China’s Meds, Masks Bought Out! More Deaths Than During COVID, Undertaker Says. Disease X Fears Rise

China Observer
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2026年11月8日 #chinaobserver
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A video circulating widely in mainland China shows
an elderly farmer visiting a hospital
with a plastic bag over his face.
The bag expands and contracts as he speaks,
leaving viewers laughing uncontrollably.
But behind the laughter lies a serious concern.
Face masks were once again in short supply across China,
as a severe outbreak quietly spreads.
Online users say outbreaks are spreading through schools across China,
forcing many elementary and middle school classes to suspend lessons.
Some schools have begun
requiring masks, while medicines,
masks and other protective supplies remain scarce.
Internal figures indicate that the death toll has reached
its highest level in four years.
Pharmacy owners in mainland China say recent COVID variants
are more contagious and more
severe than in previous years.
Hospitals are packed every day, and families line up at
children's hospitals even late at night and before dawn.
Ambulances repeatedly enter and
leave residential neighborhoods throughout the day,
while medicines and protective
supplies remain in short supply.
Pharmacy owner Mr. Jiang told reporters,
It keeps mutating. Air circulates everywhere.
So the virus is everywhere. Nobody can escape it.
Things are really difficult now.
A kindergarten near my home has already closed.
Even adults can't withstand it. There's nothing we can do.
Manufacturers have almost no cough medicine or masks left in stock.
Supplies are tight and prices are going up.
He said this year's policy requires a class to suspend lessons
if more than 10 students become infected within a week.
Many classes now have 10 or 20 infected students.
Some have closed, while others neither report
the cases nor suspend classes.
Another pharmacy owner, Mr. Lin, said,
Our pharmacy has run out of N95 masks.
There are clusters of infections in both northern
and southern China, and schools are closing.
Some schools have already made masks mandatory.
This year's COVID is even more unpredictable and hits much harder.
I can't say too much because we're not allowed to publicize it.
Lin also said that in the past,
middle-aged and older people with high blood pressure,
high blood sugar, or high cholesterol
were especially vulnerable to heart and brain
blood vessel diseases in fall and winter.
Now, he said, COVID infections can trigger
heart attacks or strokes at any age.
Well-known cardiovascular and cerebrovascular hospitals
have long lines every day, and beds are extremely scarce.
Now, he said, COVID infections can trigger
heart attacks or strokes at any age.
Well-known cardiovascular
and cerebrovascular hospitals have long lines every day,
and beds are extremely scarce.
Lin said, even young people can't withstand it this year.
So many people in their 30s
and 40s have died from heart attacks or strokes.
I've seen several cases around me.
They thought they had a cold.
But it never got better.
They tried all kinds of medicine, and nothing worked.
After more than 20 days, they had a heart attack.
At the hospital, tests showed it was caused by COVID.
Medical experts in mainland China say
this COVID outbreak involves two emerging variants,
and TA.1, both descendants of the Omicron XFG lineage.
Research indicates that PJ.2.1 binds particularly strongly
to the ACE2 receptor,
allowing it to infect a wider range of cell types.
One expert said,
Many of our fellow citizens quietly died during the COVID peaks.
Laboratory figures released for September show
the highest number of deaths since 2022.
Models project that by the end of December,
25% of the population will have been infected during the winter wave.
People with heart problems are a particularly vulnerable group.
Funeral industry workers have posted videos
saying more people have died this year than during the pandemic.
One said,
I just saw a cremation chart of a funeral parlor.
I just saw a crematorium schedule and it really shocked me.
Look at the date, October 1st, 2026, National Day.
Now look at the ages.
Isn't that shocking?
They're all people born in the 1980s.
The oldest was only 53.
What's going on?
The causes of death aren't listed.
But think about it.
At those ages, these can't all be natural death.
Accidents happen, of course, but not that many.
So I suspect most die from illness.
How did people born in the 1980s become the main group?
There's a saying I really agree with.
People don't only die when they're old.
