Editor's Notes:

[Health Byte] is your insider guide to navigating Shanghai's health maze. From the labyrinth of public and private healthcare options to the pulse of cutting-edge medical services, we've got you covered. Each bite-sized article ends with a health tip, making wellness in the city more accessible than ever. Wondering about hospital features, where to find bilingual medics, or the scoop on insurance coverage? "Health Byte" breaks it down, offering clear, actionable insights.

Adult Vaccination in Shanghai: What You Need to Know

Once upon a time, vaccinations were just for kids – something your parents dealt with so you wouldn't catch polio or measles. Now, with the increasing awareness of health (and a few pandemic years under our belts), adults are paying a lot more attention to vaccines. Whether it's flu season or just some overdue health housekeeping, Shanghai's got a solid range of options for getting your shots.

Where to Get Vaccinated

There are two main ways to go about it:

• Community Vaccination Clinics – These are your local neighborhood health centers, where you pay for the vaccine and not much else. No frills, no extra fees, just the essentials.
  
• VIP Vaccination Clinics – Found in private hospitals, international clinics, and the VIP wings of major public hospitals. Expect a cushier experience, English-speaking staff, and an extra charge for registration and check-ups.
  

For standard vaccines – flu, hepatitis, HPV, tetanus, etc. – both options will get the job done.

For the special stuff, you'll need to go elsewhere:

• Rabies shots? Licensed dog bite and wound clinics only.
  
• Yellow Fever? Only available at the Shanghai International Travel Healthcare Center.
  

What to Expect

Every vaccine has its own deal: some last a lifetime, others need boosters. Some are a quick jab, others might have side effects like a sore arm, mild fever, or feeling like you got hit by a truck (hello, shingles vaccine). If you're pregnant, immunocompromised, or have specific health concerns, check with a doctor before rolling up your sleeve.

Vaccination Takes the Spotlight at China's Biggest Political Event

Prevention is cheaper than treatment. That's the basic idea behind vaccines, and it's why they're getting serious attention at the Two Sessions, China's most important annual political gathering.

Experts from the China CDC sat down with delegates to talk about how to improve adult disease prevention and, more specifically, how to get more adults vaccinated.

"Vaccination prevents disease and reduces its incidence," said Dr Wu Jing from the China CDC. "To boost vaccination rates, we need better public education and stronger community healthcare services."

Translation? More awareness, more accessibility, and a smoother system to make sure adults actually get their shots. Whether that means expanded grassroots health services, updated policies, or a bigger push for public awareness remains to be seen. But one thing's clear – vaccination isn't just a personal choice; it's officially on the national agenda.

Common adult vaccines at local vaccination clinic

Hepatitis B Vaccine: Your Liver's Best Friend

Why bother?

The hepatitis B vaccine keeps your liver from catching a nasty virus – one that can lead to serious issues like liver cirrhosis or, worst-case scenario, liver cancer. Consider it a long-term investment for your liver health.

Who needs it?

Pretty much any adult who missed the jab as a kid or didn't finish the full series. It's especially crucial if you're in a high-risk group:

• Healthcare workers (obviously)
  
• People with chronic liver conditions
  
• Anyone juggling multiple sexual partners (no judgment)
  

What age?

All grown-ups. If you're reading this and you've never had it, now's the right time.

How long does it last?

Full vaccination generally keeps your liver covered for at least 20 years. But some folks might need an occasional booster to stay bulletproof.

Who shouldn't get it?

• If you've ever had a severe allergic reaction to vaccine components, this jab's a no-go.
• If you've got a fever or you're feeling sick, wait until you're back in fighting shape.
  

Special cases:

Pregnant? Talk to your doc first – always.

Any side effects?

Most common: a sore arm, maybe a bit of mild fever. Serious allergic reactions? Rare, but possible – like most vaccines.

Japanese Encephalitis Vaccine: Watch Those Mosquitoes

What's the deal?

Japanese encephalitis is a mosquito-borne virus that messes with your brain – literally. While rare, it can be nasty, causing brain inflammation, seizures, and, in extreme cases, death. The vaccine? Your best bet at avoiding all that.

Who needs it?

Travelers heading to rural, mosquito-heavy regions where the virus is endemic. Think: parts of China, Southeast Asia, and the Western Pacific.

People living in rural areas where exposure is a real risk.

Age range?

Starts at 6 months old and applies to all adults who need it.

How long does it last?

A solid few years. If you're in a high-risk area for the long haul, you'll need boosters.

Who shouldn't get it?

Anyone allergic to vaccine ingredients.

If you're feeling under the weather with a fever, hold off until you're better.

Special cases?

Pregnant? Get the green light from your doctor first.

Any side effects?

• Most common: sore arm, mild fever.
  
