HIV among people who inject drugs in the Middle East and North Africa: systematic review and data synthesis.

PLoS Med · 2014 · PMC4061009 · PMID 24937136

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an increasing trendno p-value reported

For example in Pakistan, despite high HIV prevalence, the epidemic was classified as emerging since HIV prevalence continues in an increasing trend.

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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.