China’s Covid-19 surge threatens villages as Chinese New Year approaches

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China’s Covid-19 surge threatens villages as Chinese New Year approaches
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China is bracing for an onslaught of infections in its fragile countryside. Read more at straitstimes.com.

GUIZHOU - The infections in Dadi Village, a corn farming community tucked between verdant hills in China’s remote south-west, started in early December when a handful of young people returned from jobs in big cities.

“What we are most worried about is that after three years, everyone … can finally go home for the new year to visit relatives,” Ms Jiao Yahui, an official with China’s National Health Commission, told state media. With the populous countryside’s limited medical resources, she said, “how to deal with the peak of infection in vast rural areas has become a huge challenge.”

Long lines of people have been forming outside village clinics there, according to state media. Such clinics and local community health centres are meant to serve as the first line of defence in a triage system and prevent overcrowding at county hospitals, which are often the closest places rural residents can be treated for serious medical conditions.

“When people move around, we are very likely going to see a surge of cases in the countryside, but the health care system does not have the capacity to withstand the rapid increase of demand,” said Mr Yanzhong Huang, a senior fellow for global health at the Council on Foreign Relations.Other countries such as India have already experienced the devastating consequences of a runaway outbreak in rural areas with underdeveloped health care.

Ge said village doctors couldn’t be relied upon for treating major illnesses but were often the only local source of medicine. “What you ideally want is for people with less severe conditions to stay away from the higher-tier hospitals,” said Mr Sean Sylvia, an assistant professor of health policy at the University of North Carolina who has studied rural China. “And if you’re relying on village doctors to appropriately triage patients, there’s a big question as to whether they can do that.”

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