Rheumatic fever and rheumatic heart disease in Bangladesh: A review.

Indian Heart J · 2016 · PMC4759488 · PMID 26896274

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a definite trendno p-value reported

62 Subsequently, like some other parts of the world, there was a definite trend toward steady decline in incidence and prevalence of RF in the country. 63 On the other hand, despite lower incidence of clinically apparent acute RF, continuing high incidence and prevalence of chronic RHD is a reality.

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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.