Over the past few days, Chinese authorities have emphasized the need for China’s bigger cities to build or renovate existing makeshift Covid hospitals, and turn them into permanent sites.
So-called ‘Fangcang hospitals’ (方舱医院, square cabin hospitals) are large, temporary makeshift shelter hospitals to isolate and treat Covid-19 patients. Fangcang shelter hospitals were first established in China during the Wuhan outbreak as a countermeasure to stop the spread of the virus.

January 5 2022, a Fangcang or Isolation Point with over 1000 separate isolations rooms is constructed in Baqiao District of Xi’an (Image via Renmin Shijue).
They have since become an important part of China’s management of the pandemic and the country’s Zero-Covid policy as a place to isolate and treat people who have tested positive for Covid-19, both asymptomatic and mild-to-moderate symptomatic cases. In this way, the Fangcang hospitals alleviate the pressure on (designated) hospitals, so that they have more beds for patients with serious or severe symptoms.
On May 5th, Chinese state media reported about an important top leadership meeting regarding China’s Covid-19 situation. In this meeting, the Politburo Standing Committee stressed that China would “unswervingly adhere to the general Zero-Covid policy” and that victory over the virus would come with persistence. At the meeting, chaired by Xi Jinping, the seven-member Politburo Standing Committee also declared that China would fight against any words or acts that “distort, doubt, or deny” the country’s dynamic Zero-Covid policy.

Life inside one of Shanghai’s Fangcang, photo via UDN.com.
Following the meeting, there have been multiple official reports and statements that provide a peek into China’s ‘zero Covid’ future.
On May 13, China’s National Health Commission called on all provinces to build or renovate city-level Fangcang hospitals, and to make sure they are equipped with electricity, ventilation systems, medical appliances, toilets, and washing facilities (Weibo hashtag ##以地级市为单位建设或者改造方舱医院#).
On May 16, the term ‘Permanent Fangcang Hospital’ (Weibo hashtag #永久性方舱医院) became a trending topic on Weibo after Ma Xiaowei (马晓伟), Minister of China’s National Health Commission, introduced the term in Qiushi (求是), the leading official theoretical journal of the Chinese Communist Party.
The term is new and is somewhat contradictory as a concept, since ‘Fangcang hospitals’ are actually defined by their temporary nature.
Ma Xiaowei stressed the need for Chinese bigger cities to be ready for the next stage of China’s Covid control. This also includes the need for some central ‘Fangcang’ makeshift hospitals to become permanent ones.
In order to ‘normalize’ the control and monitoring that comes with living in Zero-Covid society, Chinese provincial capitals and bigger cities (more than ten million inhabitants) should do more to improve Covid testing capacities and procedures. Ma proposes that there should be nucleic acid sample collection points across the city within a 15-minute walking distance radius, and testing frequency should be increased to maximize efficient control and prevention.
Cities should be prepared to take in patients for isolation and/or treatment at designated hospitals, centralized isolation sites, and the permanent Fangcang hospitals. The recent Covid outbreak in Shanghai showed that local authorities were unprepared to deal with the outbreak, and sites that were used as Fangcang hospitals often lacked proper facilities, leading to chaotic scenes.

A Fangcang Isolation Center in Quanzhou, March 2022, via People’s Daily.
The hashtag “Permanent Fangcang Hospitals” received over 140 million views on Weibo on Monday.
One of the Weibo threads by state media reporting on the Permanent Fangcang hospitals and the publication by Ma Xiaowei received nearly 2000 comments, yet the comment section only displayed three comments praising the newly announced measures, leaving out the other 1987 comments.
Elsewhere on Weibo, people shared their views on the Permanent Fangcang Hospitals, and most were not very positive – most commenters shared their worries about China’s Covid situation about the stringent measures being a never-ending story.
“We’re normalizing nucleic acid test, we’re introducing permanent fangcang hospitals, [but] why isn’t the third Covid vaccination coming through?” one person wondered.
“If there was still a little bit of passion inside me, it was just killed by reading these words ‘Permanent Fangcang Hospital,'” another commenter writes, with one Weibo user adding: “I feel desperate hearing the words ‘Permanent Fangcang Hospital.'”
“Building permanent Fangcang? Why? Why don’t you use the resources you’re now spending on normalizing testing to create more hospital beds, more medical staff and more medications?”
Another commenter wrote: “China itself is one giant permanent Fangcang hospital.”
“The forever Fangcang are being built,” one Weibo user from Guangdong writes: “This will never end. We’ll be locked up like birds in a cage for our entire life.”
For more articles on the Covid-19 topics on Chinese social media, check here.
By Manya Koetse, with contributions by Miranda Barnes
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Featured image via user tongtong [nickname] Weibo.com.
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