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China Health & Science

Let’s Talk about Sex, Grandpa: HIV on the Rise among China’s Elderly Men

There’s a sharp rise in HIV among Chinese elderly men, partly caused by a general lack of HIV & safe sex awareness.

Manya Koetse

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HIV among China’s elderly is a growing problem; it is mostly older men who get infected with HIV through extramarital sex. Their knowledge regarding safe sex is often lacking.

As it is World AIDS Day on December 1st, and while major discussions on the alleged first gene-edited babies immune to HIV are still top trending, other noteworthy HIV-related news is also gaining a lot of attention on Chinese social media these days.

At time of writing, more than 220 million people have viewed the Weibo hashtag “Number of Elderly AIDS Cases on the Rise” (#老年艾滋病病例上升#). The hashtag has emerged amidst news reports that there is a significant rise in the number of HIV cases among the elderly in China, particularly among men.

According to an article published on Weibo by Chinese news outlet The Paper, the number of known cases of HIV among Chinese men above the age of 60 has risen from 8391 cases in 2012 to 19815 cases in 2017.

One WeChat blogger’s response to the rise in number of HIV cases among Chinese elderly men (脊梁in上海).

On November 27, the Hangzhou Center for Disease Control and Prevention (杭州市疾控中心) released news information relating to the problems of the rising cases of HIV and AIDS among the elderly.

In the city of Hangzhou, the detection of HIV among patients who are over 50 years old has doubled over the past three years.

According to a specialist from the Hangzhou center, this rise of HIV has to do with the limited HIV awareness among elderly communities, and with the fact that they are often not accustomed to using condoms.

Extramarital heterosexual sex is the main way of transmission for elderly men, with some also getting HIV because of homosexual sex. For elderly women, marital sex is the main way of transmission.

Because they are often late in seeking medical treatment when they feel unwell, the detection of HIV is often late, which makes that there is a relatively high number of AIDS-related deaths among elderly patients.

The problem of the rising number of HIV patients among China’s elderly population has received more scholarly attention of the past few years. According to a 2014 study by Tang et al, the sharp rise of HIV among elderly became more visible after 2010. In 2011, people over the age of 60 accounted for 28.4% of the total HIV cases Guangxi province (this was 18.7% in 2009).

A study in Nanning, capital of Guangxi, found that heterosexual transmission accounted for 90% of HIV cases among those over 50 years old, and that low-cost commercial sex venues were a primary site of infection (Tang et al 2014, 2).

The research by Tang et al shows that the use of aphrodisiacs (cheaper alternatives to Viagra, often illegally produced in local workshops) is significantly associated with an increased HIV risk for men over 50 who purchase commercial sex with female prostitutes (3).

One popular WeChat blog explained the reasons behind the problem of HIV among China’s elderly as follows:

1. They see prostitutes because they are seeking ways to fulfill their sexual needs.
2. There is little awareness on HIV or AIDS. (According to one story quoted in the blog, an elderly man who was diagnosed with HIV even told the doctor he had washed himself with detergent every time after he had sex with a prostitute – he “did not understand” how he got infected.)
3. They do not know how to use condoms / they are not accustomed to using condoms.

A man washed himself with detergent after visiting a prostitute.

On Weibo, there are many commenters who show their sympathy for the elderly women who get infected with HIV within their marriage because of their husband’s extramarital sexual behaviors. “How tragic for them,” a popular comment said, while others wonder: “What’s the purpose of marriage then?”

The Center for Disease Control and Prevention advises people who have had extramarital sex, homosexual or heterosexual, to get themselves checked on HIV – also if there are people who suspect that their partner might have had sexual encounters outside of the marriage.

“The sex life of the elderly is a sensitive topic, but it needs to be talked about,” well-known lawyer Yi Shenghua (易胜华) writes on Weibo: “If we do not attach importance to the [open] discussion of this topic, the problem of AIDS among China’s eldery will only grow bigger.”

By Manya Koetse and Miranda Barnes

Tang Z, Wu X, Li G, Shen Z, Zhang H, et al. 2014. “Aphrodisiac Use Associated with HIV Infection in Elderly Male Clients of Low-Cost Commercial Sex Venues in Guangxi, China: A Matched Case-Control Study.” PLOS ONE 9(10): e109452. https://doi.org/10.1371/journal.pone.0109452.

Photo used in featured image by David Sinclair.

Spotted a mistake or want to add something? Please let us know in comments below or email us.

©2018 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com

Manya is the founder and editor-in-chief of What's on Weibo, offering independent analysis of social trends, online media, and digital culture in China for over a decade. Subscribe to gain access to content, including the Weibo Watch newsletter, which provides deeper insights into the China trends that matter. More about Manya at manyakoetse.com or follow on X.

