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Burden of measles using disability-adjusted life years, Umbria 2013-2018.

Acta Biomed · 2020 · PMC7975903 · PMID 32275267

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a decreasing trendno p-value reported
In Italy, the reasons for missed measles vaccination are routinely collected, and show a decreasing trend during the last three years ( 17 ).

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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.