National Scale Real-Time Surveillance of SARS-CoV-2 Variants Dynamics by Wastewater Monitoring in Israel

In this report, we describe a national-scale monitoring of the SARS-CoV-2 (SC-2) variant dynamics in Israel, using multiple-time sampling of 13 wastewater treatment plants. We used a combination of inclusive and selective quantitative PCR assays that specifically identify variants A19/A20 or B.1.1.7...

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Main Authors: Itay Bar-Or, Victoria Indenbaum, Merav Weil, Michal Elul, Nofar Levi, Irina Aguvaev, Zvi Cohen, Virginia Levy, Roberto Azar, Batya Mannasse, Rachel Shirazi, Efrat Bucris, Orna Mor, Alin Sela Brown, Danit Sofer, Neta S. Zuckerman, Ella Mendelson, Oran Erster
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/14/6/1229
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author Itay Bar-Or
Victoria Indenbaum
Merav Weil
Michal Elul
Nofar Levi
Irina Aguvaev
Zvi Cohen
Virginia Levy
Roberto Azar
Batya Mannasse
Rachel Shirazi
Efrat Bucris
Orna Mor
Alin Sela Brown
Danit Sofer
Neta S. Zuckerman
Ella Mendelson
Oran Erster
author_facet Itay Bar-Or
Victoria Indenbaum
Merav Weil
Michal Elul
Nofar Levi
Irina Aguvaev
Zvi Cohen
Virginia Levy
Roberto Azar
Batya Mannasse
Rachel Shirazi
Efrat Bucris
Orna Mor
Alin Sela Brown
Danit Sofer
Neta S. Zuckerman
Ella Mendelson
Oran Erster
author_sort Itay Bar-Or
collection DOAJ
description In this report, we describe a national-scale monitoring of the SARS-CoV-2 (SC-2) variant dynamics in Israel, using multiple-time sampling of 13 wastewater treatment plants. We used a combination of inclusive and selective quantitative PCR assays that specifically identify variants A19/A20 or B.1.1.7 and tested each sample for the presence and relative viral RNA load of each variant. We show that between December 2020 and March 2021, a complete shift in the SC-2 variant circulation was observed, where the B.1.1.7 replaced the A19 in all examined test points. We further show that the normalized viral load (NVL) values and the average new cases per week reached a peak in January 2021 and then decreased gradually in almost all test points, in parallel with the progression of the national vaccination campaign, during February–March 2021. This study demonstrates the importance of monitoring SC-2 variant by using a combination of inclusive and selective PCR tests on a national scale through wastewater sampling, which is far more amendable for high-throughput monitoring compared with sequencing. This approach may be useful for real-time dynamics surveillance of current and future variants, such as the Omicron (BA.1, BA.2) and other variants.
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spelling doaj.art-7b3b0b5714284ef8aa4c5a1df7a46ace2023-11-23T19:25:50ZengMDPI AGViruses1999-49152022-06-01146122910.3390/v14061229National Scale Real-Time Surveillance of SARS-CoV-2 Variants Dynamics by Wastewater Monitoring in IsraelItay Bar-Or0Victoria Indenbaum1Merav Weil2Michal Elul3Nofar Levi4Irina Aguvaev5Zvi Cohen6Virginia Levy7Roberto Azar8Batya Mannasse9Rachel Shirazi10Efrat Bucris11Orna Mor12Alin Sela Brown13Danit Sofer14Neta S. Zuckerman15Ella Mendelson16Oran Erster17Central Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelCentral Virology Laboratory, Israel Ministry of Health, Chaim Sheba Medical Center, Ramat Gan 5262000, IsraelIn this report, we describe a national-scale monitoring of the SARS-CoV-2 (SC-2) variant dynamics in Israel, using multiple-time sampling of 13 wastewater treatment plants. We used a combination of inclusive and selective quantitative PCR assays that specifically identify variants A19/A20 or B.1.1.7 and tested each sample for the presence and relative viral RNA load of each variant. We show that between December 2020 and March 2021, a complete shift in the SC-2 variant circulation was observed, where the B.1.1.7 replaced the A19 in all examined test points. We further show that the normalized viral load (NVL) values and the average new cases per week reached a peak in January 2021 and then decreased gradually in almost all test points, in parallel with the progression of the national vaccination campaign, during February–March 2021. This study demonstrates the importance of monitoring SC-2 variant by using a combination of inclusive and selective PCR tests on a national scale through wastewater sampling, which is far more amendable for high-throughput monitoring compared with sequencing. This approach may be useful for real-time dynamics surveillance of current and future variants, such as the Omicron (BA.1, BA.2) and other variants.https://www.mdpi.com/1999-4915/14/6/1229SARS-CoV-2variant B.1.1.7 (Alpha)RT-qPCRwastewater surveillancedifferential PCR
spellingShingle Itay Bar-Or
Victoria Indenbaum
Merav Weil
Michal Elul
Nofar Levi
Irina Aguvaev
Zvi Cohen
Virginia Levy
Roberto Azar
Batya Mannasse
Rachel Shirazi
Efrat Bucris
Orna Mor
Alin Sela Brown
Danit Sofer
Neta S. Zuckerman
Ella Mendelson
Oran Erster
National Scale Real-Time Surveillance of SARS-CoV-2 Variants Dynamics by Wastewater Monitoring in Israel
Viruses
SARS-CoV-2
variant B.1.1.7 (Alpha)
RT-qPCR
wastewater surveillance
differential PCR
title National Scale Real-Time Surveillance of SARS-CoV-2 Variants Dynamics by Wastewater Monitoring in Israel
title_full National Scale Real-Time Surveillance of SARS-CoV-2 Variants Dynamics by Wastewater Monitoring in Israel
title_fullStr National Scale Real-Time Surveillance of SARS-CoV-2 Variants Dynamics by Wastewater Monitoring in Israel
title_full_unstemmed National Scale Real-Time Surveillance of SARS-CoV-2 Variants Dynamics by Wastewater Monitoring in Israel
title_short National Scale Real-Time Surveillance of SARS-CoV-2 Variants Dynamics by Wastewater Monitoring in Israel
title_sort national scale real time surveillance of sars cov 2 variants dynamics by wastewater monitoring in israel
topic SARS-CoV-2
variant B.1.1.7 (Alpha)
RT-qPCR
wastewater surveillance
differential PCR
url https://www.mdpi.com/1999-4915/14/6/1229
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