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Study Design, Settings, and Participants. This was acommunity-based, cross-sectional study conducted in thenewly established (established in December 2014) municipalitiesof Kathmandu District, Nepal, between Januaryand July 2015. The ten municipalities are located on theoutskirts of Kathmandu metropolitan city and are areas withrapid, unplanned urbanization and with high immigration ofpeople from other areas of Nepal [14]. These municipalitiescontain a total population of more than 300,000 people [15].
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