Shuping Wang
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Shuping Wang (, ''Wang Shuping'', née Zou; 20 October 1959 – 21 September 2019) was a Chinese-American medical researcher and public health
whistleblower Whistleblowing (also whistle-blowing or whistle blowing) is the activity of a person, often an employee, revealing information about activity within a private or public organization that is deemed illegal, immoral, illicit, unsafe, unethical or ...
. She exposed the poor practices that led to the spread of
hepatitis C Hepatitis C is an infectious disease caused by the hepatitis C virus (HCV) that primarily affects the liver; it is a type of viral hepatitis. During the initial infection period, people often have mild or no symptoms. Early symptoms can include ...
and
HIV The human immunodeficiency viruses (HIV) are two species of '' Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the im ...
in
central China Central China () is a List of regions of China, region in China. It mainly includes the provinces of China, provinces of Henan, Hubei and Hunan. Jiangxi is sometimes also regarded to be part of this region. Central China is now officially par ...
in the 1990s, potentially saving tens of thousands of lives. In 2001, following harassment by Chinese officials, she moved to the United States, where she worked until her death.


Early life

Wang was born Zou Shuping on 20 October 1959, in
Fugou County Fugou County () is a county of east-central Henan province, China. It is under the administration of Zhoukou Zhoukou ( zh, s=周口 , p=Zhōukǒu, w=Chou-k’ou; Postal romanization, postal: Chowkow) is a prefecture-level city in eastern Hen ...
,
Henan Henan; alternatively Honan is a province in Central China. Henan is home to many heritage sites, including Yinxu, the ruins of the final capital of the Shang dynasty () and the Shaolin Temple. Four of the historical capitals of China, Lu ...
. Her mother, Huang Yunling, worked as a village physician. Her father, Zou Bangyan, was a mathematics teacher who served as a soldier of the Kuomintang Army, which made her childhood difficult during the
Cultural Revolution The Cultural Revolution, formally known as the Great Proletarian Cultural Revolution, was a Social movement, sociopolitical movement in the China, People's Republic of China (PRC). It was launched by Mao Zedong in 1966 and lasted until his de ...
. She refused the
Red Guards The Red Guards () were a mass, student-led, paramilitary social movement mobilized by Chairman Mao Zedong in 1966 until their abolition in 1968, during the first phase of the Cultural Revolution, which he had instituted.Teiwes According to a ...
' command to denounce her parents and was expelled from school at the age of 8. When she was 13, she moved away from her village, was legally adopted by an uncle who was a member of the Communist Party, and adopted his surname, Wang. She was then allowed to continue her education.


