Barely Significant
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Pneumococcal meningitis trends after pneumococcal conjugate vaccine introduction in Colombia: An interrupted time-series analysis.

Hum Vaccin Immunother · 2018 · PMC5989909 · PMID 29351491

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a significant trendno p-value reported
A significant trend towards reduced monthly was observed in the post-vaccination period (2012–2015) compared with the expected rate, reaching in 2015 a reduction of 90.5% of pneumococcal meningitis.

also in 9,775 other papers

an increasing trendno p-value reported
The results of our analysis indicate that the number of pneumococcal meningitis cases in Colombia showed an increasing trend until the year 2012.

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.