[decal]

“In the United Kingdom, 57 percent of Pakistani Britons are married to their first cousins, with attendant increases in their children's congenital birth defects. But the comics save their inbreeding jokes for stump-toothed West Virginians enjoying a jigger of moonshine and a bunk-up with their sisters.”

West Virginia doesn't allow first-cousin marriages, unlike, apparently, the UK.

[FreedomPoster]

On that note, do a search on something like “Middle East consanguinity”. There are a lot of scholarly papers and studies on the subject. It’s an important part of the problems in that region.