From the aDepartment of Family Medicine, University of North Carolina, Chapel Hill, NC

bCenter of Infectious Diseases, Department of Microbiology and Parasitology, Faculty of Medical Sciences, National Autonomous University of Nicaragua-León, León, Nicaragua

cDepartment of Biostatistics, University of North Carolina, Chapel Hill, NC

dDivision of Viral Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, GA

eEmory University, Rollins School of Public Health, Atlanta, GA

fDepartment of Epidemiology, University of North Carolina, Chapel Hill, NC.

Submitted January 19, 2022; accepted May 6, 2022

S.B.-D. and F.B. equally contributed to this article.

This work was supported by the National Institute of Allergy and Infectious Diseases at the National Institutes of Health (R01AI127845 and K24AI141744) and the Fogarty International Center (D43TW010923 to L.G., F.G., and Y.R.).

Data are available on request to the study Principal Investigators (S.B.-D., F.B.).

The authors report no conflicts of interest.

The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Correspondence: Nadja A. Vielot, University of North Carolina at Chapel Hill School of Medicine, 590 Manning Drive, Chapel Hill, NC 27599. E-mail: [email protected].