The changing epidemiology of meningococcal disease in Quebec, Canada, 1991-2011: potential implications of emergence of new strains.

PLoS One · 2012 · PMC3510192 · PMID 23209803

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an increasing trendno p-value reported

Overall IMD incidence in Quebec presented an increasing trend during the same period and a certain stabilisation during 2007–2011.

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