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The Department of Health and the institutional Biomedical Research Ethics Committee (Reference Number: BE 183\/17) granted permission for this study. The study was conducted per the Declaration of Helsinki and approved by the Institutional Review Board (or Ethics Committee) of the University of Kwazulu-Natal, South Africa, and the University of Missouri Kansas City.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}],"article-number":"3"}}