medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 1, 2025
Abstract
In
2024,
the
highly
pathogenic
avian
influenza
A
H5N1
caused
outbreaks
in
wild
birds,
poultry,
cows,
and
other
mammals
United
States
with
61
human
cases
also
reported
by
CDC.
Detection
of
H5
RNA
wastewater
has
been
previously
sewersheds
Texas
North
Carolina
nearby
impacted
dairy
herds
following
emergence
cows.
Here,
we
conduct
retrospective
testing
total
hemagglutinin
genes
as
well
presenting
applying
new
assays
for
detection
H1
H3
across
a
respiratory
virus
season
an
urban
California
sewershed
from
September
2023
–
May
2024.
Total
A,
H1,
were
regularly
detected,
while
was
first
detected
March.
We
developed
model
that
uses
Monte
Carlo
simulations
published
parameters
to
estimate
numbers
infected
people,
or
liters
H5-contaminated
milk
required
result
measured
concentrations
wastewater.
Our
findings
demonstrate
this
sewershed,
contaminated
poultry
most
likely
sources
created
publicly
available
tool
apply
input
inputs.
Synopsis
understand
potential
wastewater,
enabling
interpretation
detections.
TOC
figure
The Science of The Total Environment,
Journal Year:
2021,
Volume and Issue:
805, P. 149877 - 149877
Published: Aug. 25, 2021
Wastewater
surveillance
for
pathogens
using
reverse
transcription-polymerase
chain
reaction
(RT-PCR)
is
an
effective
and
resource-efficient
tool
gathering
community-level
public
health
information,
including
the
incidence
of
coronavirus
disease-19
(COVID-19).
Surveillance
Severe
Acute
Respiratory
Syndrome
Coronavirus-2
(SARS-CoV-2)
in
wastewater
can
potentially
provide
early
warning
signal
COVID-19
infections
a
community.
The
capacity
world's
environmental
microbiology
virology
laboratories
SARS-CoV-2
RNA
characterization
increasing
rapidly.
However,
there
are
no
standardized
protocols
or
harmonized
quality
assurance
control
(QA/QC)
procedures
surveillance.
This
paper
technical
review
factors
that
cause
false-positive
false-negative
errors
wastewater,
culminating
recommended
strategies
be
implemented
to
identify
mitigate
some
these
errors.
Recommendations
include
stringent
QA/QC
measures,
representative
sampling
approaches,
virus
concentration
efficient
extraction,
PCR
inhibition
assessment,
inclusion
sample
processing
controls,
considerations
RT-PCR
assay
selection
data
interpretation.
Clear
interpretation
guidelines
(e.g.,
determination
positive
negative
samples)
critical,
particularly
when
low.
Corrective
confirmatory
actions
must
place
inconclusive
results
diverging
from
current
trends
initial
onset
reemergence
community).
It
also
prudent
perform
interlaboratory
comparisons
ensure
results'
reliability
interpretability
prospective
retrospective
analyses.
this
aim
improve
detection
applications.
A
silver
lining
pandemic
efficacy
continues
demonstrated
during
global
crisis.
In
future,
should
play
important
role
range
other
communicable
diseases.
The Lancet Microbe,
Journal Year:
2023,
Volume and Issue:
4(5), P. e340 - e348
Published: March 22, 2023
Respiratory
disease
is
a
major
cause
of
morbidity
and
mortality;
however,
surveillance
for
circulating
respiratory
viruses
passive
biased.
Wastewater-based
epidemiology
has
been
used
to
understand
SARS-CoV-2,
influenza
A,
syncytial
virus
(RSV)
infection
rates
at
community
level
but
not
investigate
other
viruses.
We
aimed
use
wastewater-based
viral
occurrence.A
retrospective
study
was
carried
out
large
wastewater
treatment
plant
located
in
California,
USA.
Using
droplet
digital
RT-PCR,
we
measured
RNA
concentrations
A
B
viruses,
RSV
B,
parainfluenza
(1-4)
rhinovirus,
seasonal
coronaviruses,
metapneumovirus
solids
three
times
per
week
17
months
(216
samples)
between
Feb
1,
2021,
June
21,
2022.
