Part 4

Cutaneous Leishmaniasis - caused by the parasitic protozoa leishmania; transmitted to humans via the bite of sandflies; results in skin lesions that may become chronic; endemic in 88 countries; 90% of cases occur in Iran, Afghanistan, Syria, Saudi Arabia, Brazil, and Peru; wild and domesticated animals as well as humans can act as reservoirs of infection.

Plague - bacterial disease transmitted by fleas normally associated with rats; person-to-person airborne transmission also possible; recent plague epidemics occurred in areas of Asia, Africa, and South America associated with rural areas or small towns and villages; manifests as fever, headache, and painfully swollen lymph nodes; disease progresses rapidly and without antibiotic treatment leads to pneumonic form with a death rate in excess of 50%.

Crimean-Congo hemorrhagic fever - tick-borne viral disease; infection may also result from exposure to infected animal blood or tissue; geographic distribution includes Africa, Asia, the Middle East, and Eastern Europe; sudden onset of fever, headache, and muscle aches followed by hemorrhaging in the bowels, urine, nose, and gums; mortality rate is approximately 30%.

Rift Valley fever - viral disease affecting domesticated animals and humans; transmission is by mosquito and other biting insects; infection may also occur through handling of infected meat or contact with blood; geographic distribution includes eastern and southern Africa where cattle and sheep are raised; symptoms are generally mild with fever and some liver abnormalities, but the disease may progress to hemorrhagic fever, encephalitis, or ocular disease; fatality rates are low at about 1% of cases.

Chikungunya - mosquito-borne (Aedes aegypti) viral disease associated with urban environments, similar to Dengue Fever; characterized by sudden onset of fever, rash, and severe joint pain usually lasting 3-7 days, some cases result in persistent arthritis.

water contact diseases acquired through swimming or wading in freshwater lakes, streams, and rivers:

Leptospirosis - bacterial disease that affects animals and humans; infection occurs through contact with water, food, or soil contaminated by animal urine; symptoms include high fever, severe headache, vomiting, jaundice, and diarrhea; untreated, the disease can result in kidney damage, liver failure, meningitis, or respiratory distress; fatality rates are low but left untreated recovery can take months.

Schistosomiasis - caused by parasitic trematode flatworm Schistosoma; fresh water snails act as intermediate host and release larval form of parasite that penetrates the skin of people exposed to contaminated water; worms mature and reproduce in the blood vessels, liver, kidneys, and intestines releasing eggs, which become trapped in tissues triggering an immune response; may manifest as either urinary or intestinal disease resulting in decreased work or learning capacity; mortality, while generally low, may occur in advanced cases usually due to bladder cancer; endemic in 74 developing countries with 80% of infected people living in sub-Saharan Africa; humans act as the reservoir for this parasite.

aerosolized dust or soil contact disease acquired through inhalation of aerosols contaminated with rodent urine:

Lassa fever - viral disease carried by rats of the genus Mastomys; endemic in portions of West Africa; infection occurs through direct contact with or consumption of food contaminated by rodent urine or fecal matter containing virus particles; fatality rate can reach 50% in epidemic outbreaks.

respiratory disease acquired through close contact with an infectious person:

Meningococcal meningitis - bacterial disease causing an inflammation of the lining of the brain and spinal cord; one of the most important bacterial pathogens is Neisseria meningitidis because of its potential to cause epidemics; symptoms include stiff neck, high fever, headaches, and vomiting; bacteria are transmitted from person to person by respiratory droplets and facilitated by close and prolonged contact resulting from crowded living conditions, often with a seasonal distribution; death occurs in 5-15% of cases, typically within 24-48 hours of onset of symptoms; highest burden of meningococcal disease occurs in the hyperendemic region of sub-Saharan Africa known as the "Meningitis Belt" which stretches from Senegal east to Ethiopia.

animal contact disease acquired through direct contact with local animals:

Rabies - viral disease of mammals usually transmitted through the bite of an infected animal, most commonly dogs; virus affects the central nervous system causing brain alteration and death; symptoms initially are non-specific fever and headache progressing to neurological symptoms; death occurs within days of the onset of symptoms.

