Chapter 1 / 36 tips

How to avoid dying too soon✳

This section covers three main topics. First, deaths caused by accidents and injuries — things like car crashes, fires, and poisoning. Second, there are a few vaccines and screening tests backed by very strong scientific evidence. Third, we’ll look at certain warning signs the body gives off that mean it’s time to get checked out. The numbers listed under “Benefit” come from randomized controlled trials, large long‑term studies, or official statistics. The “Cost” figures are rough estimates based on current market prices; they’re meant only for comparison purposes and shouldn’t be cited as official data.

English text comes from the independent translation maintained by dlgrv. New entries without a translation appear in Chinese. The author's Chinese original is authoritative for the latest content. Translation snapshot: dlgrv/HowToLiveBetter · 11818c6

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01Evidence A

Always wear seat belts, both front and back

Wearing a seat belt in the front seat cuts the risk of dying in a crash by roughly half. For drivers and passengers in light trucks, the reduction is about 60%. Among U.S. crash victims in 2022 whose seat belt use was documented, half were not wearing one.

Cost

No cost at all. It only adds about 2 seconds to every trip…

Benefit

According to NHTSA estimates, seat belts lower the risk of fatal injury for front‑seat occupants of cars by 45…

02Evidence A

Wearing a helmet and fastening the strap while riding motorcycles or e-bikes

Wearing a helmet and fastening the strap properly reduces a motorcyclist’s risk of dying in an accident by roughly 40%. The chance of suffering a head injury drops by about 70%. The strap must be tightened; a helmet that simply hangs loosely on the head does not count as being worn.

Cost

A helmet costs between 100 and 300 yuan. It takes just 5 s…

Benefit

Cochrane pooled data from multiple studies. For motorcyclists wearing helmets, the risk of death fell by 42%.…

03Evidence B

Install smoke alarms; those heating with coal or gas in winter should also add a carbon monoxide alarm

A properly functioning smoke alarm can cut the risk of dying in a home fire by roughly 60%. Forty percent of fire victims are asleep at the time, so they won’t wake up just from the smell of smoke. For anyone heating their home with coal or gas during winter, adding a carbon monoxide alarm is essential. In China, 11,500 people died from carbon monoxide poisoning in 2018; 70% of those deaths occurred at home during the three winter months.

Cost

A smoke alarm costs between 30 and 100 yuan. A carbon mono…

Benefit

A study in North Carolina examined homes that had experienced fires versus those that hadn’t. It found that ha…

04Evidence A

Replace gas hoses and stoves when they reach their expiration date; never modify the piping yourself, and you may decline any unsolicited sales pitches from gas companies.

A properly certified gas hose costs only a few dozen yuan. Replacing it when it expires is a mandatory obligation for users, as clearly stated in the Regulations on Urban Gas Management. The same regulations explicitly forbid any unauthorized modification of gas piping or removal of gas meters. Moreover, they stipulate that gas companies may not compel customers to purchase specific products or services. Therefore, if a representative from a gas company shows up claiming that replacement is mandatory, you have every right to refuse.

Cost

A compliant gas hose costs just a few dozen yuan. Stoves s…

Benefit

The Regulations explicitly define it as a user obligation to promptly replace any gas appliances or connecting…

05Evidence A

Do not pick, buy, or eat wild mushrooms; any “folk tricks” for identification are useless

In 2025 alone, there were 828 cases of mushroom poisoning across China, affecting 2,165 people, with 13 fatalities. That same year, 34 previously unknown poisonous mushroom species were identified. Myths such as using a silver needle to test for toxicity, assuming mushrooms safe if insects eat them, or that only brightly colored varieties are toxic are all false.

Cost

No expense involved. The hard part is giving up a seasonal…

Benefit

The Chinese CDC investigated 828 mushroom poisoning cases in 2025 involving 2,165 individuals;

06Evidence A

Do not push e-bikes into stairwells, elevators, or charge them at home

Pushing an e-bike into a stairwell or elevator, or charging it at home, is strictly prohibited under the Ministry of Emergency Management’s “Regulations on Fire Safety Management in High-Rise Civil Buildings.” Those who violate the rule face fines of 500–1,000 yuan for individuals and 2,000–10,000 yuan for businesses. Even the fines are the lesser concern; the real danger is that a fire could erupt right in your only escape route.

