China: screenings and vaccines by age
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General information only. Not medical advice and not a substitute for a doctor.
Elsewhere, call your local emergency number.
Screening tests
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| Blood pressure measurement Blood pressure check |
age 35 and over | every year · A free check offered to permanent residents by primary care facilities under the National Basic Public Health Services. | National Health and Family Planning Commission (China) · 国家基本公共卫生服务规范(第三版)· 高血压患者健康管理服务规范 · National programme 国家基本公共卫生服务规范(第三版)（国家卫生计生委 2017年2月）— 卢氏县人民政府网站转载 PDF 国家卫生计生委公报 2017年第3期（收录国卫基层发〔2017〕13号通知正文，附件略） |
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| Breast examination and breast ultrasound Breast cancer screening |
Women; ages 35 to 64 | every 2–3 years · The interval applies when the breast ultrasound result is normal or benign; an unclear result leads to a mammogram, a suspicious one to a biopsy. Priority is given to rural women and urban women on minimum living allowance. | National Health Commission (China) · 乳腺癌筛查工作方案 · National programme 《宫颈癌筛查工作方案》和《乳腺癌筛查工作方案》文件解读（国家卫生健康委）— 河北省卫生健康委员会网站转载 国家卫生健康委办公厅关于印发宫颈癌筛查工作方案和乳腺癌筛查工作方案的通知（国卫办妇幼函〔2021〕635号）— 河北省卫生健康委员会网站转载 |
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| Cervical cytology or HPV-only test Cervical cancer screening |
Women; ages 35 to 64 | Cervical cytology (smear test) — every 3 years · HPV-only test (with cytology triage if positive) — every 5 years · Includes a gynaecological examination. Priority is given to rural women and urban women on minimum living allowance. | National Health Commission (China) · 宫颈癌筛查工作方案 · National programme 《宫颈癌筛查工作方案》和《乳腺癌筛查工作方案》文件解读（国家卫生健康委）— 河北省卫生健康委员会网站转载 国家卫生健康委办公厅关于印发宫颈癌筛查工作方案和乳腺癌筛查工作方案的通知（国卫办妇幼函〔2021〕635号）— 河北省卫生健康委员会网站转载 |
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| Colonoscopy Colorectal (bowel) cancer screening |
ages 40 to 74; Assessed as at high risk of sporadic colorectal cancer on the national risk score (based on age, sex, colorectal cancer in a parent, child or sibling, smoking and body mass index) | every 5–10 years · People who cannot tolerate or decline colonoscopy may instead have a faecal occult blood test every year or another listed test. If a parent, child or sibling was diagnosed before age 60, or two or more were diagnosed, screening starts 10 years before the earliest diagnosis age in the family, with no lower age limit. | National Health Commission (China) · 结直肠癌筛查与早诊早治方案(2024年版) · National guideline 国家卫生健康委办公厅关于印发肺癌筛查与早诊早治方案(2024年版)和结直肠癌筛查与早诊早治方案(2024年版)的通知 — 朝阳市卫生健康委员会网站转载 |
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| Gastroscopy (upper endoscopy) Stomach cancer screening |
ages 45 to 74; At high risk of stomach cancer: lives in a high-incidence area, has a parent, child or sibling with stomach cancer, has tested positive for Helicobacter pylori, smokes, drinks heavily or eats a high-salt or pickled diet, or has a stomach condition such as atrophic gastritis, stomach ulcer, stomach polyps or a remnant stomach after surgery | every 5 years · For people at high risk with no history of upper gastrointestinal cancer who can undergo endoscopy; people with some precancerous findings are checked more often. | National Health Commission (China) · 胃癌筛查与早诊早治方案(2024年版) · National guideline 国家卫生健康委办公厅关于印发食管癌筛查与早诊早治方案(2024年版)和胃癌筛查与早诊早治方案(2024年版)的通知（国卫办医急函〔2024〕200号）— 广德市人民政府网站转载 |
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| Upper gastrointestinal endoscopy Oesophageal (food pipe) cancer screening |
ages 45 to 74; At high risk of oesophageal cancer: lives in a high-incidence area, has a parent, child or sibling with oesophageal cancer, has habits such as very hot food or drink, high-salt or pickled food, smoking or heavy drinking, has a long-term oesophageal condition (such as Barrett's oesophagus or reflux oesophagitis), or has been treated for a precancerous oesophageal lesion | every 5 years · For people at high risk with no history of upper gastrointestinal cancer who can undergo endoscopy; people with some precancerous findings are checked more often. | National Health Commission (China) · 食管癌筛查与早诊早治方案(2024年版) · National guideline 国家卫生健康委办公厅关于印发食管癌筛查与早诊早治方案(2024年版)和胃癌筛查与早诊早治方案(2024年版)的通知（国卫办医急函〔2024〕200号）— 广德市人民政府网站转载 |
