“…This study addresses this data gap by evaluating the association between wastewater SARS-CoV-2 levels and the number of community cases under the influence of different variants, as well as the number of hospitalizations. ,,,,,, Starting in September 2020, the University of Miami (UM) established a WBE surveillance program as a tool for measuring the COVID-19 spread within its campuses . For 2 years since then, targeted sampling and research ,,,, have been utilized to inform policies for the safety of students, faculty, and staff. The Central District Wastewater Treatment Plant (CDWWTP) of Miami-Dade County was an early collaborative partner with UM facilitating routine weekly collection of wastewater servicing a large population allowing for comparisons between campus-level and community-level relationships between human case data and wastewater. ,, The objective of this study was to describe relationships between clinical case data and WBE surveillance data for the five distinct internally defined “variant waves” of the COVID-19 pandemic.…”