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Authors
Orozco, Fadya
Montenegro, Stephanie
Muñoz, Fabián
Handal, Alexis J.
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Funding
Funding for this research was provided by:
National Institute of Environmental Health Sciences, National Institutes of Health, USA. (R01ES026603)
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Article History
Received: 23 January 2025
Accepted: 6 April 2026
First Online: 23 April 2026
Declarations
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: Ethical approval was obtained by the Human Research Review Committee (HRRC) of the University of New Mexico (17–425; approved on 18 January 2018), the Health Sciences and Behavioral Sciences Institutional Review Board (IRB-HSBS) of the University of Michigan (HUM00138211, approved 8 August 2019), and the Human Research Ethics Committee of the Universidad San Francisco de Quito (CEISH ID 2017-177IN; approved 8 February 2018). Additionally, protocol approval was obtained by the Ecuadorian Ministry of Public Health.National Health Intelligence Directorate (MSP—DIS; approved 14 August 2018), and the District Health Directorate 17D10 Cayambe, Pedro Moncayo, of the Ministry of Public Health, authorized the implementation of the study in the study region.
: Not applicable.
: The authors declare no competing interests.
