Dengue Incidence Trends and Its Burden in Major Endemic Regions from 1990 to 2019.

Trop Med Infect Dis · 2022 · PMC9416661 · PMID 36006272

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an increasing trendno p-value reported

Conversely, in middle-, high-middle- and high-SDI regions, the dengue ASR has an increasing trend.

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a decreasing trendno p-value reported

For example, in low- and low-middle-SDI regions, the ASR of dengue fever has a decreasing trend, which suggests that population growth and aging are the main reasons for the increase in dengue cases in these two regions.

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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.