of Sanfoqi. Production Thousands of tons of frankincense are traded every year to be used in religious ceremonies as incense in thuribles and by makers of perfumes, natural medicines, and essential oils. It can be inhaled or applied to the skin for its supposed health benefits. In the Horn of Africa, frankincense is harvested in the Bari and Sanaag regions: mountains lying at the northwest of Erigavo; El Afweyn District; Cal Madow mountain range, a westerly escarpment that runs parallel to the coast; Cal Miskeed, including Hantaara and Habeeno plateau and a middle segment of the frankincense-growing escarpment; Karkaar mountains or eastern escarpment, which lies at the eastern fringe of the frankinscence escarpment. In Dhofar, Oman, frankincense species grow north of Salalah and were traded in the ancient coastal city of Sumhuram, now Khor Rori. Ecological status In 1998, the International Union for Conservation of Nature warned that one of the primary frankincense species, Boswellia sacra, is "near threatened". Frankincense trees are not covered by the Convention on International Trade in Endangered Species of Wild Fauna and Flora, but experts argue that Boswellia species meet the criteria for protection. In a 2006 study, an ecologist at Wageningen University & Research claimed that, by the late-1990s, Boswellia papyrifera trees in Eritrea were becoming hard to find. In 2019, a new paper predicted a 50% reduction in Boswellia papyrifera within the next two decades. This species, found mainly in Ethiopia, Eritrea, and Sudan, accounts for about two-thirds of global frankincense production. The paper warns that all Boswellia species are threatened by habitat loss and overexploitation. Most Boswellia grow in harsh, arid regions beset by poverty and conflict. Harvesting and selling the tree's resin is one of the only sources of income for the inhabitants, resulting in overtapping. Health benefits The use of Boswellia resin for spiritual and medicinal purposes dates back to ancient civilizations. Numerous compounds of different chemical categories are identified in the resin; the pharmacological actions of Boswellia resin are attributed to the complementary effects exerted by these compounds. Some clinical studies have weakly demonstrated the effectiveness of frankincense resin in some disease conditions like asthma, rheumatoid arthritis, inflammatory bowel diseases, osteoarthritis and relapsing-remitting multiple sclerosis, however more studies are necessary. The essential oil obtained from the oleogum resin of Boswellia serrata showed antimicrobial activities. Also, in vivo studies on animals revealed that frankincense oleogum resin exhibits neuroprotective activity. Uses