1. Acquired insights from the long-term surveillance of SARS-CoV-2 RNA for COVID-19 monitoring: The case of Monterrey Metropolitan Area (Mexico)
- Author
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Padilla-Reyes, Diego A, Álvarez, Mario Moises, Mora, Abrahan, Cervantes-Avilés, Pabel A, Kumar, Manish, Loge, Frank J, and Mahlknecht, Jürgen
- Subjects
Biological Sciences ,Environmental Sciences ,Chemical Sciences ,Prevention ,Infectious Diseases ,Emerging Infectious Diseases ,Infection ,Good Health and Well Being ,COVID-19 ,Humans ,Mexico ,RNA ,Viral ,SARS-CoV-2 ,Wastewater ,Surveillance ,Epidemiology ,RT-qPCR ,Toxicology ,Biological sciences ,Chemical sciences ,Environmental sciences - Abstract
Wastewater-based epidemiology offers a time- and cost-effective way to monitor SARS-CoV-2 spread in communities and therefore represents a complement to clinical testing. WBE applicability has been demonstrated in a number of cases over short-term periods as a method for tracking the prevalence of SARS-CoV-2 and an early-warning tool for predicting outbreaks in the population. This study reports SARS-CoV-2 viral loads from wastewater treatment plants (WWTPs) and hospitals over a 6-month period (June to December 2020). Results show that the overall range of viral load in positive tested samples was between 1.2 × 103 and 3.5 × 106 gene copies/l, unveiling that secondary-treated wastewaters mirrored the viral load of influents. The interpretation suggests that the viral titers found in three out of four WWTPs were associated to clinical COVID-19 surveillance indicators preceding 2-7 days the rise of reported clinical cases. The median wastewater detection rate of SARS-CoV-2 was one out of 14,300 reported new cases. Preliminary model estimates of prevalence ranged from 0.02 to 4.6% for the studied period. This comprehensive statistical and epidemiological analysis demonstrates that the applied wastewater-based approach to COVID-19 surveillance is in general consistent and feasible, although there is room for improvements.
- Published
- 2022