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COVID-19 monitoring with sparse sampling of sewered and non-sewered wastewater in urban and rural communities.


ABSTRACT: Equitable SARS-CoV-2 surveillance in low-resource communities lacking centralized sewers is critical as wastewater-based epidemiology (WBE) progresses. However, large-scale studies on SARS-CoV-2 detection in wastewater from low-and middle-income countries is limited because of economic and technical reasons. In this study, wastewater samples were collected twice a month from 186 urban and rural subdistricts in nine provinces of Thailand mostly having decentralized and non-sewered sanitation infrastructure and analyzed for SARS-CoV-2 RNA variants using allele-specific RT-qPCR. Wastewater SARS-CoV-2 RNA concentration was used to estimate the real-time incidence and time-varying effective reproduction number (Re). Results showed an increase in SARS-CoV-2 RNA concentrations in wastewater from urban and rural areas 14-20 days earlier than infected individuals were officially reported. It also showed that community/food markets were "hot spots" for infected people. This approach offers an opportunity for early detection of transmission surges, allowing preparedness and potentially mitigating significant outbreaks at both spatial and temporal scales.

SUBMITTER: Wannigama DL 

PROVIDER: S-EPMC10250052 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature

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COVID-19 monitoring with sparse sampling of sewered and non-sewered wastewater in urban and rural communities.

Wannigama Dhammika Leshan DL   Amarasiri Mohan M   Hongsing Parichart P   Hurst Cameron C   Modchang Charin C   Chadsuthi Sudarat S   Anupong Suparinthon S   Phattharapornjaroen Phatthranit P   Rad S M Ali Hosseini AH   Fernandez Stefan S   Huang Angkana T AT   Vatanaprasan Porames P   Jay Dylan John DJ   Saethang Thammakorn T   Luk-In Sirirat S   Storer Robin James RJ   Ounjai Puey P   Devanga Ragupathi Naveen Kumar NK   Kanthawee Phitsanuruk P   Sano Daisuke D   Furukawa Takashi T   Sei Kazunari K   Leelahavanichkul Asada A   Kanjanabuch Talerngsak T   Hirankarn Nattiya N   Higgins Paul G PG   Kicic Anthony A   Singer Andrew C AC   Chatsuwan Tanittha T   Trowsdale Sam S   Abe Shuichi S   McLellan Alexander D AD   Ishikawa Hitoshi H  

iScience 20230609 7


Equitable SARS-CoV-2 surveillance in low-resource communities lacking centralized sewers is critical as wastewater-based epidemiology (WBE) progresses. However, large-scale studies on SARS-CoV-2 detection in wastewater from low-and middle-income countries is limited because of economic and technical reasons. In this study, wastewater samples were collected twice a month from 186 urban and rural subdistricts in nine provinces of Thailand mostly having decentralized and non-sewered sanitation infr  ...[more]

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