Petropoulos, Zoe E.
Keogh, Sinead A.
Jarquín, Emmanuel
López-Pilarte, Damaris
Amador Velázquez, Juan José
García-Trabanino, Ramón
Amador Sánchez, Magaly Rosario
Guevara, Raúl
Gruener, Alexa
Allen, Dustin R.
Leibler, Jessica H.
Delgado, Iris S.
McClean, Michael D.
Friedman, David J.
Brooks, Daniel R.
Scammell, Madeleine K.
Article History
Received: 7 October 2022
Revised: 2 March 2023
Accepted: 13 March 2023
First Online: 12 April 2023
Competing interests
: The authors declare no competing interests.
: The MANOS study protocol was approved by the Boston University Medical Campus Institutional Review Board, the Salvadoran National Ethics Committee for Health Research (Comité Nacional de Ética de las Investigaciones en Salud), and the Nicaraguan Ministry of Health National Ethics Committee (Comité Institutional de Revisión Etica) and Office of Teaching and Research (Dirección General de Docencia e Investigaciones).