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Objectives: The increasing social needs of people with Tuberculosis (TB), and the poor adherence to anti-TB therapy (ATT) associated with homelessness, drug or alcohol abuse, and prison history, led us to introduce a social care team (SCT) to support patient engagement with care within this low TB incidence setting.Methods: Using a risk assessment, patients with social risk factors (SRF) for non-adherence to ATT are identified and a referral made to the SCT, who then provide intensive casework support for areas including homelessness, housing, benefits, debt and immigration. Retrospective data analysis of the social care database from 2017 to 2019 was conducted. Patients who were (n = 170) and were not referred to the SCT (n = 734) were compared.Results: Patients referred were significantly more likely to complete treatment for TB than those not (88.2% versus 77.7% respectively, p = 0.0025), irrespective of receipt of Directly/Video Observed Therapy and adjusting for confounders.Conclusions: This paper demonstrates important evidence for the positive impact of a dedicated SCT within a TB service, and these improved treatment outcomes provide a strong argument for development of similar SCTs within UK TB services and similar healthcare settings. [ABSTRACT FROM AUTHOR]

Conservation agriculture through no-till based on cropping systems with high biomass-C input, is a strategy to restoring the carbon (C) lost from natural capital by conversion to agricultural land. We hypothesize that cropping systems based on quantity, diversity and frequency of biomass-C input above soil C dynamic equilibrium level can recover the natural capital. The objectives of this study were to: i) assess the C-budget of land use change for two contrasting climatic environments, ii) estimate the C turnover time of the natural capital through no-till cropping systems, and iii) determine the C pathway since soil under native vegetation to no-till cropping systems. In a subtropical and tropical environment, three types of land use were used: a) undisturbed soil under native vegetation as the reference of pristine level; b) degraded soil through continuous tillage; and c) soil under continuous no-till cropping system with high biomass-C input. At the subtropical environment, the soil under continuous tillage caused loss of 25.4 Mg C ha−1 in the 0–40 cm layer over 29 years. Of this, 17 Mg C ha−1 was transferred into the 40–100 cm layers, resulting in the net negative C balance for 0–100 cm layer of 8.4 Mg C ha−1 with an environmental cost of USD 1968 ha−1. The 0.59 Mg C ha−1 yr−1 sequestration rate by no-till cropping system promote the C turnover time (soil and vegetation) of 77 years. For tropical environment, the soil C losses reached 27.0 Mg C ha−1 in the 0–100 cm layer over 8 years, with the environmental cost of USD 6155 ha−1, and the natural capital turnover time through C sequestration rate of 2.15 Mg C ha−1 yr−1 was 49 years. The results indicated that the particulate organic C and mineral associate organic C fractions are the indicators of losses and restoration of C and leading C pathway to recover natural capital through no-till cropping systems. [Display omitted] • C losses in the subtropical was 97% in the 0–20 cm layer while in tropical environment was 54.1%. • C restorations involve a production system that add high input of biomass-C. • C losses promoted higher economic impact in tropical than in subtropical environment. • The turnover time for subtropical and tropical sites was 77 and 49 years respectively. [ABSTRACT FROM AUTHOR]