Central banks have little room for error in a low-growth world in which overleveraged and commodity-dependent emerging economies and a slowing China are major risks, top international financiers told the International Monetary Fund’s meeting.

Despite $7 trillion in quantitative easing from banks in industrial nations since the global financial crisis, the world is stuck in a “new mediocre” growth pattern, IMF chief Christine Lagarde said on Thursday.

The IMF meeting comes as the Bank of Japan looks poised to extend its money printing programme, known as quantitative easing, as it stares down the barrel of a fifth year of recession.

The European Central Bank is also expected to extend quantitative easing, while the two major central banks closest to raising rates, the US Federal Reserve and the Bank of England, are holding their fire.

“It is not the kind of economy in which you can make a mistake,” Bank of England governor Mark Carney told the meeting.

For both the Fed and the Bank of England, inflation targets are far out of reach, although both central banks insist they are ready to hike rates. The Fed’s chair, Janet Yellen, has said the US central bank is on track to raise rates this year.

Markets, however, are not pricing in hikes until next year for both.

The IMF has urged the Fed and the Japanese and European central banks to wait for more signs of recovery before tightening. Lagarde on Thursday repeated her plea to Yellen to stay her hand.

Many emerging markets, once the world’s fastest-growing economies which had been expected to shape a new world economic order, are now in turmoil. Brazil, Latin America’s largest economy, is facing a leadership crisis and is in recession. Russia is engaged in conflicts in Ukraine, and Syria and has been hammered by low oil prices.

China’s growth is slowing, although Lagarde was optimistic that the slowdown was manageable.

Lagarde repeated the IMF’s mantra for structural economic reforms and for those countries with the room to raise spending to do so. However, that appears politically impossible in the eurozone, while in the US, Congress is deeply divided.

Eurogroup chairman Jeroen Dijsselbloem shrugged off dire predictions on future growth, at least for Europe, and said policies there were working.

“Already this year, except for Greece, all eurozone countries will have returned to growth,” Dijsselbloem said.

His comments came after a stark message from former US Treasury Secretary Larry Summers, who has long warned of the risks of “secular stagnation,” or permanent damage to growth. Summers chided policymakers for relying on the same old tools to boost demand.

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