The presence of SARS-CoV-2 in the feces of infected patients and wastewater has drawn attention, not only to the possibility of fecal-oral transmission but also to the use of wastewater as an epidemiological tool. The COVID-19 pandemic has highlighted problems in evaluating the epidemiological scope of the disease using classical surveillance approaches, due to a lack of diagnostic capacity, and their application to only a small proportion of the population. As in previous pandemics, statistics, particularly the proportion of the population infected, are believed to be widely underestimated. Furthermore, analysis of only clinical samples cannot predict outbreaks in a timely manner or easily capture asymptomatic carriers. Threfore, community-scale surveillance, including wastewater-based epidemiology, can bridge the broader community and the clinic, becoming a valuable indirect epidemiological prediction tool for SARS-CoV-2 and other pandemic viruses. This article summarizes current knowledge and discusses the critical factors for implementing wastewater-based epidemiology of COVID-19.
Details
Title
Making waves: Wastewater-based epidemiology for COVID-19-approaches and challenges for surveillance and prediction
Authors/Creators
David Polo - Universidade de Santiago de Compostela
Marcos Quintela-Baluja - Newcastle University
Alexander Corbishley - Roslin Institute
Davey L. Jones - Bangor University
Andrew C. Singer - UK Centre for Ecology & Hydrology
David W. Graham - Newcastle University
Jesus L. Romalde - Universidade de Santiago de Compostela
Publication Details
Water research (Oxford), Vol.186, 116404
Publisher
Elsevier
Number of pages
7
Grant note
NE/M010996/1 / NERC; UK Research & Innovation (UKRI); Natural Environment Research Council (NERC)
EP/R036705/1 / EPSRC; UK Research & Innovation (UKRI); Engineering & Physical Sciences Research Council (EPSRC)
2014-PG110 / Xunta de Galicia (Spain); Xunta de Galicia
NE/V004883/1 / Natural Environment Research Council's (UK) COVID-19 Urgency programme
Centre of Expertise for Waters
EP/R511584/1 / EPSRC IAA program (UK)