Manpower available for military service: This entry gives the number of males and females falling in the military age range for a country (defined as being ages 16-49) and assumes that every individual is fit to serve.

Manpower fit for military service: This entry gives the number of males and females falling in the military age range for a country (defined as being ages 16-49) and who are not otherwise disqualified for health reasons; accounts for the health situation in the country and provides a more realistic estimate of the actual number fit to serve.

Manpower reaching militarily significant age annually: This entry gives the number of males and females entering the military manpower pool (i.e., reaching age 16) in any given year and is a measure of the availability of military-age young adults.

Map references: This entry includes the name of the Factbook reference map on which a country may be found. Note that boundary representations on these maps are not necessarily authoritative. The entry on Geographic coordinates may be helpful in finding some smaller countries.

Maritime claims: This entry includes the following claims, the definitions of which are excerpted from the United Nations Convention on the Law of the Sea (UNCLOS), which alone contains the full and definitive descriptions:

territorial sea - the sovereignty of a coastal state extends beyond its land territory and internal waters to an adjacent belt of sea, described as the territorial sea in the UNCLOS (Part II); this sovereignty extends to the air space over the territorial sea as well as its underlying seabed and subsoil; every state has the right to establish the breadth of its territorial sea up to a limit not exceeding 12 nautical miles; the normal baseline for measuring the breadth of the territorial sea is the mean low-water line along the coast as marked on large-scale charts officially recognized by the coastal state; the UNCLOS describes specific rules for archipelagic states.

contiguous zone - according to the UNCLOS (Article 33), this is a zone contiguous to a coastal state's territorial sea, over which it may exercise the control necessary to: prevent infringement of its customs, fiscal, immigration, or sanitary laws and regulations within its territory or territorial sea; punish infringement of the above laws and regulations committed within its territory or territorial sea; the contiguous zone may not extend beyond 24 nautical miles from the baselines from which the breadth of the territorial sea is measured (e.g. the US has claimed a 12-nautical mile contiguous zone in addition to its 12-nautical mile territorial sea).

exclusive economic zone (EEZ) - the UNCLOS (Part V) defines the EEZ as a zone beyond and adjacent to the territorial sea in which a coastal state has: sovereign rights for the purpose of exploring and exploiting, conserving and managing the natural resources, whether living or non-living, of the waters superjacent to the seabed and of the seabed and its subsoil, and with regard to other activities for the economic exploitation and exploration of the zone, such as the production of energy from the water, currents, and winds; jurisdiction with regard to the establishment and use of artificial islands, installations, and structures; marine scientific research; the protection and preservation of the marine environment; the outer limit of the exclusive economic zone shall not exceed 200 nautical miles from the baselines from which the breadth of the territorial sea is measured.

continental shelf - the UNCLOS (Article 76) defines the continental shelf of a coastal state as comprising the seabed and subsoil of the submarine areas that extend beyond its territorial sea throughout the natural prolongation of its land territory to the outer edge of the continental margin, or to a distance of 200 nautical miles from the baselines from which the breadth of the territorial sea is measured where the outer edge of the continental margin does not extend up to that distance; the continental margin comprises the submerged prolongation of the landmass of the coastal state, and consists of the seabed and subsoil of the shelf, the slope and the rise; wherever the continental margin extends beyond 200 nautical miles from the baseline, coastal states may extend their claim to a distance not to exceed 350 nautical miles from the baseline or 100 nautical miles from the 2500 meter isobath; it does not include the deep ocean floor with its oceanic ridges or the subsoil thereof.

exclusive fishing zone - while this term is not used in the UNCLOS, some states (e.g., the United Kingdom) have chosen not to claim an EEZ, but rather to claim jurisdiction over the living resources off their coast; in such cases, the term exclusive fishing zone is often used; the breadth of this zone is normally the same as the EEZ or 200 nautical miles.

Market value of publicly traded shares: This entry gives the value of shares issued by publicly traded companies at a price determined in the national stock markets on the final day of the period indicated. It is simply the latest price per share multiplied by the total number of outstanding shares, cumulated over all companies listed on the particular exchange.

