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Byzantine, Rome and Ottoman empires comparison
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More people live in that sand than live in Switzerland
The population of al-Mintaqah ash-Sharqīyah (eastern province) is 5 Million. Population density of 7.3/km^2
The population of Switzerland is 9 million. Population density of 207/km^2.
It's SAND, bro.
For a start, that's the bit that is roughly the same area as the Lahsa eyalet, not the interior. Riyadh province, which is in the middle bit, has eight and a half million people. Add in al-Qassim province which is also in that area and you have ten million.
But also, just generally... five million people is a lot of people. It's not like it's even a particular outlier in terms of density. The eastern province is more densely populated than Canada.