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中国的医院船在非洲展现了一种不同的海军力量China’s hospital ships project a different kind of naval power in Africa

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9月25日,“祥云”号驶入塞内加尔达喀尔港时,现场更像是一场公共卫生任务,而非海军部署。塞内加尔民众和华侨华人早早在港口等候,迎接这艘中国海军医院船首次访问塞内加尔。

When the Auspicious Ark entered Dakar, Senegal, on September 25, the scene looked closer to a public health mission than a naval deployment. Senegalese people and members of the Chinese community were waiting at the port as the vessel arrived for the first visit by a Chinese naval hospital ship to Senegal.

“祥云”号是中国人民解放军海军舰艇。此次访问属于中国在非洲更广泛的海上存在的一部分,后者通常与护航反海盗、港口访问、训练任务以及海外准入问题联系在一起。如今,它通过门诊、手术和与当地医务人员的交流触达民众,让中国的海军呈现出一种更安静、更贴近人心的形式。

The Auspicious Ark is a PLA Navy vessel. That places the visit within a wider Chinese maritime presence in Africa, something more often associated with anti-piracy patrols, port calls, training missions and questions over overseas access. Now, it reaches people through consultations, surgeries and exchanges with local medical staff, giving China’s naval presence a quieter and more personal form.

这种反差在上一站毛里塔尼亚已初现端倪。在努瓦克肖特为期七天的停留期间,一名高危孕妇求助并在舰上顺利分娩。当晚,眼科团队完成了此次访问的首例白内障手术。单日诊疗人次超过1600。

The contrast was already visible in Mauritania, the ship’s previous stop. During its seven-day stay in Nouakchott, a woman with a high-risk pregnancy sought help and gave birth aboard the vessel. That evening, the ophthalmology team completed its first cataract operation of the visit. The ship handled more than 1,600 patient visits in a single day.

“祥云”号为港口带来了受欢迎的能力:一个运转良好的医疗体系,能在抵达数小时内开始诊疗。这艘执行首次海外任务的医院船设有18个临床科室、8间手术室,医疗团队超过100人。可开展60余种检查和手术,舰载直升机更延伸了其应急救援半径。

The Auspicious Ark brings a welcome capability into port: a functioning medical system that can begin treating people within hours of arrival. The ship, on its first overseas mission, has 18 clinical departments, eight operating rooms and a medical team of more than 100 people. It can carry out more than 60 types of examinations and procedures, while a shipborne helicopter extends its emergency rescue range.

此类任务已成为中国海军外交的常态化组成部分。始于2010年的“和平方舟”号执行了前10批任务,“丝路方舟”号接棒第11批任务,而“祥云”号正执行第12批任务——预计持续200余天。

Such missions have become a regular part of China’s naval diplomacy. It began in 2010 with the Peace Ark. That ship carried out the first 10 deployments, while the Silk Road Ark took over the 11th mission. The Auspicious Ark is now undertaking the 12th – a mission expected to last more than 200 days.

反复的访问赋予了该项目大部分分量。自首次海外部署以来,“和平方舟”号已访问49个国家和地区,诊治超过37万人次。仅2024年,它就在海上度过了215天,接诊82,980名患者,并在亚非地区实施了1,392台手术,这种熟悉度是一次性港口访问永远无法建立的。

Repeated visits give the programme much of its weight. Since its first overseas deployment, the Peace Ark has called at 49 countries and regions and treated more than 370,000 people. In 2024 alone, it spent 215 days at sea, saw 82,980 patients and carried out 1,392 operations across Asia and Africa, giving these missions a familiarity that a single port visit could never create.

“和平方舟”号抵达了熟悉的土地。根据塞内加尔卫生部数据,中国医疗队自1975年起在塞内加尔工作,300多名专业人员累计诊治约350万患者。在塞内加尔,目前的项目除船上诊疗外,还包括医院交流和社区活动。

The Auspicious Ark arrived on familiar ground. Chinese medical teams have worked in Senegal since 1975, with more than 300 professionals treating an estimated 3.5 million patients, according to Senegal’s health ministry. In Senegal, the current programme includes hospital exchanges and community activities alongside treatment aboard the ship.