Median age: This entry is the age that divides a population into two numerically equal groups; that is, half the people are younger than this age and half are older. It is a single index that summarizes the age distribution of a population. Currently, the median age ranges from a low of about 15 in Uganda and Gaza Strip to 40 or more in several European countries and Japan. See the entry for "Age structure" for the importance of a young versus an older age structure and, by implication, a low versus a higher median age.

Merchant marine: Merchant marine may be defined as all ships engaged in the carriage of goods; or all commercial vessels (as opposed to all nonmilitary ships), which excludes tugs, fishing vessels, offshore oil rigs, etc. This entry contains information in four fields - total, ships by type, foreign-owned, and registered in other countries.

Total includes the number of ships (1,000 GRT or over), total DWT for those ships, and total GRT for those ships. DWT or dead weight tonnage is the total weight of cargo, plus bunkers, stores, etc., that a ship can carry when immersed to the appropriate load line. GRT or gross register tonnage is a figure obtained by measuring the entire sheltered volume of a ship available for cargo and passengers and converting it to tons on the basis of 100 cubic feet per ton; there is no stable relationship between GRT and DWT.

Ships by type includes a listing of barge carriers, bulk cargo ships, cargo ships, chemical tankers, combination bulk carriers, combination ore/oil carriers, container ships, liquefied gas tankers, livestock carriers, multifunctional large-load carriers, petroleum tankers, passenger ships, passenger/cargo ships, railcar carriers, refrigerated cargo ships, roll-on/roll-off cargo ships, short-sea passenger ships, specialized tankers, and vehicle carriers.

Foreign-owned are ships that fly the flag of one country but belong to owners in another.

Registered in other countries are ships that belong to owners in one country but fly the flag of another.

Military: This category includes the entries dealing with a country's military structure, manpower, and expenditures.

Military - note: This entry includes miscellaneous military information of significance not included elsewhere.

Military branches: This entry lists the service branches subordinate to defense ministries or the equivalent (typically ground, naval, air, and marine forces).

Military expenditures: This entry gives spending on defense programs for the most recent year available as a percent of gross domestic product (GDP); the GDP is calculated on an exchange rate basis, i.e., not in terms of purchasing power parity (PPP).

Military service age and obligation: This entry gives the required ages for voluntary or conscript military service and the length of service obligation.

Money figures: All money figures are expressed in contemporaneous US dollars unless otherwise indicated.

National holiday: This entry gives the primary national day of celebration - usually independence day.

Nationality: This entry provides the identifying terms for citizens - noun and adjective.

Natural gas - consumption: This entry is the total natural gas consumed in cubic meters (cu m). The discrepancy between the amount of natural gas produced and/or imported and the amount consumed and/or exported is due to the omission of stock changes and other complicating factors.

Natural gas - exports: This entry is the total natural gas exported in cubic meters (cu m).

Natural gas - imports: This entry is the total natural gas imported in cubic meters (cu m).

Natural gas - production: This entry is the total natural gas produced in cubic meters (cu m). The discrepancy between the amount of natural gas produced and/or imported and the amount consumed and/or exported is due to the omission of stock changes and other complicating factors.

Natural gas - proved reserves: This entry is the stock of proved reserves of natural gas in cubic meters (cu m). Proved reserves are those quantities of natural gas, which, by analysis of geological and engineering data, can be estimated with a high degree of confidence to be commercially recoverable from a given date forward, from known reservoirs and under current economic conditions.

Natural hazards: This entry lists potential natural disasters.

Natural resources: This entry lists a country's mineral, petroleum, hydropower, and other resources of commercial importance.

Net migration rate: This entry includes the figure for the difference between the number of persons entering and leaving a country during the year per 1,000 persons (based on midyear population). An excess of persons entering the country is referred to as net immigration (e.g., 3.56 migrants/1,000 population); an excess of persons leaving the country as net emigration (e.g., -9.26 migrants/1,000 population). The net migration rate indicates the contribution of migration to the overall level of population change. High levels of migration can cause problems such as increasing unemployment and potential ethnic strife (if people are coming in) or a reduction in the labor force, perhaps in certain key sectors (if people are leaving).

