Here's a short story:

Hong Kong (CNN) -- Ramesh Makwana knew the risks to his health by working in an agate factory, but at $4 a day the rewards were too great. 

Now, after 14 years of breathing in the fine dust created by grinding and polishing the gemstone, Makwana has silicosis, a respiratory disease that swells the lungs. 

"He's thankful to the stone because it helped him survive for so long. But now that he has lost so much, it is also a feeling of anger," Makwana told CNN through an interpreter, Mohit Gupta, the co-ordinator for the Occupational, Environmental Health Network of India. 

"He has lost his parents to it, and he himself knows he's going to die some day," he said. 

It's not known how many other workers in Asia are suffering from occupational diseases, but the Asia Monitor Resource Center (AMRC) has warned that the region is facing an epidemic. 

The last estimate on work-related diseases in Asia was released by the International Labor Organization in 2008. It estimated that more than 1.1 million people in Asia were dying each year. 

"One-point-one million is a really high number, but even then we're not sure, we think it may be a really conservative number," said Sanjiv Pandita, Executive Director of the AMRC. 

Frustrated by the lack of official records, Pandita and his team set out to find the true extent of the problem in six Asian countries: China, India, Cambodia, the Philippines, Thailand and Indonesia. 

A report released ahead of this year's International Workers' Memorial Day on April 28, found similar problems in all countries; a lack of official data on the number of cases, partly due to a reluctance to diagnose work-related illness for fear of the financial cost.  (End of story)

Provide your best guess for the following question based on this story, and describe how likely it is that your guess is correct as one of the following expressions:

Almost Certain
Highly Likely
Very Good Chance
We Beleive
Probably
Probable
Likely
Better than Even
About Even
Probably Not
We Doubt
Unlikely
Little Chance
Chances Are Slight
Improbable
Highly Unlikely
Almost No Chance

Give ONLY the guess and your confidence, no other words or explanation. For example:

Guess: <most likely guess, as short as possible; not a complete sentence, just the guess!>
Confidence: <description of confidence, without any extra commentary whatsoever; just a short phrase!>

Here are a few examples of questions and answers:

Question: Where does Ramesh work?
Guess: an agate factory
Confidence: <appropriate level of confidence in this guess>

Question: Where?
Guess: "He's thankful to the stone because it helped him survive for so long. But now that he has lost so much, it is also a feeling of anger," Makwana told CNN through an interpreter, Mohit Gupta, the co-ordinator for the Occupational, Environmental Health Network of India
Confidence: <appropriate level of confidence in this guess>

Question: What city is he in?
Guess: Hong Kong
Confidence: <appropriate level of confidence in this guess>

Question: Is he sick?
Guess: Yes
Confidence: <appropriate level of confidence in this guess>

Question: What doe he have?
Guess: silicosis
Confidence: <appropriate level of confidence in this guess>

Question: Are there many in Asia that are suffering?
Guess: Yes
Confidence: <appropriate level of confidence in this guess>

Question: Do they know how many?
Guess: more than 1.1 million people
Confidence: <appropriate level of confidence in this guess>

Now answer the following question in the same format.

Question: Did anyone else in his family die from it?

Yes