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Trends of leprosy and multibacillary infection in the state of Georgia since the early 1900s.

PLoS Negl Trop Dis · 2019 · PMC6808490 · PMID 31603913

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an increasing trendno p-value reported
Furthermore, since the early 1900s, we found an increasing trend of leprosy reports in Georgia among both domestic born and immigrant residents, despite the overall decrease in cases in the United States during the same time period.

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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.