If you are referencing the often-cited 2011 survey conducte…

If you are referencing the often-cited 2011 survey conducted by Dr. Frank Noonan in a largely unvaccinated Amish community, it's important to note that the sample size was extremely small (fewer than 400 individuals) and isn't necessarily reflective of all Amish communities or of the general population. The circumstances of their isolation from mainstream society and lifestyle habits also prompt caution in drawing broad conclusions from this group to apply to larger population health trends.