Trends and seasonal variation in gastrointestinal infections in Tanzania: Analysis of 5-year DHIS2 data toward implementing the sampling cycles and metagenomic analyses.

Similarly, dysentery, typhoid, and cholera showed a decreasing trend (with negative z-values) but were not statistically significant ( P >0.05) ( Table 1 ).

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The GI infection incidence over the 5 years revealed an increasing trend in the six districts, namely, the Tunduma, Kyela, Nyasa, Kyerwa, Tarime, and Masasi districts, whereas a decreasing trend was observed in the four districts of Misenyi, Ludewa, Makambako, and Rorya ( Figure 3 ).

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