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To What Extent Was China’s Existing Health System Well Prepared for COVID-19?

Date: October 31,2023 |Hits: 341 Download PDF How to cite this paper

Yang Li

Ghent University, Ghent, Belgium.

*Corresponding author: Yang Li


In early January 2021, the United Kingdom initiated a nationwide lockdown in response to the rapid spread of a novel COVID-19 variant, underscoring the global challenges posed by the highly transmissible virus. While COVID-19 first identified in Wuhan in December 2019, has continued to afflict nations worldwide, China, where the outbreak initially emerged, managed to control and eliminate the virus within two months. This disparity in pandemic response highlights the crucial role played by China's healthcare system. This essay critically examines the level of preparedness of China's healthcare system in the face of the COVID-19 crisis. It explores the system's notable achievements and inherent weaknesses and their impact on pandemic preparedness. In the context of this analysis, the essay discusses China's healthcare infrastructure, epidemic prevention measures, and the system's inherent vulnerabilities. Ultimately, this investigation concludes that while China's medical system exhibited commendable aspects, it was not fully equipped to address the challenges posed by COVID-19.


Baud, D. et al. (2020). Real estimates of mortality following COVID-19 infection. The Lancet infectious diseases, 20(7), p. 773.

CDC. (2018). Provisions on the functional allocation, internal structure and staffing of the National Health Commission. [online] Available at: http://www.nhc.gov.cn/wjw/jgzn/201809/3f4e1cf5cd104ca8a8275730ab072be5.shtml. [Accessed 4 Jan. 2021].

Chen, F., Zhang, Z. K., Chang. H. E. (2007). the history of the "Barefoot Doctor", Health Daily, the 5th edition.

Chen, X. and Yu, B. (2020). First two months of the 2019 Coronavirus Disease (COVID-19) epidemic in China: real-time surveillance and evaluation with a second derivative model. glob health res policy 5.

Cheng, E. (2020). Virus disclosure in China was delayed because disease control group lacks authority, top scientist says. [online] CNBC. Available at: https://www.cnbc.com/2020/02/28/chinas-cdc-lacks-authority-to-alert-public-on-virus-scientist-says.html [Ac-cessed 6 Jan. 2021].

Conrad, F. (1988). Schistosomiasis Eradication in China. Science, pp.1079-1080.

CPC Central Committee. (2018). The CPC Central Committee issued the Plan for Deepening the Reform of Party and State Institutions. [online] Available at: http://www.gov.cn/zhengce/2018-03/21/content_5276191.htm#1. [Ac-cessed 01 Jan. 2021].

Di, Z. Q. (2008). Problems and countermeasures in the construction of emergency plan system for public health emergencies in China. Chinese Journal of Preventive Medicine, Vol, 6.

Eddy, M. and Santora, M. (2020). E.U.’s Mass Vaccination Campaign Starts, With Nursing Homes as Focus. The New York Times. [online] 27 Dec. Available at: https://www.nytimes.com/2020/12/27/world/europe/covid-19-eu-vaccine.html [Accessed 29 Dec. 2020].

Edward, F. (1987). Production, equality and participation in rural China. World Politics, 39(3), p. 408.

Emery, G. (2020). Coronavirus can persist in air for hours and on surfaces for days: study. Reuters. [online] 18 Mar. Available at: https://www.reuters.com/article/us-health-coronavirus-study-idUSKBN2143QP. [Accessed 29 Dec. 2020].

FT teams. (2020). Free to read: Lockdowns compared: tracking governments’ coronavirus responses. [online] ig.ft.com. Available at: https://ig.ft.com/coronavirus-lockdowns/. [Accessed 29 Dec. 2020].

Gander, K. (2020). How China beat coronavirus over the last six months. [online] Newsweek. Available at: https://www.newsweek.com/china-coronavirus-six-months-pandemic-beat-virus-1532874. [Accessed 3 Jan., 2021].

