1 Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC, USA.
2 Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC, USA. Electronic address: POKHRELL18@ecu.edu.
3 Department of Microbiology and Immunology, Brody School of Medicine, East Carolina University, Greenville, NC, USA.
4 Environmental Health Science Program, Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University, Greenville, NC, USA.
5 Department of Biology, Chowan University, Murfreesboro, NC, USA.