Municipal and neighbourhood level wastewater surveillance and subtyping of an influenza virus outbreak

Abstract Recurrent influenza epidemics and pandemic potential are significant risks to global health. Public health authorities use clinical surveillance to locate and monitor influenza and influenza-like cases and outbreaks to mitigate hospitalizations and deaths. Currently, global integration of c...

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Main Authors: Elisabeth Mercier, Patrick M. D’Aoust, Ocean Thakali, Nada Hegazy, Jian-Jun Jia, Zhihao Zhang, Walaa Eid, Julio Plaza-Diaz, Md Pervez Kabir, Wanting Fang, Aaron Cowan, Sean E. Stephenson, Lakshmi Pisharody, Alex E. MacKenzie, Tyson E. Graber, Shen Wan, Robert Delatolla
Format: Article
Language:English
Published: Nature Portfolio 2022-09-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-20076-z
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author Elisabeth Mercier
Patrick M. D’Aoust
Ocean Thakali
Nada Hegazy
Jian-Jun Jia
Zhihao Zhang
Walaa Eid
Julio Plaza-Diaz
Md Pervez Kabir
Wanting Fang
Aaron Cowan
Sean E. Stephenson
Lakshmi Pisharody
Alex E. MacKenzie
Tyson E. Graber
Shen Wan
Robert Delatolla
author_facet Elisabeth Mercier
Patrick M. D’Aoust
Ocean Thakali
Nada Hegazy
Jian-Jun Jia
Zhihao Zhang
Walaa Eid
Julio Plaza-Diaz
Md Pervez Kabir
Wanting Fang
Aaron Cowan
Sean E. Stephenson
Lakshmi Pisharody
Alex E. MacKenzie
Tyson E. Graber
Shen Wan
Robert Delatolla
author_sort Elisabeth Mercier
collection DOAJ
description Abstract Recurrent influenza epidemics and pandemic potential are significant risks to global health. Public health authorities use clinical surveillance to locate and monitor influenza and influenza-like cases and outbreaks to mitigate hospitalizations and deaths. Currently, global integration of clinical surveillance is the only reliable method for reporting influenza types and subtypes to warn of emergent pandemic strains. The utility of wastewater surveillance (WWS) during the COVID-19 pandemic as a less resource intensive replacement or complement for clinical surveillance has been predicated on analyzing viral fragments in wastewater. We show here that influenza virus targets are stable in wastewater and partitions favorably to the solids fraction. By quantifying, typing, and subtyping the virus in municipal wastewater and primary sludge during a community outbreak, we forecasted a citywide flu outbreak with a 17-day lead time and provided population-level viral subtyping in near real-time to show the feasibility of influenza virus WWS at the municipal and neighbourhood levels in near real time using minimal resources and infrastructure.
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spelling doaj.art-d6bcfdf0183d4a909dd029cb788eb2272022-12-22T04:25:58ZengNature PortfolioScientific Reports2045-23222022-09-0112111110.1038/s41598-022-20076-zMunicipal and neighbourhood level wastewater surveillance and subtyping of an influenza virus outbreakElisabeth Mercier0Patrick M. D’Aoust1Ocean Thakali2Nada Hegazy3Jian-Jun Jia4Zhihao Zhang5Walaa Eid6Julio Plaza-Diaz7Md Pervez Kabir8Wanting Fang9Aaron Cowan10Sean E. Stephenson11Lakshmi Pisharody12Alex E. MacKenzie13Tyson E. Graber14Shen Wan15Robert Delatolla16Department of Civil Engineering, University of OttawaDepartment of Civil Engineering, University of OttawaDepartment of Civil Engineering, University of OttawaDepartment of Civil Engineering, University of OttawaDepartment of Civil Engineering, University of OttawaDepartment of Civil Engineering, University of OttawaChildren’s Hospital of Eastern Ontario Research InstituteChildren’s Hospital of Eastern Ontario Research InstituteDepartment of Civil Engineering, University of OttawaDepartment of Civil Engineering, University of OttawaDepartment of Civil Engineering, University of OttawaChildren’s Hospital of Eastern Ontario Research InstituteDepartment of Civil Engineering, University of OttawaChildren’s Hospital of Eastern Ontario Research InstituteChildren’s Hospital of Eastern Ontario Research InstituteDepartment of Civil Engineering, University of OttawaDepartment of Civil Engineering, University of OttawaAbstract Recurrent influenza epidemics and pandemic potential are significant risks to global health. Public health authorities use clinical surveillance to locate and monitor influenza and influenza-like cases and outbreaks to mitigate hospitalizations and deaths. Currently, global integration of clinical surveillance is the only reliable method for reporting influenza types and subtypes to warn of emergent pandemic strains. The utility of wastewater surveillance (WWS) during the COVID-19 pandemic as a less resource intensive replacement or complement for clinical surveillance has been predicated on analyzing viral fragments in wastewater. We show here that influenza virus targets are stable in wastewater and partitions favorably to the solids fraction. By quantifying, typing, and subtyping the virus in municipal wastewater and primary sludge during a community outbreak, we forecasted a citywide flu outbreak with a 17-day lead time and provided population-level viral subtyping in near real-time to show the feasibility of influenza virus WWS at the municipal and neighbourhood levels in near real time using minimal resources and infrastructure.https://doi.org/10.1038/s41598-022-20076-z
spellingShingle Elisabeth Mercier
Patrick M. D’Aoust
Ocean Thakali
Nada Hegazy
Jian-Jun Jia
Zhihao Zhang
Walaa Eid
Julio Plaza-Diaz
Md Pervez Kabir
Wanting Fang
Aaron Cowan
Sean E. Stephenson
Lakshmi Pisharody
Alex E. MacKenzie
Tyson E. Graber
Shen Wan
Robert Delatolla
Municipal and neighbourhood level wastewater surveillance and subtyping of an influenza virus outbreak
Scientific Reports
title Municipal and neighbourhood level wastewater surveillance and subtyping of an influenza virus outbreak
title_full Municipal and neighbourhood level wastewater surveillance and subtyping of an influenza virus outbreak
title_fullStr Municipal and neighbourhood level wastewater surveillance and subtyping of an influenza virus outbreak
title_full_unstemmed Municipal and neighbourhood level wastewater surveillance and subtyping of an influenza virus outbreak
title_short Municipal and neighbourhood level wastewater surveillance and subtyping of an influenza virus outbreak
title_sort municipal and neighbourhood level wastewater surveillance and subtyping of an influenza virus outbreak
url https://doi.org/10.1038/s41598-022-20076-z
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