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Permission to collect sewage samples was granted by the Chief Executive Officer of a regional hospital in the uMgungundlovu District, KwaZulu-Natal Province. Clinical isolates were obtained with permission from the National Health Laboratory Services (NHLS), a South African public institute for laboratory service, research and training (reference: PR2225862). No patient data was collected.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"SYE is the Chairperson of the Global Respiratory Infection Partnership and member of the Global Hygiene Council, both supported with unrestricted educational grants from Reckitt (Pty.), Ltd. UK.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Any opinion, finding, and conclusion or recommendation expressed in this material is that of the authors, and neither the NRF nor the other funding bodies accept any liability in this regard.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}}],"article-number":"284"}}