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Changes in drowning mortality rates and quality of reporting from 2004-2005 to 2014-2015: a comparative study of 61 countries.

BMC Public Health · 2019 · PMC6819554 · PMID 31660919

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a decreasing trendno p-value reported
Notably, although some countries exhibited a decline in ranking (downward slope) (i.e., Germany [fourth to sixth], Belgium [ninth to tenth], Sweden [thirteenth to fifteenth], Serbia [nineteenth to twenty-first], Uruguay [thirty-fifth to forty-first], and Japan [forty-fourth to forty-sixth]), their mortality rates showed a decreasing trend (blue line).

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