In 1990, Gastel and Weng [80] published a detailed overview of Chinese medical journals written for Western readers. At that time, the number of medical journals published in China was estimated to be 500, rising to 700 only four years later [5] . In 2007, around 1000 titles related to biomedicine and health, from more than five thousand academic periodicals, were published in mainland China. To see this in a bigger picture, let us take Journal Citation Reports ® (JCR) and MEDLINE as bench marks. Chinese journals (including those published by foreign publishers and thus registered the country of publication of its publisher). There were a few records whose country of publication data were missing or mistaken and were corrected for in the analysis.