Barely Significant
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The current status of phlebotomine sand flies in Albania and incrimination of Phlebotomus neglectus (Diptera, Psychodidae) as the main vector of Leishmania infantum.

PLoS One · 2017 · PMC5476235 · PMID 28628627

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a decreasing trendno p-value reported
A most recent gap analysis from 2005–2013 shows a decreasing trend of VL from 2.5/100000 to 0.8/100000.

also in 47,180 other papers

an increasing trendno p-value reported
In 2003, Velo et al [ 15 ] reported an increasing trend of VL cases, from 144 to 209, occurred between 1997 and 2001.

also in 63,971 other papers

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.