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Abstract
In the first 2 years of the coronavirus disease 2019 pandemic, influenza transmission decreased substantially worldwide, meaning that health systems were not faced with simultaneous respiratory epidemics. In 2022, however, substantial influenza transmission returned to Nicaragua where it co-circulated with severe acute respiratory syndrome coronavirus 2, causing substantial disease burden.
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Details
1 ICPSR, University of Michigan , Ann Arbor, Michigan , USA
2 School of Public Health, University of Michigan , Ann Arbor, Michigan , USA
3 Centro Nacional de Diagnóstico y Referencia, Ministry of Health , Managua , Nicaragua
4 Sustainable Sciences Institute , Managua , Nicaragua