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It is believed the epicanthic fold (slanted eyes) occurs more frequently among people of North Asian, Central Asian, and East Asian descent, such as the Mongols, Han Chinese, Tibetans, Koreans, Japanese, Kazakhs, Hazaras, and Kyrgyz. It is also commonly though less frequently found among Southeast Asians and certain other Asian ethnic groups like Vietnamese, Filipinos, Burmese, Cambodians, Thais, Bhutanese, northern Nepalis, Ladakhis, people (mostly tribal) from Eastern Bangladesh and North Eastern India (for example, the Chakma, Marma, the Sylhetis, the Mizo and the Garo), among others. Mixed race people of partially Asian descent, such as Eurasians and Afro-Asians may inherit epicanthic folds.
Epicanthic folds are also common among Native Americans and Inuit. They can also be found inherited among some Oceanic peoples including Tongans, Samoans, Micronesians and Hawaiians.
A minority of people within some African ethnic groups also have epicanthic folds; these include the Khoisans (Capoids) in Africa and certain groups from southern Sudan such as the Dinka and the Nuer.
Epicanthic folds are also found in a minority of Europeans having no obvious Asian background, especially in eastern Europe and across northern Europe in areas such as Scandinavia and Poland, as well as within Ireland and Britain. One of the existing accounts suggests that Europeans who possess the fold also have less prominent brow ridges.