Wastewater-based surveillance as a tool for public health action : SARS-CoV-2 and beyond

Wastewater-based surveillance (WBS) has undergone dramatic advancement in the context of the coronavirus disease 2019 (COVID-19) pandemic. The power and potential of this platform technology were rapidly realized when it became evident that not only did WBS-measured SARS-CoV-2 RNA correlate strongly with COVID-19 clinical disease within monitored populations but also, in fact, it functioned as a leading indicator. Teams from across the globe rapidly innovated novel approaches by which wastewater could be collected from diverse sewersheds ranging from wastewater treatment plants (enabling community-level surveillance) to more granular locations including individual neighborhoods and high-risk buildings such as long-term care facilities (LTCF). Efficient processes enabled SARS-CoV-2 RNA extraction and concentration from the highly dilute wastewater matrix. Molecular and genomic tools to identify, quantify, and characterize SARS-CoV-2 and its various variants were adapted from clinical programs and applied to these mixed environmental systems. Novel data-sharing tools allowed this information to be mobilized and made immediately available to public health and government decision-makers and even the public, enabling evidence-informed decision-making based on local disease dynamics. WBS has since been recognized as a tool of transformative potential, providing near-real-time cost-effective, objective, comprehensive, and inclusive data on the changing prevalence of measured analytes across space and time in populations. However, as a consequence of rapid innovation from hundreds of teams simultaneously, tremendous heterogeneity currently exists in the SARS-CoV-2 WBS literature. This manuscript provides a state-of-the-art review of WBS as established with SARS-CoV-2 and details the current work underway expanding its scope to other infectious disease targets.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

Clinical microbiology reviews - 37(2024), 1 vom: 14. März, Seite e0010322

Sprache:

Englisch

Beteiligte Personen:

Parkins, Michael D [VerfasserIn]
Lee, Bonita E [VerfasserIn]
Acosta, Nicole [VerfasserIn]
Bautista, Maria [VerfasserIn]
Hubert, Casey R J [VerfasserIn]
Hrudey, Steve E [VerfasserIn]
Frankowski, Kevin [VerfasserIn]
Pang, Xiao-Li [VerfasserIn]

Links:

Volltext

Themen:

Antimicrobial resistance
COVID-19
Journal Article
Polio
RNA, Viral
Research Support, Non-U.S. Gov't
Review
Sewage
Wastewater
Wastewater-based epidemiology

Anmerkungen:

Date Completed 15.03.2024

Date Revised 11.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1128/cmr.00103-22

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365861375