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| Low-dose CT scan of the chest (LDCT) Lung cancer screening |
ages 50 to 74; At high risk of lung cancer: a heavy smoking history above the pack-year threshold in the national plan (including former smokers who quit recently), many years of living or working with smokers, COPD, occupational exposure (such as asbestos, radon or coal smoke), or a parent, child or sibling diagnosed with lung cancer | every year · For people at high risk with no history of lung cancer. Chest X-ray, MRI, PET-CT and biomarker tests are not recommended for screening. | National Health Commission (China) · 肺癌筛查与早诊早治方案(2024年版) · National guideline 国家卫生健康委办公厅关于印发肺癌筛查与早诊早治方案(2024年版)和结直肠癌筛查与早诊早治方案(2024年版)的通知 — 朝阳市卫生健康委员会网站转载 |
Vaccines
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| Seasonal flu vaccine (inactivated or live attenuated) Flu vaccination |
from 6 months | every year · Priority groups are health workers, people aged 60 and over, people with chronic conditions, care-home residents and staff, children aged 6 months to under 5 years, carers of babies under 6 months and pregnant women. Children under 9 years having their first inactivated vaccine need two doses at least 4 weeks apart. | Chinese Center for Disease Control and Prevention · 中国流感疫苗预防接种技术指南(2026—2027) · Technical guideline 中国流感疫苗预防接种技术指南(2026—2027)（发布页） |
Childhood immunizations
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| BCG vaccine Tuberculosis (BCG) vaccination |
under 3 months | at birth · One dose at birth; the schedule recommends completing it before age 3 months. | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
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| Hepatitis B vaccine Hepatitis B vaccination |
until your 18th birthday | at birth, 1 month, 6 months · The first dose is given within 24 hours of birth. The age range includes catch-up for children and teens who have not completed the series. | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
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| DTaP vaccine (diphtheria, tetanus and acellular pertussis) Diphtheria, tetanus and whooping cough vaccination |
2 months to 6 years | 2 months, 4 months, 6 months, 18 months, 6 years | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 国家疾控局综合司 国家卫生健康委办公厅关于调整国家免疫规划百白破疫苗和白破疫苗免疫程序的通知（国疾控卫免发〔2024〕20号） 《国家免疫规划疫苗儿童免疫程序及说明(2026年版)》解读问答 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
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| Polio vaccine (inactivated IPV injection, then oral bOPV) Polio vaccination |
from 2 months until your 18th birthday | 2 months, 3 months, 4 months, 4 years · The first two doses are inactivated polio vaccine (IPV) by injection; the last two are oral bivalent polio vaccine (bOPV). The age range includes catch-up for children and teens who have not had all their doses (IPV first, then bOPV). | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
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| Meningococcal group A polysaccharide vaccine (MPSV-A) Meningococcal groups A and C vaccination |
from 6 months until your 2nd birthday | 6 months, 9 months · The two doses are at least 3 months apart. Missed doses are caught up only before 24 months of age; older children no longer get MPSV-A and go on to the two doses of group A and C vaccine (MPSV-AC). | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
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| Japanese encephalitis vaccine Japanese encephalitis vaccination |
from 8 months until your 18th birthday | 8 months, 2 years · Doses shown are for the live attenuated vaccine (JE-L); with the inactivated vaccine (JE-I), 4 doses are given: two at 8 months, 7-10 days apart, then one each at ages 2 and 6 years. Catch-up covers children born after the vaccine entered the immunization programme (later in Tibet, Qinghai and Xinjiang than elsewhere). | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 《国家免疫规划疫苗儿童免疫程序及说明(2026年版)》解读问答 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
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| MMR vaccine (measles, mumps and rubella) Measles, mumps and rubella (MMR) vaccination |
from 8 months until your 18th birthday | 8 months, 18 months · The age range includes catch-up for children and teens who have not had all their doses of measles-, mumps- and rubella-containing vaccine. | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
