Managua center and a generator of services for the majority of the nation. The city, with a population exceeding one million inhabitants, houses many large national and international businesses. It is home to many factories which produce diverse products. Multinational companies such as Wal-Mart, Telefonica, Union Fenosa, and Parmalat have offices and operations in Managua. The city's chief products include beer, coffee, pharmaceuticals, textiles, shoes, matches, construction products, etc. Her main trading products are beef, coffee, cotton, and other crops. Managua is also Nicaragua's main political, social, cultural, educational and economic hub. At the same time, the city is served by
South American Council of Health different country. The CSS is underpinned by the Technical Secretary in charge of the Pro Tempore Presidency (PPT) and two countries of the previous and following PPT, in order to ensure the continuity of works. There are also the Technical Groups responsible for analyzing, preparing and developing proposals, plans and projects that contribute to the South American integration in health, according to the alignment established by the South American Health Agenda. The Technical Groups are divided into areas of work defined by the South American Health Council, with one country in charge of the coordination and another country as the