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Probably because in Islamic countries they simply do not diagnose AD. For shame and disgrace is upon the whole family, even unto the last tribe, and upon the whole generation. So it is not possible to count the number of patients. “No body, no business.”
First of all, it is worth considering whether the assumption of low morbidity in some countries is a mistake when comparing statistics due to the difference in the diagnosability of the disease between different countries.