miles) of roads, of which 1119 km (695 miles) are paved. Air The country has 55 mostly small airports, of which only six are paved. The only international airport that supports large jet aircraft is Johan Adolf Pengel International Airport. Airlines with departures from Suriname: American Airlines Blue Wing Airlines Gum Air Fly All Ways Surinam Airways (SLM) Airlines with arrivals in Suriname: Caribbean Airlines (Trinidad & Tobago) KLM (Netherlands) Gol Transportes Aéreos (Brazil) Copa Airlines (Panama) Tui (Netherlands) Fly All Ways (Curaçao), Cuba (Havana), (Santiago de Cuba) Surinam Airways (SLM) (Aruba), Brazil (Belém), (Curaçao), Guyana (Georgetown), Netherlands (Amsterdam), Trinidad & Tobago (Port of Spain), & USA (Miami). Other national companies with an air operator certification: Aero Club Suriname (ACS) – General Aviation Aeroclub Coronie Aero Farmers (CAF) – Agriculture Cropdusting Eagle Air Services (EAS) – Agriculture Cropdusting ERK Farms (ERK) – Agriculture Cropdusting Overeem Air Service (OAS) – General Aviation Charters Pegasus Air Service (PAS) – Helicopter Charters Suriname Air Force / Surinaamse Luchtmacht (SAF / LUMA) – Military Aviation Surinam Air Force Surinam Sky Farmers (SSF) – Agriculture Cropdusting Surinaamse Medische Zendings Vliegdienst (MAF – Mission Aviation Fellowship) – General Aviation Missionary Vortex Aviation Suriname (VAS) – General Aviation Maintenance & Flightschool Health The Global Burden of Disease Study provides an on-line data source for analyzing updated estimates of health for 359 diseases and injuries and 84 risk factors from 1990 to 2017 in most of the world's countries. Comparing Suriname with other Caribbean nations show that in 2017 the age-standardized death rate for all causes was 793 (males 969, females 641) per 100,000, far below the 1219 of Haiti, somewhat below the 944 of Guyana but considerably above the 424 of Bermuda. In 1990 the death rate was 960 per 100,000. Life expectancy in 2017 was 72 years (males 69, females 75). The death rate for children < 5 years was 581 per 100,000 compared to 1308 in Haiti and 102 in Bermuda. In 1990 and 2017, leading causes of age-standardized death rates were cardiovascular disease, cancer and diabetes/chronic kidney disease. Education Education in Suriname is compulsory until the age of 12, and the nation had a net primary enrollment rate of 94% in 2004. Literacy is very common, particularly among men. The main university in the country is the Anton de Kom University of Suriname. From elementary school to high school there are 13 grades. The