Career

Wang graduated from Henan Medical College in 1983, specializing in infectious diseases. From 1986 to 1991, she worked at Zhoukou Center for Disease Control and Prevention and conducted research in
hepatitis Hepatitis is inflammation of the liver parenchyma, liver tissue. Some people or animals with hepatitis have no symptoms, whereas others develop yellow discoloration of the skin and whites of the eyes (jaundice), Anorexia (symptom), poor appetite ...
. In 1991, she was assigned to work at a plasma collection center in
Zhoukou Zhoukou ( zh, s=周口 , p=Zhōukǒu, w=Chou-k’ou; Postal romanization, postal: Chowkow) is a prefecture-level city in eastern Henan province of China, province, China. It borders Zhumadian to the southwest, Xuchang and Luohe to the west, Ka ...
, part of Henan's
Plasma Economy Plasma Economy () was a 1991–1995 plasmapheresis campaign by the Henan provincial government in China, in which blood plasma was extracted in exchange for money. The campaign attracted 3 million donors, most of whom lived in rural China, and i ...
project to pay donors for plasma donations. She found that several donors were infected with
hepatitis C Hepatitis C is an infectious disease caused by the hepatitis C virus (HCV) that primarily affects the liver; it is a type of viral hepatitis. During the initial infection period, people often have mild or no symptoms. Early symptoms can include ...
but were not turned away. At this point, plasma donations were not kept separate but mixed with all other donors', so that this infection spread to anyone that received the mixed sample. Further, to reduce costs, health workers would reuse tubing and other equipment that would be contaminated with a person's blood or plasma after donation. After confirming the presence of hepatitis C in several of the collections, she reported this to local health officials to change their practices, but they asserted it would cost too much to address the problem. She approached the national Ministry of Health with her findings, which led to a 1993 regulation to require all plasma donors to be screened for hepatitis C. She was removed from her position at the collection center, but took it upon herself to evaluate other facilities elsewhere, creating her own testing site and taking her own samples from the population, as well as evaluating collection centers and identifying further points of cross-contamination. She determined that the hepatitis C antibody was present in as high as 84.3% of the population in the region at the height of the epidemic. Around this time,
AIDS The HIV, human immunodeficiency virus (HIV) is a retrovirus that attacks the immune system. Without treatment, it can lead to a spectrum of conditions including acquired immunodeficiency syndrome (AIDS). It is a Preventive healthcare, pr ...
became a major health concern across the world. China took to restricting blood samples from foreign countries for fear of bringing AIDS into the country, seeing it as a Western disease, and incentivised the people to donate blood and plasma as a precaution against AIDS. This was particularly popular for
central China Central China () is a List of regions of China, region in China. It mainly includes the provinces of China, provinces of Henan, Hubei and Hunan. Jiangxi is sometimes also regarded to be part of this region. Central China is now officially par ...
, mostly made up of farmers earning low wages, as they would be paid for their blood donations. Wang recognized the same concerns she had on discovering hepatitis, and began evaluating for the
HIV The human immunodeficiency viruses (HIV) are two species of '' Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the im ...
virus that is a precursor to AIDS. After finding one patient with the virus in 1995, she found that HIV had a 13% infection rate in blood plasma collection centers in their area. Again, she attempted to alert local public health officials to screen for HIV, but they refused on the cost basis. Wang took her data to the Ministry of Health, and in 1996, a new regulation requiring HIV screening for donors was established, and ultimately leading China to take more precautionary measures to control the epidemic. She formed a campaign with
Gao Yaojie Gao Yaojie (; 19 December 1927 – 10 December 2023), courtesy name of Gao Mingkui (), was a Chinese gynecologist, academic, and AIDS activist based in Zhengzhou, Henan, China. Gao was honoured for her work by the United Nations and Western or ...
, an
obstetrician-gynecologist Obstetrics and gynaecology (also spelled as obstetrics and gynecology; abbreviated as Obst and Gynae, O&G, OB-GYN and OB/GYN) is the medical specialty that encompasses the two subspecialties of obstetrics (covering pregnancy, childbirth, and t ...
from Henan who would become a major AIDS activist in China; Wang evaluated the blood samples, while Yaojie was the spokesperson to report on these. Wang was targeted for her
whistleblowing Whistleblowing (also whistle-blowing or whistle blowing) is the activity of a person, often an employee, revealing information about activity within a private or public organization that is deemed illegal, immoral, illicit, unsafe, unethical or ...
by local health officials. One retired official smashed a sign at her testing site and then struck her with a baton. Some attempted to shut down her testing site, and eventually the local utilities were cut off, which destroyed the blood samples she had collected. She later moved to Beijing and found work there before moving to the United States in 2001. She became a naturalized
US citizen Citizenship of the United States is a citizenship, legal status that entails Americans with specific rights, duties, protections, and benefits in the United States. It serves as a foundation of fundamental rights derived from and protected by ...
and worked as medical researcher both in
Milwaukee Milwaukee is the List of cities in Wisconsin, most populous city in the U.S. state of Wisconsin. Located on the western shore of Lake Michigan, it is the List of United States cities by population, 31st-most populous city in the United States ...
and at the
University of Utah The University of Utah (the U, U of U, or simply Utah) is a public university, public research university in Salt Lake City, Utah, United States. It was established in 1850 as the University of Deseret (Book of Mormon), Deseret by the General A ...
until her death. According to David Cowhig, a U.S. Foreign Service officer at the Beijing embassy during the 1990s, Wang's research "was also the single most important source" that the United States had in understanding the AIDS epidemic in China, which was used in informing
China–United States relations The relationship between the China, People's Republic of China (PRC) and the United States (US) is one of the most important foreign relations in the world. It has been complex and at times tense since the Proclamation of the People's Republi ...
during the
presidency of Bill Clinton Bill Clinton's tenure as the 42nd president of the United States began with his first inauguration on January 20, 1993, and ended on January 20, 2001. Clinton, a Democrat from Arkansas, took office following his victory over Republican in ...
. By 2001, the Chinese government affirmed that more than half a million citizens in central China may have been infected by HIV due to the poor collection practices that Wang had exposed. The
BBC The British Broadcasting Corporation (BBC) is a British public service broadcaster headquartered at Broadcasting House in London, England. Originally established in 1922 as the British Broadcasting Company, it evolved into its current sta ...
and ''
The Guardian ''The Guardian'' is a British daily newspaper. It was founded in Manchester in 1821 as ''The Manchester Guardian'' and changed its name in 1959, followed by a move to London. Along with its sister paper, ''The Guardian Weekly'', ''The Guardi ...
'' have credited Wang with potentially saving tens of thousands of lives.


