Barely Significant
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Waning immunity, prevailing non-vaccine type <i>ptxP3</i> and macrolide-resistant strains in the 2024 pertussis outbreak in China: a multicentre cross-sectional descriptive study.

Lancet Reg Health West Pac · 2025 · PMC12272891 · PMID 40688167

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an increasing trendno p-value reported
The overwhelming dominance of the MT28 variant with non-vaccine type ptxP 3 and an increasing trend of PRN-deficient B. pertussis isolates circulating in China support the speculation of the existence of vaccine escape.

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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.