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Malaria in Brazil: what happens outside the Amazonian endemic region.

Mem Inst Oswaldo Cruz · 2014 · PMC4156455 · PMID 25185003

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a decreasing trendno p-value reported
The incidence rates of malaria in SP from 1980-2007 show a decreasing trend ( Couto et al. 2010 ).

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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.