During
the
COVID-19
pandemic,
measurement
of
SARS-CoV-2
RNA
levels
in
wastewater
quickly
emerged
as
an
additional
tool
for
monitoring
and
to
provide
early
warning
system.
This
led
development
several
regional,
national
international
projects
aimed
at
applying
this
approach.
The
main
principle
is
based
on
detection
viral
signature
untreated
indication
infection
within
connected
populations.
However,
concentration
can
be
impacted
by
dilution
factors
or
population
changes
sewer
shed,
leading
misinterpretation
results.
Therefore,
there
need
normalization
ensure
accurate
representation
numbers.
aim
study
was
evaluate
different
bacterial
markers
their
efficiency
normalizing
WBE
data,
which
will
enhance
accuracy
when
interpreting
concentrations
wastewater.
Weekly
sampling
conducted
from
two
treatment
plants
(WWTP
A
WWTP
B)
eThekwini
district
over
a
period
three
months
(July-October
2022).
Three
biomarkers
(crAssphage,
Bacteroides
(HF
183),
Pepper
Mild
Motile
Virus)
where
chosen
ascertain
most
suitable
data
normalization.
Biomarker
SARS
CoV-2
samples
were
determined
using
droplet
digital
PCR
(ddPCR).
Physicochemical
characteristics
also
identify
potential
impact
these
biomarkers.
To
determine
biomarker,
correlation
analysis
Adaptive
neuro
fuzzy
inference
system
(ANFIS)
model
used.
Average
sampled
WWTPs
ranged
0.28
copies/µL
9.57
copies/µL.
Among
studied,
crAssphage
recorded
highest
compared
PMMoV
HF183
both
WWTPs.
CrAssphage
7943
(±7.07)
8006
(±4.24)
B.
10116
(±120.91)
2474
(±117.37)
had
46
84,1
(±5.48)
observed
Week
1.
showed
greater
association
during
trend
with
(0.499)
than
other
A,
183
(-0.191)
SARS-CoV
2
(-0.562)).
physicochemical
electrical
conductivity
temperature
significant
biomarker
Using
ANFIS
model,
it
shown
that
measured
chemical
oxygen
demand
(COD),
dissolved
(DO),
volatile
solids
(VS).
These
results
indicate
possible
parameters
Furthermore,
quantities
demonstrated
influenced
such
conductivity,
pH
temperature.
indicates
difference
influence
SARS-CoV-2.
all
parameters,
combined,
best
crAssphage,
COD
VS.
highlight
significance
including
characteristic
studies
reliable
As
study,
serve
ix
efficient
surveillance.
In
addition,
has
been
quantification
targets
concern,
2,
may
enhanced
combined
characteristics,
infections.
IJID Regions,
Journal Year:
2024,
Volume and Issue:
11, P. 100363 - 100363
Published: March 30, 2024
This
study
aimed
to
determine
the
SARS-CoV-2
variants
in
first
four
COVID-19
waves
using
polymerase
chain
reaction
(PCR)-based
variant
detection
Addis
Ababa,
Ethiopia.
Journal of Virological Methods,
Journal Year:
2024,
Volume and Issue:
328, P. 114956 - 114956
Published: May 23, 2024
Wastewater-based
epidemiology
has
proved
to
be
a
suitable
approach
for
tracking
the
spread
of
epidemic
agents
including
SARS-CoV-2
RNA.
Different
protocols
have
been
developed
quantitative
detection
RNA
from
wastewater
samples,
but
little
is
known
on
their
performance.
In
this
study
we
compared
three
based
Reverse
Transcription
Real
Time-PCR
(RT-PCR)
and
one
Droplet
Digital
PCR
(ddPCR)
35
samples.
Overall,
was
detected
by
at
least
method
in
85.7%
while
51.4%,
22.8%
8.6%
resulted
positive
with
two,
or
all
four
methods,
respectively.
Protocols
commercial
RT-PCR
assays
showed
an
overall
higher
sensitivity
vs.
in-house
assay.
The
use
more
than
system,
targeting
different
genes,
could
helpful
increase
sensitivity.
Viruses,
Journal Year:
2024,
Volume and Issue:
16(2), P. 170 - 170
Published: Jan. 23, 2024
Enteroviruses
(EVs)
represent
a
major
cause
of
viral
meningitis,
being
responsible
for
nearly
1
billion
infections
each
year
worldwide.
Several
techniques
were
developed
to
obtain
better
diagnostic
results
EV
infections.
Herein,
we
evaluated
the
efficiency
detection
through
isolation
on
both
Rhabdomyosarcoma
(RD)
and
Vero
cell
line
cultures,
conventional
reverse
transcription-polymerase
chain
reaction
(RT-PCR)
real-time
RT-PCR.
Thus,
50
cerebrospinal
fluid
(CSF)
samples
belonging
patients
suspected
have
meningitis
in
northern
Algeria
collected,
anonymously
numbered
from
subjected
above-mentioned
detection.
