China Health Clearance

Complete the Health Clearance either through the Tang Center or via a Private Provider. Choose one set of instructions; do not complete both. You may complete the health clearance at Tang whether you have SHIP or private insurance.

REQUIRED: PHYSICAL EXAMINATION RECORD FOR FOREIGNERS

Students (except Chinese citizens) who will be in China for more than six months are required to apply to extend their residency within 30 days of their arrival in China. This includes students in the Peking University (PKU) Year program and some students in back-to-back programs at different Chinese universities. A thoroughly completed and properly stamped Physical Examination Record for Foreigner (see Appendix for notated sample form) must be submitted with the residency extension application. Each student required to apply for extension of residency has the option to complete the physical exam and the required lab work in the US as part of the UCEAP Health Clearance process or to wait until after arrival in Beijing. Factors for the student to consider include:

Time frame: The exam and lab tests must be completed no more than six months prior to the student’s registration date in China; otherwise, it will be considered invalid.

Potential costs associated with the exam: Students will pay approx. $60 (US) to have the exam done in Beijing. Students who have the exam done in the US will pay the exam cost in the US (varies by physician and insurance) plus an additional $10 (US) to have the results verified by the Beijing Physical Exam Facility, operated by the National Quarantine Bureau. If the form and lab results are not accepted for any reason (this can be arbitrary), the student will pay to have the exam re-done.

Potential costs associated with the exam results: Students who return positive test results for diseases listed on the form may not be granted a residency extension and may be required to leave China. 

INSTRUCTIONS FOR PHYSICAL EXAMINATION RECORD FOR FOREIGNERS

You can share these instructions with the Tang Center or the private provider completing your form:

1. Students must use the form provided to them in their UCEAP Portal.

2. Complete all boxes; do not leave any section blank.

3. All original lab exam results attached to the form (e.g., blood tests, X-rays) must be clear and specific and bear the official* stamp of the laboratory completing the exam. Do not submit lab results marked, “COPY.” Students will be required to retake tests if lab results are illegible or improperly stamped. If no other stamp is available, use an address stamp that includes the name of the UC SHS or lab.

PAGE 1

1. Follow detailed instructions on notated sample form (see Appendix).

2. Use metric measurement units where indicated.

3. If health indicators listed on the bottom half of Pg. 1 (e.g. development,
   nourishment, skin, nose) are within normal ranges, write “normal” in each box.

PAGE 2

1. If test results are negative, write “negative.”

2. Write Chest X-ray results in the box indicated and attach the original, stamped lab report. Original X-ray films are not required.

3. Attach original TB lab results (stamped by UC SHS or lab). Students with active TB will not be allowed into China. A positive TB skin test requires negative chest X-ray results. Original chest X-ray films are not required, but a printed report is required.

4. Write ECG results in the box indicated and attach the original printout results (stamped by UC SHS or lab).

5. Clearly label and write test results for HIV and Syphilis in the box indicated. The original blood test reports must be included for both AIDS and Syphilis. The Chinese government will not accept a photocopy of the HIV test result.

6. All results must be clearly marked as negative, or another health exam may be required.

7. Write “None found” in the box labeled “None of the following diseases or disorders found during the present examination” unless evidence of one of the listed diseases was, in fact, found.

8. Write “None” if you have no suggestions for the student.

9. Sign and date where indicated.

10. Stamp both pages of the Physical Examination Record for Foreigner with the official stamp of the UC SHS or private physician completing the form:

    1. on the student’s photo on Pg. 1, and

    2. near the physician’s signature on Pg. 2.

The Chinese government considers health documents valid for only six months after completion. The physical health exam, labs, and x-rays must be completed no more than six months prior to the start of the program.

Complete the Health Clearance either through the Tang Center or via a Private Provider. Choose one set of instructions; do not complete both. You may complete the health clearance at Tang whether you have SHIP or private insurance.

Yellow Fever Vaccination

The Yellow Fever vaccination is required if arriving from or transiting through infected areas. This vaccination is to be noted on an International Certificate of Vaccination (ICV). The ICV should be affixed to the visa inside the student passport and presented at the point of entry. The YF vaccine is not necessary as a protective measure for residence in this country, so it is only considered required if you are arriving from or transitioning through infected areas. For areas with risk of yellow fever transmission, please review the Centers for Disease Control and Prevention (CDC) website.

Because of the limited availability of this vaccine, if you determine that you need to get it at the Tang Center, then you must also complete the Individual Travel Clinic Consultation at the Tang Center and we encourage you to do set up this appointment as soon as possible.

Travel Clinic appointments fill up quickly and we recommend students schedule their appointments well in advance.

Air Pollution

Air quality is frequently unhealthy. An increase in air pollution, which may vary due to wind patterns, is common in all major cities during winter as a result of burning soft coal for heat. People with lung disease and those at extremes of age should avoid prolonged or heavy outdoor exertion. All others should reduce prolonged or heavy outdoor exertion.

Limited Mental Health Services

The prevalence of mental illness is rising in China but treatment facilities remain underdeveloped. China’s mental health care trails behind many countries around the world. There is lack of trained mental health professionals, low investment in mental health, high stigma among the population, and lack of an effective public mental health systems of care. Official policy does not permit primary health care professionals to independently diagnose and treat mental disorders within the primary care system. There is a reluctance to address mental illness and psychiatry due to the limited extent to which health care professionals and public health officials are involved with the issue. The country's public health system is struggling to keep up with the demand in mental health care.

In most regions of China, few good options exist even for local families that try to find professional help. China’s mental health hospitals are too few and grossly understaffed. China has a severe undersupply of trained mental health staff. Students with pre-existing conditions will need a treatment plan in place indicating when and to whom they will reach out for help. 

GENDER-AFFIRMING CARE 

Access to gender-affirming care may be limited, unavailable, or illegal.

 

 

TB Skin Test

For programs shorter than 6 months, a Tuberculosis skin test is strongly recommended before travel if a student has not had one within two years.

Seasonal Flu

Influenza is one of the most common ailments for UCEAP students. Students are frequently in crowded places and regularly take crowded public transportation. The UCEAP Physician Consultant recommends flu vaccination for all students and strongly recommends it for those who will be abroad during the fall or winter with any chronic medical condition.

Bacterial Meningitis

Students planning to live in dormitories should be vaccinated against Meningococcal disease.

Measles

Measles remains a common disease in many parts of the world, including Europe, the Middle East, Asia, the Pacific, and Africa. Students who have not been vaccinated are at risk of getting the disease and spreading it to others.

Allergies

UCEAP advises students with certain medical conditions to wear a medical alert ID bracelet or pendant at all times while abroad. Such conditions may include diabetes, asthma, serious (anaphylactic) allergies, or any condition that could have severe consequences if they are unable to communicate during a health emergency.

Prescription Medications

Although medications in amounts clearly related to personal use for the expected duration of a trip (30 days) are rarely inspected or questioned, local Customs officials can be suspicious of medications, particularly if students are traveling with large amounts. In some countries, drugs that are legal and readily available in the US are considered illegal, require a prescription, or arouse the suspicions of local officials or customs and immigration authorities.

 

Prescribed medication regimens are important to student's health and well-being. Students should never abruptly discontinue their medication, especially abroad.

 

UCEAP cannot maintain a list of prescribed (or over-the-counter) medications and their legality in the different countries. It is the student’s responsibility to get this information before departure.

 

Students must:

- Keep medicines in their original, labeled, pharmacy packaging when possible. The label should include the student’s name. 

- Obtain and carry a letter from the prescribing physician on letterhead, appropriately signed and dated, stating diagnosis, treatment, and medication regimen, including the generic name.

- Review medication regulations on the International Narcotics Control Board (INCB) website and official government sites if they take medications containing controlled substances (including amphetamine-based medications). Excerpted national statutes for most countries can be found on the INCB website. 

 

Students with diabetes and those who use injectable medications should obtain and carry at all times a doctor’s letter explaining the need to carry needles and syringes. According to some students’ reports, their US health practitioners have assumed that doctors abroad can prescribe the same medications commonly prescribed in the US. This is not always the case. Students should research whether their medications are legal and locally available in their program country.

Students who take ADHD medications may encounter challenges with 30-90 day supplies for ADHD medications, as there are only two medications available in China. Students who are currently using meds not available in China may need to consider switching meds to resupply while in China. Please reach out to AXA Assistance, the Travel Assistance Program provided by UCEAP, to ask about setting up a plan for ADHD medication while abroad.

 

Mailing Medications Abroad

Many countries have strict laws about mailing medications. Students, and their parents, have found out the hard way that their medications, including oral contraceptives and vitamins, are stopped by host country's customs officials. Additionally, the US Post Office restricts using the US postal system to mail medications. Prescription medications can only be mailed by Drug Enforcement Administration (DEA) registered entities. Similar regulations may apply to over-the-counter medications.

 

Do not mail any type of pharmaceuticals to other countries.

 

 

General Immunizations

If you are planning travel to areas outside your EAP program country which may have additional health requirements/immunizations, you may get these immunizations from the Tang Travel Clinic, or from your own doctor or health maintenance organization.
Many common immunizations are given as a series of vaccinations that may take months to complete, so begin the process as early as possible. Planning ahead may also allow for a wider range of vaccine options and reduced cost to you.

Additional Immunizations

If you complete your health clearance with a private provider, but then find you need to get an immunization from the Tang Center which was not available from your private provider, you must complete Individual Travel Clinic Consultation at the Tang Center and we encourage you to do set up this appointment as soon as possible. This rule applies to the Japanese encephalitis and yellow fever vaccines and may apply to malaria prophylactics, typhoid vaccine and others. If you have SHIP Insurance, then SHIP covers:

- The cost of the Travel Consultation.
- Immunizations that are part of the domestic series at 100%, such as influenza, HPV, Tdap (tetanus, diphtheria, and whooping cough), Hepatitis B, meningococcal meningitis, and MMR (measles, mumps, rubella).
- Immunizations unique to travel at 100%, such as Japanese encephalitis and typhoid (injectable).