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Generally speaking, are the papers submitted to a conference (Scientific conference, say) that took place in region/country X reviewed by peer-reviewers in region/country X?

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No, the reviewers could easily be from other countries and may, or even may not, be attending the conference.

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Definitely not necessary and also impractical. Conferences have different chairs and different sessions. Each is controlled by a different person. There are multiple layers to it. In general, reviewers are spread all across the world. And same reviewers do their job across multiple years.

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