GOV. UK. (2020). Over 600,000 people get first dose of Pfizer/BioNTech vaccine. [online] Available at: 

https://www.gov.uk/government/news/over-600000-people-get-first-dose-of-pfizerbiontech-vaccine. [Accessed 29 Dec. 2020].

Guo, J. H. (2019). 70 years of Medicare: Building the world's largest social security safety net from scratch. [online] Available at: https://www.yicai.com/news/100349704.html. [Accessed 4 Jan. 2021].

Howes, L. (2020). Can you get COVID-19 in the bathroom? [online] Available at: https://cen.acs.org/biological-chemistry/infectious-disease/COVID-19-bathroom/98/i38. [Accessed 29 Dec. 2020]

Joan, S. (2004). SARS in China. JAMA: the journal of the American Medical Association, 291(21), p. 2534.

Kirka, D. and Hui, S. (2021). UK prime minister orders new virus lockdown for England. [online] Available at: https://apnews.com/article/uk-1st-oxford-astrazeneca-vaccine-virus-013f538e8ec3a153a4d2e39601961472. [Accessed 7 Jan. 2021].

Larson, A. S., et al. (2020). Coronavirus Disease 2019 and the Cerebrovascular-Cardiovascular Systems: What Do We Know So Far? Journal Of the American Heart Association, 9 (13), p.e016793.

Li, C. Y., et al. (2016). The Centers for Disease Control and Prevention System in China: Trends From 2002-2012. American Journal of Public Health, 106(12), pp. 2093-2102.

Li, L. J. (2020). Artificial intelligence and big data play an important role in the resistance to disease. [online] Available at: http://scitech.people.com.cn/n1/2020/1214/c1007-31965138.html. [Accessed 4 Jan. 2021].

Ma, X. H. (2020). From "no obvious human-to-human transmission" to "human-to-human transmission", the epidemic situation in Wuhan was resumed in 20 days. [online] Available at: https://www.yicai.com/news/100476157.html. [Accessed 5 Jan. 2021].

Ma, X. H. (2020). The disease early decision checking: transient three key "aircraft". [online] Available at: https://www.yicai.com/news/100518039.html. [Accessed 3 Jan., 2021].

Martin, Y. H. (2020). How do SARS and MERS compare with COVID-19? [online] Available at: https://www.medicalnewstoday.com/articles/how-do-sars-and-mers-compare-with-covid-19. [Accessed 29 Dec. 2020].

Meng, Q. Y., et al., (2015). People’s Republic of China health system review. [online] apps.who.int. Manila: WHO Regional Office for the Western Pacific. Available at: https://apps.who.int/iris/handle/10665/208229. [Accessed 01 Jan. 2021]

Mizrahi, L., Shekhidem, H. A., and Stern, S. (2020). Age separation dramatically reduces COVID-19 mortality rate in a computational model of a large population. Open Biology, 10 (11), p.200213.

Myers, S. L. and Buckley, C. (2020). China Created a Fail-Safe System to Track Contagions. It Failed. The New York Times. [online] 29 Mar. Available at: 

https://www.nytimes.com/2020/03/29/world/asia/coronavirus-china.html?_ga=2.105910339.1150368403.16098623 03-548371068.1609862303. [Accessed 6 Jan. 2021].

National Health Centre. (2018). The main responsibility of the Bureau for Disease Control and Prevention [online] Available at: http://www.nhc.gov.cn/jkj/pzyzz/lists.shtml. [Accessed 6 Jan. 2021].

National Health Commission. (2020). Statistical Bulletin on the Development of China's Health Undertakings in 2019. [online] Available at: 

http://www.nhc.gov.cn/guihuaxxs/s10748/202006/ebfe31f24cc145b198dd730603ec4442.shtml. [Accessed 4 Jan. 2021].

