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The phrase 'highest incidence' is correct and usable in written English.
You can use it when you want to describe a large, frequent occurrence of something. For example, "Violent crime in this neighborhood has the highest incidence in the city."
Exact(58)
The county also had the highest incidence in New York State three years running.
Brazil has the highest incidence of dengue fever in the world.
She is a bakery worker in Mississippi, the state with the highest incidence of the disease.
Despite the highest incidence of AIDS in the region, Kazakhstan has no government-operated treatment centers.
Washington State, Oregon and California have the highest incidence of heroin abuse in the West.
Apparently the Irish have the highest incidence of it in the world.
The state has among the highest incidence of drunken driving deaths in the United States.
Thornburg, though, avoided subprime lending, which has the highest incidence of defaults.
While Africa has the highest incidence of fistula of any region, it also frequently occurs in Asia.
The report makes clear, however, that the highest incidence of satisfactory provision occurs when employers carry out their own training.
The highest incidence in Nassau was in Oyster Bay, where the rate was 55percentt higher than expected.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com