“…Quantitative microbial risk assessment (QMRA) is a useful tool that has been used for almost 40 years to estimate human health risks associated with exposures to pathogens in different environmental matrices ( Haas et al, 2014 ). QMRA has been applied to assess health risks associated with bioaerosols ( Carducci et al, 2018 ), drinking water ( Petterson and Ashbolt, 2016 ), reclaimed water ( Zaneti et al, 2012a , Zaneti et al, 2012b , Zaneti et al, 2013 ), recreational waters ( Girardi et al, 2019 ; Gularte et al, 2019 ), irrigation water ( Ezzat, 2020 ), and sewage ( Kozak et al, 2020 ). Recent publications have encouraged the application of QMRA based on previous studies of relevant respiratory viruses, such as SARS-CoV and MERS-CoV, to assess the likelihood of adverse effects of SARS-CoV-2 associated with sewage exposure ( Haas, 2020 ; Kitajima et al, 2020 ).…”