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They called on relevant countries to participate in, plan and build the Belt and Road projects together, thereby turning the initiative's grand vision into reality, according to the "Beijing Initiative."

In the eyes of some Americans, China has become a rival who is becoming more and more difficult to deal with.

"It was a choice based on historical conditions, and it is right that policies should be adjusted constantly to adopt to demographic change," said Yuan.

Xi said China will enhance medical and healthcare cooperation with Sierra Leone by supporting the country in establishing and improving its public health prevention and control system, setting up a research and treatment center on West Africa tropical pathogens as soon as possible, sending more medical workers to the country and helping it strengthen capacity building.

He will also meet with local government leaders, attend a China-U.S. governors forum and an entrepreneurs symposium that gathers the two countries' business bigwigs, visit representative enterprises, and join students and teachers in a variety of school activities.