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Ethical approval was obtained from the University of Zambia\u2019s Biomedical Research Ethics Committee (UNZA BREC) as well as Michigan State University\u2019s Biomedical Institutional Review Board (MSU BIRB).","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"OKS, IJ, MJP, IJK, and GLB have received funding from the NIH. OKS also received grant funding from the American Academy of Neurology. MJP also received funding from the Dana Foundation. GLB has also played a role in writing guidelines relevant to this patient population. MAE, BAJ, JFO, CMB, WHJ, and LK report no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"201"}}