Health is one of the essential ties between China and Africa. As the Chinese economy is experien-cing rapid development and the strategic transformation, the China-Africa cooperation is entering the era of communi-tas in all directions and the health-related aids and exchanges between China and Africa are experiencing new oppor-tunities and challenges. Previously, the China-Africa health cooperation has experienced three transitional stages from the assistance, collaboration and communitas. During the current global fight against Ebola outbreak period, while the world feared and wondered the Ebola in the beginning, China’s fast action on the fight had showed that not only the relationship between China and Africa is seen from the previous health aid legacy to Africa, but also is coming to the economic development communitas stage. Moreover, there are two essential government and non-government col-laboration established between China and Africa. So, when we analyze the fast action of China towards Ebola out-break, it is clearly shown that the China’s response is based in the perspective of humanitarian, super state accounta-ble responsibilities, and also focused on health system resilience in the epidemic countries. China and Africa are stepping into the economic development communitas stage. Therefore, this change of cooperation reflects the change of China’s position in the global health governance.%“健康”一直是中国与非洲交流、融合的重要纽带之一。随着中国经济的快速发展和战略转型，中非的全方位合作也将进入“共融”时代，中非之间的健康交流、健康援助正面临着重要的机遇和挑战。总体上来看，中非“健康”经历了由“援助”、“合作”到“共融”三个阶段的变迁。抗击埃博拉疫情中，在国际社会普遍“恐埃”的情况下，中国的反应所折射的内在逻辑既有中非健康援助的历史传承性，也有中国经济快速发展所带来的中非经济“共融”因素的考量。目前中非健康合作已经形成具有官方和非官方层面的双轮驱动机制，也反映了中国参与全球治理理念的变迁。因此，在分析和思考抗击埃博拉疫情中的“中国反应”应该既立足于道义、大国义务与责任的视角，也要看到疫区防控系统脆弱、中非经济逐步“共融”的原因，体现了国际博弈下中国全球治理理念的变迁。
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