An alternative method for monitoring and interpreting influenza A in communities using wastewater surveillance

Seasonal influenza is an annual public health challenge that strains healthcare systems, yet population-level prevalence remains under-reported using standard clinical surveillance methods. Wastewater surveillance (WWS) of influenza A can allow for reliable flu surveillance within a community by lev...

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Main Authors: Tomas de Melo, Golam Islam, Denina B. D. Simmons, Jean-Paul Desaulniers, Andrea E. Kirkwood
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1141136/full
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author Tomas de Melo
Golam Islam
Denina B. D. Simmons
Jean-Paul Desaulniers
Andrea E. Kirkwood
author_facet Tomas de Melo
Golam Islam
Denina B. D. Simmons
Jean-Paul Desaulniers
Andrea E. Kirkwood
author_sort Tomas de Melo
collection DOAJ
description Seasonal influenza is an annual public health challenge that strains healthcare systems, yet population-level prevalence remains under-reported using standard clinical surveillance methods. Wastewater surveillance (WWS) of influenza A can allow for reliable flu surveillance within a community by leveraging existing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) WWS networks regardless of the sample type (primary sludge vs. primary influent) using an RT-qPCR-based viral RNA detection method for both targets. Additionally, current influenza A outbreaks disproportionately affect the pediatric population. In this study, we show the utility of interpreting influenza A WWS data with elementary student absenteeism due to illness to selectively interpret disease spread in the pediatric population. Our results show that the highest statistically significant correlation (Rs = 0.96, p = 0.011) occurred between influenza A WWS data and elementary school absences due to illness. This correlation coefficient is notably higher than the correlations observed between influenza A WWS data and influenza A clinical case data (Rs = 0.79, p = 0.036). This method can be combined with a suite of pathogen data from wastewater to provide a robust system for determining the causative agents of diseases that are strongly symptomatic in children to infer pediatric outbreaks within communities.
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spelling doaj.art-8ee36a58bec94253abcd457af384447a2023-07-27T18:40:53ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-07-011110.3389/fpubh.2023.11411361141136An alternative method for monitoring and interpreting influenza A in communities using wastewater surveillanceTomas de MeloGolam IslamDenina B. D. SimmonsJean-Paul DesaulniersAndrea E. KirkwoodSeasonal influenza is an annual public health challenge that strains healthcare systems, yet population-level prevalence remains under-reported using standard clinical surveillance methods. Wastewater surveillance (WWS) of influenza A can allow for reliable flu surveillance within a community by leveraging existing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) WWS networks regardless of the sample type (primary sludge vs. primary influent) using an RT-qPCR-based viral RNA detection method for both targets. Additionally, current influenza A outbreaks disproportionately affect the pediatric population. In this study, we show the utility of interpreting influenza A WWS data with elementary student absenteeism due to illness to selectively interpret disease spread in the pediatric population. Our results show that the highest statistically significant correlation (Rs = 0.96, p = 0.011) occurred between influenza A WWS data and elementary school absences due to illness. This correlation coefficient is notably higher than the correlations observed between influenza A WWS data and influenza A clinical case data (Rs = 0.79, p = 0.036). This method can be combined with a suite of pathogen data from wastewater to provide a robust system for determining the causative agents of diseases that are strongly symptomatic in children to infer pediatric outbreaks within communities.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1141136/fullinfluenza ASARS-CoV-2student absenteeismwastewaterRT-qPCR
spellingShingle Tomas de Melo
Golam Islam
Denina B. D. Simmons
Jean-Paul Desaulniers
Andrea E. Kirkwood
An alternative method for monitoring and interpreting influenza A in communities using wastewater surveillance
Frontiers in Public Health
influenza A
SARS-CoV-2
student absenteeism
wastewater
RT-qPCR
title An alternative method for monitoring and interpreting influenza A in communities using wastewater surveillance
title_full An alternative method for monitoring and interpreting influenza A in communities using wastewater surveillance
title_fullStr An alternative method for monitoring and interpreting influenza A in communities using wastewater surveillance
title_full_unstemmed An alternative method for monitoring and interpreting influenza A in communities using wastewater surveillance
title_short An alternative method for monitoring and interpreting influenza A in communities using wastewater surveillance
title_sort alternative method for monitoring and interpreting influenza a in communities using wastewater surveillance
topic influenza A
SARS-CoV-2
student absenteeism
wastewater
RT-qPCR
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1141136/full
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