 Much of the growth of the 1990s came outside the US, with international units increasing from about 3,600 in 1991 to more than 11,000 by 1998.The number of countries with McDonald's outlets nearly doubled from 59 in 1991 to 114 in late 1998.In 1993, a new region was added to the empire when the first McDonald's in the Middle East opened in Tel Aviv, Israel.