CFR Presents

Asia Unbound

CFR experts give their take on the cutting-edge issues emerging in Asia today.

Posts by Category

Showing posts for "Health"

Getting at the Heart of China’s Public Health Crisis

by Elizabeth C. Economy
A nurse gives an infected patient medicine as she lies in her bed at the HIV/AIDS ward of Beijing YouAn Hospital on December 1, 2011. A nurse gives an infected patient medicine as she lies in her bed at the HIV/AIDS ward of Beijing YouAn Hospital on December 1, 2011. (David Gray/Reuters)

Trying to wrap one’s arms around China today is a significant challenge. It is a global power with a growing economy, rising military, and expanding diplomatic reach. Yet there continues to be a gnawing sense in and outside China that all is not quite right. Whether it is the 180,000 protests annually, the growing flight of capital and people to the West, or the potentially ruinous impact of corruption on the Communist Party’s legitimacy, uncertainty about China and its future is much greater than the country’s impressive global standing might suggest. Read more »

Why Is It in China’s Interest to Promote Health Security in Southeast Asia?

by Yanzhong Huang
Dead ducks are hung at a farm in the outskirts of Phnom Penh December 17, 2008. Cambodia began culling poultry near its capital on Wednesday, officials said, five days after a young man from the area was confirmed with H5N1 bird flu by the World Health Organization (WHO) and the government (Chor Sokunthea/Courtesy Reuters). Dead ducks are hung at a farm in the outskirts of Phnom Penh December 17, 2008. Cambodia began culling poultry near its capital on Wednesday, officials said, five days after a young man from the area was confirmed with H5N1 bird flu by the World Health Organization (WHO) and the government (Chor Sokunthea/Courtesy Reuters).

If there is a buzzword one needs to know to understand U.S. foreign policy toward Asia in 2013, it is “rebalancing,” or in the words of President Obama “pivoting.” Rebalancing is of course not solely about military redeployment. Indeed, a critical element of the U.S. rebalancing strategy in the region is to nurture partnerships with countries and international institutions to address common threats in areas such as regional health security. Read more »

Why Haven’t Chinese Leaders Acted Decisively to Reduce Tobacco Use?

by Yanzhong Huang
A visitor dressed as a Red Army soldier smokes as he poses for a picture in Jinggangshan, Jiangxi province on September 20, 2012. (Carlos Barria / Courtesy Reuters) A visitor dressed as a Red Army soldier smokes as he poses for a picture in Jinggangshan, Jiangxi province on September 20, 2012. (Carlos Barria / Courtesy Reuters)

In mid-October, Russian Prime Minister Dmitri Medvedev voiced support for a proposed ban on smoking in public places by 2015. “The government is not at war with smokers,” he said, “but we are making a stand against smoking.”

Compared to Russia, where about a third of the population smokes, China has “the biggest tobacco problem in the world.” As Cheng Li pointed out in a recent publication, China is “the world’s biggest tobacco producer, largest cigarette consumer, and gravest victim of the smoking-related health crisis.” Read more »

The Compulsory Licensing of Pharmaceuticals: Will China Follow in India’s Footsteps?

by Yanzhong Huang
An official poses with packets of Sorafenib Tosylate tablets inside the head office of Natco in the southern Indian city of Hyderabad March 13, 2012. (Krishnendu Halder/Courtesy Reuters) An official poses with packets of Sorafenib Tosylate tablets inside the head office of Natco in the southern Indian city of Hyderabad March 13, 2012. (Krishnendu Halder/Courtesy Reuters)

Compulsory licensing is emerging as an additional mechanism by which developing countries can make the treatment of noncommunicable diseases (NCDs) more affordable to their populace. Under the World Trade Organization’s Trade-Related Aspects of Intellectual Rights (TRIPS) Agreement, compulsory licensing, which occurs when a government licenses the use of a patented innovation without the consent of the patent title holder, is a legally recognized means to overcome barriers in accessing affordable medicines. Read more »

China’s Food Safety Crisis: How Serious Is the Problem?

by Yanzhong Huang
An employee works at the production line of an edible oil company in Sanhe, Hebei April 12, 2011. An employee works at the production line of an edible oil company in Sanhe, Hebei April 12, 2011 (Stringer/Courtesy Reuters).