Using
RT-PCR,
34
CSF
revealed
be
positive
origin
(68%).
Thirteen
them
when
RT-PCR
was
used
(26%),
only
three
gave
culture
technique
(6%).
Surprisingly,
two
culture-positive
samples,
namely,
31
39,
negative
using
directly
original
samples.
However,
they
turned
amplification
carried
out
their
corresponding
supernatant.
The
cell-cultured
isolates
then
identified
by
sequencing
genome’s
VP1
regions.
All
belong
echovirus
27
strain.
This
investigation
demonstrates
that
are
often
more
sensitive,
accurate
much
faster,
providing
reliable
within
clinically
acceptable
timeframe.
cultures
remains
crucial
enough
load
serological
tests
or
even
avoid
rare,
but
existing,
false
PCR.
Research Square (Research Square),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Dec. 22, 2023
Abstract
Wastewater
surveillance
is
an
effective
tool
for
monitoring
community
spread
of
covid-19
and
other
diseases.
Quantitative
PCR
(qPCR)
analysis
wastewater
more
susceptible
than
binary
clinical
to
mutations
in
target
genome
regions.
The
SARS-CoV-2
concentrations
estimated
by
N1
N2
qPCR
assays
started
diverge
around
July
2022
data
from
different
sampling
sites,
analytical
methods,
laboratories
Japan.
On
the
basis
genomic
experimental
data,
we
demonstrate
that
divergence
due
two
probe
region,
which
can
cause
underestimation
viral
concentrations.
We
further
show
this
inaccuracy
be
alleviated
if
are
analyzed
with
second
derivative
method
or
Cy0
instead
crossing
point
method.
Microbiology Spectrum,
Journal Year:
2024,
Volume and Issue:
12(2)
Published: Jan. 8, 2024
ABSTRACT
The
coronavirus
disease
2019
(COVID-19)
pandemic
demonstrated
the
need
for
accurate
diagnostic
testing
early
detection
of
severe
acute
respiratory
syndrome
2
(SARS-CoV-2).
Although
has
ended,
assays
are
still
needed
to
monitor
viral
spread
at
national
levels
and
beyond
through
population
wastewater
surveillance.
To
enhance
detection,
SARS-CoV-2
should
have
high
accuracy
be
validated
assure
results.
Three
distinct
were
evaluated
with
clinical
samples
using
VALCOR
(VALidation
SARS-CORona
Virus-2
assays)
framework,
TaqPath
COVID-19
assay
(ThermoFisher
Scientific,
USA)
as
a
comparator.
We
sensitivity,
specificity,
limit
(LOD),
overall
concordance
between
comparator
three
index
Allplex
(Seegene,
South
Korea):
Allplex-SC2,
Allplex-SC2Fast
(Fast
PCR),
Allplex-SC2FabR
(SARS-CoV-2/FluA/FluB/respiratory
syncytial
virus).
Analytical
performance
LOD
assessed
dilution
series
synthetic
sequence
reference
materials
(RMs).
Ninety
positives
90
negatives
tested.
All
had
100.0%
sensitivity
(95%CI
=
95.9%–100.0%).
Allplex-SC2
97.8%
specificity
92.3%–99.7%)
98.9%
[
κ
0.978
0.947–1.000)].
showed
95.9%–100.0%)
1.000
1.000–1.000)].
assessment
revealed
down
2.61
×
10
copies/mL
in
samples,
while
analytical
was
9.00
copies/mL.
In
conclusion,
evaluation
Seegene
an
good
low
RM
even
slightly
lower
samples.
Non-overlapping
target
gene
sequences
RMs
emphasize
aligning
targeted
RMs.
IMPORTANCE
significant
impact
on
global
public
health,
economies,
societies.
As
shown
first
phases
pandemic,
timely
diagnosis
is
crucial
control,
prevention,
monitoring.
Though
phase
(SARS-CoV-2)
concluded,
remain
demand
individual
patient
level,
regionally,
nationally,
well
infectious
preparedness
instrument
any
new
dissemination
across
borders
anticipation
by
WHO
central
health
care
policy
entities
such
Center
Disease
Control,
EMA,
multiple
authorities
that
will
reside
endemic
years
come.
key
strategic
consideration
hence
shifting
from
combating
situation
number
patients
instead
allowing
precise
diagnostics
suspected
intention
correct
management
low-prevalence
setting.
The
SARS-CoV-2
BA.2.86
variant,
also
known
as
Pirola,
has
acquired
over
30
amino
acid
changes
in
the
Spike
protein,
evolving
into
more
than
150
sublineages
within
ten
months
of
its
emergence.
Among
these,
JN.1,
been
rapidly
increasing
globally
becoming
most
prevalent
variant.
