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Using geographical information systems to identify populations in need of improved accessibility to antivenom treatment for snakebite envenoming in Costa Rica.

PLoS Negl Trop Dis · 2013 · PMC3561131 · PMID 23383352

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a decreasing trendno p-value reported
In the 1990s, the snakebite incidence in Costa Rica was approximately 15 per 100,000 inhabitants per year, with a decreasing trend [14] .

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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.