Comprehensive assessment of adults severely ill with TB referred after triage in Tamil Nadu, India.

Tamil Nadu Kasanoi Erappila Thittam (TN-KET) is India's first state-wide differentiated TB care initiative to reduce TB deaths. Since April 2022, this involved triaging for severe illness at diagnosis and prioritisation of severely ill for inpatient care. In the third year (2024), TN-KET sustained its performance in comprehensive assessment of severely ill during inpatient care, possibly contributing to low deaths in 2024. The information on reasons for severe illness provided will guide strengthening of infrastructure during inpatient care. While therapeutic nutrition and diabetes care is work in progress, sustained efforts are required for managing severe alcohol addiction and chronic lung disease.