A decreasing trend was observed in both estimates from 2014 to 2017.
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The Burden of Dengue in Children by Calculating Spatial Temperature: A Methodological Approach Using Remote Sensing Techniques.
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The sentences
A positive trend was documented from 1990 to 2017, and dengue rates increased by an average of 64% per year (AAPC = 64%, 95% CI 44–87%).