Cost

No direct cost. The tricky part is having to walk a few do…

Benefit

The regulations explicitly forbid “parking e-bikes or charging them in public lobbies, evacuation corridors, s…

07Evidence A

Measuring blood pressure and taking meds to reach target levels

For every 10 mmHg drop in blood pressure, the risk of major cardiovascular problems falls by 20%, stroke risk drops 27%, heart failure risk drops 28%, and overall mortality risk declines by 13%. Among Chinese adults aged 35–75, 44.7% have hypertension, but only 7.2% have their blood pressure under proper control.

Cost

An electronic sphygmomanometer costs 100–200 RMB. Each mea…

Benefit

Data from 123 clinical trials involving over 610,000 participants shows that a 10 mmHg reduction in systolic b…

08Evidence A

After age 35, anyone who is overweight should get a fasting blood glucose test; if the result is normal, repeat it every three years.

For just a few dozen yuan, a single blood test can detect prediabetes even when there are absolutely no symptoms at all. Official US screening guidelines recommend this test for anyone aged 35 to 70 who is overweight or obese. If the test comes back normal, they should repeat it every three years.

Cost

A fasting blood glucose test costs just a few dozen yuan.…

Benefit

The US Preventive Services Task Force is the official body that issues screening recommendations in the US. It…

09Evidence B

Don’t speed or drive after drinking

On average, for every 1% increase in speed, the chance of a fatal crash rises by roughly 4%. There is no “safe” level of alcohol consumption when it comes to driving; even very low blood alcohol concentrations already raise the risk of accidents.

Cost

There’s no direct cost. Driving a bit slower adds just a f…

Benefit

According to the World Health Organization (WHO), a 1% rise in average speed translates to a 4% increase in th…

10Evidence A

Use a car seat for children under 4, don’t hold them in your arms

For infants under one year old, using a car seat cuts the risk of a fatal injury in a crash by roughly 70%. For children aged 1 to 4, the risk drops by about half. Holding a child in your arms provides no such protection; in a sudden stop you simply cannot keep them secure.

Cost

A seat costs between 300 and 2,000 yuan and lasts several…

Benefit

According to the U.S. National Highway Traffic Safety Administration (NHTSA), car seats lower the risk of fata…

11Evidence B

Install window guards and balcony barriers if you have kids at home; screen windows do not count as protection

These window guards cost only a few dozen yuan each. New York City once offered free window guards to high-risk households and provided on-site guidance; as a result, child fall incidents reported in one borough dropped by half over three years. Eventually, New York even passed a law requiring landlords to install such guards in rental units with kids under 10. Screen windows, however, can be easily pushed open — they do not provide any real protection.

Cost

A set of window guards or child safety locks costs just a…

Benefit

Since 1972, New York City has run a program called “Kids Can’t Fly,” which distributes free window guards in h…

12Evidence A

Keep young children in sight near water; wear life jackets when boating or swimming

Wearing a life jacket while in the water cuts the risk of drowning to roughly half compared to not wearing one. Drowning remains the leading cause of death among children aged 1–14 in China. The drowning mortality rate in rural areas is roughly twice that in cities.

Cost

Life jackets cost between 50 and 200 yuan. Additionally, p…

Benefit

Research using U.S. Coast Guard data compared similar groups of people. For individuals who fell overboard whi…

13Evidence A

Exercising balance and leg strength for people over 60, plus home modifications

Doing balance exercises such as Tai Chi two or three times weekly can cut the overall number of falls among older adults by roughly 23%. It also reduces the proportion of people who have fallen at least once by about 15%. Adding simple home modifications — like anti-slip mats and handrails — can lower fall rates by another 20% or so. Falls are the leading cause of injury-related deaths among Chinese seniors aged 65 and above; alarmingly, over half of all falls happen right at home.

Cost

Aim to practice balance exercises two to three times per w…

Benefit

Cochrane analyzed 108 separate trials involving 23,407 participants. Collectively, these studies show that reg…

14Evidence A

Get tested for hepatitis B markers; if no antibodies, get vaccinated

The test itself is very inexpensive. In Qidong’s 30‑year follow‑up study, infants who received the hepatitis B vaccine at birth had an 84% lower risk of developing primary liver cancer and a 72% lower rate of carrying the hepatitis B virus compared to unvaccinated peers. Adults found to have no antibodies should receive three vaccine doses over six months at a cost of roughly 100–300 yuan.

Cost

The test costs just a few dozen yuan per person. For adult…

Benefit

This Qidong trial used group randomization rather than individual assignment and was tracked for three decades…

15Evidence B

If you get pricked by a nail or splinter, or if a wound gets dirty with soil, treat it the same day and ask whether a tetanus shot is needed.

