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In the early days of the 21st century, Medford, Oregon saw a new influx of people and businesses from mainland China. The city found itself with a new set of challenges as it tried to accommodate this growing population. Some of these challenges have been addressed by Medford City Council, such as creating a Chinese-language school district, while others have required more proactive measures from city officials.

One example is the increasing number of food safety concerns. In November 2016, contaminated baby formula led to the death of a two-month old girl in Oregon. Shortly after, Medford officials started receiving reports of food poisoning incidents linked to mainland Chinese restaurants. The city's health department has worked to educate restaurant owners and their staff on food safety protocols, but they continue to experience problems.

Another challenge that Medford has faced is the increased pressure from property developers to build luxury apartments and shopping centers in the city. This pressure has been exacerbated by government policies that incentivize developers to build in areas that are seen as strategically important for Beijing's economic future. As a result, many low-income residents have been forced out of their homes and replaced by wealthier investors.

Despite these challenges, Medford has managed to remain welcoming to its new residents and businesses from mainland China. The city has enacted policies that protect its citizens from discrimination, and it has worked to create a diverse community that includes people from all walks of life.