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"China is definitely listening to what other countries' needs are," he said. "We're hopeful that China will engage in malaria elimination in a number of countries, and if that could fit into the uplifting message around the Belt and Road, and China chose to do that, that would be one way to go about it.

"But we still face lots of challenges. For example, many seniors and people with disabilities don't realize the convenience of those facilities and rarely take advantage of them," he said.

"China has a vision for the future and its political culture is not about stunts and distracting spectacles," said Pastreich.

"CIIE reflects the Chinese government's determination and commitment to continue to further open up its market to the world, and to continue to forge relationships to build a successful and long-term international trade model," said Ken Murphy, executive vice-president of Walgreens Boots Alliance, which operates retail pharmacy, health and daily living stores across Europe and the United States.

"But speaking loudly or making noise on public transportation seems a universal phenomenon that people take for granted in China," he said.