A systematic literature review of leptospirosis outbreaks worldwide, 1970-2012.

Rev Panam Salud Publica · 2020 · PMC7363284 · PMID 32684917

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a decreasing trendno p-value reported

Occupational setting-associated outbreaks were most common during 1985–1987 (47.6%; 10/21), 1988–1990 (69.2%; 9/13), and 1991–1993 (53.3%; 8/15), with a decreasing trend after 1993.

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