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Article History

Received: 27 January 2026

Accepted: 2 April 2026

First Online: 24 April 2026

Declarations

:

: This study was reviewed by the Emory University Institutional Review Board and determined to be exempt from full review due to the use of de-identified, aggregated programmatic data. Approval to access and analyze the data was additionally granted by the Ministry of Health of the Republic of Liberia. All study procedures were conducted in accordance with the ethical standards of the Emory University Institutional Review Board and with the principles outlined in the Declaration of Helsinki. As the study involved retrospective analysis of routinely collected, de-identified dispatch records, the requirement for individual informed consent was waived.

: Not applicable.

: The authors declare no competing interests.