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[High-risk clusters and temporal trends in congenital syphilis infection in Brazil].

Rev Panam Salud Publica · 2020 · PMC7425818 · PMID 32818032

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an increasing trendno p-value reported
An increasing trend in CS infection was detected in all regions and federation units.

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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.