1. SARS-CoV-2 known and unknowns, implications for the water sector and wastewater-based epidemiology to support national responses worldwide: early review of global experiences with the COVID-19 pandemic
- Author
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Dan Deere, Kelly Hill, Peter A. Vanrolleghem, Arash Zamyadi, and Nicholas D. Crosbie
- Subjects
wastewater sampling/surveillance ,medicine.medical_specialty ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Population ,Context (language use) ,Disease ,010501 environmental sciences ,01 natural sciences ,Environmental technology. Sanitary engineering ,03 medical and health sciences ,modelling and back-calculation ,Environmental health ,Pandemic ,Epidemiology ,Medicine ,education ,TD1-1066 ,030304 developmental biology ,0105 earth and related environmental sciences ,Water Science and Technology ,0303 health sciences ,education.field_of_study ,business.industry ,national response ,Public health ,covid-19 pandemic ,sars-cov-2 ,wastewater-based epidemiology (wbe) ,Wastewater ,business - Abstract
Wastewater surveillance of pathogens may be a useful tool to help determine whether clinical surveillance of disease is effective or inadequate due to under-reporting and under-detection. In addition, tracking of pathogen concentrations over time could potentially provide a measure of the effectiveness of public health control measures and the impact of the gradual relaxation of these controls. Analysis of wastewater using quantitative molecular methods offers a real-time measure of infections in the community, and thus is expected to provide a more sensitive and rapid indication of changes in infection rates before such effects become detectable by clinical health surveillance. Models may help to back-calculate wastewater prevalence to population prevalence or to correct pathogen counts for wastewater catchment-specific and temporal effects. They may also help to design the wastewater sampling strategy. This article provides a brief summary of the history of pathogen wastewater surveillance to help set the context for the SARS-CoV-2 wastewater-based epidemiology (WBE) programmes currently being undertaken globally. HIGHLIGHTS A brief history of pathogen wastewater surveillance.; Context for current SARS-CoV-2 wastewater-based epidemiology (WBE) programmes.; Recommendations on research and investigation priorities.; Wide potential of modelling is presented together with remaining knowledge gaps.
- Published
- 2021