Palangasinghe, Dhammika R.
Dilshan, U. H. B. Y.
De Zoysa, Warsha D.
Gamage, Jayani
Iglesias-Ussel, Maria D.
Bodinayake, Champica K.
De S. Nagahawatte, Ajith
Wijayaratne, W. M. D. Gaya B.
Olague, Stefany
Kurukulasooriya, M. R. P.
Weerasinghe, Senali A.
Premamali, M. H. M.
Ngocho, James S.
Obale, Armstrong
Chakraborty, Hrishikesh
Østbye, Truls
Kenny, Avi
Gallis, John A.
Laber, Eric B.
Naggie, Susanna
Woods, Christopher W.
Myers, Evan
Tillekeratne, L. Gayani
Watt, Melissa H.
Funding for this research was provided by:
U.S. National Institute of Allergy and Infectious Diseases (R01 AI168420)
Article History
Received: 11 November 2025
Accepted: 9 February 2026
First Online: 21 February 2026
Declarations
:
: Ethical approval for the study was obtained from the Ethics Review Committee, Faculty of Medicine, University of Ruhuna, Sri Lanka (Reference No. 15.02.2018.3.13) as well as the from the Duke University Institutional Review Board (Pro00092502). Participants provided written informed consent for study participation, with permission for audio recording. This study was conducted in accordance with the principles of the Declaration of Helsinki.
: Not applicable.
: The authors declare no competing interests.