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An approval to use the public health facilities and visit the households was also granted by the health department in the County Government of Kiambu (KIAMBU\/HRDU\/AUTHO\/2019\/04\/24\/Kamau L). Patients were enrolled in the study according to common KEMRI guidelines, which follows the Helsinki declaration and the ICH-GCP guidelines. The purpose of the study was explained in the local language, and an informed consent obtained from the patient, parent(s) or guardian(s) to participate in the study. For household vector sampling, the unit heads were informed of the procedures to be carried out inside the house and the hazards, risks or benefits associated with these were explained clearly before they could consent to the study. Approval to publish the study outcome was granted by the Director General KEMRI.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"10"}}