Just a month ago, on November 11, Chinese central authorities released a set of twenty new rules to “further optimize” China’s approach to Covid.
At the time, Chinese media emphasized that the new rules did not mean that China was letting go of its dynamic Zero Covid policy. Now, another ten new rules have been introduced that do indicate that the country is clearly no longer sticking to its ‘zero Covid’ goals.
After a central meeting that took place on December 6, authorities released a 10-point plan addressing changes in Covid measures. National Health Commission spokesman Mi Feng (米锋) announced the measures during a live-streamed press conference of the Joint Prevention and Control Mechanism of the State Council (#国务院联防联控机制发布会#).
On Wednesday, several hashtags related to the new measures went trending on Chinese social media, including “Health Code” (#健康码#), over 450 million views), and “Ten New Rules” (#新十条#, over 440 million views).
These Are the 10 Changes:
1: Lockdown Changes
Risk areas should be assessed and divided according to science and it should be done precisely. We should no longer see the lockdown of an entire community or residential area; instead, it will be assessed by looking at household units, buildings, and apartment floors. The (temporary) closure of areas will no longer be allowed.
2: Testing Changes
The scope of nucleic acid testing was already limited in the previous adjusted rules, but will now be further limited. Instead of RT-PCR tests, rapid PCR tests will be used more often in accordance with local requirements. Nucleic acid testing will remain in place for high-risk positions and high-risk area personnel in accordance with relevant regulations, and some places including nursing homes, schools, and medical care institutions will still require negative tests, but negative nucleic acid test certificates and health code checks will no longer be necessary for traveling from place to place.
3: Quarantine Changes
People who tested positive but are asymptomatic or only show mild symptoms can isolate at home if they meet local requirements. Centralized isolation centers will still be in operation for more severe cases or those opting in for centralized quarantine. If nucleic acid tests are negative after the fifth day, the isolation period can end.
4: ‘High-Risk Area’ Changes
If no new cases have been detected for five consecutive days, local lockdowns should be lifted.
5: Medicine Availability Changes
Pharmacies should operate normally and cannot be arbitrarily closed. Over-the-counter (OTC) medicines for cough, fever, etc should not be restricted.
6: Vaccination Strategy Changes
The promotion of the Covid vaccination should be stepped up for Chinese seniors, especially in the 60-79 age group, with a clear focus on making sure they get all the vaccinations they need as quickly as possible. In order to boost the vaccination rates, temporary vaccination sites will need to be set up and they will need to be local incentives to get the seniors to vaccinate asap. This was actually also mentioned in the list of twenty optimized Covid measures in November (under rule 12).
7: Medical Classification Clarity
There should be clearer knowledge on the medical status of residents and whether elderly residents have any underlying medical issues and if they have been vaccinated.
8: Focus on the Normal Functioning of Society & Basic Medical Services
If areas are not classified as high-risk areas, people should be allowed to move around freely and have access to basic medical care, and there should be no restrictions on production, work, and business operations.
9: Strengthen Safety Procedures in Epidemic Situations
Buildings [in high-risk areas] cannot block fire exits, unit doors, or community gates under any circumstances. Community management departments should have effective modes of communication systems in place to contact local medical institutions in order to safeguard the medical needs of residents, including seniors living alone, children, pregnant women, and those with underlying conditions.
10: Improved Policies regarding Outbreaks at School Campuses
As also mentioned in the previous updated rules, on-campus epidemic control must be consistent, precise, and in accordance with science. Not only can there be no unnecessarily long lockdowns of campuses, but the risk areas within campuses should be more precisely defined, and normal teaching and living outside these areas should be able to continue as usual. Schools without any outbreaks should carry on normal offline teaching activities, and capus facilities such as supermarkets, cafeterias, libraries, etc. should be open.
Online Responses
One clear online response to China’s recent ‘optimized’ Covid measures is that people are buying a lot of medication, expecting to be infected with Covid soon. Some online stores had already sold out on the Traditional Chinese medicine Lianhua Qingwen (连花清瘟), a herbal pill by Yiling Pharmaceuticals which is used for the treatment of influenza as well as Covid.

Sold-out Lianhua Qingwen pills.
One popular Weibo blogger (@咖啡布偶猫) wrote: “I feel as if the propaganda has seen a sudden change in direction. During the first half of the year and the epidemic in Shanghai, everyone would get scared the moment you talked about a positive case, they wanted to fiercely chase it and thoroughly reach zero cases. Now they are propagating that we should not panic, that we should accept the reality and actively respond to it, as if it is nothing alarming. But we should still pay attention to those with underlying medical conditions, those with respiratory issues, asthma, and lung disease. If you haven’t bought cold medicine yet, do so. Right now, some places even have a limit on buying Lianhua Qingwen.”
During the December 7 press conference, Guo Yanhong (郭燕红), director of the National Health Commission’s health emergency division, emphasized that it is not necessary for people to stock up on medication in light of the announced eased Covid measures and that there are sufficient supplies (#卫健委提示没有必要囤积抢购药物#).
“After being sealed for three years, it’s all lifted in a morning, all the prices go up for Lianhua Qingwen, rapid antigen tests increase in price, and if your symptoms get serious you’re still not able to get help anywhere.”
Some jokingly suggest that after messing around for three years, the pandemic is only now really starting.
“Everyone is really happy now but there’s a black cloud coming our way, we will know in a month or so if it is going to be light drizzle or a heavy rainstorm.”
By Manya Koetse , with contributions by Miranda Barnes
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