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The Middle East and North Africa Union Mission is attached to the General Conference of Seventh-day Adventists in Silver Spring, Maryland, U.S.A. Formerly known as the Greater Middle East Union Mission, the Middle East and North Africa Union Mission was organized in 2012, renamed in October 2012, and reorganized in 2015. It occupies the following territories: Algeria, Bahrain, Egypt, Iran (Islamic Republic of), Iraq, Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Qatar, Saudi Arabia, Sudan, Syrian Arab Republic, Tunisia, Turkey, United Arab Emirates, Western Sahara (Western Sahara is a contested area not universally recognized as a separate country or region), Yemen, and the northern half of Cyprus; comprising the Egypt-Sudan, Gulf, and West Asia Fields; and the East Mediterranean, and North Africa Regions.

The Middle East Division was a church organizational unit from 1951 to 1970.