Ethical approval.

WM Wilson L. Mandala
CM Chisomo L. Msefula
EG Esther N. Gondwe
JG James J. Gilchrist
SG Stephen M. Graham
PP Paul Pensulo
GM Grace Mwimaniwa
MB Meraby Banda
TT Terrie E. Taylor
EM Elizabeth E. Molyneux
MD Mark T. Drayson
SW Steven A. Ward
MM Malcolm E. Molyneux
CM Calman A. MacLennan
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The study was approved by the College of Medicine Research and Ethics Committee, University of Malawi, and the Ethics Committee of the Liverpool School of Tropical Medicine, United Kingdom. A parent or guardian of each participant provided informed written consent on the child's behalf.

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