Surname Akow (Akow 
) , throughout the world, is a very rare family name. The surname Akow is characteristic of Cayman Islands, where it is quite a rare surname, Trinidad and Tobago, and Canada, where it is a very rare surname. Measured by absolute frequency, it is the most numerous in Trinidad and Tobago, Canada, and Nigeria. Very seldom, Akow is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Akow | Canada, Trinidad and Tobago, Cayman Islands, Malaysia, Nigeria |