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Factors Associated with Dog Rabies Immunization in Changsha, China: Results of a Cross-Sectional Cluster Survey, 2015-2021.

Viruses · 2022 · PMC9863250 · PMID 36680178

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an increasing trendno p-value reported
Overall, the number of immunization sites increased from 17 (2015) to 57 (2021), and the number of serum samples also showed an increasing trend between 2015 (336) and 2021 (955).

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a slightly increasing trendno p-value reported
The rabies epidemic is mainly concentrated in southern China, where Hunan Province continues to have a high incidence, with the highest number of cases in 2013 (83) and fluctuating lower thereafter, but with a slightly increasing trend in 2015 (75) and 2018 (78), and the following years with the number of cases in 2014 (65), 2016 (64), 2017 (71), 2019 (55) and 2020 (59), respectively [ 12 ], which is one of the most severely affected provinces in the current rabies epidemic.

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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.