Just another of the hidden costs of that 'enviable expat lifestyle'.
Add to that the endless trips to the GP for antibiotics and asthma inhalers for the kids.
We left HKG last year after 10 years as we couldn't justify the impact that it was having on our kid's health and education (and I was sick of the same dream nonsense). Our kids were in ESF schools, and frankly, the standard of education was very average indeed.
Certainly many colleagues sent the wife and kids 'home' - an unthinkable option for us.