Responding to Cholera in Haiti: Implications for the National Plan to Eliminate Cholera by 2022.

J Infect Dis · 2018 · PMC6188568 · PMID 30239937

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an overall trendno p-value reported

Despite an overall trend of declining incidence, transmission still occurs in alternating phases of peak and lull periods driven by seasonal conditions and superimposed outbreaks in hotspots.

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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.