Once tetanus sets in, about 1 out of every 10 people dies. The risk is highest for deep wounds or wounds contaminated with soil. Treating such a wound on the same day costs only a few dozen yuan — don’t wait until it starts swelling to seek care.

Cost

Seeing a doctor and having the wound treated costs just a…

Benefit

In the United States, roughly 1 out of every 10 people with tetanus dies. The risk is similarly higher for dee…

16Evidence A

The earlier women get the HPV vaccine, the better

Data from 1.67 million Swedish women show that those who received the HPV vaccine before age 17 have only about one‑eighth the risk of developing invasive cervical cancer compared to unvaccinated women. For women vaccinated between 17 and 30, the risk is roughly half that of non‑vaccinated peers. Therefore, getting vaccinated earlier offers the greatest benefit.

Cost

Domestic bivalent vaccines cost around 300 RMB per dose, w…

Benefit

Swedish research on 1.67 million women found that vaccinated individuals have a much lower incidence of invasi…

17Evidence A

Breast cancer screening for women: mammograms every two years starting at age 40

For women aged 40 to 74, having a mammogram every two years is a clear recommendation in official US screening guidelines. For women over 75, and for those with dense breast tissue who need extra ultrasound or MRI scans, there is currently insufficient evidence to support such screening. If a health check package includes these extra tests at an extra charge, they are not necessary.

Cost

A mammogram costs around 200–300 yuan each time. Many regi…

Benefit

The US Preventive Services Task Force is the official body that issues screening recommendations in the US. It…

18Evidence A

For women over 30, HPV testing should be the first choice for cervical cancer screening

In that rural Indian trial, women who underwent just one HPV test in their lifetime had roughly half the risk of dying from cervical cancer and about 50% lower odds of being diagnosed with advanced-stage disease. At a cost of just 100–200 yuan per test, a negative result provides protection for five years.

Cost

An HPV test costs between 100 and 300 yuan. Women with a n…

Benefit

This trial in rural India used group-level rather than individual randomization, involving women aged 30–59. A…

19Evidence A

Starting colorectal cancer screening at ages 45–50: use fecal immunochemical tests or colonoscopies

Getting a low-cost fecal occult blood test every year or two lowers the chance of dying from colorectal cancer by roughly 16%. For people who’ve had at least one round of screening, this risk drops by about 25%. In the group invited to undergo a colonoscopy, the likelihood of developing colorectal cancer over the next decade fell from 1.20% to 0.98%.

Cost

Fecal tests cost just a few dozen yuan and can be done eve…

Benefit

Cochrane pooled data from multiple studies showing that individuals undergoing fecal occult blood screening ha…

20Evidence A

People with cardiovascular disease and older adults should get a flu shot each year

In a trial involving people after a heart attack, the yearly death rate dropped from 4.9% to 2.9% after they received the flu vaccine. For people with cardiovascular disease and older adults, getting one shot each autumn for just 50 to 150 yuan can make a real difference.

Cost

One shot costs 50 to 150 yuan. It should be given once eac…

Benefit

This trial included 2,571 participants after a myocardial infarction;

21Evidence A

Getting the shingles vaccine after age 50

In Phase 3 trials, this vaccine proved 97% effective at preventing shingles across all age groups. The downside is that both doses cost several thousand yuan, all paid by the patient. In exchange, there’s a 97% reduction in the likelihood of developing shingles.

Cost

The recombinant shingles vaccine requires two doses, costi…

Benefit

This Phase 3 trial involved 15,400 participants from 18 countries. Participants were randomly assigned to rece…

22Evidence A

Pneumococcal vaccine for people over 65

In a trial involving 84,500 seniors, the 13-valent pneumococcal vaccine cut cases of pneumonia caused by strains it targets by roughly 46%, and reduced instances of the most severe invasive infections by 75%. However, it showed no effect on pneumonia cases caused by any other pathogens, so it won’t prevent all types of pneumonia. The absolute confidence interval width is 95.2%.

Cost

Several hundred yuan. In some regions, it is provided free…

Benefit

Researchers in the Netherlands randomly assigned 84,500 seniors over 65 to two groups for comparison. They use…

23Evidence A

Testing for Helicobacter pylori and eradicating it if positive

A 22-year follow-up study conducted in Linqu, Shandong, showed that individuals who had Helicobacter pylori eradicated had roughly half the risk of developing gastric cancer and about 40% lower risk of dying from it. Testing costs just 100–200 yuan, while eradication requires a two-week medication regimen.

