“… 15 , 16 Notably, the age of diagnosis is late from these two studies (Vietnam, 1–48 months, mean = 19 months; India, 0–66 months, mean = 20 months), and the detection rates of step 1 are lower than step 2. 15 , 16 In contrast, the mean age of diagnosis was 10 to 12 months for the patients in our study and others, and the detection rate was high using the first step ( Table 3 ). 18 , 26 , 27 The later ages of diagnosis in India and Vietnam might relate to delayed presentation and high detection rate of step 2.…”