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Underreporting of Congenital Syphilis as a Cause of Fetal and Infant Deaths in Northeastern Brazil.

PLoS One · 2016 · PMC5152812 · PMID 27941983

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an increasing trendno p-value reported
These rates presented an increasing trend over the years, however, in 2012 there was a decline in comparison to 2011 (-0.48 to -0.42).

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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.