I think the point being made is that however rare it might be in the US that it’s even rarer to the point of non-existent in Germany (or the UK etc).
Edit: things don’t have to be very common for people to have deep seated fears and want to try and avoid it (however much they might or might not be overreacting doing so).
Edit: things don’t have to be very common for people to have deep seated fears and want to try and avoid it (however much they might or might not be overreacting doing so).