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Early warning and response system (EWARS) for dengue outbreaks: Recent advancements towards widespread applications in critical settings.

PLoS One · 2018 · PMC5935393 · PMID 29727447

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a significant trendno p-value reported
Indeed, a significant trend towards improved data quality and reporting has been documented during this study.

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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.