''The King of Hell's Palace''

In the month prior to her death, Wang was involved in the production of a play based on story of HIV epidemic in
Zhoukou Zhoukou ( zh, s=周口 , p=Zhōukǒu, w=Chou-k’ou; Postal romanization, postal: Chowkow) is a prefecture-level city in eastern Henan province of China, province, China. It borders Zhumadian to the southwest, Xuchang and Luohe to the west, Ka ...
region and her whistleblowing, entitled ''The King of Hell's Palace'', that was to open at the
Hampstead Theatre Hampstead Theatre is a theatre in South Hampstead, in the London Borough of Camden. It specialises in commissioning and producing new writing, supporting and developing the work of new writers. History The original ''Hampstead Theatre Clu ...
in London. However, she reported that family and friends living in China had been intimidated to pressure her to drop the show. She said that this pressure was happening because Chinese officials were afraid of publicity, "but even after all this time, I will still not be silenced, even though I am deeply sad that this intimidation is happening yet again." She believed that the play would help expose corruption in Chinese health service, save people and help persecuted Chinese doctors and AID activists like Gao Yaojie and Wan Yanhai.


Personal life

Wang's first husband was Geng Honghai, an employee of the Ministry of Health. They had a daughter, Samantha Geng, a clinical pharmacist. Wang's husband Geng was shunned by his colleagues during Wang's whistleblowing campaign, and their marriage ended in divorce. After moving to the United States in 2001, Wang took the English name Sunshine. Wang never felt safe enough to return to China. In 2005, she married Gary Christensen. They adopted her elder brother's two children, Julie Zou, an army nurse, and David Zou, an engineer. Wang died from an apparent heart attack while she was hiking with Christensen in a canyon in
Salt Lake City Salt Lake City, often shortened to Salt Lake or SLC, is the capital and most populous city of the U.S. state of Utah. It is the county seat of Salt Lake County, the most populous county in the state. The city is the core of the Salt Lake Ci ...
, Utah, on 21 September 2019.


References


Further reading

* {{DEFAULTSORT:Wang, Shuping 1959 births 2019 deaths Physicians from Henan Chinese whistleblowers Hepatitis researchers HIV/AIDS in China HIV/AIDS researchers People's Republic of China emigrants to the United States University of Utah faculty Naturalized citizens of the United States People from Zhoukou Chinese medical researchers American medical researchers