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Disease burden and attributable risk factors of respiratory infections in China from 1990 to 2019.

Lancet Reg Health West Pac · 2021 · PMC8315661 · PMID 34327361

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a decreasing trendno p-value reported
Moreover, the number of incident cases with LRIs exhibited a decreasing trend from 1990 to 2010, but slightly went up again thereafter.

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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.