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The global trends and regional differences in incidence of Zika virus infection and implications for Zika virus infection prevention.

PLoS Negl Trop Dis · 2022 · PMC9586358 · PMID 36269778

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an increasing trendno p-value reported
Conclusions ZIKV infection is still a public health threat in Latin America and Caribbean and high SDI regions suffered an increasing trend of ZIKV infection.

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a decreasing trendno p-value reported
From 2015 to 2019, a decreasing trend was observed in most of GBD regions ( Fig 2 ).

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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.