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Epidemiology of Injury-Related Death in Children under 5 Years of Age in Hunan Province, China, 2009-2014.

PLoS One · 2017 · PMC5226836 · PMID 28076399

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a decreasing trendno p-value reported
Conclusions Although injury-realted fatalities in children <5 years of age have shown a decreasing trend, childhood injuries remain a substantial public health problem in Hunan province.

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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.