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Spatial-temporal distribution of human brucellosis in mainland China from 2004 to 2017 and an analysis of social and environmental factors.

Environ Health Prev Med · 2020 · PMC6941396 · PMID 31898483

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a decreasing trendno p-value reported
Other than Tibet, which showed a decreasing trend, human brucellosis incidence in the remaining 30 provinces in China increased over time.

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an increasing trendno p-value reported
Overall, human brucellosis incidence exhibited an increasing trend from 2004 (11,472 cases, 0.88/100,000 persons) and peaked in 2014, with 57,222 cases (4.22/100,000 persons) reported.

also in 63,971 other papers

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.