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Q Fever in Southern California: 11 Patient Cases from a Community-Based Organization.

Am J Trop Med Hyg · 2019 · PMC6838576 · PMID 31971154

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an increasing trendno p-value reported
Our findings may also provide early evidence for an increasing trend of infection in this region.

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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.