In October, the Chinese region established an international sister city relationship with Tula oblast (region). The region, which is ,south of Moscow, dispatched a range of medical supplies to Ningxia when the pandemic became grave earlier this year.

For Shimane prefecture in Japan, Ningxia entered a sister city relationship in October 1993. Shimane was the first foreign city to send a letter of support to Ningxia during the fight against the novel coronavirus.

Protective medical materials that were sent to Harghita, Romania featured writing on the outside of the packages in both Chinese and English speaking of the profound friendship the two regions had formed and the willingness to help Romania fight COVID-19.