与建立军事基地或大型军购协议相比,医疗合作背负的政治包袱更轻,但它依然让中方人员定期与官员、医院和当地社区接触。对达喀尔而言,吸引力显而易见:可在其可主导条件下获得的实用医疗支持。对北京而言,这些访问深化了与官员和机构的联系。

Medical cooperation carries less political baggage than a basing arrangement or a major arms deal, yet it still brings Chinese personnel into regular contact with officials, hospitals and local communities. For Dakar, the appeal is straightforward: useful medical support on terms it can shape. For Beijing, the visits deepen ties with officials and institutions.

中国在西非的海上角色通过其他渠道得以拓展。中国军舰在几内亚湾周边访问港口、举行联合演练,并支持地区国家培训。随着海盗、石油航线和商业航运安全将海军合作推上更重要议程,北京已接待来自18个几内亚湾国家的海上安全官员。

China’s maritime role in West Africa has expanded through other channels. Chinese warships have made port calls around the Gulf of Guinea, held joint drills and supported training for regional countries. Beijing has hosted maritime security officials from 18 Gulf of Guinea countries as piracy, oil routes and the safety of commercial shipping have pushed naval cooperation higher on the agenda.

几内亚湾周边的安全合作通常通过培训项目、港口访问或国防部协议间接惠及公众。但对接受白内障手术的患者或与来访专家合作的医生而言,中国海军的存在是通过一项具有明确个人价值的服务来体验的。

Security cooperation around the Gulf of Guinea usually reaches the public indirectly, through training programmes, port visits or agreements between defence ministries. For a patient treated for cataracts or a doctor working with visiting specialists, the Chinese naval presence is experienced through a service with clear personal value.

这些访问时间短暂,船只离开后,当地国家卫生系统仍面临人员、设备和资金短缺的问题,但该项目已成为中国海军海外活动的常态化组成部分。

The visits are brief, and national health systems still face shortages of staff, equipment and financing once the ship leaves, yet the programme has become a recurring part of Chinese naval activity overseas.

这些舰艇属于军事资产,旨在支撑海军行动,并在紧急情况或冲突期间提供医疗救护。船员们学习如何跨越遥远海域执行任务,而对非洲港口的访问则取决于与当地政府的协调。

These vessels are military assets, built to support naval operations and provide medical care during emergencies or conflict. Crews learn how to operate across distant seas, while visits to African ports depend on coordination with local authorities.

中国耗费多年构建起使此类任务成为可能的远海能力。自2008年起,其亚丁湾护航任务持续至今,让解放军海军官兵积累了长期远离本土水域的经验,而中国在吉布提的军事基地则在世界最繁忙航道之一附近提供了永久立足点。

China has spent years building the reach that makes such missions possible. Its Gulf of Aden escort programme has run since 2008, giving PLA Navy crews long experience away from home waters, while China’s military base in Djibouti provides a permanent foothold near one of the world’s busiest sea lanes.

医院船依赖这种纵深后勤保障。长达数月的部署需要补给、轮换、维修以及远海作业经验,将医疗外交转化为海军必须先具备持续维持能力的事务。

Hospital ships depend on that logistical depth. Months-long deployments require replenishment, crew rotation, maintenance and experience in distant waters, turning medical diplomacy into something a navy must first have the capacity to sustain.

在西非,海上演习和安全合作往往与普通民众的生活相距遥远。虽然医院船访问的政治效果难以量化,但一次问诊、一台手术、一个在海军舰艇上安全降生的婴儿,都能在船只驶离后长久留存于记忆之中。

In West Africa, maritime exercises and security cooperation often remain distant from ordinary life. While the political effect of a hospital ship visit is difficult to measure, a consultation, an operation or a child delivered safely aboard a Chinese naval vessel can leave a memory long after the ship has sailed.

“和平方舟”号最终将离开达喀尔,继续其使命。但很可能,它的某些影响将留存在任何海图都无法标注的地方。

The Auspicious Ark will eventually leave Dakar and continue its mission. But chances are, some of its reach will remain in places no chart can mark. By Göktuğ Çalışkan