It can happen anytime, anywhere.
So stop fighting and arguing.
Nothing matters more than being alive and living well.
Another worker said,
Today I sent two people away.
I helped arrange two more funerals just today.
One person was born in 1990 and was 34.
The other was born in 1986 and was 38.
People at the funeral home were crying uncontrollably,
and they were all around the same age.
I've seen plenty of death, but even I got chills watching that scene.
Both families told me exactly the same thing.
He was fine yesterday.
Didn't seem sick.
He hardly ever even caught a cold.
How could he suddenly be gone?
According to the paper, a state-owned Chinese digital newspaper,
China has entered the early rising stage of flu season.
Unlike previous years, outbreaks are spreading from south to north.
Staying on top of news out of China isn't easy.
Information is tightly controlled. Official
statements don't always match what's happening on the ground.
And coverage outside the country
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According to official figures,
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Flu activity is moderate in southern provinces
and low in northern provinces. Influenza now ranks
first among respiratory pathogens detected in outpatient
and emergency department patients.
Sentinel hospital figures released October 28th showed
that 14.7% of patients with flu-like
symptoms in outpatient and emergency departments tested positive
for influenza, the highest rate
among respiratory pathogens.
From October 19th through 25, there were 145 reported outbreaks
of flu-like illness, up several-fold from 28 the previous week,
showing a rapid overall increase.
Among circulating flu viruses,
influenza A accounts for 67.6%, while influenza B's
Victoria lineage accounts for 32.4%.
Within influenza A, H3N2 makes up 67.2%,
and H1N1 accounts for 32.8%.
Overall, three strains are circulating at the same time.
As outbreaks spread, hospitals across mainland China
are becoming overcrowded.
One person posted a video,
saying the computer system suddenly crashed while they were at a
children's hospital. Everyone had already waited for hours.
Parents could neither pay their bills
nor collect medicine, leaving them overwhelmed.
They waited from morning until afternoon with
no solution. Technology may seem to be improving,
but when the network goes down, everything falls apart
Another person said the hospital they visited had begun limiting
the number of people entering.
They had previously seen crowd controls like
that only at shopping malls during holidays.
A video posted online said,
I just arrived at Wuhan Union Hospital and I have so many emotions.
Getting medical care is really hard.
It's packed here and there's never a quiet season.
Some people are experiencing joy.
On November 4th,
a Shanghai Douyin creator said it
was raining heavily.
But the hospitals were still packed.
Another said,
This flu wave is brutal.
Nearly 20 children in the class are sick.
Yesterday, I was praising my son's good health, and today he caught it.
I brought him to the doctor, and there's a long line at the clinic.
Clearly, we're not the only family dealing with this.
Another creator said,
It's flu season, and hospitals are overflowing.
It's almost noon, but they're only now seeing patients
with 9 a.m. appointments.
Even the most comprehensive vaccine couldn't keep the flu away.
Winter is a challenge for every child,
and so much of a family's spending ends up going to hospitals.
A person in Shandong said flu has been widespread
in kindergartens since the National Day holiday
in early October. Another in Sichuan said,
same here, we were sick throughout October
and ended up in the hospital.
Every single person in our family was knocked down by it.
According to CCTV Finance, Wang Dayan,
Director of Chinese National Influenza Center said Influenza A H3N2
and Influenza B Victoria
have circulated together since July,
with H3N2 accounting for a larger share.
This year's flu season has two main features,
multiple active strains and an earlier start.
Widespread cooling and more indoor gatherings
are increasing the risk of clustered infections
in enclosed spaces such as schools and office buildings.
Li Tongzheng
Chief Physician in the Department
of Infectious Diseases at Beijing Youan Hospital
said that in previous years, one strain usually dominated.
This year, both influenza A and B are circulating,
including H3N2 and H1N1 with influenza A.
H1N1's share is rising in China,
so the dominant strain could change later.
