My Visit to China: Could This Be A Reason Why Coronavirus Started There?

I've visited China and the wet markets where the coronavirus is believed to have started. With the conditions I saw it's not surprising that this is where the outbreak may have begun. Nurses COVID News

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With all the talk about the coronavirus, I wanted to share my experiences visiting China. A few years ago I traveled to Beijing and Shanghai as a tourist. While the country is amazing and has some unbelievable attractions, it is also obvious that they are still a developing nation.

Common Local Food Options

The first difference that I noticed was the choice of food options. Although they have McDonald’s and KFC they also have some local dishes that many in America would not put on the menu. I saw whole fish with the fins and scales served on a plate, mammals I won’t mention, and snakes. The latter is at the center of coronavirus issue as it’s suggested that a bat was eaten by a snake who then was eaten by a person.

Open-Air Wet Markets

While eating odd foods isn’t a bad thing, Andrew Zimmern has made a career of it, how the food is prepped in China is an issue. While in Shanghai I visited what they call a “wet market.” Several websites are claiming the coronavirus, and previously SARS started in wet markets. Think of a farmer’s market but the butchering of the animals happens behind the counter and the raw meat is hung in the open air. China Street Butcher Not only are they butchering pigs, ducks and chickens there are also stands with live frogs, eels, snakes and turtles. It’s not very sanitary and there are no regulations on how they discard the entrails. One moment a man could be butchering a snake, the next he could be handling a raw piece of pork before selling it to the consumer. The market was open-air even during the summer months. Raw meat sat out in 85-degree temperatures. The worst part was the unsanitary conditions. The animal waste, including feces, wasn’t discarded away from the food. I’m honestly surprised more people don’t get sick.

Human Waste Disposal

Another issue in China is how they deal with human waste. Many of the big cities are westernized when it comes to plumbing but even in cities like Beijing and Shanghai, it is not rare to come across squat toilets. Squat toilet - China The squat toilet is just what it sounds like. In nice areas, they can be made of porcelain, like the attached picture, but in many spots, they are made of metal or wood. They are essentially a hole in the floor that you squat over to do your business. Again, the sanitation of these toilets is not great, especially if the previous user was careless with their aim. Another issue with Chinese restrooms is that in most you are not allowed to flush the toilet paper. In many areas, the plumbing isn’t capable of handling the waste paper. So what do people do with the waste paper? They place it in a garbage can or open bin. And again, the sanitation varies on whether or not the previous user cared to hit the bin with their waste paper. Even in restaurants and bars in the cities, I saw overflowing bins of used waste paper. That was in major cities like Beijing and Shanghai. The situation was worse in more rural areas.

Disease Transmission

All of these poor practices can contribute to the spread of illness. The overall attitude though is not one of cleanliness and sanitation. Washing your hands after butchering an animal or going to the restroom is not seen as necessary in many parts of the country. For China to stem the tide of illness, and prevent future issues, they really need to change public attitudes around hygiene. The coronavirus can be spread via infected secretions, fecal matter or by a cough or sneeze. China’s hygiene standards increase the odds of all those possibilities.

Images provided by the author

14 hours ago, cynical-RN said:

There are several articles on this site about coronavirus and the logistics that are relevant for its spread/containment. Why is this the only one that has generated rightful rebuke? It is because it is filled with subjective biases that do not form proper logic. Correlation is not an indication of causation, let alone sprinkling sanctimonious platitudes and responses feigned as nuanced discourse. You are making a quantum leap that is quite disingenuous. Just because most people eat ice cream in the summer, and most murders occur in the summer, it would be improper to conclude that ice cream causes increased murders. The priggish author went to Beijing and Shanghai, then makes conclusions about Wuhang in a country of 2 billion people. It is akin to a foreigner visiting Flint, Michigan and observing impurities in tap water, then concluding that intellectual disabilities in America are a result of poor drainage systems. IF a=b, and b=c, then a must be c is the foundation of illogical fallacies. Again, why do you think that this article out the several written (written by more qualified authors) on AN elicited the response it has? Perhaps it is because it has inflammatory language and unsubstantiated anecdotes improperly generalized to a bigger population.

Speaking of McCarthyism, here's a poignant quote from a man who endured the worst of McCarthyism's fear-mongering propaganda based on meaningless innuendos and platitudes: “History will have to record that the greatest tragedy of this period of social transition was not the strident clamor of the bad people, but the appalling silence of the good people.” ― Martin Luther King Jr.

It's pretty obvious you like to quote logic and statistical methodology, but the OP was expressing their opinion based on their experience. The OP wasn't writing a scientific paper and didn't claim to be. Nor did they claim to be writing a paper based on formal logic. We should also keep in mind that logical reasoning does not always result in truth for a number of reasons.

