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Prevention of Pertussis, Tetanus, and Diphtheria with Vaccines in the United States: Recommendations of the Advisory Committee on Immunization Practices (ACIP).

MMWR Recomm Rep · 2018 · PMC5919600 · PMID 29702631

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an overall trendno p-value reported
Since the 1980s, there has been an overall trend of an increase in reported pertussis cases, especially among adolescents and adults ( 17 – 19 ).

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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.