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?


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


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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