://www.weibo.com/coachchina (4+ million fans)

Hashtag:
“Coach Lists HK, Macau, Taiwan as Countries” (#蔻驰将港澳台列为国家#): 6 million views.

What’s the problem?:
Less than 24 hours after Versace’s apology, Coach was among the second batch of brands, along with Givenchy, ASICS, and Fresh, to be exposed online for erroneous geographic listings. Coach got in trouble for a t-shirt displaying ‘Hong Kong’ as an independent region and listing ‘Taipei’ as belonging to ‘Taiwan,’ while Shanghai and Beijing are listed under China.

The tshirt that got Coach into trouble.

The brand was also found to have listed Hong Kong and Taiwan as independent countries under its website’s  “search country” option.

Apology?:
Yes, statement on August 12, followed by “Coach apologizes” hashtag (#蔻驰道歉#), 300 million views on Weibo.

Consequences:
Coach’s China ambassador, supermodel Liu Wen, said on Weibo on Monday that she had cut off her endorsement deal with the fashion label (#刘雯终止与蔻驰合作#, 6 million views) as the brand “seriously impacted the national sentiment of the Chinese people.” State media outlet Global Times suggested the brand faced “potential boycott in China.”

 

● FRESH 馥蕾诗

American beauty brand 

Brand Weibo account:
https://www.weibo.com/freshbeauty (339,500 milion fans)

Hashtag:
No separate hashtag for this incident.

What’s the problem?:
Fresh faced backlash for listing ‘Hong Kong’ as a separate region on its official (English) website.

Apology?:
Yes, statement on August 12, followed by “Fresh apologizes” hashtag (#fresh道歉#,) 8 million views on Weibo.

Consequence:
No known direct consequences.

 

● GIVENCHY 纪梵希

French luxury fashion and perfume house

Brand Weibo account:
https://weibo.com/officialgivenchy (1.5 milion fans)

Hashtag:
The topic ‘Givenchy T-Shirt’ (#纪梵希t恤#) became big on Weibo. The hashtag page has over 500 million views.

What’s the problem?:
Like Coach, Givenchy also got in trouble for a t-shirt displaying ‘Hong Kong’ as an independent region and listing ‘Taipei’ as belonging to ‘Taiwan.’

Apology?:
Yes, statement on August 12, followed by “Givenchy apologizes” hashtag (#纪梵希道歉#,) 290 million views on Weibo.

Consequence:
Chinese singer Jackson Yee terminated his brand partnerships with Givenchy (#易烊千玺与纪梵希解约# 680 million views).

 

● POCARI SWEAT 宝矿力水特

Japanese sport’s drink

Brand Weibo account:
https://www.weibo.com/pocarisweat (15400 fans)

Hashtag:
“Pocari Sweat Get Out of China”(#宝矿力水特滚出中国#) is one of the early hashtags associated with the Pocari controversy. With just over 300,000 views, it did not gain huge traction on Weibo.

What’s the problem?
Pocari Sweat is among the earliest brands – if not the earliest- to be caught up in the brand controversy relating to the protests in Hong Kong. As described by Japan Times, pro-democracy demonstrators praised Pocari after it pulled advertising from Hong Kong television station TVB, which protesters accuse of pro-Beijing coverage. Pocari became a popular drink among Hong Kong protesters.

Apology?:
The mainland China office of the brand issued two apology statements on July 11 and 21 in which it emphasized that it operates separately from the Hong Kong division and that it respects China’s “one country, two systems” policy.

Consequence:
Pocari Sweat was condemned by Chinese state media, but it is not clear if people in mainland China are drinking less Pocari because of the issue.

 

● VALENTINO 

Italian fashion house

Brand Weibo account:
www.weibo.com/valentinoofficial (413,000+ fans)

Hashtag:
No particular hashtag.

What’s the problem?:
Valentino listed Hong Kong and Taiwan as separate countries in the region/language menu on its foreign website.

Apology?:
Yes, statement on August 13, in which Valentino apologizes for making “a mistake” on its website. The website has since been changed.

Consequence:
No known consequences, the website seemed to be quickly adjusted, and many netizens expressed their praise for that and for the fact that the recent trend seems to make foreign brands more aware of the importance of respecting the One-China Policy.

 

● VERSACE 范思哲 

Italian fashion house

Brand Weibo account:
https://www.weibo.com/versacechina (850,000+ fans)

Hashtag:
“Versace Suspected of [Supporting] Hong Kong and Macau Independence” (#范思哲涉嫌港独澳独#): 3.2 million views.

What’s the problem?:
Versace is the first brand to be targeted in this week’s brand-hunting trend. An image of a T-shirt that listed Hong Kong and Macau as independent countries was first posted on Weibo by a female netizen on August 8, who wrote: “I discovered this recently, and wondered if the design of this t-shirt means that Versace is supporting Hong Kong independence?” Three days later, the image had circulated so much that it became a trending topic. Commenters called out the brand for being “two-faced” and for profiting from Chinese money while disregarding Chinese sovereignty.