National People’s Congress. (2020). Law of the People's Republic of China on Basic Medical Care and Health Promotion-Xinhuanet. [online] Available at: http://www.xinhuanet.com/politics/2019-12/28/c_1125399629.htm. [Ac-cessed 4 Jan. 2021].

Peng, J., et al. (2003). Public health in China: the Shanghai CDC perspective. American Journal of Public Health, 93(12), pp.1991-3.

Peng, T. (2020). Look through the struggle of human with major outbreaks of medical development and public health system: "epidemic" of progress in the war on again and again. [online] Available at:

https://www.scol.com.cn/zlts_ss/202002/57468677.html. [Accessed 01 Jan. 2021]. 

Pollock, A. M. and Lancaster, J. (2020). Asymptomatic transmission of covid-19. BMJ, p.m4851.

Seventer, J. M. and Hochberg, N. S. (2016). Principles of Infectious Diseases: Transmission, Diagnosis, Prevention, and Control. 10.1016/B978-0-12-803678-5.00516-6.

Shao, D. X. (2010). Barefoot Doctor and changes of rural Cooperative Medical System. Journal of Zhejiang Provincial Party School, (4), pp. 57-62.

Sherson, D. C., et al. (1974). Barefoot Doctors. New England Journal of Medicine, 291(20), pp.1090-1091.

Special Expert Group for Control of the Epidemic of Novel Coronavirus Pneumonia of the Chinese Preventive Medicine Association. (2020). Recommendation on the modernization of disease control and prevention [J]. Chinese Journal of Epidemiology, 41(4): 453-460.

Sun, X. (2020). How China was able to vanquish COVID-19 so quickly. Bangkok Post. [online] Available at:

https://www.bangkokpost.com/opinion/opinion/1988127/how-china-was-able-to-vanquish-covid-so-quickly. [Ac-cessed 4 Jan. 2021].

Sun, Y., Gregersen, H., and Yuan, W. (2017). Chinese health care system and clinical epidemiology. Clinical Epidemiol-ogy, 9, pp.167-178.

Talha, B. (2020). China's Successful Control of COVID-19. The Lancet Infectious Diseases, 20.11: 1240-241. Web.

The ministry of health in PRC. (2004). The health of the People's Republic of China ministry makes (40) the construc-tion of disease prevention and control system of the certain rules-2005 28 years the State Council bulletin Chinese government net. [online] Available at: http://www.gov.cn/gongbao/content/2005/content_75219.htm. [Accessed 01 Jan. 2021].

The State Council Information Office. (2020). China's action against COVID-19 outbreak—Chinese government net-work, the white paper. [online] Available at: http://www.gov.cn/zhengce/2020-06/07/content_5517737.htm. [Accessed 01 Jan. 2021].

Tian, X. H. (2020). The white paper: traditional Chinese medicine in treating COVID-19 confirmed cases accounted for more than 92%- Xin Hua Net. [online] Available at: http://www.xinhuanet.com/2020-06/07/c_1126083825.htm. [Accessed 4 Jan. 2021].

Wang, B. Y. (2020). National health council zone spreading with related departments to deal with will be coronavirus pneumonia outbreak—Chinese government net. [online] Available at: http://www.gov.cn/xinwen/2020-01/22/content_5471437.htm. [Accessed 5 Jan. 2021].

Wang, G. Z. (2011). Practice and Inspiration of the CPC in integrating and organizing resources for schistosomiasis con-trol in the 1950s. Research and Teaching of Party History, (3), pp. 89-96.

Wang, X. Q. (2012). China Center for Disease Control and Prevention's Participation in Global Public Health Action: Practice and Thinking. The first China Health Emergency Academic Forum.

WHO. (2020). Coronavirus disease (COVID-19): How is it transmitted? [online] www.who.int. Available at:

https://www.who.int/news-room/q-a-detail/coronavirus-disease-covid-19-how-is-it-transmitted. [Accessed 29 Dec. 2020].

WHO. (2020). Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations. [online] www.who.int. Available at: https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations. [Accessed 29 Dec. 2020].

