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Wikipedia: An English medium education system is one that uses English as the primary medium of instruction. A medium of instruction is the language that is used in teaching. The language used may or may not be the official language of the territory.
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![Public advert on a street hoarding in Livorno, Italy [Public advert on a street hoarding in Livorno, Italy]](http://images.ookaboo.com/photo/s/British_School_s.jpg)