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Ethical approval was obtained from the Institutional Review Boards of the Ministry of Health, Wellness, and Environment of Saint Vincent and the Grenadines, WHO, and CDC. Written and signed consent\/assent were obtained from all participants, schools, and parents in the study.","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":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"3228"}}