Staying Healthy

Should you begin to feel unwell in China, your first contact should be your hotel reception. Many major hotels have doctors on staff who will give a first diagnosis and treatment for minor problems, and who will be aware of the best places to send foreigners for further treatment.

Be very cautious about what is prescribed for you. Doctors are poorly paid, and many earn kickbacks from pharmaceutical companies for prescribing expensive medicines. Antibiotics are handed out like candy; indeed, dangerous and powerful drugs of all kinds can be bought over the counter at pharmacies. In general, the best policy is to stay as far away from Chinese healthcare as possible.


Common Ailments

Tummy Troubles -- The greatest risk to the enjoyment of a holiday in China is an upset stomach or a more serious illness arising from low hygiene standards. Keep your hands frequently washed and away from your mouth. Only eat freshly cooked hot food, and fruit you can peel yourself -- avoid touching the part to be eaten once it's been peeled. The CDC's advice "boil it, cook it, peel it, or forget it" is a golden rule while traveling in Beijing. We highly recommend drinking only bottled water, though most stomachs can handle the boiled water that is used to brew tea in Chinese restaurants. Never drink from the tap. Use bottled water for brushing your teeth.

Respiratory Illnesses -- The second most common cause of discomfort in Beijing is an upper respiratory tract infection, or common cold, which is caused by heavy pollution. Many standard Western remedies or sources of relief (and occasionally fake versions of these) are available over the counter, but bring a supply of whatever you are used to. If you have sensitive eyes, you may wish to bring an eye bath and solution.


Sun/Elements/Extreme Weather Exposure -- Standard precautions should be taken against exposure to strong summer sun. Its brightness may be dimmed by Beijing's pollution, but the sun's power to burn is undiminished.

Bugs, Bites & Other Wildlife Concerns -- Mosquito-borne malaria comes in various forms, and you may need to take two different prophylactic drugs, depending upon the time you travel, whether you venture into rural areas, and where you go. You must begin to take these drugs 1 week before you enter an affected area and for 4 weeks after you leave it, sometimes longer. For a visit to Beijing and other major cities only, prophylaxis is usually unnecessary.



China is one of Asia's safest destinations. As anywhere else, though, you should be cautious of theft in places such as crowded markets, popular tourist sites, bus and railway stations, and airports. Take standard precautions against pickpockets (distribute your valuables around your person and wear a money belt inside your clothes). The main danger of walking the ill-lit streets at night is of falling down an uncovered manhole. There's no need to be concerned about dressing down or not flashing valuables -- it's automatically assumed that all foreigners, even the scruffiest backpackers, are astonishingly rich, and the average Chinese cannot tell a Cartier from any other shiny watch.

Visitors should be cautious of various scams, especially in areas of high tourist traffic, and of Chinese who approach and say in English, "Hello, friend! Welcome to China!" or something similar. Scam artists who want to practice their English and suggest moving to some local haunt may leave you with a bill which has two zeros more than it should, and with trouble should you decline to pay. "Art students" are a pest, approaching you with a story about raising funds for a show overseas, but in fact enticing you into a shop where you will be lied to extravagantly about the authenticity, uniqueness, originality, and true cost of various paintings you will be pressured into buying. The man who is foolish enough to accept an invitation from pretty girls to sing karaoke deserves all the hot water in which he will find himself, up to being forced by large, well-muscled gentlemen to visit an ATM and withdraw large sums to pay for services not actually provided.

If you are a victim of theft, make a police report (go to the same addresses given for visa extensions; you are most likely to find an English-speaking policeman there). But don't expect sympathy, cooperation, or action. The purpose is to get a theft report to give to your insurers for compensation.


Harassment of solo female travelers is very rare, but slightly more likely if the traveler appears to be of Chinese descent.

Traffic is a major hazard for the cautious and incautious alike. In mainland China, driving is on the right, at least occasionally. The rules of the road are routinely ignored for the one overriding rule, "I'm bigger than you so get out of my way," and pedestrians are at the bottom of the pecking order. Cyclists come along the sidewalk, and cars mount it right in front of you and park across your path as if you don't exist. Cyclists go in both directions along the bike lane at the side of the road, which is also invaded by cars looking to mount the sidewalk to park. The edges of the main road also usually have cyclists going in both directions. The vehicle drivers are gladiators, competing for any way to move into space ahead, constantly changing lanes and crossing each other's paths. Pedestrians are like matadors pausing between lanes as cars sweep by to either side of them. Pedestrians often edge out into traffic together, causing cars to swerve away from them, often into the paths of oncoming vehicles, until one lane of traffic parts and flows to either side, and the process is repeated for the next lane.

In mainland China, in casual encounters, non-Chinese are treated as something between a cute pet and a bull in a china shop, and sometimes with pitying condescension because they are too stupid to speak Chinese. At sights, Chinese tourists from out of town may ask to have their picture taken with you, which will be fun to show friends in their foreigner-free hometowns. ("Look! Here's me with the Elephant Man!") Unless you are of Chinese (or even Asian) descent, your foreignness is constantly thrust in your face with catcalls of "laowai," a not particularly courteous term for foreigner, and a bit like shouting "Chinky" at a Chinese you encounter at home. Mocking, and usually falsetto, calls of "Helloooooo" are not greetings but are similar to saying "Pretty Polly!" to a parrot. Whether acknowledged or not (and all this is best ignored), these calls are usually followed by giggles. But there's little other overt discrimination, other than persistent overcharging wherever it can possibly be arranged. In general, however, once some sort of communication is established, foreigners get better treatment from Chinese, both officials and the general public, than the Chinese give each other. People with darker skin do have a harder time than whites -- some cab drivers will outright refuse or ignore black passengers -- but those who do not speak Mandarin will probably not notice.


Note: This information was accurate when it was published, but can change without notice. Please be sure to confirm all rates and details directly with the companies in question before planning your trip.