Apology?:
Yes, statement on August 11, followed by “Versace apologizes” hashtag (#范思哲道歉#,) 860 million views on Weibo. In its statement, Versace stated that the t-shirts had already been recalled and destroyed in late July, and that the fashion house “deeply apologized for the controversy” that was caused by an “error in its t-shirt design.” Versace further stated that the brand “loves China” and “resolutely respects China’s territorial sovereignty.”

Donatella Versace, the designer and chief creative officer of Versace, also issued a personal apology through Instagram, writing: “Never have I wanted to disrespect China’s National Sovereignty and this is why I wanted to personally apologize for such inaccuracy and for any distress that it may have caused.”

Consequence:
Chinese celebrity Yang Mi ended her relationship with Versace. The announcement received a lot of attention on Chinese social media (#杨幂终止与Versace合作# 1.1 billion views).

 

● SWAROVSKI 施华洛世奇

Austrian jewelry company

Brand Weibo account:
https://www.weibo.com/swarovskicom (500,00+ fans)

Hashtag:
Swarovski, together with Calvin Klein, was one of the brands that popped up in the general ‘luxury brand scandal’ after the Versace controversy had snowballed and had moved to Coach, Givenchy, ASICS, and Fresh. The Swarovski issue was exposed just a bit later and had no separate hashtag on Weibo.

What’s the problem?
Swarovski went trending on Chinese social media for classifying Hong Kong as a country on its website.

Apology?
Swarovski issued an apology statement on August 13. The hashtag “Swarovski Apologizes” received over 750 million views on Weibo (#施华洛世奇道歉#).

Consequence:
Chinese actress Jiang Shuying, also known as Maggie Jiang, announced on Tuesday (August 13) that she would be ending her cooperation with Swarovski (#江疏影与施华洛世奇解约#, 410 million views).

 

CURRENTLY UNDER SCRUTINY BUT NO APOLOGIES:

 

● AMAZON 亚马逊

American e-commerce company

Brand Weibo account:
https://www.weibo.com/amazonchina (4.4 million fans)

Hashtag:
“Amazon T-shirts” (#亚马逊t恤#), 140 million views; “Amazon Sells Hong Kong Independence Shirts” (#亚马逊售卖港独T恤#), 18 million views.

What’s the problem?
Amazon is one of the latest brands to be added to the virtual PRC wall of shame of international brands going against Beijing’s “One China” principle. On August 14, screenshots of the Amazon e-commerce platform selling t-shirts promoting an independent Hong Kong and displaying anti-China slogans went viral on Weibo.

Reaction
Amazon did not apologize for the merchandise sold on its platforms, but the company did respond to ChinaNews (#亚马逊回应T恤事件#), emphasizing that Amazon always has and will respect China’s one-China principle, and abide by local laws of the countries Amazon is active in. There were also netizens on Weibo saying they understood that Amazon cannot be responsible for all the merchandise sold by its online shops around the world.

 

● SAMSUNG 三星 

South Korean Tech Company

Brand Weibo account:
https://www.weibo.com/samsung (2.8+ million fans)

Hashtag:
No separate hashtag for this issue, although the announcement that Zhang Yixing would terminate his contract with Samsung did receive over 980 million views, making it one of the bigger hashtags in this brand scandal.

What’s the problem?:
Samsung faced criticism on August 14 for damaging China’s “territorial integrity” by displaying choices Hong Kong, China, and Taiwan as “countries” on its website.

Consequence:
Chinese celebrity and K-Pop star Zhang Yixing (Lay Zhang) announced on August 13 that he would no longer work together with Samsung as a brand ambassador for “hurting the national feelings of Chinese compatriots” (#张艺兴与三星解约#, 980 million views!).

 

By Manya Koetse

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

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Backgrounder

How the Hong Kong Protests Are Discussed on Chinese Social Media

“Hong Kong, the Pearl of the Orient, is no longer blooming, but covered in cuts and bruises.”

Manya Koetse

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Although discussions on the Hong Kong protests were initially silenced on Chinese social media, the demonstrations are now trending all over Weibo, with state media propagating hashtags and illustrations in favor of Hong Kong government and in support of the Hong Kong Police Force.

The political crisis in Hong Kong shows no signs of de-escalating after another series of mass demonstrations and violent clashes between police and protesters.

This week marks the ninth consecutive week of protests in Hong Kong. The first demonstrations started in March and April of this year against an extradition bill that would allow local authorities to detain and extradite people wanted in mainland China.

After demonstrations escalated in June, the bill was declared “dead” and suspended by Hong Kong leader Carrie Lam, but it was not formally withdrawn.