Common symptoms described
in this flu wave include persistent high fever that quickly
returns after fever-reducing medication,
and symptoms that do not improve after more than
five days. Severe coughing, chest tightness or pain,
wheezing and rapid breathing may signal
pneumonia. In children, extreme drowsiness,
difficulty waking, unusual irritability and
frequent vomiting may signal encephalitis.
In young adults, chest tightness or pain after activity,
Shortness of breath.
Dizziness or fainting may signal myocarditis.
Meanwhile, sources within China's medical system
say COVID outbreaks are continuing,
with many severe cases and numerous deaths.
They also say people's immune cells are gradually becoming exhausted,
raising fears that a disease X pandemic,
a possibility previously highlighted by
the World Health Organization, could be approaching.
Chinese virologist Mr. Zhang told the media
that when a virus infects the body,
naive B-cells in the immune system become activated
and develop into memory B-cells.
When the same virus returns,
these cells help produce antibodies quickly to fight it.
This is essential for long-term immunity.
But he said recent research suggests naive
B-cells among Chinese people are increasingly difficult to activate,
and he fears a disease X pandemic could be imminent.
Disease X is a placeholder term introduced
by the World Health Organization in 2018.
It does not refer to an existing illness such as COVID-19,
Ebola, or influenza.
Instead, it describes the possibility
of a serious international epidemic
or pandemic caused by a pathogen
not yet known to cause disease in humans.
Zhang said, it's been four years since lockdowns ended in late 2022,
and many people first caught COVID.
Recently, two-thirds of naive B cells have become difficult
to activate and can't readily produce antibodies.
That means only one-third of our naive B cells
remain active. Overall, the countdown has begun.
It means a pandemic is starting.
He told reporters that laboratories
are receiving more and more severe cases.
Because the coronavirus mutates so rapidly,
he said there's no specific cure.
Hospitals may use monoclonal antibody treatments,
but recovery ultimately depends on the patient's own immune system.
Zhang said, severe cases are rising rapidly.
Those who cannot be saved are developing immune-related
complications. In the end,
even an ordinary bacterium can overwhelm them, while drug
resistance progresses faster.
Laboratory indicators have already reached the red warning zone.
He added many people feel that viruses
and bacteria have become more dangerous,
but repeated COVID infections have actually dulled immune responses,
leaving the body unable to
activate its defenses quickly when pathogens invade.
Mycoplasma used to be very weak,
sometimes not even causing illnesses.
Why is it so serious now? Because COVID has changed how
our immune system responds to emergencies.
Your whole body immune response doesn't activate at
first. By the time the pathogen has multiplied enough
to trigger that response, it may already
be too late for some people.
Hospitals repeatedly treat certain immune disorders by administering
large amounts of immunoglobulin, commonly described as antibodies.
One online commenter said,
some patients have spent hundreds of thousands of yuan on injections.
Another lamented, if you're poor,
you can't even afford to get sick anymore.
Mr. Li, an employee of China's health authorities, told reporters,
COVID is spreading, and many people have died.
We really have no way to stop it,
and we're keeping the information under wraps.
Your only hope is your own immunoglobulin.
Every patient admitted to intensive care has
to receive it, eight bottles a day.
It's not reimbursed. It all comes down
to whether your family has money.
According to the Chinese Center for Disease Control
and Prevention's latest national COVID-19
update, which was released October 30th,
there were 346,000 newly confirmed cases in September,
including 271 severe cases and nine deaths.
All nine deaths involved patients
with underlying illnesses and COVID infection.
All 15,996 valid viral genome sequences submitted
from domestic cases were Omicron variants,
with PQ16.1.1 and its sublineages predominating.
A Chinese virology expert who requested anonymity said,
The latest data show that COVID's main harm
is accelerating biological markers of aging
across the population.
The damage is progressive and keeps getting worse.
Some people are even worse off,
developing immune failure similar to AIDS.
Eventually, a single bacterium or fungus can take their life.