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| Hepatitis A vaccine Hepatitis A vaccination |
from 18 months until your 18th birthday | 18 months · Dose shown is for the live attenuated vaccine (HepA-L). Where the inactivated vaccine (HepA-I) is used instead, 2 doses are given, at 18 months and at age 2. The age range includes catch-up for children and teens who have not had their doses. | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
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| Meningococcal groups A and C polysaccharide vaccine (MPSV-AC) Meningococcal groups A and C vaccination |
from age 2 until your 18th birthday | 3 years, 6 years · The two doses are at least 3 years apart. Catch-up covers children born after meningococcal vaccine was included in the immunization programme; from 24 months, MPSV-A is no longer given but both MPSV-AC doses are still completed, and a child who never had MPSV-A can have MPSV-AC early, before age 3. | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
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| DT vaccine (diphtheria-tetanus) Diphtheria and tetanus vaccination |
ages 7 to 11; Missed one or more of the DTaP doses due earlier (catch-up only) | 7–11 years · Catch-up only. A child with fewer than 3 DTaP doses is brought up to 3 doses in total with DT (second dose 1-2 months after the first, third dose 6-12 months after the second); a child with 3 or more doses who missed the dose at age 6 gets one DT dose. | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 《国家免疫规划疫苗儿童免疫程序及说明(2026年版)》解读问答 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
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| HPV vaccine (bivalent) HPV vaccination |
Girls; from age 13 until your 18th birthday; born on or after | 13 years, 6 months after the previous dose · For on-time vaccination, the first dose is given before age 14 and the second within 12 months of the first. The age range includes catch-up for girls in the eligible birth cohort who have not had both doses; they should complete them as soon as possible, 6 months apart (at least 5 months). | National Disease Control and Prevention Administration (China) · 国家免疫规划疫苗儿童免疫程序及说明(2026年版) · National programme 国家免疫规划疫苗儿童免疫程序及说明(2026年版)（国家疾控局网站附件） 人乳头瘤病毒疫苗纳入国家免疫规划实施技术方案 国家疾控局 国家卫生健康委关于印发国家免疫规划疫苗儿童免疫程序及说明(2026年版)的通知（国疾控卫免发〔2026〕16号） |
Health check programmes
| Item | Who it is for | How often / doses | Guideline | Checked |
|---|---|---|---|---|
| Health check for older people (health assessment, physical examination and basic tests) National health check programme |
age 65 and over | every year · A free check for permanent residents at primary care facilities, covering a lifestyle and health assessment, physical examination, basic tests and health advice. | National Health and Family Planning Commission (China) · 国家基本公共卫生服务规范(第三版)· 老年人健康管理服务规范 · National programme 国家基本公共服务标准(2023年版) 国家基本公共卫生服务规范(第三版)（国家卫生计生委 2017年2月）— 卢氏县人民政府网站转载 PDF 国家卫生计生委公报 2017年第3期（收录国卫基层发〔2017〕13号通知正文，附件略） |
Emergency and crisis lines
United States
Emergency 911 Emergency services (United States) · Source
Crisis line 988 Suicide & Crisis Lifeline (United States) · Available 24 hours a day, every day of the year. · Source
United Kingdom
Emergency 999 NHS England · Source
Health advice 111 NHS England · Source
Crisis line 116 123 Samaritans · Open 24 hours a day. · Source
China
Emergency 120 National Health Commission (China) · Source
Crisis line 12356 National Health Commission (China) · Each line provides at least 18 hours of service a day under the national notice; hours vary by city. · Source
Japan
Emergency 119 Fire and Disaster Management Agency (Japan) · Source
Crisis line 0120‑061‑338 #いのちSOS (Lifelink) · Open 24 hours a day, every day (free call). · Source
Crisis line 0120‑279‑338 Yorisoi Hotline · Open 24 hours a day (free call). · Source
Spain
Emergency 112 Emergency services (Spain) · Source
Crisis line 024 Ministerio de Sanidad (Spain) · Free and confidential, 24 hours a day, every day of the year. · Source
Brazil
Emergency 192 Ministério da Saúde (Brazil) · Source
Crisis line 188 CVV — Centro de Valorização da Vida · Free, 24 hours a day, anywhere in Brazil. · Source
Elsewhere, call your local emergency number.