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A year since the declaration of the global coronavirus disease 2019 (COVID-19) pandemic, there were over 110 million cases and 2.5 million deaths. Learning from methods to track community spread of other viruses such as poliovirus, environmental virologists and those in the wastewater-based epidemiology (WBE) field quickly adapted their existing methods to detect SARS-CoV-2 RNA in wastewater. Unlike COVID-19 case and mortality data, there was not a global dashboard to track wastewater monitoring of SARS-CoV-2 RNA worldwide. This study provides a 1-year review of the “COVIDPoops19” global dashboard of universities, sites, and countries monitoring SARS-CoV-2 RNA in wastewater. Methods to assemble the dashboard combined standard literature review, Google Form submissions, and daily, social media keyword searches. Over 200 universities, 1400 sites, and 55 countries with 59 dashboards monitored wastewater for SARS-CoV-2 RNA. However, monitoring was primarily in high-income countries (65%) with less access to this valuable tool in low- and middle-income countries (35%). Data were not widely shared publicly or accessible to researchers to further inform public health actions, perform meta-analysis, better coordinate, and determine equitable distribution of monitoring sites. For WBE to be used to its full potential during COVID-19 and beyond, show us the data.

 

Frontline communities of California experience disproportionate social, economic, and environmental injustices, and climate change is exacerbating the root causes of inequity in those areas. Yet, climate adaptation and mitigation strategies often fail to meaningfully address the experience of frontline community stakeholders. Here, we present three challenges, three errors, and three solutions to better integrate frontline communities' needs in climate change research and to create more impactful policies. We base our perspective on our collective firsthand experiences and on scholarship to bridge local knowledge with hydroclimatic research and policymaking. Unawareness of local priorities (Challenge 1) is a consequence of Ignoring local knowledge (Error 1) that can be, in part, resolved with Information exchange and expansion of community-based participatory research (Solution 1). Unequal access to natural resources (Challenge 2) is often due to Top-down decision making (Error 2), but Buffer zones for environmental protection, green areas, air quality, and water security can help achieve environmental justice (Solution 2). Unequal access to public services (Challenge 3) is a historical issue that persists because of System abuse and tokenism (Error 3), and it may be partially resolved with Multi-benefit projects to create socioeconomic and environmental opportunities within frontline communities that include positive externalities for other stakeholders and public service improvements (Solution 3). The path forward in climate change policy decision-making must be grounded in collaboration with frontline community members and practitioners trained in working with vulnerable stakeholders. Addressing co-occurring inequities exacerbated by climate change requires transdisciplinary efforts to identify technical, policy, and engineering solutions. 

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.