Last month in the 2012 FIVB World Grand Prix Finals, China’s women’s volleyball team fell to countries that did not even qualify for the 2008 Olympics, where China won Bronze. The coach blamed his team’s abysmal performance on their veggie diet, saying that the athletes had not had any meat for three weeks.  The players were certainly not vegetarians: they abstained from meat lest contamination of chemicals such as clenbuterol interfere with their urine tests. The excuse was not as lousy as it initially sounded: early this year, China’s State General Administration of Sports issued a document forbidding its athletes from consuming meat outside of official training facilities. Read more »

China’s Population Policy—An Exchange Between Edwin Winckler and Yanzhong Huang

by Yanzhong Huang
A young Chinese mother watches her child in front of a sign reading "birth control is a basic state policy of our country" in Beijing on July 23, 2002. A young Chinese mother watches her child in front of a sign reading "birth control is a basic state policy of our country" in Beijing on July 23, 2002. (Guang Niu / Courtesy Reuters)

Dr. Yanzhong Huang is Senior Fellow for Global Health and the newest writer for Asia Unbound. His first post, “Time for China to Abandon Its Population Control Policy,” attracted significant attention, including a thoughtful response from Edwin A. Winckler, a Senior Research Scholar at the Weatherhead East Asian Institute at Columbia University. Here we have posted both Dr. Winckler’s commentary and a new response from Dr. Huang. We hope you enjoy their discussion.

-Elizabeth Economy, C.V. Starr Senior Fellow and Director for Asia Studies

Read more »

Time for China to Abandon Its Population Control Policy

by Yanzhong Huang
A young Chinese surrogate mother in the maternity ward of Guangzhou's Taihe Hospital, where she said she was forced into an abortion by the city's family planning officials, on April 30, 2009. A young Chinese surrogate mother in the maternity ward of Guangzhou's Taihe Hospital, where she said she was forced into an abortion by the city's family planning officials, on April 30, 2009. (Reuters Staff / Courtesy Reuters)

Last week, the government of the Philippines announced plans to allocate nearly $12 million towards contraceptive supplies for community clinics. Yesterday, the London Summit on Family Planning brought together government leaders, representatives from international agencies and civil society organizations, and private donors as part of a campaign to improve access to birth control in the world’s poorest countries. In China, the story was dramatically different. Last Thursday, fifteen prominent Chinese legal and demographic scholars issued an open letter calling for the end of restrictions on people’s birth rights. The action was prompted by news reports that local government officials in northwest China forced a seven-month pregnant woman, Feng Jianmei, to undergo an abortion. Read more »

China Tries to Breathe Free

by Elizabeth C. Economy
The National Stadium, also known as the 'Bird's Nest', can be seen next to a tower bearing the Olympic rings and a building under construction on a high air pollution day in Beijing on June 6, 2012. The National Stadium, also known as the 'Bird's Nest', can be seen next to a tower bearing the Olympic rings and a building under construction on a high air pollution day in Beijing on June 6, 2012. (David Gray/Courtesy Reuters)

After one day in Beijing, I had a sore throat. After two days, I had a cough. In nine days, the sun never made an appearance. So, when I returned to New York from Beijing earlier this week, I wasn’t surprised to learn from a friend who tracks China’s air quality that the pollution in the country’s capital during my stay had been among the worst since 2007.

There really isn’t any mystery as to why Beijing’s air pollution is so bad. Read more »

Sick Man of East Asia

by Yanzhong Huang
Doctor Ji Jiafu operates with his staff on a cancer patient in an operating theatre in the Beijing Cancer Hospital July 12, 2011. (David Gray/Courtesy Reuters)

Doctor Ji Jiafu operates with his staff on a cancer patient in an operating theatre in the Beijing Cancer Hospital July 12, 2011. (David Gray/Courtesy Reuters)

Foreign Affairs just published its November/December issue, which includes my piece “Sick Man of Asia” (behind paywall).  The title is reminiscent of “Sick Man of East Asia,” a metaphor used to allude to a China too weak to withstand the challenges posed by Western powers in the early 20th century.  Ironically, as China is regaining its greatness, the disease burden is rapidly increasing, suggesting a sicker China in the post-Mao era.  Here is some epidemiological data:

–The average life expectancy in China rose by only about 5 years between 1981 and 2009.  In countries that had similar life expectancy levels in 1981 but had slower economic growth thereafter–Colombia, Malaysia, Mexico, and South Korea, for example–by 2009 life expectancy had increased by 7 to 14 years.

–While China is still battling a legion of infectious diseases, noncommunicable diseases–including cardiovascular disease, chronic respiratory diseases, and cancer–account for 85 percent of total deaths in the country, much higher than the global average of 60 percent.

–17.5 percent of the Chinese population, or more than 227 million people, suffer from some form of mental problem.  This is one of the highest such rates in the world.

Read more »

Innovation and Leadership in the March 11 Crisis

by Sheila A. Smith
Survivors of an 8.9-magnitude earthquake and tsunami receive treatment at the Ishinomaki Red Cross hospital in Miyagi prefecture March 12, 2011.

Survivors of an 8.9-magnitude earthquake and tsunami receive treatment at the Ishinomaki Red Cross hospital in Miyagi prefecture March 12, 2011. (Courtesy Reuters/Ho New)

One of the most impressive accounts of disaster response came from Dr. Tadashi Ishii of Ishinomaki Red Cross Hospital. Dr. Ishii—a slender man, with graying hair and glasses dressed in jeans and a t-shirt—provided a concise and matter of fact account of his hospital’s response to the terrifying and chaotic days after the March 11 disaster. Read more »