Nearly 11 million stressed-out Chinese students take the country’s gruelling annual college entrance exam beginning Tuesday following a month-long coronavirus delay, with inspectors this year checking both for cheaters and fevers.

The two-day test — known in Chinese as the “gaokao” — is always a moment of great anxiety for students and parents who dream of sending their children to university, but the coronavirus added another layer of pressure by closing schools for months.

More than 7,000 exam sites have been set up across China, with nearly one million invigilators or other workers to watch over the students, according to state media.

Officials will not just be looking for cheaters. They will be watching if students have fevers or coughs.

Test-takers who show symptoms will be taken to an isolation room with disinfectant, according to the official Xinhua news agency. The students and invigilators had to track their health during the 14 days prior to the exam. Students from high-risk areas have to wear masks during the tests.

Zhao Kexin, who is taking the exam in Beijing, had to report her temperature to her school every day prior to the exam. “Though there are enough measures to protect us from contracting the virus, I am still feeling a bit nervous about gathering in a public area, but I have to take the test,” Zhao said.

A new outbreak in Beijing last month raised fears of a second wave but authorities appear to have brought it under control after locking down dozens of residential areas in the capital.

Getting a high score remains the sole way for many students to get into top universities in China, placing a heavy pressure on young students. “The stress not only comes from students’ fear of underperforming on the test, but also comes from family and society,” said Ye Minjie, a committee member of the Chinese Psychiatrist Association. “The narrative that gaokao is the battlefield of one’s life prevails sometimes, making students nervous…This year is quite different. The pandemic has intensified the pressure students suffer as millions of them have been confined to home for a very long time before coming back to normal studying.”

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