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In the Philippines, ethical approval for studies involving human participants was obtained from the University of the Philippines Manila Research Ethics Board (approval no. 2021-156-01), while approval for animal sample collection and use was granted by the Institutional Animal Care and Use Committee (approval no. 2021-004).","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"159"}}