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The study was reviewed and approved by the Gran Consejo Tsimane, the governing body overseeing Tsimane affairs and research projects, and by the IRBs of the University of California-Santa Barbara (UCSB) and the University of New Mexico. Informed consent was obtained at two levels. During a community meeting open to all residents, communities decided collectively whether they would participate in the THLHP. To date, all communities that have been approached have agreed to participate in the THLHP. Study participants gave informed consent before each medical visit. For minors, both parental consent and child assent were obtained.
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