Protests have since continued throughout June, July, and into August, and are now about much more than the extradition bill alone – they are, amongst others, about greater freedom and democracy in Hong Kong, and about less political influence from the Beijing government.

Protesters are calling for Lam’s resignation and for democratic elections, and have denounced violent tactics and “abuse of power” used by the Hong Kong Police Force.

The absence of the police during an attack on residents by suspected gang members dressed in white shirts at the Yuen Long station on July 21 is one of the incidents protesters mention as police misconduct.

But there is also a division between demonstrators, and not necessarily one unified voice. There are also those, for example, who support Hong Kong police. And those who denounce the actions of angry protesters.

 

China’s Central Government Condemns Protests

 

Although authorities in mainland China initially remained quiet on the topic of the Hong Kong protests, the Hong Kong and Macau Affairs Office of the State Council, China’s top agency for handling Hong Kong affairs, held its first press conference on its stance regarding Hong Kong demonstrations on July 29.

Yang Guang, the office’s spokesperson, condemned the actions of protesters over recent weeks, saying that they “exceeded the boundaries of acceptable protest.”

On August 6, there was another press briefing where Yang Guang used stronger language to denounce the protests, saying that the “radical protests (..) severely impacted Hong Kong’s prosperity and stability, pushing it into a dangerous abyss” and that those behind the demonstrations should not “misjudge” the situation and “mistake our restraint for weakness.”

 

Main Stances on Chinese Social Media

 

On Chinese social media sites, news and discussions on the Hong Kong protest were initially silenced (also see this article), but that has changed now.

Although discussions are still heavily controlled, the topic of the Hong Kong demonstrations has been dominating the trending streams over the past days on China’s popular social media platforms.

On Douyin, one of the most popular short video / social media apps in mainland China, there are dozens of different videos of violent incidents in Hong Kong that are being reposted and liked thousands of times.

On news app Toutiao, articles relating to the Hong Kong protests are in the recommended and ‘hot’ sections, while bloggers and news accounts on WeChat are also posting and reposting Hong Kong related content.

For the scope of this article, we will solely focus on Weibo – the narratives that are spread in daily discussions on the platform are comparable to those on other platforms.

Although the ensuing examples are the main types of posts on Hong Kong that are most popular on Chinese social media now, and definitely receive a lot of support, there are also posts with other views and ideas that might be blocked before ever making it to Weibo or other apps/platforms.

But the restrictions on free discussions on social media do not only relate to platform censorship.

Recently, there are also instances in which Chinese netizens speak out in support of the protesters in Hong Kong who then become a victim of the so-called “human flesh search engine.”

One female Weibo user, responding to the demonstrations in Hong Kong, wrote on August 5th: “Respect to every person out there striking and protesting!” Other Weibo users then made screenshots of her comment and revealed personal details about the woman (a 26-year-old Chinese citizen), labeling her a traitor.

One blogger reposting the woman’s photo and Weibo profile has 1,3 million followers, making this incident quite big and serving as a warning to other Weibo users not to spread their ‘politically incorrect’ views on the Hong Kong protests.

 

“Protect Hong Kong, Support the Police Force”

 

With over 5 billion views, the hashtag “Protect Hong Kong” (#守护香港#) is very popular on Weibo these days.

The hashtag is promoted by Party newspaper People’s Daily, that also launched another viral hashtag, namely “Officers, We Support You” (#阿sir我们挺你#, 300 million views).  The word for ‘officer’ used in this hashtag is “Ah Sir” or “阿Sir”, a uniquely Hong Kong form of address used for policemen and teachers.

Using the “Protect Hong Kong” and “Officers, We Support You” slogans, People’s Daily has also issued an illustration that shows three police officers carrying weapons and protective screens. Behind them are protesters, and above them is China’s Five-starred Red Flag.

Illustration by People’s Daily, issued on Weibo and other social media.

Online propaganda poster issued by China Daily on Weibo.

The main idea behind these hashtags/illustrations is that the People’s Republic of China (PRC) firmly supports the Hong Kong government and the Hong Kong Police Force in dealing with so-called “thugs” or “bandits”  (“暴徒”).

A common stance expressed by Chinese netizens is that pro-democracy protesters are “damaging public security” in Hong Kong and are “dividing the nation.”

“Talk about democracy and freedom in a fair and reasonable way,” one commenter writes: “Don’t talk about freedom and democracy while breaking the law and acting outrageous.”

“It’s horrible to see,” another person says: “The Pearl of the Orient is no longer blooming, but is now covered with cuts and bruises.”

Many stories of violence used against the police force are circulating on Chinese social media. Some videos show protesters using potentially dangerous laser pointers to shine directly in faces of police officers. Last Tuesday, student leader Keith Fong was arrested for possession of such lasers.

