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A statistical tool for comparing seasonal ILI surveillance data.

Sci Rep · 2019 · PMC6363783 · PMID 30723245

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an increasing trendno p-value reported
When comparing years, the difficulty comes from the fact that the number of participating health providers has steadily increased over time, and thus there is also an increasing trend in the reported cases.

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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.