1. Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA
2. The Mfangano Community Health Field Station, Mfangano Island, Kenya
3. Ekialo Kiona Center, Organic Health Response (OHR), Mfangano Island, Kenya
4. Department of Public Health, Maseno University, Kisumu, Kenya
5. Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis, MN, USA