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Trends and Spatial Pattern Analysis of Dengue Cases in Northeast Malaysia.

J Prev Med Public Health · 2022 · PMC8841195 · PMID 35135051

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an increasing trendno p-value reported
Conversely, the number of cold spots showed an increasing trend from 2016 to 2018.

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a decreasing trendno p-value reported
Dengue has shown a decreasing trend in Kelantan, a north-eastern state of Malaysia, despite its persistent endemicity.

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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.