Novel
probe-based
RT-PCR
assays
non-influenza
targets
were
developed
validated.
compared
positivity
infections
from
clinical
specimens
submitted
California
Sentinel
Clinical
Laboratories
(sentinel
laboratories)
assess
concordance
the
two
datasets.We
detected
all
tested
solids.
Human
rhinovirus
(median
concentration
4300
[0-9500]
copies
gram
dry
weight)
human
coronaviruses
(35
000
[17
000-56
000])
found
highest
concentrations.
Concentrations
correlated
significantly
positively
with
associated
diseases
sentinel
laboratories
(tau
0·32-0·57,
p<0·0009);
only
exceptions
which
rarely
Measurements
indicated
coronavirus
OC43
dominated
whereas
3
among
during
period.
decreased
noticeably
after
omicron
BA.1
surge
suggesting
connection
changes
behaviour
transmission
viruses.Wastewater-based
can
be
obtain
information
on
circulation
localised,
without
need
test
many
individuals
because
single
sample
represents
entire
contributing
community.
Results
available
within
24
h
collection,
generating
real
time
inform
public
health
responses,
decision
making,
individual
modifications.CDC
Foundation.
Environmental Science & Technology Letters,
Journal Year:
2022,
Volume and Issue:
9(2), P. 173 - 178
Published: Jan. 12, 2022
Wastewater-based
epidemiology
(WBE)
uses
concentrations
of
infectious
agent
targets
in
wastewater
to
infer
infection
trends
the
contributing
community.
To
date,
WBE
has
been
used
gain
insight
into
gastrointestinal
diseases,
but
its
application
respiratory
diseases
limited.
Here,
we
report
that
syncytial
virus
(RSV)
genomic
ribonucleic
acid
can
be
detected
settled
solids
at
two
publicly
owned
treatment
works.
We
further
show
concentration
is
strongly
associated
(Kendalls
tau
=
0.65–0.77,
p
<
10–7)
with
clinical
positivity
rates
for
RSV
sentinel
laboratories
across
state
2021,
a
year
anomalous
seasonal
disease.
Given
infections
have
similar
presentations
COVID-19,
life
threatening
some,
and
immunoprophylaxis
distribution
vulnerable
people
based
on
outbreak
identification,
represents
an
important
tool
augment
current
surveillance
public
health
response
efforts.
Scientific Data,
Journal Year:
2023,
Volume and Issue:
10(1)
Published: June 22, 2023
Abstract
We
measured
concentrations
of
SARS-CoV-2,
influenza
A
and
B
virus,
respiratory
syncytial
virus
(RSV),
mpox
human
metapneumovirus,
norovirus
GII,
pepper
mild
mottle
nucleic
acids
in
wastewater
solids
at
twelve
treatment
plants
Central
California,
USA.
Measurements
were
made
daily
for
up
to
two
years,
depending
on
the
plant.
using
digital
droplet
(reverse-transcription–)
polymerase
chain
reaction
(RT-PCR)
following
best
practices
making
environmental
molecular
biology
measurements.
These
data
can
be
used
better
understand
disease
occurrence
communities
contributing
wastewater.
Environmental Science & Technology Letters,
Journal Year:
2023,
Volume and Issue:
10(8), P. 622 - 627
Published: July 20, 2023
Wastewater
monitoring
can
provide
insights
into
respiratory
disease
occurrence
in
communities
that
contribute
to
the
wastewater
system.
Using
daily
measurements
of
RNA
influenza
A
(IAV),
syncytial
virus
(RSV),
and
human
metapneumovirus
(HMPV),
as
well
SARS-CoV-2
solids
from
eight
publicly
owned
treatment
works
Greater
San
Francisco
Bay
Area
California
between
July
2022
early
2023,
we
identify
a
"tripledemic"
when
concentrations
IAV,
RSV,
peaked
at
approximately
same
time.
HMPV
was
also
widely
circulating.