Oil - consumption: This entry is the total oil consumed in barrels per day (bbl/day). The discrepancy between the amount of oil produced and/or imported and the amount consumed and/or exported is due to the omission of stock changes, refinery gains, and other complicating factors.

Oil - exports: This entry is the total oil exported in barrels per day (bbl/day), including both crude oil and oil products.

Oil - imports: This entry is the total oil imported in barrels per day (bbl/day), including both crude oil and oil products.

Oil - production: This entry is the total oil produced in barrels per day (bbl/day). The discrepancy between the amount of oil produced and/or imported and the amount consumed and/or exported is due to the omission of stock changes, refinery gains, and other complicating factors.

Oil - proved reserves: This entry is the stock of proved reserves of crude oil in barrels (bbl). Proved reserves are those quantities of petroleum which, by analysis of geological and engineering data, can be estimated with a high degree of confidence to be commercially recoverable from a given date forward, from known reservoirs and under current economic conditions.

People: This category includes the entries dealing with the characteristics of the people and their society.

People - note: This entry includes miscellaneous demographic information of significance not included elsewhere.

Personal Names - Capitalization: The Factbook capitalizes the surname or family name of individuals for the convenience of our users who are faced with a world of different cultures and naming conventions. The need for capitalization, bold type, underlining, italics, or some other indicator of the individual's surname is apparent in the following examples: MAO Zedong, Fidel CASTRO Ruz, George W. BUSH, and TUNKU SALAHUDDIN Abdul Aziz Shah ibni Al-Marhum Sultan Hisammuddin Alam Shah. By knowing the surname, a short form without all capital letters can be used with confidence as in President Castro, Chairman Mao, President Bush, or Sultan Tunku Salahuddin. The same system of capitalization is extended to the names of leaders with surnames that are not commonly used such as Queen ELIZABETH II. For Vietnamese names, the given name is capitalized because officials are referred to by their given name rather than by their surname. For example, the president of Vietnam is Tran Duc LUONG. His surname is Tran, but he is referred to by his given name - President LUONG.

Personal Names - Spelling: The romanization of personal names in the Factbook normally follows the same transliteration system used by the US Board on Geographic Names for spelling place names. At times, however, a foreign leader expressly indicates a preference for, or the media or official documents regularly use, a romanized spelling that differs from the transliteration derived from the US Government standard. In such cases, the Factbook uses the alternative spelling.

Personal Names - Titles: The Factbook capitalizes any valid title (or short form of it) immediately preceding a person's name. A title standing alone is not capitalized. Examples: President PUTIN and President BUSH are chiefs of state. In Russia, the president is chief of state and the premier is the head of the government, while in the US, the president is both chief of state and head of government.

Petroleum: See entries under Oil.

Petroleum products: See entries under Oil.

Pipelines: This entry gives the lengths and types of pipelines for transporting products like natural gas, crude oil, or petroleum products.

Political parties and leaders: This entry includes a listing of significant political organizations and their leaders.

Political pressure groups and leaders: This entry includes a listing of a country's political, social, labor, or religious organizations that are involved in politics, or that exert political pressure, but whose leaders do not stand for legislative election. International movements or organizations are generally not listed.

Population: This entry gives an estimate from the US Bureau of the Census based on statistics from population censuses, vital statistics registration systems, or sample surveys pertaining to the recent past and on assumptions about future trends. The total population presents one overall measure of the potential impact of the country on the world and within its region. Note: Starting with the 1993 Factbook, demographic estimates for some countries (mostly African) have explicitly taken into account the effects of the growing impact of the HIV/AIDS epidemic. These countries are currently: The Bahamas, Benin, Botswana, Brazil, Burkina Faso, Burma, Burundi, Cambodia, Cameroon, Central African Republic, Democratic Republic of the Congo, Republic of the Congo, Cote d'Ivoire, Ethiopia, Gabon, Ghana, Guyana, Haiti, Honduras, Kenya, Lesotho, Malawi, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Swaziland, Tanzania, Thailand, Togo, Uganda, Zambia, and Zimbabwe.