To
facilitate
identification
sublineages,
we
designed
PiroMet-1
and
PiroMet-2
assays
silico
validated
them
using
viral
RNA
clinical
samples
to
ascertain
analytical
specificity
sensitivity.
were
then
applied
a
digital
RT-PCR
format
wastewater
samples,
combined
with
OmMet
assay
(which
identifies
Omicron
except
descendants)
JRC-UCE
can
universally
recognize
all
variants),
quantify
proportion
samples.
Our
results
confirmed
that
both
PiroMet
are
highly
specific,
sensitivity
about
0.7
copies/µl.
In
conjunction
JRC-CoV-UCE.2
assays,
accurately
quantified
findings
support
integration
these
routine
surveillance
timely
cost-effective
complement
sequencing
for
monitoring
prevalence
spread
communities.
Research Square (Research Square),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Aug. 15, 2023
Abstract
Wastewater
surveillance
of
coronavirus
disease
2019
(COVID-19)
commonly
applies
reverse
transcription-quantitative
polymerase
chain
reaction
(RT-qPCR)
to
quantify
severe
acute
respiratory
syndrome
2
(SARS-CoV-2)
RNA
concentrations
in
wastewater
over
time.
In
most
applications
worldwide,
maximal
sensitivity
and
specificity
RT-qPCR
has
been
achieved,
part,
by
monitoring
two
or
more
genomic
loci
SARS-CoV-2.
Ontario,
Canada,
the
provincial
Surveillance
Initiative
reports
average
copies
CDC
N1
N2
normalized
fecal
biomarker
pepper
mild
mottle
virus.
November
2021,
emergence
Omicron
variant
concern,
harboring
a
C28311T
mutation
within
probe
region,
challenged
accuracy
consensus
between
measurements
this
study,
we
developed
applied
novel
real-time
dual
quality
assurance
control
framework
based
on
relative
difference
City
Ottawa
dataset
identify
loss
assay
period
from
July
10,
2022
January
31,
2023.
Further
analysis
via
sequencing
allele-specific
revealed
high
proportion
mutations
C28312T
A28330G
during
study
period,
both
across
province.
It
is
hypothesized
that
nucleotide
especially
A28330G,
led
inefficient
annealing,
resulting
reduction
assay.
This
highlights
importance
implementing
criteria
continually
evaluate,
near
real-time,
signal
produced
rely
detection
pathogens
whose
genomes
undergo
rates
mutation.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Oct. 9, 2023
Abstract
Nasopharyngeal
sampling
(NP)
is
the
routine
standard
for
SASR-CoV-2
detection
using
reverse
transcription
polymerase
chain
reaction
(RT-PCR).
In
this
systematic
review,
we
assessed
diagnostic
test
accuracy
of
alternative
sites
compared
to
NP
RT-PCR
testing
Omicron
(sub)-variants.
We
systematically
searched
studies
from
January
2022
until
February
2023
investigating
any
type
respiratory
sample
in
people
with
suspected,
known,
or
known
absence
SARS-CoV-2
infection.
Data
were
pooled
each
comparison
bivariate
model,
sensitivity
and
specificity
was
estimated
95%
confidence
intervals
(CIs).
Risk
bias
QUADAS-2
tool,
certainty
evidence
GRADE.
included
three
cohort-type
cross-sectional
(1,003
participants).
Saliva
versus
showed
a
92%
(95%
CI
87%
96%)
94%
83%
98%).
AN
one
study
90%
82%
95%)
99%
100%).
Certainty
both
comparisons
low
very
low.
Based
on
current
low-
low-certainty
evidence,
are
uncertain
about
different
RT-PCR.
Research Square (Research Square),
Journal Year:
2024,
Volume and Issue:
unknown
Published: March 19, 2024
Abstract
Background
Wastewater
surveillance
(WWS)
acts
as
a
vigilant
sentinel
system
for
communities,
analysing
sewage
to
protect
public
health
by
detecting
outbreaks
and
monitoring
trends
in
pathogens
contaminants.
To
achieve
thorough
comprehension
of
present
upcoming
practices
WWS,
two
EU
surveys
were
conducted
targeting
WWS
laboratories
across
Europe
other
regions.
The
first
survey
explored
diverse
range
activities
currently
undertaken
or
planned
laboratories.
second
specifically
targeted
methods
quality
controls
utilised
SARS-CoV-2
surveillance.
Results
findings
the
provide
comprehensive
insight
into
procedures
methodologies
applied
WWS.
In
Europe,
primarily
focuses
on
with
99%
participants
dedicated
this
virus.
However,
responses
highlighted
lack
standardisation
employed
SARS-CoV-2.
pathogens,
including
antimicrobial
resistance,
is
fragmented
only
limited
number
Notably,
these
are
anticipated
expand
future.
Survey
replies
emphasize
collective
recognition
need
enhance
accuracy
results
practices,
reflecting
shared
commitment
advancing
precision
effectiveness
methodologies.
Conclusions
These
identified
standards
reference
materials
reliability
addition,
it
important
broaden
efforts
beyond
include
emerging
resistance
ensure
approach
protecting
health.