2021
DOI: 10.3201/eid2705.204410
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Monitoring SARS-CoV-2 Circulation and Diversity through Community Wastewater Sequencing, the Netherlands and Belgium

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Cited by 189 publications
(161 citation statements)
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“…Especially as new SARS-CoV-2 variants emerge that have altered viral fitness and/or pathogenesis, it is important for health professionals and policy makers to have up-to-date information on the viral populations present in communities. Surveillance of wastewater by high-throughput sequencing has proven to be a cost effective and reliable method to obtain such information [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ]. Sequencing of wastewater for SARS-CoV-2 relies on whole-genome sequencing, targeted amplicon sequencing, or some intermediate of the two; each approach has advantages and disadvantages.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Especially as new SARS-CoV-2 variants emerge that have altered viral fitness and/or pathogenesis, it is important for health professionals and policy makers to have up-to-date information on the viral populations present in communities. Surveillance of wastewater by high-throughput sequencing has proven to be a cost effective and reliable method to obtain such information [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ]. Sequencing of wastewater for SARS-CoV-2 relies on whole-genome sequencing, targeted amplicon sequencing, or some intermediate of the two; each approach has advantages and disadvantages.…”
Section: Discussionmentioning
confidence: 99%
“…However, early in the SARS-CoV-2 pandemic, wastewater was used to track community levels and spread of SARS-CoV-2 by Reverse Transcription-Quantitative Polymerase Chain Reaction (RT-qPCR) methods [ 4 , 5 ]. Investigators have also used high-throughput sequencing on wastewater samples to obtain full or partial SARS-CoV-2 genomic sequences which have been used for metagenomic and epidemiologic analysis [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ]. Sequences identified in wastewater samples may reflect known lineages as well as lineages not reported from clinical samples.…”
Section: Introductionmentioning
confidence: 99%
“…Variants surveillance done through whole genome sequencing of clinical samples is expensive and time-consuming. Therefore, genome sequencing of viral RNA isolated from sewage can rapidly detect and identify any sequence variation (Izquierdo-Lara et al, 2021 ). Thus, deep sequencing initiatives in sewage samples can help detect new and rare mutations from mixtures of SARS-CoV-2 lineages and identify VoC in sewage and subsequently their presence in the community (Heijnen et al, 2021 ).…”
Section: Wastewater-based Epidemiological Surveillance Of Coronavirusesmentioning
confidence: 99%
“…Thus, NGS analysis of wastewater could be used to study CoV-2 diversity in a community. Genome sequencing of sewage could be either used independently or with clinical surveillance to observe for changes in viral diversity and clinically relevant mutations (Izquierdo-Lara et al, 2021 ).…”
Section: Nucleic Acid-based Rt-qpcr and Metagenomics For Detection Of Cov-2 In Wastewatermentioning
confidence: 99%
“…The genetic diversity of SARS-CoV-2 has largely been determined via the sequencing of clinical samples obtained from infected individuals; however, changes in the viral genome have been shown to be detectable in wastewater samples [18][19][20][21][22][23]. Indeed, the presence of specific SARS-CoV-2 variants is often detectable in the wastewater of a community prior to detection in clinical samples [2,5,9,13,21,23,24].…”
Section: Introductionmentioning
confidence: 99%