Thomas, Christine M.
Roth, Emma
Mackley, Christian
Ford, Dalton
Goonewardene, Dilani
Baynham, Dorothy
Schaffner, William
Fill, Mary-Margaret A.
Yackley, Jane
Dunn, John R.
Article History
Received: 21 May 2025
Accepted: 10 July 2025
First Online: 8 August 2025
Declarations
:
: The project was conducted in accordance with the principles of the Declaration of Helsinki. The project was reviewed by the TDH Institutional Review Board and determined to constitute public health surveillance (the Common Rule), not requiring formal ethical approval for human subject research. Participant consent was not obtained as the project used data collected during public health surveillance.
: Not applicable.
: The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Tennessee Department of Health.
: The authors declare no competing interests.