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We subsequently obtained the necessary authorizations to conduct our research at the CEDBCAM Research Institute (N\u00b02024\/03\/005\/L\/CEDBCAM-RI\/DG\/DRD), and both healthcare facilities, including LHD (N\u00b0101\/AR\/MINSANTE\/DHL) and NDH (N\u00b0\/L\/MINSANTE\/DRSPL\/DSN\/HDN), were granted. Sample collection was done from all participants who agreed to participate, signed informed consent, fill out the questionnaire and provide a sample were included in the study. The study was conducted in accordance with the declaration of Helsinki. In addition, the research authorizations of the various healthcare structures have been granted. 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