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Epidemiology of Nosema spp. and the effect of indoor and outdoor wintering on honey bee colony population and survival in the Canadian Prairies.

PLoS One · 2021 · PMC8544878 · PMID 34695141

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an increasing trendno p-value reported
This represents an increasing trend of N . ceranae becoming the dominant form of this pathogen in Canada.

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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.