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 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.).