Below, we provide a comprehensive guide to the key health and safety measures that expats must adhere to while living and working in China.
Moving to China as an expat comes with exciting opportunities but also necessitates an understanding of health and safety regulations.
Navigating these regulations is essential for ensuring a smooth and secure transition to life in this dynamic country.
Understanding Health Insurance Requirements
One of the first priorities for expats in China is securing appropriate health insurance coverage.
The government mandates that all employees, including expats, contribute to the Chinese Social Insurance system, which provides access to public healthcare.
However, public healthcare may not meet the expectations of many expats due to language barriers and varying quality of service.
For enhanced coverage, we recommend obtaining private international health insurance, which provides access to private hospitals with English-speaking staff and advanced medical facilities.
Ensure your policy includes:
- Emergency medical evacuation
- Coverage for chronic illnesses
- In-patient and out-patient care
- Dental and vision care
Workplace Safety Standards
Expats working in China must be aware of the country’s occupational health and safety regulations.
The Law of the People’s Republic of China on Work Safety requires employers to provide:
- Comprehensive safety training
- Necessary protective equipment
- Regular health check-ups for employees working in hazardous conditions
If you suspect non-compliance at your workplace, you can report concerns to local authorities or the State Administration of Work Safety (Chinese: 国家安全生产监督管理总局).
Food and Water Safety
Food and water safety are critical aspects of staying healthy in China.
While urban areas have seen significant improvements, expats should remain cautious.
Key recommendations include:
- Drink bottled or boiled water: Tap water is not potable in most regions.
- Wash fresh produce thoroughly: Use purified water to clean fruits and vegetables.
- Be cautious with street food: Opt for vendors with high turnover and hygienic practices.
Adhering to these practices will reduce the risk of foodborne illnesses, a common issue for newcomers.
Vaccination and Health Check Requirements
Expats entering China must comply with certain vaccination requirements, which vary based on the region and type of visa.
Commonly recommended vaccines include:
- Hepatitis A and B
- Typhoid
- Japanese Encephalitis
- Rabies (if you plan to interact with animals)
Additionally, a health check-up is mandatory for most work visa applications.
This typically includes:
- Blood tests
- Chest X-ray
- ECG
These checks must be conducted at designated medical centers in China.
Air Quality and Environmental Health
Air pollution remains a significant concern in many Chinese cities.
Expats are advised to:
- Monitor air quality levels using apps like AirVisual or China Air Quality Index.
- Wear N95 masks on high-pollution days.
- Install air purifiers at home to ensure clean indoor air.
Additional environmental health precautions include protecting against mosquito-borne diseases in southern regions and using safe skincare products to avoid reactions from pollutants.
Road and Transportation Safety
Navigating Chinese roads can be challenging due to differing traffic norms.
Expats should:
- Obtain a local driver’s license: International licenses are not valid in China.
- Use ride-hailing apps like DiDi for safer and more convenient transportation.
- Wear helmets while riding bikes or scooters.
Pedestrians should exercise caution at crosswalks and stay vigilant due to fast-paced traffic.
Emergency Services and Contacts
Familiarize yourself with the following emergency numbers in China:
- Police: 110
- Fire: 119
- Ambulance: 120
For expats, it’s beneficial to have a bilingual emergency contact card that includes:
- Personal details
- Allergies and medical conditions
- Contact numbers for your embassy or consulate
Legal Responsibilities for Health and Safety Compliance
China’s regulations require expats to comply with local laws and cooperate with authorities during inspections.
Key legal obligations include:
- Registering your residence within 24 hours of arrival
- Carrying valid identification at all times
- Adhering to quarantine measures if required
Violations can result in fines, deportation, or even legal prosecution.
Staying informed about your responsibilities ensures a trouble-free stay.
Mental Health and Wellness Support
Relocating to a new country can take a toll on mental health.
Expats in China can access support through:
- International clinics: Many offer counseling services in English.
- Online platforms: Apps like BetterHelp provide virtual therapy sessions.
- Community groups: Joining expat communities can help combat feelings of isolation.
Maintaining mental wellness is just as important as physical health when adapting to a new environment.
Conclusion
By understanding and adhering to China’s health and safety regulations, expats can enjoy a secure and fulfilling experience in the country.
From obtaining proper health insurance to staying vigilant about food safety and air quality, preparation is key to a smooth transition.