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99DOTS is a cellphone-based strategy for monitoring tuberculosis medication adherence. In a sample of 597 Indian tuberculosis patients, we compared 99DOTS' adherence assessments against results of urine isoniazid tests collected during unannounced home visits. 99DOTS had suboptimal accuracy for measuring adherence, partly due to poor patient engagement with 99DOTS. © The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America.OBJECTIVE Subthreshold psychosis risk symptoms in the general populat