Search for: All records

A comprehensive approach to integrated one health surveillance and responseSurveillance data plays a crucial role in understanding and responding to emerging infectious diseases; here, we learn why adopting a One Health surveillance approach to EIDs can help to protect human, animal, and environmental health. Over 75% of emerging infectious diseases (EIDs) affecting humans are zoonotic diseases with animal hosts, which can be transmitted by waterborne, foodborne, vector-borne, or air-borne pathways. (7) Early detection is important and allows for a rapid response through preventive and control measures. However, early detection of EIDs is hindered by several obstacles, such as climate change, which can alter habitats, leading to shifts in the distribution of disease- carrying vectors like mosquitoes and ticks. This can result in diseases such as malaria, dengue fever, and Lyme disease becoming more common in areas with established transmission or spreading to new areas entirely. (4) Environmental changes such as deforestation and urbanization disrupt ecosystems, increasing the likelihood of zoonotic disease spillover from wildlife to humans. In addition to working at the interface of these changes, detection and tracking of EIDs also requires sharing and standardization of complex data and integrating processes across different regions and health systems. 

During the COVID-19 pandemic, wastewater surveillance was widely used to monitor temporal and geographical infection trends. Using this as a foundation, a statewide program for routine wastewater monitoring of gastrointestinal pathogens was established in Oklahoma. The results from 18 months of surveillance showed that wastewater concentrations of Salmonella, Campylobacter, and norovirus exhibit similar seasonal patterns to those observed in reported human cases (F = 4–29, p < 0.05) and that wastewater can serve as an early warning tool for increases in cases, offering between one- and two-weeks lead time. Approximately one third of outbreak alerts in wastewater correlated in time with confirmed outbreaks of Salmonella or Campylobacter and our results further indicated that several outbreaks are likely to go undetected through the traditional surveillance approach currently in place. Better understanding of the true distribution and burden of gastrointestinal infections ultimately facilitates better disease prevention and control and reduces the overall socioeconomic and healthcare related impact of these pathogens. In this respect, wastewater represents a unique opportunity for monitoring infections in real-time, without the need for individual human testing. With increasing demands for sustainable and low-cost disease surveillance, the usefulness of wastewater as a long-term method for tracking infectious disease transmission is likely to become even more pronounced. 

SARS-CoV-2 RNA detection in wastewater is being rapidly developed and adopted as a public health monitoring tool worldwide. With wastewater surveillance programs being implemented across many different scales and by many different stakeholders, it is critical that data collected and shared are accompanied by an appropriate minimal amount of meta-information to enable meaningful interpretation and use of this new information source and intercomparison across datasets. While some databases are being developed for specific surveillance programs locally, regionally, nationally, and internationally, common globally-adopted data standards have not yet been established within the research community. Establishing such standards will require national and international consensus on what meta-information should accompany SARS-CoV-2 wastewater measurements. To establish a recommendation on minimum information to accompany reporting of SARS-CoV-2 occurrence in wastewater for the research community, the United States National Science Foundation (NSF) Research Coordination Network on Wastewater Surveillance for SARS-CoV-2 hosted a workshop in February 2021 with participants from academia, government agencies, private companies, wastewater utilities, public health laboratories, and research institutes. This report presents the primary two outcomes of the workshop: (i) a recommendation on the set of minimum meta-information that is needed to confidently interpret wastewater SARS-CoV-2 data, and (ii) insights from workshop discussions on how to improve standardization of data reporting.