East Asia
Reviewed by Alexander Webber, Chief Epidemiologist · Updated 2026-08
China presents a moderate and geographically varied health risk profile. Major cities including Beijing and Shanghai are low-risk for infectious diseases, though air pollution is a significant environmental health concern, particularly for travelers with asthma or cardiovascular disease. Rural and southern provinces carry risks for Japanese encephalitis, dengue, and tick-borne encephalitis. China was certified malaria-free by the WHO in 2021.
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Source: CDC Travelers' Health β China
China was declared malaria-free by the WHO in 2021. Risk of locally acquired malaria is negligible.
Tap water is not safe to drink anywhere in China, including major cities. Bottled water is widely available and inexpensive. Cooked food from established restaurants is generally safe. Avoid live poultry markets and contact with live or dead birds to reduce avian influenza exposure risk.
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