WHO. (2020). simulates the impact of the closure of Wuhan, China, during COVID-19. [online] Available at: 

https://www.who.int/bulletin/volumes/98/7/20-254045-ab/zh/ [Accessed 3 Jan. 2021].

WHO. (2020). The archive: WHO deal with COVID-19 outbreak time line. [online] Available at: 

https://www.who.int/zh/news/item/27-04-2020-who-timeline---covid-19. [Accessed: 29 Dec. 2020]. 

WHO. (2020). The outbreak of Coronavirus in China. [online] Available at: https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/zh/. [Accessed 6 Jan. 2021].

World Health Organization. (2019). Monitoring health for the SDGs. (2019). World Health Organization. [online] Availa-ble at: https://www.who.int/gho/publications/world_health_statistics/2019/en/. [Accessed 01 Jan. 2021].

World meter. (2021). Coronavirus Toll Update: Cases & Deaths by Country of Wuhan, China Virus - Worldometer. [online] Available at: https://www.worldometers.info/coronavirus/. [Accessed: 29 Dec. 2020]. 

Wu, L. X. (2004). Analysis of China's international competitiveness after public health emergencies—the government's response to public health emergencies. Study on Accounting, (12), pp. 61-62.

Yang, D. L. (2020). China’s Early Warning System Didn’t Work on Covid-19. [online] Available at: https://www.washingtonpost.com/gdpr-consent/?next_url=https%3a%2f%2fwww.washingtonpost.com%2fpolitics%2f2020%2f02%2f24%2fchinas-early-warning-system-didnt-work-covid-19-heres-story. [Accessed 5 Jan. 2021].

Yang, H. (2020). Why was Wuhan's early reporting of the epidemic interrupted? [online] Available at:

https://news.sina.cn/gn/2020-03-05/detail-iimxyqvz8101965.d.html. [Accessed 5 Jan. 2021].

Yi, S. (2020). High-tech magic: China’s COVID-19 fight-Global Times. [online] Available at: https://www.globaltimes.cn/content/1188251.shtml. [Accessed 6 Jan. 2021].

Yuan, L. and Taylor, R. (2020). How Thousands in China Gently Mourn a Coronavirus Whistle-Blower. The New York Times. [online] 13 Apr. Available at: https://www.nytimes.com/interactive/2020/04/13/technology/coronavirus-doctor-whistleblower-weibo.html?_ga=2.178118629.1150368403.1609862303-548371068.1609862303. [Accessed 6 Jan. 2021].

Yuan, Z. M. et al. (2020). Modelling the effects of Wuhan's lockdown during COVID-19, China. Bulletin of the World Health Organization, 98(7), pp. 484-494.

Yun, S., Si, Y., and Zi, P. (2020). How to make China "rising powers" pneumonia outbreak of aura. [online] Available at: https://www.bbc.com/zhongwen/simp/chinese-news-51942287. [Accessed 6 Jan. 2021].

Zheng, L. Z. (2007). Mao Zedong and control of Schistosomiasis. Xiang Chao, (06S), pp. 4-7.

Zhu, H. P. (2020). Trends in Healthcare Insurance Reform and Strategy for Industries. Chinese Academy of Social Science, Institute of Economic and Public Policy Research.

Zhu, P. and Li, J. Y. (2020). The mission of the CDC - 21 Economic Net. [online] Available at:

http://www.21jingji.com/2020/2-4/xOMDEzNzlfMTUzMDYxOA.html. [Accessed 6 Jan. 2021].

How to cite this paper

To What Extent Was China’s Existing Health System Well Prepared for COVID-19?

How to cite this paper: Yang Li. (2023) To What Extent Was China’s Existing Health System Well Prepared for COVID-19? Journal of Humanities, Arts and Social Science7(9), 1891-1900.

DOI: http://dx.doi.org/10.26855/jhass.2023.09.035

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