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Abstract

Wastewater-based surveillance (WBS) has become a widespread method to monitor transmission of SARS-CoV-2 and other human pathogens in Europe. We conducted a survey about WBS systems’ objectives, approaches, representativeness and usefulness in 10 invited European countries in 2023, i.e. Austria, Belgium, Denmark, Finland, Greece, Hungary, Italy, Luxembourg, the Netherlands and Norway. All countries completed the study questionnaire about their SARS-CoV-2 WBS systems, and shared information about WBS of other pathogens as deemed relevant. SARS-CoV-2 WBS systems primarily monitored national and subnational trends (population coverage: 25–99%), and a majority (8/10) also tracked variant distribution. Nine of 10 countries reported that their SARS-CoV-2 WBS systems were representative of their population and all countries remarked that the findings were valuable for public health decision-making. Results were shared with relevant public health authorities and published via dedicated websites and/or dashboards. WBS systems of other pathogens were mostly in the early stages, with some countries implementing pilots. Notable exceptions were the well-established poliovirus surveillance systems in Finland, Italy and the Netherlands. This study brings understanding the diverse landscape of WBS in Europe, offering insights for future developments and collaborations. Furthermore, it highlights the need for further integration of WBS into other European surveillance systems.

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/content/10.2807/1560-7917.ES.2024.29.33.2400096
2024-08-15
2024-12-12
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2024.29.33.2400096
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References

