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She is currently pursuing her Master of Public Health degree at Columbia University. SSH is a public health researcher who is involved with impact evaluations of new diagnostic technologies such as Xpert MTB\/RIF testing and computer-aided detection for TB in the Pakistani population. Her on-going research focuses on impact of anti-tuberculosis treatment on HbA1C levels among Diabetics with TB. SMAZ is a medical epidemiologist and Program Manager on the TB-DM bidirectional-screening program. SK is a program development expert and was the Director of Strategy and Operations at IRD when the TB-DM bidirectional-screening program was rolled out. HH is a public health professional who serves as Country Director of IRD Bangladesh and was instrumental in scaling drug resistant TB (DR-TB) treatment sites to 10 cities across Pakistan through Global Fund support. RF is a Professor at London School of Hygiene and Tropical Medicine, and is Chief Scientist for a multi-country RCT for treatment of HIV-associated chronic lung disease. AJK is an epidemiologist and social entrepreneur, currently testing social business models for the delivery of affordable lung health and diabetes care in Bangladesh, Indonesia, and Pakistan. Aamir was the driving force behind launching the bi-directional TB-DM screening program in Karachi.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Author\u2019s information"}},{"value":"The study was approved by the Institutional Review Board (IRB) at Interactive Research and Development (IRD), Karachi, Pakistan. The IRB is registered with the U.S. Department of Health and Human Services (DHHS), Office for Human Research Protections (IRB#00005148). The ethics committee formally approved using verbal consent. Verbal consent was obtained from participants prior to conducting blood glucose and Xpert MTB\/RIF tests and documented on the screening forms. De-identified data from the project was used for data analysis.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"147"}}