Although there was an increasing trend of active TB notification since 2011, it was mainly caused by the increase of sputum smear-negative TB cases; the leading infection source sputum-smear positive TB cases were consistently decreasing since 2006 according to our previous study [ 25 ].
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Seasonality of active tuberculosis notification from 2005 to 2014 in Xinjiang, China.
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Lastly, the SA had a decreasing trend from 2005 to 2014, which coincided with the downward trend of TB notification.
Uygur ethnic group, a high TB-risk population, had greater seasonality of TB than others; however, these differences failed to reach statistical significance.