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Authors
Joseph, Julia
John, Jecelyn Leaslie
Amit, Lia Natasha
Akari, Yuki
Chin, Abraham Zefong
Komoto, Satoshi
Ahmed, Kamruddin https://orcid.org/0000-0002-1869-3701
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Funding
Funding for this research was provided by:
Universiti Malaysia Sabah (AM18006)
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Article History
Received: 31 October 2025
Accepted: 19 February 2026
First Online: 5 March 2026
Declarations
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: Ethical approval was obtained from the Medical Research Ethics Committee under the Ministry of Health Malaysia (NMRR-19-3925-52370). Written informed consent was secured from the legal guardians of all participating children.
: Not Applicable.
: The authors declare that they have no competing interests.
