2021
DOI: 10.1038/s41598-021-00853-y
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A novel wastewater-based epidemiology indexing method predicts SARS-CoV-2 disease prevalence across treatment facilities in metropolitan and regional populations

Abstract: There is a need for wastewater based epidemiological (WBE) methods that integrate multiple, variously sized surveillance sites across geographic areas. We developed a novel indexing method, Melvin’s Index, that provides a normalized and standardized metric of wastewater pathogen load for qPCR assays that is resilient to surveillance site variation. To demonstrate the utility of Melvin’s Index, we used qRT-PCR to measure SARS-CoV-2 genomic RNA levels in influent wastewater from 19 municipal wastewater treatment… Show more

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Cited by 29 publications
(40 citation statements)
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“…The presence of the viral RNA in the wastewater, even at low levels, indicates that SARS-CoV-2 can remain detectable in sewage for days or weeks [ 64 , 65 , 66 ]. Thus, the wastewater system is serving as a surveillance system for the circulation of the virus within several environments [ 35 , 67 , 68 ].…”
Section: Discussionmentioning
confidence: 99%
“…The presence of the viral RNA in the wastewater, even at low levels, indicates that SARS-CoV-2 can remain detectable in sewage for days or weeks [ 64 , 65 , 66 ]. Thus, the wastewater system is serving as a surveillance system for the circulation of the virus within several environments [ 35 , 67 , 68 ].…”
Section: Discussionmentioning
confidence: 99%
“…The NY Sewershed database was created to support public health efforts related to WBE including the important role of providing population estimates for wastewater test results (10,16). Linking wastewater results to the upstream population is essential for interpretation of findings (6) particularly for case and incidence data for health outcomes of concern such as COVID-19 (27), Polio (28) and other enteroviruses, and opioid use (29). Community-based research that uses wastewater data needs accurate estimates for population served by the facility and large-scale investigations that need to scale up quickly may not have the time to create boundaries or provide estimates in a timely manner particularly if the data are to be used for public health policy.…”
Section: Applications For Public Health Research and Policymentioning
confidence: 99%
“…Recently, spurred by the global COVID-19 pandemic, WBE has been applied to detect and quantify SARS-CoV-2 RNA in influent wastewater as a measure of SARS-CoV-2 viral infection trends and prevalence in a community ( Daughton, 2020 ). Reports from North America ( Gonzalez et al., 2020 ; Melvin et al., 2021 ; Peccia et al., 2020a ; Sherchan et al., 2020 ; Wu et al., 2021 ), Australia ( Ahmed et al., 2020 ), Europe ( La Rosa et al., 2020 ; Rimoldi et al., 2020 ; Wurtzer et al., 2020 ), and India ( Kumar et al., 2020 ) suggest that testing for SARS-CoV-2 in wastewater could serve as an indicator of infection trends within communities.…”
Section: Introductionmentioning
confidence: 99%