11 minutes ago, HappyMom5 said:

I think anyone should be able to post their experiences and feelings about those experiences without getting criticism. Opinions and observations are just that. What compels individuals to read more into it?

Imagine if I wrote about my experiences and feelings about fat women nurses and it was featured in the front page of Allnurses with a picture of an obese woman on a wheel chair. Do you honestly expect zero criticisms?

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
12 minutes ago, iol5040 said:

Imagine if I wrote about my experiences and feelings about fat women nurses and it was featured in the front page of Allnurses with a picture of an obese woman on a wheel chair. Do you honestly expect zero criticisms?

Judging by this thread, no.

Specializes in ER.

The racism accusation was a bit much, I agree. My point was, America is an unhealthy country. American corporations have sent cigarettes and soda pop to other countries for a profit, wrecking havoc across the world.

Yet now there's a backlash against some Chinese practices that Americans look down on. The article reeks of cultural superiority.

Specializes in ER.

Also, the image of bat aoup was entirely sensationalistic. It was totally unnecessary.

18 minutes ago, Daisy4RN said:

It is neither bias nor unsubstantiated (and therefore not racist either) to repeat the facts as stated by officials. Add to that, there is nothing wrong with sharing ones personal experience, and especially for the purpose of having a discussion about how poor hygiene affects health and wellness. It just so happens that this virus was first id'd in China, hence the discussion about the markets. Makes perfect sense (ie common sense) to me!

I agree, and it also seems like those here who are accusing people of being racist are the ones making the most rude and insensitive comments, IMO.

What is bias is an admin posting with a picture of a bat soup that has not been confirmed as the cause of the virus on the front page of the forum. If this doesn't wreak xenophobia to you, then you are the problem.

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25 minutes ago, Daisy4RN said:

I agree, and it also seems like those here who are accusing people of being racist are the ones making the most rude and insensitive comments, IMO.

Well said!!

28 minutes ago, Susie2310 said:

It's pretty obvious you like to quote logic and statistical methodology, but the OP was expressing their opinion based on their experience. The OP wasn't writing a scientific paper and didn't claim to be. Nor did they claim to be writing a paper based on formal logic. We should also keep in mind that logical reasoning does not always result in truth for a number of reasons.

We should also keep in mind that illogical reasoning can result in falsehoods, for a number of reasons.

44 minutes ago, HappyMom5 said:

I think anyone should be able to post their experiences and feelings about those experiences without getting criticism. Opinions and observations are just that. What compels individuals to read more into it?

Anyone should indeed be able to post about their personal experience; however, one cannot generalize his/her own narrow viewpoint to a population of over 2 billion individuals. There is a Chinese lady who commented that she found the article offensive. Who are you to police neither her comprehension or morality scale? She did not read more into the article. The insensitivity was quite evident.

On 2/12/2020 at 8:26 PM, SummitRN said:

Not to be... cynical... but ever think that the reason they need home health visits also makes it hard for those disadvantaged people to do their own home cleaning and maintenance? ?

Now why don't you compare that to the households of 12 of your friends who are not health disadvantaged and needing HH visits?

You are making my point. I cannot go to 12 filthy American houses and then proceed to generalize my observations to the entire nation of nearly 400 million people, by making unsubstantiated assumptions. It would be disingenuous to characterize Americans as obese, self-negligent, and unhygienic, irrespective of the factual observations in those 12 houses.

Specializes in Travel, Home Health, Med-Surg.
36 minutes ago, iol5040 said:

Imagine if I wrote about my experiences and feelings about fat women nurses and it was featured in the front page of Allnurses with a picture of an obese woman on a wheel chair. Do you honestly expect zero criticisms?

There is a big difference between a legit criticism and calling people names (racist, bigot, xenophobe, Eurocentric etc). IMO, some people are way too PC and it shuts conversations down and can also interfere with the delivery of healthcare.

https://www.kevinmd.com/blog/2011/12/political-correctness-interferes-healthcare.html

Specializes in Travel, Home Health, Med-Surg.
22 minutes ago, iol5040 said:

What is bias is an admin posting with a picture of a bat soup that has not been confirmed as the cause of the virus on the front page of the forum. If this doesn't wreak xenophobia to you, then you are the problem.

I think the problem is that everyone is more concerned about being PC/a victim than actually having a real conversation. Calling people names is not the way to have an adult conversation in the hopes of solving problems. Bat in the soup, probably more for sensationalizing (picture to grab attention for readers) than bias IMO.

https://www.huffpost.com/entry/the-problem-political-correctness_b_2746663

30 minutes ago, Emergent said:

Also, the image of bat aoup was entirely sensationalistic. It was totally unnecessary.

Yeah, maybe could have picked a better picture for the article.

This topic is now closed to further replies.