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<i>Rickettsia felis</i>, an Emerging Flea-Borne Rickettsiosis.

Curr Trop Med Rep · 2016 · PMC4870301 · PMID 27340613

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an overall trendno p-value reported
felis is classified as an emerging pathogen, it is unclear whether this increased incidence in Africa reflects an overall trend or represents an endemic state previously unknown for this disease.

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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.