One particular trending story concerns a bald police officer named ‘Liu Sir’ (刘sir) who was violently attacked by a group of protesters on July 31st. The mob allegedly punched and kicked him, and assaulted him with sticks and objects before he pulled out his gun.

Photo by People’s Daily, shared on Weibo.

Officer Liu, who has sustained some minor injuries from the incident, responded to the incident writing in a text: “[I] just hate the fact that they are also Chinese – it feels wrong to hit them and also wrong not to. It really pains me!”

Officer Liu has become somewhat of a hero on Chinese social media, as his image is propagated by Chinese state media through photos and illustrations.

Image of Officer Liu shared on Weibo by netizen @李里言子.

The idea of ‘protecting’ Hong Kong and supporting its police force goes hand in hand with the idea that Hong Kong is, and “always will be,” a “part of China.”

Many commenters in the comment sections express their anger about Hong Kong protesters attacking police and throwing the Chinese flag into the water. “If you do not want to be Chinese, then don’t live on Chinese territory,” some write.

 

“Hong Kong’s Colonial Mentality” 

 

A post by an economics blogger (@同行中的我, 14674 fans) that received more than 6500 ‘likes’ on Weibo argues that one problem behind the protests is that Hong Kong youth are stuck in a “colonial mentality.”

The blogger says that Hong Kong people have a lack of patriotic education and have no “sense of belonging.” It is this Hong Kong mentality, the writer argues, that prevents the region from blooming. Without mainland China, Hong Kong is nothing, the post says.

This sentiment is reiterated by many commenters on Weibo, who write things such as “Without a country, you have no home.”

Hong Kong Island was ceded to Britain in 1842 as part of the Treaty of Nanjing. July 1st of 1997 marked Hong Kong’s return to China, and the moment it became a Special Administrative Region (SAR) of the PRC, based on the principle of “one country, two systems.”

Those who are protesting for Hong Kong independence are also called “Pro HK Independence ‘Poison’” on Weibo (港毒分子, a wordplay with characters meaning ‘Hong Kong-independence/poison-members’: a derogatory term for those supporting Hong Kong independence).

“The Pro HK Independence Poison comes from Hong Kong education. Its education comes from its system. So to get rid of this poison, you first need to replace the system, and then change education in Hong Kong,” one person suggests.

 

“Biased Media Representations”

 

“Western media only use pictures that are taken out of context -they have an ulterior motive,” Weibo news blogger Jianhua (@建华Wei业) writes: “They fabricate news about Hong Kong police power abuse and violence.”

The accusation of Western media representing the Hong Kong protesters as the ‘good guys’ and the Hong Kong police as the ‘bad guys’ is repeated on Chinese social media quite a lot these days.

One major example is the aforementioned case of Sir Liu, as many media allegedly only forwarded those images or footage of the police pulling his gun, leaving out the part where he was attacked by protesters first.

Since there is a clear pro-Hong Kong Police Force dominant narrative on Weibo, many netizens defend the police and describe the protesters as violent and unreasonable rioters.

 

“US Meddling in Hong Kong Affairs”

 

Besides criticism on supposed biased media representations of the situation in Hong Kong, there is also criticism on the role of the United States in the Hong Kong protests.

One photo of American diplomat Julie Eadeh meeting up with student leaders involved in Hong Kong’s pro-democracy movement circulated on Chinese social media this week, with state media accusing the US of playing a role in “creating disorder” in Hong Kong.

Image posted on Weibo by CCTV.

“What Is America Up To?”(#美国居心何在#) is one of the hashtags related to the incident that is shared on Chinese social media, promoted by CCTV.

“What is America up to?” online poster designed and shared by CCTV.

“America has no right to meddle in Hong Kong affairs,” commenters on Weibo respond: “Hong Kong is China’s Hong Kong.”

Adding fuel to this discussion is the fact that some Hong Kong protesters have recently started waving American flags at demonstrations (read more about that here).

Trending on August 9 is an incident in which a woman angrily pulled the American flags from protesters’ hands at Hong Kong airport. Many people on Weibo praise the woman for being so “courageous” to stand up to the demonstrators. “We just want Hong Kong to be stable and peaceful,” the woman stated to the media.

Others on Weibo call on protesters in Hong Kong to be reasonable. “I feel that the situation in Hong Kong is getting more and more complicated,” one commenter writes: “I hope the protesters can rationally overthink why they are participating in these demonstrations; they shouldn’t let themselves be used by others.”

“I just cannot make sense of what these angry youth are doing,” another commenter writes: “They are waving the American flag. But when they leave [Hong Kong], people won’t see them as Hong Kongnese – foreigners will all think they are Chinese. I just don’t get where they’re going.”

 
Keep an eye on What’s on Weibo for more related stories in the time to come. Follow us on Facebook, Twitter, and subscribe to notifications via the bell in this screen (Chrome/Firefox/Android).
 

By Manya Koetse

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