The figure suggests that the true incidence from 2014/15 onwards is likely to be lower than reported above due to a decreasing trend in absolute numbers with time.
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A systematic review of the burden of vaccine preventable pneumococcal disease in UK adults.
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The sentences
This study demonstrated a highly significant reduction in all 5 additional serotypes while there were no significant reductions in the non-PCV13 serotypes [ 21 ].