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1 Comment

  1. Jazz Player

    January 7, 2019 at 7:04 am

    How do Families deal with the secrets? I’m from the US and my wife Chinese. Her father has the virus. Her mother doesn’t want anyone to know. I’m not sure what happens to Family Value, held in such high regards, here in China…Comments and Suggestions Appreciated…

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China Health & Science

Stolen Bodies, Censored Headlines: Shanxi Aorui’s Human Bone Scandal

A Chinese company illegally acquired thousands of corpses to produce bone graft materials sold to hospitals—a major scandal now being tightly controlled on social media.

Manya Koetse

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On Thursday night, August 8, while most trending topic lists on Weibo were all about the Olympics, a new and remarkable topic suddenly rose to the number one, namely that about the “Illegal Human Bone Case.” Just moments later, however, the topic had already disappeared from the Weibo hot search list.

An article about the topic by Chinese media outlet The Paper (澎湃)1 that had just been published hours earlier on August 8 had already been taken offline. Later, an article published on The Observer (观察)2 was also redirected. Another article published on the website of Caixin and state broadcaster CCTV similarly disappeared, 3 along with many other headlines.4

However, at the time of writing, there are some articles on the issue, such as by Sina News or Phoenix News, that remained accessible.

The story centers on Shanxi Aorui Bio-Materials Co., Ltd. (山西奥瑞生物材料有限公司), also known as Shanxi Osteorad in English, a company founded in 1999 that specializes in the production and supply of bone graft products.

On August 7, a prominent Chinese lawyer named Yi Shenghua (易胜华), who has a large following on Weibo, exposed details of Shanxi Aorui’s involvement in illegal and unethical practices surrounding the purchase of human bones. The company engaged in these practices for over eight years, from January 2015 to June 2023, generating an income of 380 million yuan ($53 million) from these activities.

These details had previously been disclosed by the Taiyuan Public Security Bureau in May of this year. The case has allegedly been transferred to the Taiyuan Procuratorate for review and potential prosecution, but it has yet to be concluded due to its complexity, involving some 75 suspects.

Over the years, Shanxi Aorui illegally acquired thousands of human remains, reportedly forging body donation registration forms and other documents to illegally purchase bodies from hospitals, funeral homes, and crematoriums from various places, from Sichuan Guangxi, Shandong, and other places. These human remains were then used to produce allogeneic bone implant materials, primarily sold to hospitals.

Due to the high demand for bone implant materials and limited supply, it is an incredibly lucrative industry. Some reports claim that those selling the human remains to Shanxi Aorui could charge between 10,000 and 22,000 yuan per corpse ($1400-$3000).

“I’ve been a criminal lawyer for many years, and have handled all kinds of cases, but this is the first time for me to be so shocked and angry,” Yi Shenghua wrote in his post (screenshot available via RFA.org).”What makes me particularly lose hope is that the maximum punishment for these kinds of people under the current law is only three years.”

However, Yi Shenghua’s Weibo post about the issue was later blocked from public view. “I can still see my own post, but apparently, others cannot,” Yi wrote at 17:35 on Thursday.

On August 9, China’s major pharmaceutical company Sinopharm issued a statement in light of the controversy surrounding the human bone case, stating it has never had any kind of relationship with the Shanxi Aorui company.

On Friday, the news topic on Chinese social media was tightly controlled. Various media outlets, from Weibo to Douyin, reported on the issue, but despite the public’s interest in the scandal, not a single comment could be seen under multiple threads.

‘Even Douyin blocked the Shanxi Aorui incident. Is this the government stepping in?’ one commenter wondered.

‘Why are they suppressing this hot search topic? Do they think the public is stupid?’ another person wrote.

One individual implicated in this case is Li Baoxing (李宝兴, born 1955), who was General Manager at Shanxi Aorui. Li is a renowned research professor who was reportedly awarded the title of National Model Worker in 2005. He was formerly affiliated with the Institute of Biomaterials Science and Technology at the Chinese Academy of Sciences, where he developed bone implant materials that benefited thousands of patients across the country. He allegedly joined the Communist Party in 1985.

Some commenters called the entire scandal a “horror film,” with Li Baoxing being the director.

“We know about 4000 [human remains], what about those we don’t know about?”

“These so-called ‘human remains’ were once people like you and me,” another Weibo user wrote: “They were alive, their voices and smile are still in the hearts of family and friends. They liked to be clean, they had their privacy, they are still being missed. We can’t replace ourselves or our loved ones, [yet] they were used and peeled layer by layer.”

