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The indirect effect of childhood immunization has led to impressive declines in the incidence of invasive pneumococcal disease in US adults [ 6– 11], but more variable herd effects in western Europe [ 12].
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Despite an impressive decline in the gender gap in employment, females are still less likely to work than males: about 76%% of working age males and 63 % of working age females were employed in 2010.
Perinatal mortality is showing a downward trend in The Netherlands, but other European countries have reported a more impressive decline in the mortality rates [ 4, 5].
The development of highly active antiretroviral therapy (HAART) has led to impressive declines in morbidity and mortality from the human immunodeficiency virus (HIV) [1].
In Uganda, impressive declines in HIV prevalence were documented from peak prevalence in the early 1990s at >10% to an estimated 6% in the early 2000s [24], [25], [26], [27].
Following the introduction of RV vaccine, impressive declines in RV and all-cause diarrhea hospitalizations were observed in many countries [ 13].
While reductions in infectious disease have resulted in impressive declines in child mortality in Bangladesh, drowning is becoming proportionately more important as a major cause of death, accounting for at least 19% of deaths of children between 1 and 4 years of age in trend analysis since 2000.
Universal and free access to HAART has helped achieve impressive declines in AIDS mortality in Brazil.
The sharing of non-sterile injecting equipment remains an important risk factor for HIV acquisition and other blood-borne diseases, despite impressive declines in injecting-related risk behavior observed among injection drug users (IDU) in several settings [ 1– 3].
The overall theme for this year's conference was 20 Years and Beyond; Advancing children's rights in Rwanda to highlight many achievements in the country, such as the impressive decline in under-five mortality (the highest improvement in East and Southern Africa) which UNICEF Representative, Noala Skinner, described as "a child survival revolution".
Even the impressive decline in unemployment has partly come about because many people have given up looking for work, and so are not counted as unemployed.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com