We
designed
novel
hydrolysis
probe
RT-PCR
assays
for
different
IAV
subtype
markers
discern
dominant
circulating
H3N2.
show
data
be
used
onset
offset
events.
This
information
insight
epidemiology
timely,
localized
inform
hospital
staffing
clinical
decision
making
respond
viruses.
Whereas
RSV
events
were
mostly
regionally
coherent,
displayed
patterns.
Environmental Science & Technology Letters,
Journal Year:
2024,
Volume and Issue:
11(6), P. 526 - 532
Published: May 20, 2024
Prospective
influenza
A
(IAV)
RNA
monitoring
at
190
wastewater
treatment
plants
(WWTPs)
across
the
US
identified
increases
in
IAV
concentrations
59
spring
2024,
after
typical
seasonal
period,
coincident
with
identification
of
highly
pathogenic
avian
(subtype
H5N1)
circulating
dairy
cattle
US.
We
developed
and
validated
a
hydrolysis-probe
RT-PCR
assay
for
quantification
H5
hemagglutinin
gene.
applied
it
retrospectively
to
samples
from
four
WWTPs
where
springtime
were
one
WWTP
they
not.
The
marker
was
detected
all
coinciding
not
without
an
increase.
Positive
are
located
states
confirmed
outbreaks
influenza,
H5N1
clade
2.3.4.4b,
cattle.
Concentrations
gene
approached
overall
virus
concentrations,
suggesting
large
fraction
inputs
subtypes.
At
positive
WWTPs,
industrial
discharges
containing
animal
waste,
including
milk
byproducts,
permitted
discharge
into
sewers.
Our
findings
demonstrate
that
can
detect
animal-associated
contributions
highlight
need
consider
agricultural
wastewater.
This
work
illustrates
monitoring's
value
comprehensive
surveillance,
influenzas
currently
thought
be
primarily
found
animals
important
implications
human
health.
Environmental Science Water Research & Technology,
Journal Year:
2022,
Volume and Issue:
8(4), P. 757 - 770
Published: Jan. 1, 2022
We
compared
SARS-CoV-2
RNA
concentrations
in
primary
settled
solids
and
raw
wastewater
samples
matched
date
to
investigate
the
relationship
between
two
matrices.
Critical Reviews in Environmental Science and Technology,
Journal Year:
2022,
Volume and Issue:
52(24), P. 4395 - 4419
Published: Jan. 16, 2022
Water
environments
are
increasingly
recognized
as
a
conduit
for
the
spread
of
antibiotic
resistance,
but
there
is
need
to
standardize
resistance
monitoring
protocols
ensure
comparability
across
studies.
Quantitative
polymerase
chain
reaction
(qPCR)
attractive
sensitive
means
quantifying
genes
(ARGs)
and
has
been
applied
broadly
over
past
two
decades
various
water
matrices.
QPCR
avoids
challenges
biases
associated
with
culture-based
methods,
providing
reproducible
highly
measure
ARGs
carried
bacterial
community.
However,
numerous
quality
assurance
other
aspects
that
be
addressed
measurements
representative
comparable
Here
we
conducted
critical
review
identify
gene
targets
most
commonly
measured
by
qPCR
quantify
in
surface
water,
recycled
wastewater
assess
corresponding
protocols.
Identified
monitored
samples
included
sul1,
tetA,
intI1,
given
their
abundance
tendency
correlate
anthropogenic
inputs,
vanA
blaCTX-M,
more
rarely
detected,
clinically-relevant
targets.
We
identified
117
peer-reviewed
studies
meeting
search
criteria
application
these
assays
matrices
interest
systematically
assessed
protocols,
including
sample
collection
concentration,
DNA
extraction,
primer/probe
specificity,
amplification
conditions,
amplicon
length,
PCR
inhibition
evaluation,
limit
detection/quantification.
Gene
copy
numbers
reported
were
further
compared
assay
matrix.
Based
on
this
comprehensive
recommend
assays,
standardized
workflows,
reporting
five
target
genes.