Cost

The carbon-13 or carbon-14 breath test costs 100 to 200 yu…

Benefit

This randomized trial in Linqu, Shandong, followed participants for 22 years. Those who underwent Helicobacter…

24Evidence A

Heavy smokers should get a low-dose chest CT once a year

Eligible heavy smokers who get a low-dose CT once a year have a 20% lower risk of dying from lung cancer and a 6.7% lower overall risk of death compared to those who only get regular chest X-rays. The trade-offs are extra follow-up tests after any suspicious findings and the resulting worry during the waiting period.

Cost

The test costs 200–400 yuan per session and takes just 10…

Benefit

The NLST trial in the U.S. enrolled 53,454 participants aged 55–74 with at least 30 pack-years of smoking hist…

25Evidence B

Call 12356 if you’re depressed or having suicidal thoughts; don’t keep sleeping pills or pesticides at home

Removing lethal items from easy reach is a proven way to cut suicide risk: after restricting access to painkillers, suicide rates linked to them dropped by 43%; installing barriers at locations where people often jump off cliffs cut rates by 86%. That’s why it’s a good idea to avoid storing sleeping pills and pesticides at home. If you’re feeling overwhelmed, call 12356 — this national helpline is available at least 18 hours a day.

Cost

There’s no cost involved. You just need to make one phone…

Benefit

A recent review of nearly a decade’s worth of research confirms that limiting people’s access to lethal means…

26Evidence B

Purchase fire extinguishers, fire blankets, escape respirators, and first-aid kits, then inspect them once a year

Fire extinguishers, fire blankets, escape respirators, and first-aid kits are all included in the Emergency Management Department’s list of 11 essential items for household emergency preparedness. The whole set costs a few hundred yuan, and you only need to buy it once. Studies of home safety programs that included on-site guidance found these measures cut injury rates by roughly 25%.

Cost

A set of fire extinguishers, fire blankets, one respirator…

Benefit

The Emergency Management Department’s “National Recommended List of Basic Household Emergency Supplies” contai…

27Evidence B

Visible blood in urine — even if painless and gone by the next day — still warrants a check-up

Among people aged 60 and older, the chance of ultimately being diagnosed with bladder cancer after experiencing one episode of visible blood in urine is about 2.8%. For those aged 40–59, that figure is roughly 1.2%. These percentages may not seem very high, but they’re high enough to justify getting checked — even if the bleeding stops the very next day.

Cost

A routine urine test costs just a few dozen yuan, while a…

Benefit

A UK study analyzed electronic medical records from primary-care clinics, comparing 4,915 patients diagnosed w…

28Evidence A

If erectile dysfunction appears, check cardiovascular health first — don’t treat it as a purely sexual issue

Men with erectile dysfunction later develop cardiovascular disease at roughly 40% higher rates than other men, and heart attacks at about 60% higher rates. The younger a man is, the greater this difference becomes. This problem often shows up before any chest pain does. Therefore, it’s wise to check blood pressure, blood sugar, and cholesterol levels rather than simply self‑medicating.

Cost

A doctor’s visit costs just a few dozen yuan. Measuring bl…

Benefit

One meta‑analysis combined data from 14 long‑term studies involving 92,757 men, followed for an average of 6.1…

29Evidence A

Weight loss, quitting smoking, and controlling blood pressure and blood sugar can improve erectile function

Managing cardiovascular risk factors naturally leads to better erectile function. When multiple randomized trials are combined, questionnaire scores improve by an average of 2 to 3 points. This questionnaire has a maximum score of 25, with scores above 22 considered normal.

Cost

There is no cost involved;

Benefit

One meta-analysis evaluated six randomized controlled trials involving 740 men. Interventions included lifesty…

30Evidence A

Always use condoms during sex and never share needles

Using a condom every time throughout sex cuts the chance of HIV transmission between heterosexual partners by roughly 70% or more. “Most of the time” just isn’t enough — that still leaves the risk nearly as high as not using one at all. Condoms also protect against syphilis, gonorrhea, and other STIs.

Cost

A single condom costs just one or two yuan. The challenge…

Benefit

One study pooled data from 25 separate studies involving 10,676 heterosexual couples in which one partner was…

31Evidence A

If you’ve engaged in high‑risk behavior, get tested for HIV — the Chinese CDC offers free testing with full confidentiality.

Testing for HIV at the Chinese CDC costs nothing. According to the “National Measures for HIV Testing Management,” staff are prohibited from disclosing your name, address, or test results. A positive result does not mean a death sentence: people who adhere to treatment and keep their viral load undetectable cannot transmit the virus to sexual partners. One major study followed more than 700 couples through over 70,000 unprotected acts; there were zero transmissions between partners.

