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Urgent air transfers for acute respiratory infections among children from Northern Canada, 2005-2014.

PLoS One · 2022 · PMC9333212 · PMID 35901042

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an increasing trendno p-value reported
The lack of regional care is an increasing trend in North America and leads to transfer as a rule, with loss of regional pediatric capacity and little room to surge [ 27 ].

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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.