• Rare but possible: headaches, muscle pain.
  

Bottom line:

If you're backpacking through the countryside or relocating somewhere with a mosquito problem, this one's worth considering. Because no one wants their trip ruined by a bug bite that leads to a brain infection.

Meningococcal Vaccine: Because Brain Infections Are a Hard Pass

What's it for?

Meningococcal meningitis is the kind of disease you don't mess around with. It hits fast, inflames the brain and spinal cord, and can lead to septicemia (blood poisoning). The worst cases? Fatal. The vaccine? A no-brainer.

Who needs it?

• Travelers heading to areas where meningococcal disease is common (think: parts of Africa's "meningitis belt").
• Students – especially those living in dorms, where bacteria love to party.
  
• Military personnel, because cramped living conditions = easy spread.
  
• Anyone in a high-risk group (if you're immunocompromised or work in healthcare, check with a doc).
  

Age range?

Starts at 2 years old and covers adults who need it.

How long does it last?

You're covered for 5-10 years. Some people might need boosters – especially if they're staying in high-risk zones.

Who shouldn't get it?

If you're allergic to vaccine ingredients, this one's not for you.

Special cases?

Immunocompromised? Talk to your doctor before rolling up your sleeve.

Side effects?

• Common: A bit of swelling at the injection site, mild fever.
• Serious reactions? Super rare.
  

Final word:

If you're a student, traveler, or soldier, this vaccine is worth the jab. No one wants their Shanghai adventure (or their life) interrupted by a totally preventable brain infection.

MMR Vaccine: The Triple Threat Shield

What's it for?

One shot, three big problems solved – measles, mumps, and rubella. These viruses might sound old-school, but they still pop up, and when they do, they're bad news. Think high fever, swollen glands, birth defects (rubella in pregnancy), and even brain inflammation. The MMR vaccine keeps all that in check.

Who needs it?

• Adults who never got vaccinated or didn't complete the series.
• Women of childbearing age (rubella during pregnancy = serious complications).
  
• Healthcare workers, because hospitals are germ central.
  
• International travelers, because measles outbreaks still happen globally.
  

Age range?

Anyone from 8 months old and up who hasn't already had their shots.

How long does it last?

Lifelong protection once you're fully vaccinated. One and done.

Who shouldn't get it?

• Pregnant women – wait until after delivery.
• Immunocompromised individuals – consult a doctor first.
  
• People with severe allergies to vaccine ingredients – skip this one.

Special considerations?

Women trying to conceive? Avoid pregnancy for at least one month after the jab.

Side effects?

• Common: Mild fever, rash.
• Less common: Temporary joint pain (mostly in adults).
  

Bottom line:

MMR isn't just a kid's vaccine – it's an essential. Whether you're working in healthcare, planning a baby, or just traveling the world, make sure you're covered. Because no one has time for swollen glands, high fevers, or a completely preventable outbreak.

Varicella Vaccine: Because Chickenpox Isn't Just for Kids

What's it for?

Chickenpox might be a childhood rite of passage, but if you've never had it, getting it as an adult is way worse. Think higher fever, more severe rashes, and a greater risk of nasty complications like pneumonia and encephalitis. The varicella vaccine keeps all that off your calendar.

Who needs it?

• Adults who never had chickenpox and never got vaccinated.
• Healthcare workers – because hospitals are breeding grounds for all things contagious.
  
• People who live or work closely with chickenpox patients (teachers, daycare staff, parents, etc.).
  

Age range?

Anyone 12 months and older who's still susceptible.

How long does it last?

At least 10 years. Possibly longer, but you might need a booster if you're in a high-risk environment.

Who shouldn't get it?

Pregnant women – wait until after delivery.

Immunocompromised individuals – get a doctor's approval first.

Anyone allergic to vaccine components – skip it.

Special considerations?

Pregnant? This vaccine is a hard no. Wait until after birth.

Pneumococcal Vaccine: Because Pneumonia is No Joke

What's it for?

Pneumococcal disease can lead to serious infections like pneumonia, meningitis, and sepsis – especially in older adults and people with chronic conditions. The vaccine helps keep your lungs (and the rest of you) safe from a preventable but potentially life-threatening illness.

Who needs it?

• Adults 65 and older – because immunity isn't what it used to be.
• People with chronic conditions like diabetes, heart disease, or lung disease – because pneumonia hits harder when you've already got health issues.
  

Age range?

Primarily for 65+, but also recommended for high-risk individuals under 65.

How long does it last?

Protection lasts 5-10 years, and some people might need booster shots.

Who shouldn't get it?

Anyone allergic to vaccine ingredients.

Special considerations?

Immunocompromised individuals should check with their doctor before getting the shot.

Side effects?

