WASHINGTON — Starting Jan. 5, the U.S. will require a pre-departure negative Covid test for anyone flying in from China, the Centers for Disease Control and Prevention announced Wednesday. The new policy comes amid a surge in Covid cases in China and as fears that a new, concerning variant could emerge.

NBC News reported earlier that the travel requirements were under consideration. Federal health officials said China’s lack of adequate and transparent Covid data — specifically, viral genomic sequence data — led to the decision, making it harder for U.S. public health officials to identify new variants.

The officials said they are waiting until Jan. 5 to give airlines enough time to implement the change and will continue monitoring going forward to decide when to lift the requirement.

The CDC is also increasing the tracking of travelers coming to the U.S. who may have Covid by expanding the Traveler Genomic Surveillance program to include the airports in Seattle and Los Angeles. That brings the number of airports in the program to seven, including John F. Kennedy International Airport in New York City, Newark Liberty International Airport in New Jersey, San Francisco International Airport, Hartsfield–Jackson Atlanta International Airport and Dulles International Airport near Washington, D.C.

Federal officials expressed concern that China’s past “zero-Covid” policies could lead to a large number of hospitalizations and deaths there now that it has dropped most measures and its population may lack immunity to the currently circulating omicron subvariants. 

The officials said the U.S. has continued to offer its support and assistance to China on Covid, including vaccine doses. China has said publicly that it appreciates the offer, but does not need the support at this time, the officials said.

How testing will work

Travelers to the U.S. must get tested no more than two days before their departure, regardless of their nationality or Covid vaccination status, the CDC said. The requirement applies to all air passengers ages 2 and up departing from China, Hong Kong or Macau.

People who have been to these areas in the last 10 days and are connecting to the U.S. through Incheon International Airport in South Korea or Canada’s Toronto Pearson or Vancouver International airports must also provide a negative Covid test no more than two days before their departure to the U.S.

The U.S. will accept a PCR test or an antigen self-test that is administered and monitored via telehealth and approved by the Food and Drug Administration or equivalent national health authority. Those who recently recovered from Covid (tested positive more than 10 days ago) can also provide proof of recent recovery. It’s up to airlines to deny boarding to people who can’t present proof of negative test or recovery.

Other places instituted similar policies earlier this month. Japan said Tuesday that all travelers from mainland China would be tested on arrival, and Malaysia is stepping up tracking and surveillance of travelers from China.

Taiwan said Wednesday that travelers from mainland China would have to take a PCR test on arrival, with those who test positive allowed to isolate at home. Last week, India said it would make virus testing mandatory for travelers arriving from China as well as Japan, South Korea, Hong Kong and Thailand. As in Japan, anyone who tests positive will be required to quarantine.

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