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Date: 2013-04-24 06:54 am (UTC)
Here in China (I'm in Shanghai right now) the convention for beds also seems to be as you describe - fitted (usually) bottom sheet topped with a duvet/cover. How often the cover gets washed and whether it's sanitary... who's to say. I can tell you that the vast majority of bathrooms here have only cold water at the sink and no soap[1]. That's arguably not sanitary (FWIW it bothers me a bit and I always carry pre-moistened towelettes when I'm here)

[1] Hotel bathrooms usually do have hot water and soap. Restaurant bathrooms, though, don't. I'd like to think that restaurant employee washing-up facilities have both hot water and soap but I'm pretty sure a lot of them don't.
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