Population growth rate: The average annual percent change in the population, resulting from a surplus (or deficit) of births over deaths and the balance of migrants entering and leaving a country. The rate may be positive or negative. The growth rate is a factor in determining how great a burden would be imposed on a country by the changing needs of its people for infrastructure (e.g., schools, hospitals, housing, roads), resources (e.g., food, water, electricity), and jobs. Rapid population growth can be seen as threatening by neighboring countries.

Ports and terminals: This entry lists major ports and terminals primarily on the basis of the amount of cargo tonnage shipped through the facilities on an annual basis. In some instances, the number of containers handled or ship visits were also considered.

Public debt: This entry records the cumulative total of all government borrowings less repayments that are denominated in a country's home currency. Public debt should not be confused with external debt, which reflects the foreign currency liabilities of both the private and public sector and must be financed out of foreign exchange earnings.

Radio broadcast stations: This entry includes the total number of AM, FM, and shortwave broadcast stations.

Railways: This entry states the total route length of the railway network and of its component parts by gauge: broad, standard, narrow, and dual. Other gauges are listed under note.

Reference maps: This section includes world and regional maps.

Refugees and internally displaced persons: This entry includes those persons residing in a country as refugees or internally displaced persons (IDPs). The definition of a refugee according to a United Nations Convention is "a person who is outside his/her country of nationality or habitual residence; has a well-founded fear of persecution because of his/her race, religion, nationality, membership in a particular social group or political opinion; and is unable or unwilling to avail himself/herself of the protection of that country, or to return there, for fear of persecution." The UN established the Office of the UN High Commissioner for Refugees (UNHCR) in 1950 to handle refugee matters worldwide. The UN Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) has a different operational definition for a Palestinian refugee: "a person whose normal place of residence was Palestine during the period 1 June 1946 to 15 May 1948 and who lost both home and means of livelihood as a result of the 1948 conflict." However, UNHCR also assists some 400,000 Palestinian refugees not covered under the UNRWA definition. The term "internally displaced person" is not specifically covered in the UN Convention; it is used to describe people who have fled their homes for reasons similar to refugees, but who remain within their own national territory and are subject to the laws of that state.

Religions: This entry is an ordered listing of religions by adherents starting with the largest group and sometimes includes the percent of total population. The core characteristics and beliefs of the world's major religions are described below.

Baha'i - Founded by Mirza Husayn-Ali (known as Baha'u'llah) in Iran in 1852, Baha'i faith emphasizes monotheism and believes in one eternal transcendent God. Its guiding focus is to encourage the unity of all peoples on the earth so that justice and peace may be achieved on earth. Baha'i revelation contends the prophets of major world religions reflect some truth or element of the divine, believes all were manifestations of God given to specific communities in specific times, and that Baha'u'llah is an additional prophet meant to call all humankind. Bahais are an open community, located worldwide, with the greatest concentration of believers in South Asia.

Buddhism - Religion or philosophy inspired by the 5th century B.C. teachings of Siddhartha Gautama (also known as Gautama Buddha "the enlightened one"). Buddhism focuses on the goal of spiritual enlightenment centered on an understanding of Gautama Buddha's Four Noble Truths on the nature of suffering, and on the Eightfold Path of spiritual and moral practice, to break the cycle of suffering of which we are a part. Buddhism ascribes to a karmic system of rebirth. Several schools and sects of Buddhism exist, differing often on the nature of the Buddha, the extent to which enlightenment can be achieved - for one or for all, and by whom - religious orders or laity.

Basic Groupings

Theravada Buddhism: The oldest Buddhist school, Theravada is practiced mostly in Sri Lanka, Cambodia, Laos, Burma, and Thailand, with minority representation elsewhere in Asia and the West. Theravadans follow the Pali Canon of Buddha's teachings, and believe that one may escape the cycle of rebirth, worldly attachment, and suffering for oneself; this process may take one or several lifetimes.

Mahayana Buddhism, including subsets Zen and Tibetan Buddhism: Forms of Mahayana Buddhism are common in East Asia and Tibet, and parts of the West. Mahayanas have additional scriptures beyond the Pali Canon and believe the Buddha is eternal and still teaching. Unlike Theravada Buddhism, Mahayana schools maintain the Buddha-nature is present in all beings and all will ultimately achieve enlightenment.