On October 26, a research team led by Cao Yunlong,
an assistant professor at Peking
University's Biomedical Pioneering Innovation Center
and a Chinese immunologist, along with
their collaborators, published a paper
in an international journal. The study describes an
immune mechanism that may help explain why
the COVID variant BA.3.2.2 spreads preferentially
among children, unlike earlier variants.
The expert said a child's first vaccine dose triggers
an initial immune response and leaves
a lasting immune imprint,
directly affecting how efficiently antibodies respond in the future.
But the immune imprint from domestically
produced COVID vaccines is very weak
and doesn't provide adequate protection,
which is why so many children become infected.
BA.3.2 is rising very quickly and accounts for substantial share.
They can no longer hide it.
It is extremely harmful to vaccinated people.
Research data show serious blood clot problems,
which is why the information hasn't been released.
He also said inactivated COVID vaccines accelerate
the development of cancer and diabetes,
so conditions that might previously have
been diagnosed after five to eight years
are now being diagnosed within two.
But vaccines have become a politically sensitive subject in
China. At one lecture,
an expert discussing the actual situation with domestic vaccines
suddenly had their microphone muted.
The experts said bluntly,
laboratory work has fully confirmed that vaccines are extremely
harmful. One very important conclusion
is that they greatly increase the risk of new disease.
The first problem is damage to the heart muscle
and the lining around the heart.
The second is immune-related blood clots
that are difficult to dissolve,
along with nerve damage that leads to uncontrolled muscle movements.
Amid this severe outbreak,
troubling practices have also emerged in China's medical system.
A 66-year-old man from Jiangsu sought treatment
for a persistent cough at a top-tier hospital
in Shanghai. On a doctor's recommendation,
he transferred to a lower-ranked hospital
for inpatient care. But the next day,
he was told the hospital could not treat him
and advised him to transfer to another top-tier facility.
While waiting for a specialist appointment elsewhere,
he spent nine and a half days
hospitalized and incurred more than 20,000 yuan in charges.
After visiting several more hospitals
and spending over 50,000 yuan in total,
he finally received a diagnosis.
The referral has since drawn public scrutiny.
According to a November 3rd report by the Yangtze Evening Post,
the 66-year-old Jiangsu resident had
undergone repeated treatment
for a persistent cough without finding its cause. Hoping a major
hospital could identify the problem,
he secured an appointment on May 11th with a specialist in
respiratory and critical care medicine
in Shanghai's Zhongshan Hospital. Doctors ordered
lung function tests and a CT scan and prescribed cough medicine.
On May 14th, the patient's son, Mr. Huang,
secured a follow-up appointment at a general outpatient clinic.
The hospital recommended hospitalization,
but said beds at the main hospital were scarce.
He offered to arrange admission to a branch hospital
and recommended Xuhui District Central
Hospital, repeatedly implying it was affiliated with Zhongshan Hospital
and can treat his father.
Huang took his father there on May 15th
and completed the admission process,
but on the second day, doctors said they could not treat his condition
and recommended transferring him to another top-tier hospital.
Then, Huang booked specialist appointments
at other Shanghai hospitals. By discharge,
his father had been hospitalized for nine days and a half,
with medical bills totaling over 20,000
yuan. The family said the hospital never warned them
that their account had an outstanding balance.
Only at discharge did they discover
that they owed more than 18,000 yuan.
Even more upsetting, they believed the hospital was a Zhongshan branch.
The final bill revealed it was actually
Xuhui District Central Hospital,
a lower-ranked tertiary grade B facility.
Huang then took his father to several other Shanghai hospitals.
After spending more than 50,000 yuan, they still had no diagnosis.
Only at the Second Affiliated Hospital
of Shanghai Jiao Tong University did doctors diagnose a tracheoesophageal
fistula, an abnormal connection between the windpipe and the esophagus.
His condition finally
improved after treatment.
After Huang filed a complaint, the Shuhe District Medical Insurance
Bureau identified multiple violations
at Shuhe District Central Hospital, including prescribing
medications outside approved instructions
and improper charges for serum myoglobin tests.
