“…The limited information that is available for the other countries of the British Isles suggests that the disease is currently widespread, but with particular geographic foci (O'Brien, 1992;Bisdorff et al, 2006;Rose et al, 2009;Chivers et al, 2018). The difficulty in obtaining accurate prevalence figures has been recognised (Jones et al, 2022;Paton et al, 2022). Jones et al (2022) demonstrated from state figures for Scotland a prevalence of 0.63% for the period 2014-19.…”