• Common: A bit of arm swelling, mild fever.
• Rare: More serious reactions, but nothing compared to full-blown pneumonia.

Bottom line:

If you're over 65 or have a chronic condition, this one's a must. Pneumonia is no fun, and in some cases, it can be deadly. The pneumococcal vaccine helps make sure you breathe easy for years to come.

Seasonal Influenza Vaccine: Your Annual Immunity Boost

What's it for?

The flu isn't just a bad cold – it can knock you out for weeks and, in serious cases, lead to hospitalization or worse. The seasonal flu vaccine helps keep you out of bed (and out of trouble) by reducing your risk of severe infection and complications.

Who needs it?

Pretty much everyone, but especially:

• Elderly adults, because flu complications can be severe.
  
• Pregnant women, to protect both mother and baby.
  
• People with chronic conditions (diabetes, heart disease, asthma, etc.).
  
• Healthcare workers, because they're exposed to everything.
  

Age range?

Anyone 6 months and older can get it, but we're talking about adults here – so if you're reading this, you probably qualify.

How long does it last?

6-8 months, which is why you need it every year. Flu strains change, and so does the vaccine.

Who shouldn't get it?

Anyone allergic to vaccine components – talk to your doctor.

If you've got a fever, wait until you're feeling better.

Special considerations?

Pregnant? You're good to go, but stick to inactivated flu vaccines (check the package insert).

Side effects?

• Common: Sore arm, mild fever.
• Rare: Feeling under the weather for a day or two – way better than full-blown flu.

Bottom line:

The flu vaccine is a yearly must-do, especially if you're at high risk. It won't just protect you – it helps keep the whole city healthier. Get the jab, dodge the flu, and keep living your best Shanghai life.

HPV Vaccine: The Cancer-Preventing Shot You Shouldn't Skip

What's it for?

HPV (human papillomavirus) is one of the most common STIs out there, and it's responsible for cervical cancer, genital warts, and other nasty complications. The vaccine dramatically reduces your risk, making it one of the biggest medical no-brainers of the last few decades.

Who needs it?

• Females and males aged 9-45 – yes, guys too. HPV isn't just a women's issue.
• Best for those who haven't been exposed to HPV yet, which is why early vaccination is recommended.
  

Age range?

9-45 years old, but the sooner, the better. The best time to get vaccinated is before any sexual activity starts.

How long does it last?

At least 10 years, and possibly longer. Research is ongoing, but protection is strong.

Who shouldn't get it?

• Pregnant women – wait until after delivery.
• Anyone allergic to vaccine components – check with a doctor.

Special considerations?

The vaccine works best before HPV exposure, so younger = better. But even if you're older, it's still worth getting if you're within the age range.

Side effects?

• Common: Sore arm, mild fever.
• Rare: Some people feel a little dizzy after the shot – stay seated for a few minutes just in case.
  

Bottom line:

HPV is ridiculously common, but the vaccine prevents most of the serious consequences – including cervical cancer. If you're 9-45 and haven't had it yet, now's the time.

China Expands HPV Vaccination to Males: A Win for Public Health

China has officially greenlit the HPV vaccine for men, marking a big step in the fight against HPV-related diseases. With both men and women now eligible, public health experts say this could significantly cut infection rates, lower screening and treatment costs, and fast-track the goal of eliminating cervical cancer.

"About 99.7% of cervical cancer cases are linked to high-risk HPV infections," said Dr Cong Qing from Fudan University's Obstetrics and Gynecology Hospital.

But the vaccine isn't just about protecting women. Men can also suffer from HPV-related diseases, including anal cancer, which is linked to HPV in 88% of cases.

"HPV spreads primarily through sexual contact, and men play a major role in both infection and transmission," explained Dr Zheng Ying from Fudan University Shanghai Cancer Center. "When men contract HPV, it doesn't just affect their health – it increases the risk for their partners and makes treatment more complicated for women."

Why were women approved for HPV vaccines before men?

A question many fine gentlemen have no doubt pondered. The reason is simple. The initial focus on women was driven by the clear, direct link between HPV and cervical cancer – about 99.7 percent of cervical cancer cases are caused by high-risk HPV strains. And since guys don't have a cervix, the supply of HPV vaccines was therefore prioritized for women, until China's manufacturing capacity was able to meet the needs for both sexes.

Shingles Vaccine: Why Shanghai's Over-50s Should Get the Jab

What's it for?

Shingles isn't just an itchy rash – it's a painful, burning nightmare caused by the reactivation of the chickenpox virus (varicella-zoster). Worse, it can lead to postherpetic neuralgia (PHN), a lingering nerve pain that can stick around for months or even years. The shingles vaccine is your best bet for avoiding this misery.

Why does shingles happen?

