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The convention in the English language is to call nearly all national heads of government "prime minister" (sometimes modified to the equivalent term of premier), regardless of the correct title of the head of government as applied in his or her respective country. The few exceptions to the rule are Germany and Austria, whose heads of government titles are almost always translated as Chancellor; Monaco, whose head of government is referred to as the Minister of State; and Vatican City, for which the head of government is titled the Secretary of State. In the case of Ireland, the head of government is occasionally referred to as the Taoiseach by English speakers. A stand-out case is the President of Iran, who is not actually a head of state, but the head of the government of Iran. He is referred to as "president" in both the Persian and English languages.

What is the term for the highest position in government in Vatican City?
Secretary of State