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Wastewater surveillance beyond COVID-19: a ranking system for communicable disease testing in the tri-county Detroit area, Michigan, USA.
Gentry, Zachary; Zhao, Liang; Faust, Russell A; David, Randy E; Norton, John; Xagoraraki, Irene.
Afiliación
  • Gentry Z; Department of Civil and Environmental Engineering, Michigan State University, East Lansing, MI, United States.
  • Zhao L; Department of Civil and Environmental Engineering, Michigan State University, East Lansing, MI, United States.
  • Faust RA; Oakland County Health Division, Pontiac, MI, United States.
  • David RE; Wayne State University School of Medicine, Detroit, MI, United States.
  • Norton J; Great Lakes Water Authority, Detroit, MI, United States.
  • Xagoraraki I; Department of Civil and Environmental Engineering, Michigan State University, East Lansing, MI, United States.
Front Public Health ; 11: 1178515, 2023.
Article en En | MEDLINE | ID: mdl-37333521
Introduction: Throughout the coronavirus disease 2019 (COVID-19) pandemic, wastewater surveillance has been utilized to monitor the disease in the United States through routine national, statewide, and regional monitoring projects. A significant canon of evidence was produced showing that wastewater surveillance is a credible and effective tool for disease monitoring. Hence, the application of wastewater surveillance can extend beyond monitoring SARS-CoV-2 to encompass a diverse range of emerging diseases. This article proposed a ranking system for prioritizing reportable communicable diseases (CDs) in the Tri-County Detroit Area (TCDA), Michigan, for future wastewater surveillance applications at the Great Lakes Water Authority's Water Reclamation Plant (GLWA's WRP). Methods: The comprehensive CD wastewater surveillance ranking system (CDWSRank) was developed based on 6 binary and 6 quantitative parameters. The final ranking scores of CDs were computed by summing the multiplication products of weighting factors for each parameter, and then were sorted based on decreasing priority. Disease incidence data from 2014 to 2021 were collected for the TCDA. Disease incidence trends in the TCDA were endowed with higher weights, prioritizing the TCDA over the state of Michigan. Results: Disparities in incidences of CDs were identified between the TCDA and state of Michigan, indicating epidemiological differences. Among 96 ranked CDs, some top ranked CDs did not present relatively high incidences but were prioritized, suggesting that such CDs require significant attention by wastewater surveillance practitioners, despite their relatively low incidences in the geographic area of interest. Appropriate wastewater sample concentration methods are summarized for the application of wastewater surveillance as per viral, bacterial, parasitic, and fungal pathogens. Discussion: The CDWSRank system is one of the first of its kind to provide an empirical approach to prioritize CDs for wastewater surveillance, specifically in geographies served by centralized wastewater collection in the area of interest. The CDWSRank system provides a methodological tool and critical information that can help public health officials and policymakers allocate resources. It can be used to prioritize disease surveillance efforts and ensure that public health interventions are targeted at the most potentially urgent threats. The CDWSRank system can be easily adopted to geographical locations beyond the TCDA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Transmisibles / COVID-19 Tipo de estudio: Prognostic_studies / Screening_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Front Public Health Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Transmisibles / COVID-19 Tipo de estudio: Prognostic_studies / Screening_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Front Public Health Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza