Global Health & Health Silk Road: The Other Side Of Picture

The new world order is a twisted maze of political, economic and cultural ambitions. China’s obscure political economy presents an unparalleled challenge to those unfamiliar with the cultural and historical undercurrents driving Beijing’s global movements. Following the onset of the CoVID-19 pandemic in early 2020, the global society observed one of the hasty economic convulsion since World War II. Nearly all nation states sealed their borders and placed global supply chain and trade in limbo as the spread of the virus continued unabated. As Beijing’s flagship investment project, the Belt and Road Initiative (BRI) was similarly disrupted. The BRI initiative has formed the cornerstone of President Xi’s approach to strategic diplomacy and challenged the traditional concept of development. Key rhetoric underlying the initiative, such as “the community of common destiny for mankind”.

Nevertheless, there is a “Digital Silk Road”, and “Space Silk Road”, so it should come as no bombshell that China is also building a “Health Silk Road”. China’s HSR first appeared in a speech given by President Xi in 2016. At the first BRI Forum 2017, a Beijing Communique of Belt and Road Health Cooperation and Health Silk Road was signed by China, the World Health Organization (WHO), UNAIDS, OECD, GAVI and other participating countries. Since then, China made a significant move towards the consolidation of its role as a major player in global health. Similarly, it is no secret that China is making a boost for global health leadership during CoVID-19 pandemic. As the pandemic spread across the world, China sought to provide aid packages and medical assistance to partner states within the BRI under the name of “Health Silk Road”. The ongoing CoVID-19 pandemic is not only going to fundamentally transform the global politics, but also the foreign policy priorities of many countries. Since the outbreak, the CoVID-19 pandemic has exposed the significant weakness of public health infrastructure of developed and developing countries alike.

There is widespread understanding among scientists, heritage and history writers that one of the most devastating pandemics in human history, black death, originated in China and spread along the old silk road to central Asia, northern India and Europe. It exhibited a blueprint that is as old as human history, – when people and goods travel, so do viruses and bacteria. Today, there is some speculation about whether CoVID-19 circulated along the “new silk road”, and it has been criticized that the BRI contributed to the spread of the virus. These kinds of debates are pointless because, even without modern means of transport like trains, cargo-ships, and planes, the plague can reach the most remote places in the world and kill a large portion of the global population. Highly criticized for covering up and not preventing the virus from turning into a global pandemic, China is making an efforts to reinstate its persona as a symbol of support, strength and leadership. Opponents have also alleged that Beijing rationalized itself as a global health champion at a time when Washington had abdicated its responsibilities.

Regardless of misgivings, China has been promoting the institutionalization of health cooperation within HSR framework by organizing and sponsoring a number of health-themed forums. For example, the Silk Road Health Forum, China-Central and Eastern European Countries Health Ministers Forum, China-ASEAN Health Forum, and the China-Arab States Health Forum. Beijing also initiated a series of supportive programs on disease control and prevention in alliance with its neighbors in Central Asia. All these efforts were made as part of China’s broader global health diplomacy and leadership before the CoVID-19 pandemic hit the world. With the spread of  CoVID-19 across the world, the Chinese government extended support to countries from East Asia to Europe. It has given 20 million dollars to the World Health Organization (WHO) for assisting developing countries in coping with the pandemic, build up their epidemic-prevention abilities, and building a stronger public health system. China also handed out concessionary loans and played a coordinating role in multilaterals like G-20, ASEAN, the SCO and the African Union, established itself in a leadership position by promptly responding to the crises and catering to the needs of the countries all over.

In contrast with the advance economics, what China has contributed to the global pandemic combat becomes even more admirable. Statistics show that China has provided considerable amount of medical assistance to the rest of world, including approximately 70.6 billion face masks, 225 million test kits, 115 million pairs of goggles, 340 million protective suits, 96,700 ventilators, and 40.29 million infrared thermometers to 200 countries and regions in 2020. China’s medical professionals have also played a vital role in the global pandemic battle by contributing their knowledge and experience on the frontlines in many virus-impacted countries. China has shared medical best practices with a multitude of international organizations, including the ASEAN, EU, African Union, Asia-Pacific Economic Cooperation, Caribbean, and the Shanghai Cooperation Organization, as well as some of the hardest-hit countries such as South Korea, Japan, Russia, the United States, and Germany.

Concisely, with all these notable endeavors and substantial contributions, is it still premature to presume that China has taken over the leadership role in terms of global health? China’s engagement in global health, especially during CoVID-19, has positioned itself as a johnny on the spot in global health leadership. The HSR undoubtedly will allow China to re-establish its national repute on the international stage, in particular by contrasting it with the inelegant responses of the United States and other European nations. China’s global aspirations, efforts to present itself as a global health leader should not be considered as surprise. It is still too early to tell the magnitude to which China’s global health sprint will transform its international profile, but there is no reason to be cynical that it will be revolutionary. As an old Chinese saying goes, it takes a good blacksmith to make good steel.

Mirza A.A. Baig
Mirza A.A. Baig
Mirza A.A. Baig is CAS-TWAS President’s Fellow at University of Science and Technology of China (USTC). Biomedical Health Informatics Professional and Freelance Science Writer.