Cost

There is no charge. You simply visit the Chinese CDC or a…

Benefit

Article 23 of the “Regulations on HIV/AIDS Prevention and Control” mandates that local health authorities desi…

32Evidence B

As soon as suicidal thoughts arise, tell someone nearby and hand over those first few minutes

Among 82 people who attempted suicide, 47.6% reported that only 10 minutes or less passed from the first appearance of suicidal thoughts to the actual attempt. What they had to endure was not a lifetime of mental anguish, but just those few minutes. Of the same group, 76.8% had some contact with others during that time, though they did not voice their feelings. Looking ahead, about 2% of people who ended up in the hospital due to self-harm died by suicide within a year, while roughly 7% did so after nine years or more; the vast majority did not follow that path.

Cost

No cost involved. The hard part is actually speaking up at…

Benefit

Interviews conducted within three days of admission with those 82 individuals showed that 47.6% (39 people) st…

33Evidence B

Don’t treat “survival” as a safety net: after ingesting paraquat or inhaling carbon monoxide, emergency care can save lives, but it rarely preserves lung or brain function.

There is no antidote for paraquat. Gastric lavage is not recommended, and neither hemofiltration nor dialysis alters its disease progression. Paraquat actively enters lung tissue against its concentration gradient, causing pneumonia and pulmonary fibrosis, while also damaging kidneys and liver. Among 257 cases treated at ten hospitals in Bangladesh, the mortality rate reached 43.2%. Carbon monoxide produces similar outcomes: six weeks after exposure, 46.1% of patients receiving normal oxygen still suffered cognitive impairment, compared to 25.0% of those receiving hyperbaric oxygen therapy. No treatment pathway yields a completely clean outcome; the most common result is lasting health complications.

Cost

No cost involved. It simply helps you understand this real…

Benefit

A systematic review on paraquat poisoning highlights its extremely high mortality rate, stemming from its intr…

34Evidence B

Don’t bet on “a few days of rest” after a fall from height: most patients admitted to a trauma ICU survive, though at a cost measured in years

A trauma ICU in southern Xinjiang treated 289 patients who fell from heights. Only 5.5% died either in the hospital or within 30 days. The vast majority survived, but at a price: 47.1% suffered injuries to three or more body parts, 36% needed ventilators, and the median length of stay in the ICU was 8 days — with some patients remaining for as long as 132 days. The median fall height for this group was just 3 meters. Follow‑up showed that 58% of those with serious injuries eventually returned to work.

Cost

No cost at all. It simply helps you see the full picture.

Benefit

From April 2020 to July 2024, the same ICU recorded 289 cases of falls from heights;

35Evidence A

Don’t trade “losing one kidney is no big deal” for cash: the remaining kidney has to do the work of two, and 86% of kidney sellers later say their health got worse

First, consider the best-case scenario: legitimate donors who pass rigorous screening and receive post‑surgery follow‑up. In U.S. data from nearly 96,000 donors, only 31 per 10,000 developed end‑stage renal disease within 15 years after donation. Among equally healthy, eligible non‑donors, that figure was just 4 per 10,000. On the other side, a study of 305 kidney sellers in India found that six years later, 86% reported poorer health, and three‑quarters still carried debt. Legitimate donors get screening and monitoring; kidney sellers get none of that.

Cost

No cost at all. It simply requires a clear look at the fac…

Benefit

U.S. researchers compared 96,217 living kidney donors with 20,024 similarly healthy non‑donors drawn from the…

36Evidence A

Don’t pick up, disassemble, or sell unidentified metal parts; stay away from areas marked with a clover warning sign

Radiation has no smell, color, or temperature, so humans cannot detect it. That means “it looks harmless” is not a reliable way to judge whether something is radioactive. Most radioactive sources look exactly like ordinary metal — they emit no light and generate no heat. The chance of an average person encountering one is extremely low: there are roughly 178,000 active radioactive sources nationwide, and the accident rate stays under 1 per 10,000 sources. But if you do happen to encounter one, the consequences are irreversible. In 1987, someone in Brazil disassembled a radiotherapy machine from an abandoned clinic; roughly 112,000 people were monitored, and 4 died as a result.

Cost

No cost at all. If you see unfamiliar metal cylinders, lea…

Benefit

As of 2025, there are about 178,000 active radioactive sources and 355,000 radiation devices in use across the…

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