Whichever power controls equatorial Africa, or the countries of the Middle East, or Southern India, or the Indonesian Archipelago, disposes also of the bodies of scores or hundreds of millions of ill-paid and hard-working coolies.
There are no more uses of "Middle East" in the book.
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It is as likely as fair weather in southern California and unrest in the Middle East.
Basically any area between the two Tropics—Cancer and Capricorn—is a complete wasteland now Central and South Americas, most of Africa, the Middle East and southern Asia.