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Detection of Zika virus infection among asymptomatic pregnant women in the North of Peru.

BMC Res Notes · 2018 · PMC5960167 · PMID 29776426

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an increasing trendno p-value reported
In contrast, some Peruvian regions such as Cajamarca, Loreto, Ica, Tumbes, La Libertad, and Lima, 8080 cases have reported with an increasing trend of confirmed cases since 2016 [ 21 , 22 ].

also in 63,971 other papers

a decreasing trendno p-value reported
In the latest epidemiological update submitted by the PAHO in August of 2017, they describe a decreasing trend in the number of cases confirmed in South America since March of 2016 [ 18 ].

also in 47,180 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.