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Written informed consent and assent was sought from study participants. This study was approved by Biomedical Research Ethics Committee of the University of KwaZulu-Natal, (BF269\/13), the Centers for Disease Control and Prevention from the United States of America and the Department of Health, Province of KwaZulu-Natal (HRKM 08\/14).","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":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"20"}}