Our results showed a decreasing trend of the IMD incidence rate from 2003 to 2020, with an average mortality rate of 7.1%, both in line with data from most of the European countries notifying TESSy during the same period (ECDC 2022b ).
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Epidemiology and genetic diversity of invasive Neisseria meningitidis strains circulating in Portugal from 2003 to 2020.
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Over the past 4 years (2017–2020), we observed an increasing trend of cases assigned to cc213, cc32, and cc11.