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An evidence synthesis approach to estimating the incidence of symptomatic pertussis infection in the Netherlands, 2005-2011.

BMC Infect Dis · 2015 · PMC4696101 · PMID 26715486

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an increasing trendno p-value reported
A two-fold rise in seroprevalence has been reported between 1995/6 and 2006/7 for persons aged >9 years, from 4.0 to 9.3 % [ 1 ], and an increasing trend in notified cases was reported over the period 1996–2012 [ 2 ].

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