Portal de Periódicos da CAPES

Wastewater monitoring can anchor global disease surveillance systems

2023; Elsevier BV; Volume: 11; Issue: 6 Linguagem: Inglês

10.1016/s2214-109x(23)00170-5

2572-116X

Aparna Keshaviah, Megan B. Diamond, Matthew J. Wade, Samuel V. Scarpino, Warish Ahmed, Fabian Amman, Olusola Aruna, Andrei Badilla-Aguilar, Itay Bar-Or, Andreas Bergthaler, Julie E. Bines, Aaron Bivins, Alexandria B. Boehm, Jean‐Martin Brault, Jean‐Baptiste Burnet, Joanne R. Chapman, Angela Chaudhuri, Ana Maria de Roda Husman, Robert Delatolla, John J. Dennehy, Megan B. Diamond, Celeste M. Donato, Erwin Duizer, Abiodun Egwuenu, Oran Erster, Despo Fatta‐Kassinos, Aldo Gaggero, D.F. Gilpin, Brent Gilpin, Tyson E. Graber, Christopher Green, Amanda Handley, Joanne Hewitt, Rochelle H. Holm, Heribert Insam, Marc C. Johnson, Rabia Johnson, Davey L. Jones, Timothy R. Julian, Asha Jyothi, Aparna Keshaviah, Tamar Kohn, Katrin Gaardbo Kuhn, Giuseppina La Rosa, Marie Lesenfants, Douglas G. Manuel, Patrick M. D’Aoust, Rudolf Markt, John W. McGrath, Gertjan Medema, Christine L. Moe, Indah Kartika Murni, Humood A. Naser, Colleen C. Naughton, Leslie Ogorzaly, Vicka Oktaria, Christoph Ort, Popi Karaolia, Ekta Patel, Steve Paterson, Mahbubur Rahman, Pablo Rivera-Navarro, Alex Robinson, Mónica C. Santa-María, Samuel V. Scarpino, Heike Schmitt, Ted Smith, Lauren B. Stadler, Jorgen Stassijns, Alberta Stenico, Renée Street, Elisabetta Suffredini, Zachary Susswein, Mónica Trujillo, Matthew J. Wade, Marlene K. Wolfe, Habib Yakubu, Maria Inês Zanoli Sato,

Healthcare and Environmental Waste Management

To inform the development of global wastewater monitoring systems, we surveyed programmes in 43 countries. Most programmes monitored predominantly urban populations. In high-income countries (HICs), composite sampling at centralised treatment plants was most common, whereas grab sampling from surface waters, open drains, and pit latrines was more typical in low-income and middle-income countries (LMICs). Almost all programmes analysed samples in-country, with an average processing time of 2·3 days in HICs and 4·5 days in LMICs. Whereas 59% of HICs regularly monitored wastewater for SARS-CoV-2 variants, only 13% of LMICs did so. Most programmes share their wastewater data internally, with partnering organisations, but not publicly. Our findings show the richness of the existing wastewater monitoring ecosystem. With additional leadership, funding, and implementation frameworks, thousands of individual wastewater initiatives can coalesce into an integrated, sustainable network for disease surveillance-one that minimises the risk of overlooking future global health threats.