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Effect of the lack of access to handwashing facilities on the global burden of lower respiratory infections, 1990-2019: A systematic analysis from the global burden of disease study 2019.

Heliyon · 2024 · PMC11422025 · PMID 39323860

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a decreasing trendno p-value reported
Although the burden of LRIs attributed to the lack of access to handwashing facilities has shown a decreasing trend globally, the absolute disease burden remains high due to the high mortality rates and DALY rates of LRIs.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.