Some regions beyond the Ottoman Porte were included. One was North Africa west of Egypt. It was occupied by piratical kingdoms of the Barbary Coast, de facto independent since the 18th century. Formerly part of the empire at its apogee. Iran was included because it could not easily be reached except through the Ottoman Empire or neighboring Russia. In the 1890s the term tended to focus on the conflicts in the Balkan states and Armenia. The demise of the sick man of Europe left considerable confusion as to what was to be meant by "Near East". It is now generally used only in historical contexts, to describe the countries of Western Asia from the Mediterranean to (or including) Iran. There is, in short, no universally understood fixed inventory of nations, languages or historical assets defined to be in it.
The demise of what left considerable confusion as to what was to be meant by "Near East" 
of the sick man of Europe