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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.

Parasit Vectors · 2021 · PMC8499449 · PMID 34620225

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an increasing trendno p-value reported
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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a decreasing trendno p-value reported
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).

also in 47,180 other papers

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.