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Mediterranean spotted fever in Spain, 1997-2014: Epidemiological situation based on hospitalization records.

PLoS One · 2017 · PMC5371374 · PMID 28355307

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a decreasing trendno p-value reported
The median annual hospitalization rate showed a decreasing trend from a maximum of 12.9 in 1997 to a minimum rate of 3.1 in 2014.

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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.