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However, approval to conduct the study was granted by Kenyatta University graduate school (Ref No: Pl 54\/20269\/2020). Ethical approval was obtained from the Kenya Medical Research Institute (KEMRI) through the Scientific and Ethics Review Unit (study No., KEMRI\/SERU\/CMR\/P00185\/4448). Additionally, a research permit was issued by the National Commission for Science, Technology, and Innovation (License No, NACOSTI\/P\/22\/18422). Permit to ship DNA samples for sequencing to Robert Koch Institute, Berlin, Germany was obtained from KEMRI and National Environment Management Authority (NEMA), Kenya, (Ref No: NEMA\/AGR\/182\/2023).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"940"}}