Politics in both countries means the Asian giants, arguably cricket's fiercest rivals, now rarely meet outside of International Cricket Council events.
Such is the global and commercial appeal of the fixture, the ICC has effectively admitted to 'doctoring' the draw to make sure the teams are paired together in the group phase of major tournaments rather than run the risk of them not meeting later on.
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For all the anticipation surrounding their latest clash, Azhar told reporters at Edgbaston on Wednesday: "It's just another game.
"I think when the game starts it looks quite normal. The players play as per the situation and professional players are like that without worrying about anything else," he added.
Pakistan, who upset the odds to draw a Test series in England last year, have already been in Birmingham for two weeks in preparation for their bid to win the Champions Trophy, a tournament featuring the world's top eight teams in the 50-over format.
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Birmingham boasts one of the largest Asian populations in Britain and a vibrant, sell-out crowd is expected on Sunday.
"A game between Pakistan and India is always good and Birmingham has always had a very good atmosphere," said Azhar.
Azhar, who is expected to open with Ahmad Shahzad, has a total tally of 1,605 runs in 45 matches at an average of over 38.
However, it’s the strike rate for which the 32-year-old received criticism in the past, and the Lahore-born right-handed batsman believes that the team is working on this aspect.
"We have worked on that," said Azhar. "We know that the game has gone quite a long way and we have had some good results in the recent past, so we will do our best to match that. Obviously we have to go a long way. We would love to play at the same pace."
Swing bowling could play a key role in deciding the destiny of the upcoming mega event, particularly if conditions are overcast.
One concern for Pakistan is that Wahab Riaz, one of their most experienced pacemen, has been struggling with a left knee injury.
The left-arm quick did bowl during training on Wednesday, but not at full tilt.
Nevertheless, Azhar said: "Wahab has recovered well so we have no doubt that he will be fit to play. It's international cricket and you have to be 100% fit. He has practised today so we are hoping that by the time the first match comes he will be able to play."
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