By Manya Koetse

1 Title: “探访涉盗卖数千具人体骨骼的山西奥瑞公司,此前已被公安查封” (“Investigation into Shanxi Aorui Bio, involved in the illegal sale of thousands of human bones, which had previously been seized by police”). Original link: https://www.thepaper.cn/newsDetail_forward_28348324

2 Title: “涉嫌非法盗卖数千具遗体用于制作植入材料,山西奥瑞生物八年营收3.8亿” (“Suspected of illegally stealing and selling thousands of human remains for use in making implant materials, Shanxi Aorui Bio made an eight-year revenue of 380 million yuan”). Original link: https://www.guancha.cn/GongSi/2024_08_08_744234.shtml

3 CCTV’s publication is the same as the article published by The Paper, namely: “探访涉盗卖数千具人体骨骼的山西奥瑞公司,此前已被公安查封” (“Investigation into Shanxi Aorui Bio, involved in the illegal sale of thousands of human bones, which had previously been seized by police”). Original link: https://news.cctv.com/2024/08/08/ARTIkxoJEQuHmvTxmxGVmDug240808.shtml. Caixin’s publication was titled “75人卷入山西盗窃倒卖遗体案 多地民政局称已跟进调查” (75 people involved in the theft and sale of human remains in Shanxi, investigations underway by various civil affairs bureaus).

4 For example, by Sina News: “起底倒卖4000具尸体操控者李宝兴- 曾获“全国劳模”称号” (“Li Baoxing, the manipulator who speculated in 4,000 corpses, was awarded the title of “national labor model”). Original link: https://finance.sina.com.cn/chanjing/gsnews/2024-08-08/doc-inchxqva1690315.shtml?cre=sinapc&mod=g.

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©2024 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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China Food & Drinks

Chinese Woman with Heartbreak Passes Away after Drinking Bottle of Baijiu

Three friends are held partially responsible for not intervening when the woman consumed 500ml of baijiu.

Manya Koetse

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An incident that happened on the night of May 21, 2023, has become a trending topic on Chinese social media today after a local court examined the case.

A woman named ‘Xiao Qiu’ (alias), a resident of Jiangxi’s Nanchang, apparently attempted to drink her sorrows away after a heartbreaking breakup.

She spent the night at a friend’s house, where she drank about 50cl of baijiu (白酒), a popular Chinese spirit distilled from fermented sorghum that contains between 35% and 60% alcohol. One entire bottle of baijiu, such as Moutai, is usually 50cl.

She was together with three female friends. One of them also consumed baijiu, although not as much, and the two other friends did not drink at all.

As reported by Jiupai News, the intoxicated Xiao Qu ended up sleeping in her car, while one of her sober friends stayed with her. However, at about 5 AM, her friend discovered that Xiao Qiu was no longer breathing. Just about an hour later, she was declared dead at the local Emergency Center. The cause of death was ruled as cardiac and respiratory failure due to alcohol poisoning.

The court found that Xiao Qu’s friends were partly responsible for her death, citing their failure to prevent her excessive drinking and inadequate assistance following her baijiu binge drink session. Each friend was directed to contribute to the compensation for medical expenses and pain and suffering incurred by Qiu’s family.

The friend who also consumed baijiu was assigned a 6% compensation responsibility, while the other two were assigned 3% each.

On Weibo, many commenters do not agree with the court’s decision, asserting that adult individuals should not be held accountable when a friend goes on a drinking spree. Some commenters wrote: “You can tell someone not to drink, but what if they don’t listen?” “Should we record ourselves telling friends not to drink too much from now on?”

This is not the first time for friends to be held liable for an alcohol-related death in China. In 2018, multiple stories went viral involving people who died after excessive drinking at social gatherings.

One case involved a 30-year-old Chinese man who was found dead in his hotel room bathtub in Yangzhou after a formal dinner with friends where he allegedly drank heavily. The man reportedly died of a heart attack. His friends reached a 1 million yuan (±US$157,000) settlement with his family, with the cost shared among the friends who were present during the night.

Surveillance cameras in Jinhua captured how the man was unable to stand or walk after drinking with his friends.

Another case involved a man who died when he was left by his friends at a hotel in Jinhua, Zhejiang province, after heavily drinking at a banquet. Surveillance cameras captured how the man was unable to stand or walk after drinking with his friends. Those friends also paid a compensation together of 610,000 yuan (US$96,000) to the man’s family.

Organisers of an alcohol drinking contest in Henan province were also ordered to pay a compensation of over US$70,000 after one participant died due to excessive alcohol intake in July of 2017.

These cases also triggered online discussions about how Chinese traditional drinking culture often encourages people at the table to drink as much as they can or to exceed their limits; the goal sometimes is to literally “take someone to the ground by drinking.” When someone proposes a toast, everyone at the table is required to finish their glasses, sometimes at a very high pace.

In light of the latest news, some commenters write on Weibo: “No matter what kind of drinking gathering it is, for someone who is already drunk, others should intervene to prevent them from continuing to drink. Even if they invite, provoke, or insist on drinking themselves, they should not be allowed to continue. Otherwise, it not only harms them, you might end up facing legal responsibility yourself.”

Others remind people that overindulging in alcohol when you’re in a state of distress is never a good idea, and that no heartbreak is worth getting drunk over: “There are plenty of other fish in the sea.”

By Manya Koetse

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©2023 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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