The northwestern regions, including Gansu, Sichuan, and especially Xinjiang, experienced a decreasing trend in general, while the central areas, including Shanxi and Shaanxi, witnessed an increasing trend, especially in recent years.
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Epidemiological features and spatial-temporal distribution of visceral leishmaniasis in mainland China: a population-based surveillance study from 2004 to 2019.
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VL incidence showed a decreasing trend in general during our study period (annual percentage change [APC] = −4.2564, 95% confidence interval [CI]: −8.0856 to −0.2677).