Wastewater network infrastructure in public health: Applications and learnings from the COVID-19 pandemic.

Accurate estimates of COVID-19 burden of infections in communities can inform public health strategy for the current pandemic. Wastewater based epidemiology (WBE) leverages sewer infrastructure to provide insights on rates of infection by measuring viral concentrations in wastewater. By accessing th...

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Main Authors: Nour Sharara, Noriko Endo, Claire Duvallet, Newsha Ghaeli, Mariana Matus, Jennings Heussner, Scott W Olesen, Eric J Alm, Peter R Chai, Timothy B Erickson
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0000061
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author Nour Sharara
Noriko Endo
Claire Duvallet
Newsha Ghaeli
Mariana Matus
Jennings Heussner
Scott W Olesen
Eric J Alm
Peter R Chai
Timothy B Erickson
author_facet Nour Sharara
Noriko Endo
Claire Duvallet
Newsha Ghaeli
Mariana Matus
Jennings Heussner
Scott W Olesen
Eric J Alm
Peter R Chai
Timothy B Erickson
author_sort Nour Sharara
collection DOAJ
description Accurate estimates of COVID-19 burden of infections in communities can inform public health strategy for the current pandemic. Wastewater based epidemiology (WBE) leverages sewer infrastructure to provide insights on rates of infection by measuring viral concentrations in wastewater. By accessing the sewer network at various junctures, important insights regarding COVID-19 disease activity can be gained. The analysis of sewage at the wastewater treatment plant level enables population-level surveillance of disease trends and virus mutations. At the neighborhood level, WBE can be used to describe trends in infection rates in the community thereby facilitating local efforts at targeted disease mitigation. Finally, at the building level, WBE can suggest the presence of infections and prompt individual testing. In this critical review, we describe the types of data that can be obtained through varying levels of WBE analysis, concrete plans for implementation, and public health actions that can be taken based on WBE surveillance data of infectious diseases, using recent and successful applications of WBE during the COVID-19 pandemic for illustration.
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spelling doaj.art-db03f6734d9d4356bb9cdbadce7fb17c2023-09-03T14:29:03ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752021-01-01112e000006110.1371/journal.pgph.0000061Wastewater network infrastructure in public health: Applications and learnings from the COVID-19 pandemic.Nour ShararaNoriko EndoClaire DuvalletNewsha GhaeliMariana MatusJennings HeussnerScott W OlesenEric J AlmPeter R ChaiTimothy B EricksonAccurate estimates of COVID-19 burden of infections in communities can inform public health strategy for the current pandemic. Wastewater based epidemiology (WBE) leverages sewer infrastructure to provide insights on rates of infection by measuring viral concentrations in wastewater. By accessing the sewer network at various junctures, important insights regarding COVID-19 disease activity can be gained. The analysis of sewage at the wastewater treatment plant level enables population-level surveillance of disease trends and virus mutations. At the neighborhood level, WBE can be used to describe trends in infection rates in the community thereby facilitating local efforts at targeted disease mitigation. Finally, at the building level, WBE can suggest the presence of infections and prompt individual testing. In this critical review, we describe the types of data that can be obtained through varying levels of WBE analysis, concrete plans for implementation, and public health actions that can be taken based on WBE surveillance data of infectious diseases, using recent and successful applications of WBE during the COVID-19 pandemic for illustration.https://doi.org/10.1371/journal.pgph.0000061
spellingShingle Nour Sharara
Noriko Endo
Claire Duvallet
Newsha Ghaeli
Mariana Matus
Jennings Heussner
Scott W Olesen
Eric J Alm
Peter R Chai
Timothy B Erickson
Wastewater network infrastructure in public health: Applications and learnings from the COVID-19 pandemic.
PLOS Global Public Health
title Wastewater network infrastructure in public health: Applications and learnings from the COVID-19 pandemic.
title_full Wastewater network infrastructure in public health: Applications and learnings from the COVID-19 pandemic.
title_fullStr Wastewater network infrastructure in public health: Applications and learnings from the COVID-19 pandemic.
title_full_unstemmed Wastewater network infrastructure in public health: Applications and learnings from the COVID-19 pandemic.
title_short Wastewater network infrastructure in public health: Applications and learnings from the COVID-19 pandemic.
title_sort wastewater network infrastructure in public health applications and learnings from the covid 19 pandemic
url https://doi.org/10.1371/journal.pgph.0000061
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