The violations totaled nearly 6,000 yuan,
including more than 4,000 yuan to be refunded to the patient
and over 1,700 yuan involving medical insurance funds.
The hospital was also fined nearly 9,000
yuan, and the doctor received a four-point penalty under
the medical insurance system.
Chinese media reported that although
the hospital where Huang's father stayed was
officially called Shuhe District Central Hospital,
signs on its exterior read Zhongshan
Hospital, Shuhe Hospital, Fudan University,
and Shuhe Hospital affiliated with Fudan University.
However, a Zhongshan Hospital medical affairs official said
the two hospitals had essentially
no relationship. The report
also noted repeated administrative penalties against
against Shuhe District Central Hospital.
Since October 2023, the District Medical
Insurance Bureau has penalized it three times,
imposing fines totaling nearly 900,000 yuan.
On November 4th, the hashtag
top-tier hospital doctor recommends a patient go
to a lower-tier hospital trended on Weibo.
One commenter said, this is an unwritten hospital practice.
My family member had advanced cancer,
and the hospital said there were no beds.
They recommended a private rehabilitation center.
One month there cost us more than 100,000 yuan, another person wrote.
It happened to me too.
I saw the department director
at a famous top-tier hospital to arrange surgery.
The doctor directly suggested a private hospital,
saying it would cost more, but insurance would
cover it, and he would personally perform the operation.
He said I'd never get a surgery slot
if I waited at a top-tier hospital.
I switched hospitals immediately.
One vlogger said,
My first reaction to this trending topic was anger,
but after reading the full story,
what I really felt was disheartened.
The penalties left me speechless too.
Shuhe District Central Hospital
refunded a little over 4,000 yuan
and was fined just over 8,000.
The doctor received a four-point medical insurance penalty.
Is that really the price of a referral scheme
that delayed a patient's treatment
and cost his family tens of thousands of yuan unnecessarily?
As one comment put it,
The fine doesn't even cover the tests
the elderly man had to undergo while being sent
from hospital to hospital.
Healthcare isn't a business, and patients aren't customer leads.
People make appointments at top-tier hospitals
because they trust them. If that trust becomes
a tool for steering patients elsewhere,
Mr. Huang won't be the only one left deeply disappointed.
Notably, during widespread flooding several months earlier,
one woman online had predicted
an epidemic. She said
in a video, 大灾之后必有大疫,这不是一句吓人的话
Major epidemics follow major disasters.
That's not just something people say to frighten you.
It's a painful lesson, confirmed
by countless lives over thousands of years.
Take the great Yangtze River flood of 1931.
Nearly 30,000 people died in Wuhan,
but only about 3,600 drowned. That means the epidemic
killed almost 10 times as many people as the floodwaters did.
Before the plague in the late Ming Dynasty,
there had been frequent earthquakes and other
natural disasters. Nearly 200,000 people ultimately died of plague.
Disasters take the first group of lives, and epidemics take the second.
She identified several key factors
behind epidemics following disasters.
First is contaminated water.
Water systems often fail after major disasters,
and sewage can flow backward into supplies,
allowing disease to spread through drinking water.
Second is environmental destruction, as human and animal remains decay,
and mosquitoes and other insects multiply.
Third is overcrowding in shelters,
combined with emotional distress and severe psychological pressure.
which can weaken immunity and greatly increase the risk of infection.
She added that historical accounts
from the Qing dynasty identified epidemics as one of
the leading causes of death in Chinese history,
often following floods, droughts, and wars.
She said the recent succession of fires
Floods and windstorms was another reason for heightened vigilance.
One online commentator said that in China,
the healthcare system often provides attentive care
only to a small number of powerful and wealthy people,
leaving ordinary citizens to fend for
themselves. In the face of a severe epidemic,
the commenter said it's important to remain calm and
kind, reduce material desires,
and avoid unnecessary arguments to stay healthier.
Money should not be treated as life's highest or only goal.
Health matters most.
