1. Unravelling the early warning capability of wastewater surveillance for COVID-19: A temporal study on SARS-CoV-2 RNA detection and need for the escalation.
- Author
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Kumar, Manish, Joshi, Madhvi, Patel, Arbind Kumar, and Joshi, Chaitanya G.
- Subjects
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COVID-19 , *SARS-CoV-2 , *COVID-19 pandemic , *SEWAGE , *SEWAGE disposal plants - Abstract
Wastewater-based Epidemiological (WBE) surveillance offers a promising approach to assess the pandemic situation covering pre-symptomatic and asymptomatic cases in highly populated area under limited clinical tests. In the present study, we analyzed SARS-CoV-2 RNA in the influent wastewater samples (n = 43) from four wastewater treatment plants (WWTPs) in Gandhinagar, India, during August 7th to September 30th, 2020. A total of 40 samples out of 43 were found positive i.e. having at least two genes of SARS-CoV-2. The average Ct values for S, N, and ORF 1 ab genes were 32.66, 33.03, and 33.95, respectively. Monthly variation depicted a substantial rise in the average copies of N (~120%) and ORF 1 ab (~38%) genes in the month of September as compared to August, while S-gene copies declined by 58% in September 2020. The SARS-CoV-2 genome concentration was higher in the month of September (~924.5 copies/L) than August (~897.5 copies/L), corresponding to a ~2.2-fold rise in the number of confirmed cases during the study period. Further, the percentage change in genome concentration level on a particular date was found in the lead of 1–2 weeks of time with respect to the official confirmed cases registered based on clinical tests on a temporal scale. The results profoundly unravel the potential of WBE surveillance to predict the fluctuation of COVID-19 cases to provide an early warning. Our study explicitly suggests that it is the need of hour that the wastewater surveillance must be included as an integral part of COVID-19 pandemic monitoring which can not only help the water authorities to identify the hotspots within a city but can provide up to 2 weeks of time lead for better tuning the management interventions. [Display omitted] • Study unravels the early warning potential of wastewater based surveillance of COVID-19. • Adequate SARS-CoV-2 RNA were detected despite of limited reported case in the vicinity. • Up to 2 weeks of lead is possible from a regular wastewater based COVID-19 surveillance. • SARS-CoV-2 RNA was higher in September than August in response to a ~2.2-fold rise in COVID-19 active cases. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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