Over 90% of adults carry the varicella-zoster virus from childhood chickenpox.

As immunity weakens with age, the virus can reactivate, leading to painful blisters, nerve pain, and long recovery times. If you have hypertension, diabetes, or COPD, shingles can hit harder and take even longer to heal.

Who needs it?

Adults 50 and older – because the risk of shingles skyrockets with age.

Age range?

50+ and not getting any younger.

How long does it last?

7-10 years of solid protection.

Who shouldn't get it?

Anyone allergic to vaccine components.

Special considerations?

Immunocompromised individuals should consult a doctor first.

Side effects?

• Common: Sore arm, mild fever, muscle pain.
• Less common: Feeling a little under the weather for a day or two.

The Vaccine Works – 100% Protection

According to a Shanghai CDC study, the two-dose shingles vaccine offers 100% protection against the virus. That's as solid as it gets.

Where to Get Vaccinated in Shanghai

• 325 vaccination clinics citywide now offer the shingles vaccine.
• 11 neighborhood health centers in six districts have added shingles and pneumococcal vaccines to their general physician services.
• GPs are actively recommending the vaccine to eligible patients, making it easier to consult, book, and get vaccinated in one go.

Dr Sheng Fei from Nanxiang Town Neighborhood Health Center says: "Our GPs will prescribe the shingles vaccine during outpatient visits, and patients can book, pay, and get vaccinated on the spot."

Bottom line:

Shingles is painful, long-lasting, and totally avoidable. If you're 50 or older, do yourself a favor and get the shot. Your future self will thank you.

Adult Vaccination: A Smart Move for Personal & Public Health

Before rolling up your sleeve, it's worth checking in with a doctor to make sure you're getting the right vaccines for your health status, medical history, and travel plans.

"We provide detailed screening and guidance on adult vaccination, considering medical history and travel history," says Jenny Ni, a registered pharmacist from Am-Sino Healthcare. "Vaccination isn't just about protecting yourself – it's a public health responsibility."

Shanghai offers a wide range of vaccines for adults, from HPV and shingles to pneumococcal and travel vaccines. Consulting a professional helps identify which shots you need and keeps you ahead of preventable diseases.

Why Get Vaccinated?

✔ Stay healthy – Avoid serious infections and long-term complications.

✔ Travel worry-free – Get the right vaccines for high-risk destinations.

✔ Protect others – Community immunity helps prevent outbreaks.

If you're unsure about which vaccines you need, talk to your doctor or pharmacist. Prevention is always better than treatment.

Think of this vaccine as a relatively small price for decades of liver peace-of-mind. Get it, forget it, and keep enjoying those Shanghai weekends.

Health Byte Tips

About half the people suffering dizziness have ear problems, but many patients and even some doctors are not aware of the problem. Benign paroxysmal positional vertigo and Ménière's disease are the two main ear disorders causing dizziness, often confused with problems in the brain, the central nervous system or the eyes.

"Dizziness is one of the three leading reasons people visit a hospital emergency department. The other two are fever and pain in the stomach or intestine. Our hospital set up the city's first multi-disciplinary treatment center to give group consultations for patients with dizziness to help find the real cause of dizziness and give the correct therapy," said Dr Shi Haibo from Shanghai Sixth People's ENT and Neck Department.

Medical Breakthrough in Shanghai

Shanghai Ninth People's Hospital has just issued the nation's first prescription for Teduglutide (a medication that helps promote intestinal growth) for an adult suffering from short bowel syndrome (SBS), marking a significant breakthrough in the treatment of SBS in the city.

The patient, a 45-year-old woman from Jiangsu Province, has battled Crohn's disease for two decades and has undergone multiple surgeries to remove parts of her intestines. She was left with just 70 cm of small intestine and had no colon left. As a result, she relied entirely on parenteral nutrition (a form of feeding that bypasses the digestive system and delivers nutrients directly into the bloodstream).

"With the introduction of this innovative medicine, we've tailored an individualized treatment plan to help her stop relying on parenteral nutrition and improve her overall quality of life," said Dr Li Yousheng from the hospital.

Typically, healthy adults have a small intestine ranging from 3 to 8.5 meters. In contrast, patients with SBS have less than 2 meters – and sometimes even less than 1 meter – of small intestine left. Although it's a rare condition, the incidence of SBS is on the rise.

Upcoming Topics

Herbal tea is good for health and many people, both Chinese and Westerners, like it. We will talk about functions of different herbal tea and recipes for teas catering for different seasons. Stay tuned!

About the Author

Cai Wenjun is a seasoned health reporter with Shanghai Daily. With extensive experience covering the local medical system, hospitals, health officials and leading medical experts, Cai has reported on major pandemics including SARS, swine flu and COVID-19, as well as developments in the local health industry.