Depression increases your risk of a number of diseases and other conditions by, for example, increasing levels of stress hormones such as cortisol or adrenaline. Depression can affect the immune system, making it harder for your body to fight infection. Vaccinations are even less effective in people with depression.
The total surface area of the Earth is about 7008510000000000000â 510 million km2 (197 million sq mi). Of this, 70.8%, or 7008361130000000000â 361.13 million km2 (139.43 million sq mi), is below sea level and covered by ocean water.
The United States is the third largest country in the world based on land area. There are different estimates showing the total land area of the country, but all of them show the country as being over 3.5 million square miles (9 million sq km). The Central Intelligence Agency's World Factbook states that the total land area of the U.S. is 3,794,100 square miles (9,826,675 sq km). The United States is broken down into 50 states and one district (Washington D.C.). The following is a list of all 50 states arranged by total area from largest to smallest.