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The Pearl River (Zhujiang) is the largest river system in southern China. The river, which is approximately 2200 km long, discharges into the South China Sea through an extensive deltaic area to the west of Hong Kong. Water quality in the river is under threat from a variety of sources associated with industrializationand urbanization in the Pearl River Delta Region (PRDR). Hong Kong's location on the eastern bank of the Pearl River estuary means that the quality of its western marine waters is likely to be increasingly influenced by the Pearl's pollution burden. Little published material exists on pollution in the Pearl River, or the potential impacts of transboundary pollution on marine water quality in Hong Kong. This paper focuses on this issue of transboundary water pollution between the Delta Region and Hong Kong. Specifically, we present the results of a preliminary analysis of water quality data for the Pearl River. The paper demonstrates that the major potential problem affecting the Pearl River is organic pollution, and that the principal sources of pollution affecting the Pearl River estuary, and consequently Hong Kong's western waters, are the Shenzhen River, the upstream Guangzhou section of the Pearl River, and the Dongguan Canal. We estimate that less than 5% of untreated domestic sewage discharges affecting the estuary derive from Hong Kong itself. The paper also discusses the implications of transboundary pollution in the context of environmentalpolicy making in Hong Kong and argues that more extensive and effective co-operation and collaboration between Hong Kong and mainland agencies should be developed to address these concerns.

Background China implemented containment measures to stop SARS-CoV-2 transmission in response to the COVID-19 epidemic. After the first epidemic wave, we conducted population-based serological surveys to determine extent of infection, risk factors for infection, and neutralization antibody levels to assess the real infections in the random sampled population. Methods We used a multistage, stratified cluster random sampling strategy to conduct serological surveys in three areas - Wuhan, Hubei Province outside Wuhan, and six provinces selected on COVID-19 incidence and containment strategy. Participants were consenting individuals >1 year old who resided in the survey area >14 days during the epidemic. Provinces screened sera for SARS-CoV-2-specific IgM, IgG, and total antibody by two lateral flow immunoassays and one magnetic chemiluminescence enzyme immunoassay; positive samples were verified by micro-neutralization assay. Findings We enrolled 34,857 participants (overall response rate, 92%); 427 were positive by micro-neutralization assay. Wuhan had the highest weighted seroprevalence (4•43%, 95% confidence interval [95%CI]=3•48%-5•62%), followed by Hubei-ex-Wuhan (0•44%, 95%CI=0•26%-0•76%), and the other provinces (<0•1%). Living in Wuhan (adjusted odds ratio aOR=13•70, 95%CI= 7•91–23•75), contact with COVID-19 patients (aOR=7•35, 95%CI=5•05–10•69), and age over 40 (aOR=1•36, 95%CI=1•07–1•72) were significantly associated with SARS-CoV-2 infection. Among seropositives, 101 (24%) reported symptoms and had higher geometric mean neutralizing antibody titers than among the 326 (76%) without symptoms (30±2•4 vs 15±2•1, p <0•001). Interpretation The low overall extent of infection and steep gradient of seropositivity from Wuhan to the outer provinces provide evidence supporting the success of containment of the first wave of COVID-19 in China. SARS-CoV-2 infection was largely asymptomatic, emphasizing the importance of active case finding and physical distancing. Virtually the entire population of China remains susceptible to SARS-CoV-2; vaccination will be needed for long-term protection. Funding This study was supported by the Ministry of Science and Technology (2020YFC0846900) and the National Natural Science Foundation of China (82041026, 82041027, 82041028, 82041029, 82041030, 82041032, 82041033).

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