Implications of Projected Hydroclimatic Change for Tularemia Outbreaks in High-Risk Areas across Sweden.

Int J Environ Res Public Health · 2020 · PMC7558863 · PMID 32957641

Europe PMC DOI

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a clear trendno p-value reported

Europe as a whole does not have a clear trend of tularemia outbreaks in recent decades, but rather a pattern of repeated local emergence and re-emergence throughout most countries [ 11 ].

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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.