There are quite a lot of signatories from the Scandinavian countries and the Netherlands too, particularly given their relatively low populations.
But, yes. I think it's a bit of a number of things.
One is that there may not be as many ME/CFS (and Long Covid and QFFS and post-ebola syndrome and other similar disease) support groups in some other countries to publicise the petition to their members.
Two, sometimes these organisations only operate on social media platforms that some of us doing the contacting aren't on - especially true of the Long covid groups.
Three, there are language difficulties that make it hard for us to find the organisations, and for the organisations to deal with our request
Four, people are going to be a lot more willing to sign if they have had some exposure to the problem. In particular, people in non-ME/CFS groups and in countries with very limited medical services may not have had that exposure. (i.e. they may not have much in the way of support, but at least no one is referring them to a CBT or GET course)
Five, we contacted the organisations that were easiest for us first, and so organisations in countries where we didn't have contacts or where the language is a barrier have had less time to get back to us.
If anyone has knowledge of ME/CFS groups in some of the countries we don't have many signatories from yet, please do post about them or talk to a moderator. The whole process is helping us build up a useful list of active support groups.
I wonder, for example, what it is like to have ME/CFS or Long Covid in Russia or Thailand or Zimbabwe, or post Ebola syndrome in Sierra Leone. Does the 2019 Cochrane Exercise Therapy review influence these people's care? If
@Mike Harley is up for it, there's whole lifetime of marathons to do.