Since the start of the pandemic, China has employed a zero-Covid policy. The goal of this strategy is to get the country back to zero new infections, before resuming normal economic and social activities. A full reopening and a return to ‘normal’ would be preferable for the Chinese people and indeed the economy, which has struggled to make progress amid the disruption.
However, there have been two main constraints on a full reopening. The first is healthcare and this breaks down into three factors:
- First, not enough elderly people are vaccinated. In fact, only 40% of over 80s have had their full three shots of the domestic vaccine[1]
- At the same time, the domestic vaccine is far less effective than western jabs, which means citizens have less protection against serious illness
- Also, China doesn’t have enough intensive care unit (ICU) beds to deal with a potential surge of Covid infections
There are also political constraints. Before the Communist Party Congress in October 2022, the party could not change the zero-Covid policy because it was so closely associated with the President, Xi Jinping. Admitting it was no longer appropriate was unfeasible. His re-election in October cemented his position as party leader, allowing some flexibility. On 11 November, the Chinese Central Government outlined 20 measures for easing zero-Covid. This was effectively trying to move to a Covid-0.5 strategy – not a full reopening, but progressing towards it. Markets responded positively with mainland equities up around 8% since the end of October [2].
This new strategy has now come under intense pressure. Protestors have suggested that the policy is to blame for the deaths in the apartment fire in Urumqi because the residents were locked into the building by local authorities. Demonstrations have been seen across major Chinese cities. While the Government has swiftly clamped down on the protests, it could lead to a further softening in policy.
In reality, the Chinese Community Party (CCP) is stuck between a rock and a hard place. Open up and they risk hundreds of thousands, maybe millions of deaths due to poor vaccination coverage and lack of hospital facilities. But maintain stringent Covid restrictions and they could face further social unrest.