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Prevalence and risk factors for esophageal squamous cell cancer and precursor lesions in Anyang, China: a population-based endoscopic survey.

Br J Cancer · 2010 · PMC2965859 · PMID 20700119

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a decreasing trendno p-value reported
A previous ecologic study reported that the incidence and mortality from esophageal cancer in Linzhou showed a decreasing trend in villages included in this water improvement project as compared with those without water improvement ( Han et al , 2007 ).

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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.