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they are concentrated in several areas, not all over; this is an extraordinarily rare name in the US. Besides, like so many other ethnic groups, some Irish choose names Americans recognize so their children can get along. I know tons of Mexican immigrants who speak NO English and name their kids Justin, Tiffany, Brianna and Brian for this reason, passing up Luis and Miguel. I believe few Americans would know how to pronounce Niamh. Only a die-hard American nomophile, or someone who knows the Irish community (and that is NOT every American), would know the Gaelic pronunciation.