SARS-CoV-2 wastewater surveillance for public health action

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  • McClary-Gutierrez, J.S.
    • Other Affiliation: University of Wisconsin, Milwaukee
  • Mattioli, M.C.
    • Other Affiliation: Centers for Disease Control and Prevention
  • Marcenac, P.
    • Other Affiliation: Centers for Disease Control and Prevention
  • Silverman, A.I.
    • Other Affiliation: University Tandon School of Engineering
  • Boehm, A.B.
    • Other Affiliation: Stanford University
  • Bibby, K.
    • Other Affiliation: University of Notre Dame
  • Balliet, M.
    • Other Affiliation: County of Santa Clara
  • De Los Reyes, F.L., III
    • Other Affiliation: North Carolina State University
  • Gerrity, D.
    • Other Affiliation: Southern Nevada Water Authority
  • Griffith, J.F.
    • Other Affiliation: Southern California Coastal Water Research Project
  • Holden, P.A.
    • Other Affiliation: University of California Santa Barbara
  • Katehis, D.
    • Other Affiliation: New York City Department of Environmental Protection
  • Kester, G.
    • Other Affiliation: California Association of Sanitation Agencies
  • LaCross, N.
    • Other Affiliation: Utah Department of Health
  • Lipp, E.K.
    • Other Affiliation: University of Georgia
  • Meiman, J.
    • Other Affiliation: Wisconsin Department of Health Services
  • Noble, R.T.
    • Affiliation: Institute of Marine Sciences
  • Brossard, D.
    • Other Affiliation: University of Wisconsin-Madison
  • McLellan, S.L.
    • Other Affiliation: University of Wisconsin, Milwaukee
Abstract
  • Wastewater surveillance for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has garnered extensive public attention during the coronavirus disease pandemic as a proposed complement to existing disease surveillance systems. Over the past year, methods for detection and quantifi cation of SARS-CoV-2 viral RNA in untreated sewage have advanced, and concentrations in wastewater have been shown to correlate with trends in reported cases. Despite the promise of wastewater surveillance, for these measurements to translate into useful public health tools, bridging the communication and knowledge gaps between researchers and public health responders is needed. We describe the key uses, barriers, and applicability of SARS-CoV-2 wastewater surveillance for supporting public health decisions and actions, including establishing ethics consideration for monitoring. Although wastewater surveillance to assess community infections is not a new idea, the coronavirus disease pandemic might be the initiating event to make this emerging public health tool a sustainable nationwide surveillance system, provided that these barriers are addressed.
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  • Article
Rights statement
  • In Copyright
Journal title
  • Emerging Infectious Diseases
Journal volume
  • 27
Journal issue
  • 9
Page start
  • E1
Page end
  • E9
Language
  • English
Version
  • Publisher
ISSN
  • 1080-6040
Publisher
  • Centers for Disease Control and Prevention (CDC)

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