“…29 Another phenomenon observed in traditional Middle Eastern and North African societies is endogamy (ie, marriage within the community), which results in intracommunity genetic homogeneity. This phenomenon is well known in many culturally, religiously, or geographically secluded societies in South India, 24,34 Southeast Asia, 35 the Gitano population in Spain, 32 the Amish community, certain regions in Switzerland, La Reunion Island, 33 the Adriatic islands in Croatia, 36 and many more. 33,[37][38][39][40][41][42] IEI are traditionally considered rare diseases, with a global incidence of 1 per 10,000 to 1 per 50,000 live births.…”