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‘Random’, ‘Shocking’, ‘Pointless’: Female Military Doctor Stabbed to Death in Tianjin Hospital

Another random outburst of violence in a Chinese hospital has shocked Weibo commenters.

Chauncey Jung

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A 47-year-old doctor from Tianjin died after a random knife attack in an outpatient clinic. Over recent years, more and more outbursts of violence against doctors make headlines in China.

The fatal stabbing of a female military doctor in Tianjin on July 12th has shocked Chinese netizens.

The Tianjin Affiliated Hospital of The Chinese People’s Armed Police Forces, where the stabbing took place, issued a statement on Weibo about the incident (image below), saying that the 47-year-old Zhao Junyan (赵军艳) was violently attacked by three people at the outpatient clinic on Thursday morning.

Zhao died of her injuries later that day. The main suspect and two other suspects were apprehended by the police at the scene of the crime.

One witness told reporters at We Video that the attackers did not try to run away after the stabbing: “The [main] suspect was about 50 years old. He did not run away, perhaps he knew that would be futile. He did not say anything after stabbing the doctor. We called the police and had him arrested.”

The same witness also suggests that the main suspect was the husband of a patient at the clinic, although Sina News reports that it did not concern one of Zhao’s own patients.

Another person who was there when it happened told Chinese media: “When the suspect was arrested, he said that his target was not Dr. Zhao, but another doctor. Dr. Zhao was just unlucky to be the victim.”

Violence against Chinese Medical Staff

Zhao’s killing is one of many of such incidents over previous years; violence has become a more and more common occurrence in Chinese hospitals, where the so-called yinao phenomenon (医闹, ‘medical disturbance’) is a growing problem. Yinao is the organized disturbance and violence in hospitals against medical workers.

In 2012, another female doctor was axed to death by a patient in Tianjin; in 2013, a patient in Wenling fatally stabbed his doctor after he was unhappy with the results of an operation. Just last year, a male doctor in Anhui province was stabbed to death by the father of one of his patients. The list of incidents goes on, and it is extensive.

In response to the recent incident, Weibo users collectively expressed their anger and concern in the comment sections; dozens of threads on the issue received thousands of responses on Weibo this week, with people calling the brutal attack “pointless” and “outrageous.”

“If this crime doesn’t receive the death penalty, our legal system is a joke,” a commenter by the name of ‘@33daysofsilence’ wrote.

Another user wrote: “Even if this was their doctor there’s no reason to hurt her. It is tragic to see that doctors end up in dangerous situations nowadays.”

“Wouldn’t let our kids become doctors”

“My husband is a doctor and I am a nurse. But we wouldn’t let our kids become doctors. If this [violence] keeps happening, nobody will be willing to work in the healthcare industry anymore,” a user named @Jinyueyao2008 wrote.

Many Chinese face major obstacles in getting access to the healthcare they need. Doctor-patient conflicts in China partly come from the high costs and long waiting times in Chinese hospitals and clinics, triggering frustration among patients. As conflicts become more violent and receive more media attention, more people are starting to perceive the professions of doctors or nurses as a potentially hazardous.

“It is difficult and expensive to see a doctor- this leads to more conflicts between doctors and patients,” a top commenter writes on Weibo.

“There was no reason for this at all, these people must be crazy. This society is becoming more and more scary,” another person wrote.

Meanwhile, the death of Zhao Junyan, who leaves behind a son and her husband, is mourned on Weibo. Posting virtual candles, many hope that Zhao can “rest in peace.”

By Chauncey Jung

This article has been edited and condensed for clarity.

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.

Chauncey Jung is a China internet specialist who currently works for an Internet company based out of Beijing. Jung completed his BA and MA education in Canada (Univ. of Toronto & Queen's), and has a strong interest in Chinese trends, technology, economic developments and social issues.

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China Food & Drinks

Coca Cola Introduces “Ocean Plastic Bottles” to Combat Marine Waste Problem

Coca Cola’s innovative ocean plastic bottles have become top trending on Weibo.

Manya Koetse

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As Coca Cola introduced the world’s first bottles made from recycled ocean plastic waste this week, the topic has risen to the top trending on China’s Sina Weibo.

As reported by Business Insider, Coca Cola has released 300 sample bottles showing the potential of its new technology that is able to transform lower-grade recycables into high-quality food packages.

The Coca Cola bottles were produced using 25% recycled marine waste, collected by volunteers and fishermen during 84 beach cleanups in Spain and Portugal, the report says, with the company’s long-term goal being to have all its plastic bottles be made from 50% recycled plastics by 2030.

Coca Cola will start to use more recycled plastic for its bottles from 2020 on.

With the topic now having reached 140 million views on Weibo, many people are discussing the issue. The majority of commenters applaud the environment-friendly initiative, but there are also some who say they fear the bottles would somehow contain “more pollutants” or start to “taste like the ocean.”

Others write they do not necessarily want to drink Coca Cola, but would like to obtain one of their ‘ocean plastic’ bottles as a collector’s item.

The Chinese news reports about the new Coca Cola initiative raise awareness on the problems of how plastic waste in oceans jeopardizes marine life.

“Environmental problems require immediate action,” one Weibo users writes: “A good company will take on the responsibility to do something.”

Some 200 billion plastic bottles are sold in China every year – many of them are already being recycled. Coca Cola, however, will reportedly be the world’s first company to use ocean plastic waste for its bottles.

Coca Cola is an important player in the Chinese beverage market; the company has introduced more than 60 products under 20 brands within mainland China.

Also read:

McDonald’s China Introduces Cola Chicken on Its Menu

Coca Cola in China: “Not a Single Bottle of Coke Should Be Sold to Chinese”

Ginger Coca-Cola Comes to China with Some Smart Yin Yang Marketing

 

By Manya Koetse

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

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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

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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.

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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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