Severity: Critical Alert

Exit/Entry: China maintaining domestic restrictions as of Sept. 10. Entry ban ongoing with exceptions. COVID-19 testing required for inbound travelers.

Alert Begins 10 Sep 2020 09:43 AM UTC
Alert Expires 02 Oct 2020 11:59 PM UTC

  • Incident: COVID-19 restrictions
  • Location(s): Mainland China (map)
  • Time Frame: Indefinite
  • Impact: Transport and business disruptions, supply chain interruptions, quarantine and testing requirements

Summary
Authorities continue to adjust domestic controls and international travel restrictions for mainland China amid a nationwide reduction in coronavirus disease (COVID-19) activity. Most local and provincial governments have reduced their public health emergency levels and ended internal movement controls in recent weeks. However, mandatory temperature checks and health screenings are ongoing at businesses, tourist sites, and transport hubs nationwide. Officials require residents to wear facemasks in public areas across the country. Authorities also continue to use color-coded health passes - most commonly via a mini-program in the WeChat mobile phone app - to track individual movement and access to businesses and long-distance transport.

The government is designating the following risk levels for areas throughout the country based on COVID-19 activity:

Low risk: Locations with no new confirmed COVID-19 cases and no confirmed cases within 14 consecutive days.

Medium risk: Areas where COVID-19 activity does not exceed 50 cases within 14 days, or more than 50 cases have occurred but have not emerged within 14 days. No clusters reported within two weeks.

High risk: Places where new confirmed COVID-19 cases surpass 50, and a cluster has been reported within 14 days.

Local governments are highly likely to tighten movement and business restrictions in any medium- and high-risk areas. As of Sept. 10, no districts in mainland China are designated as high or medium risk. However, areas could see their risk rating increase at short notice if new outbreaks are discovered. Any residents of high- and medium-risk locations will face travel, movement, and gathering restrictions. Travelers must have negative COVID-19 test results before traveling outside the designated areas.

Transport
Ground transport has resumed nationwide. Health checks are ongoing at airports, train stations, and subway stations, increasing travel times. Operators in some major cities require health codes to use public transport. Officials are likely to erect roadblocks and checkpoints into high- and medium-risk areas of cities and counties following outbreaks, and localized transport disruptions are highly likely. Travelers must have negative COVID-19 test results before traveling outside the designated areas.

The Civil Aviation Administration of China (CAAC) is easing limits on international commercial flights. China and US regulators have agreed to increase available flights to eight per week. The CAAC continues to manage airline flight volume for other countries based on COVID-19 testing outcomes for passengers. If a foreign carrier achieves three weeks with no passengers testing positive, officials will permit one more flight on preexisting routes. If five passengers test positive for any airline, CAAC will suspend the carrier's operations for one week, and for four weeks if 10 of the airline's passengers test positive. Authorities continue to limit Chinese airlines' international operations and limit capacity on aircraft. Some airlines continue to suspend services to and from mainland China due to significantly decreased demand.

CAAC allows flights from Canada, Cambodia, Thailand, Pakistan, Greece, Denmark, Sweden, and Austria to land directly in Beijing. Officials continue to divert other international flights to nearby cities, where passengers receive health scans; symptomatic passengers receive treatment locally, while asymptomatic passengers can continue to Beijing. CAAC has lifted all restrictions on cargo flights to airports in the capital.

Travel Restrictions
The government is maintaining an entry ban for most foreign nationals. However, China is permitting foreigners with residence permits from 36 European and 13 Asia countries, including Germany, France, Spain, the UK, Japan, South Korea, Vietnam, Singapore, Thailand, and Malaysia. Travelers must reapply for visas before entering China. Specially designated foreign workers with invitation letters issued by provincial or municipal government officials can also enter the country. Some immediate family members of foreign employees may obtain visas to enter the country for emergency humanitarian purposes. Diplomatic personnel and C visa holders - generally flight and shipping crew members - are exempt from the entry ban.

Additionally, officials are permitting essential business travel from Singapore and South Korea under fast-track arrangements. Travel is possible between Singapore and Guangdong, Jiangsu, and Zhejiang provinces and Chongqing, Shanghai, and Tianjin municipalities. A fast-track arrangement for business travelers from South Korea to 10 Chinese locations, including Shanghai, as well as Liaoning, Shandong, Jiangsu, and Anhui provinces, is also in place. Companies or government agencies can apply for special passes for inbound visitors, who must test negative for COVID-19 within 48 hours of their departure from Singapore and within 72 hours of their departure from South Korea, and must obtain a visa. Passengers will undergo COVID-19 testing again upon arrival in China and isolate at designated facilities (usually hotels) until their results are available. Singapore travelers must also adhere to a preplanned itinerary; refrain from using public transport, except for private hire vehicles, for the first 14 days; and must download and use a health pass while in the country. Arriving passengers testing positive for COVID-19 will undergo health treatment at their own expense.

Authorities require all arriving passengers to take a nucleic acid COVID-19 test at designated facilities in the country of origin within three days of departure for China. Foreign nationals must apply for a health certificate via the local Chinese diplomatic mission before travel. Chinese citizens must update their information through WeChat to obtain a health code before boarding flights. As of Sept. 10, the measure applies to passengers from 118 countries, though officials plan to expand the requirement to 147 countries, including the US, by mid-September. Authorities in Yunnan, Guangxi, Inner Mongolia, and Heilongjiang are restricting the movement through land borders. Most travelers, regardless of nationality, are barred from entering or exiting border checkpoints. Exceptions are in place for cargo transport, though backlogs remain possible at border checkpoints.

The government continues to conduct health screenings, including body temperature scans and nucleic acid testing, at ports of entry nationwide. Most international travelers must quarantine for 14 days, and officials generally allow nonresident passengers to stay in government-designated hotels at their own cost. However, some governments in border areas require inbound travelers to self-quarantine and undergo medical observation for two additional weeks. The Beijing municipal government allows specific groups of travelers, including residents who live alone, travelers over 70 years old, pregnant women, and travelers with underlying conditions, to self-quarantine, with permission. The Shanghai government allows arriving residents to quarantine at a designated facility for seven days and self-quarantine for an additional seven days at home. Guangdong authorities require a negative COVID-19 test result for Hong Kong residents, who must also quarantine for 14 days unless exempted. All arrivals must receive a negative COVID-19 test result in quarantine before release from designated facilities.

Advice
Consider postponing nonessential travel to mainland China. Confirm all scheduled international flights. Follow all official instructions and closely monitor official announcements on any other precautionary restrictions. To the extent possible, avoid crowded areas as a precaution. Confirm all travel and business reservations. Allow additional travel time due to screenings at airports, train stations, and other transport hubs. Make allowances for likely supply chain and other business disruptions.

Exercise basic health precautions, especially frequent handwashing with soap and water, or an alcohol-based hand sanitizer if soap and water are unavailable. Practice good coughing/sneezing etiquette (i.e., covering coughs and sneezes with a disposable tissue, maintaining distance from others, and washing hands). There is no evidence that the influenza vaccine, antibiotics, or antiviral medications will prevent this disease, highlighting the importance of diligent basic health precautions.


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