  1. Bubba L, Benschop KSM, Blomqvist S, Duizer E, Martin J, Shaw AG, et al. Wastewater surveillance in Europe for non-polio enteroviruses and beyond. Microorganisms. 2023;11(10):2496.  https://doi.org/10.3390/microorganisms11102496  PMID: 37894154 
  2. Deng Y, Xu X, Zheng X, Ding J, Li S, Chui HK, et al. Use of sewage surveillance for COVID-19 to guide public health response: A case study in Hong Kong. Sci Total Environ. 2022;821:153250.  https://doi.org/10.1016/j.scitotenv.2022.153250  PMID: 35065122 
  3. Harris-Lovett S, Nelson KL, Kantor R, Korfmacher KS. Wastewater surveillance to inform public health decision making in residential institutions. J Public Health Manag Pract. 2023;29(3):317-21.  https://doi.org/10.1097/PHH.0000000000001636  PMID: 36214654 
  4. Flood MT, Sharp J, Bruggink J, Cormier M, Gomes B, Oldani I, et al. Understanding the efficacy of wastewater surveillance for SARS-CoV-2 in two diverse communities. PLoS One. 2023;18(8):e0289343.  https://doi.org/10.1371/journal.pone.0289343  PMID: 37535602 
  5. European Commission. Commission Recommendation (EU) 2021/472 of 17 March 2021 on a common approach to establish a systematic surveillance of SARS-CoV-2 and its variants in wastewaters in the EU. Official Journal of the European Union. Luxembourg: Publications Office of the European Union. C/2021/1925. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A32021H0472&qid=1616408530133
  6. World Health Organization (WHO). Home, Publications, Overview, Environmental surveillance for SARS-COV-2 to complement public health surveillance – Interim Guidance. Geneva: WHO. [Accessed: 8 Feb 2024]. Available from: https://www.who.int/publications/i/item/WHO-HEP-ECH-WSH-2022.1
  7. European Commission (EC). Digital European Exchange Platform (n.a.). EU Sewage Sentinel System for SARS-CoV-2. Luxembourg: EC. [Accessed: 8 Feb 2024]. Available from: https://wastewater-observatory.jrc.ec.europa.eu/#/content/page-about
  8. EU Wastewater Observatory for Public Health. Science advances. Brussels: European Commission. [Accessed: 8 Feb 2024]. Available from: https://wastewater-observatory.jrc.ec.europa.eu/#/articles/2
  9. Centers for Disease Control and Prevention (CDC). Introduction to Public health. Atlanta, GA: U.S. Department of Health and Human Services, CDC. [Accessed: 30 Jul 2024]. Available from: https://www.cdc.gov/training/publichealth101/surveillance.html
  10. Buehler JW, Centers for Disease Control and Prevention. CDC’s vision for public health surveillance in the 21st century. Introduction. MMWR Suppl. 2012;61(3):1-2. PMID: 22832989 
  11. Orenstein WA, Bernier RH. Surveillance. Information for action. Pediatr Clin North Am. 1990;37(3):709-34.  https://doi.org/10.1016/S0031-3955(16)36912-7  PMID: 2190144 
  12. European Commission (EC). Urban wastewater. Ensuring that urban wastewater is properly dealt with to protect the environment and human health. Brussels: European Commission. [Accessed: 8 Feb 2024]. Available from: https://environment.ec.europa.eu/topics/water/urban-wastewater_en
  13. European Commission (EC). Proposal for a revised Urban Wastewater Treatment Directive. Brussels: European Commission; 2022. Available from: https://environment.ec.europa.eu/publications/proposal-revised-urban-wastewater-treatment-directive_en
  14. European Commission. EU4Health programme 2021-2027 – a vision for a healthier European Union. Brussels: European Commission. [Accessed: 8 Feb 2024]. Available from: https://health.ec.europa.eu/funding/eu4health-programme-2021-2027-vision-healthier-european-union_en
  15. EU-WISH. EU-Wastewater Integrated Surveillance for Public Health. Luxembourg: Luxembourg Institute of Science and Technology. [Accessed: 21 May 2024]. Available from: https://www.eu-wish.eu
  16. European Centre for Disease Prevention and Control (ECDC). Data quality monitoring and surveillance system evaluation – A handbook of methods and applications. Stockholm: ECDC; 2014. Available from: https://www.ecdc.europa.eu/sites/default/files/media/en/publications/Publications/Data-quality-monitoring-surveillance-system-evaluation-Sept-2014.pdf
  17. Eurostat. Statistics Explained. Glossary: Nomenclature of territorial units for statistics (NUTS). Luxembourg: Eurostat. [Accessed: 21 May 2024]. Available from: https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Glossary:Nomenclature_of_territorial_units_for_statistics_(NUTS)
  18. Paterson BJ, Durrheim DN. Wastewater surveillance: an effective and adaptable surveillance tool in settings with a low prevalence of COVID-19. Lancet Planet Health. 2022;6(2):e87-8.  https://doi.org/10.1016/S2542-5196(22)00009-2  PMID: 35150632 
  19. Holm RH, Pocock G, Severson MA, Huber VC, Smith T, McFadden LM. Using wastewater to overcome health disparities among rural residents. Geoforum. 2023;144:103816.  https://doi.org/10.1016/j.geoforum.2023.103816  PMID: 37396346 
  20. World Health Organization (WHO). Environmental surveillance for SARS-COV-2 to complement public health surveillance. Geneva: WHO; 2023. Available from: https://www.who.int/publications/i/item/9789240080638
  21. Murakami M, Kitajima M, Endo N, Ahmed W, Gawlik BM. The growing need to establish a global wastewater surveillance consortium for future pandemic preparedness. J Travel Med. 2023;30(7):taad035.  https://doi.org/10.1093/jtm/taad035  PMID: 36928722 
  22. Keshaviah A, Hu XC, Henry M. Developing a flexible national wastewater surveillance system for COVID-19 and beyond. Environ Health Perspect. 2021;129(4):45002.  https://doi.org/10.1289/EHP8572  PMID: 33877858 
  23. LaJoie AS, Holm RH, Anderson LB, Ness HD, Smith T. Nationwide public perceptions regarding the acceptance of using wastewater for community health monitoring in the United States. PLoS One. 2022;17(10):e0275075.  https://doi.org/10.1371/journal.pone.0275075  PMID: 36219594 
  24. Allf BC, Cooper CB, Larson LR, Dunn RR, Futch SE, Sharova M, et al. Citizen science as an ecosystem of engagement: implications for learning and broadening participation. Bioscience. 2022;72(7):651-63.  https://doi.org/10.1093/biosci/biac035  PMID: 35769502 
  25. Questa K, Das M, King R, Everitt M, Rassi C, Cartwright C, et al. Community engagement interventions for communicable disease control in low- and lower- middle-income countries: evidence from a review of systematic reviews. Int J Equity Health. 2020;19(1):51.  https://doi.org/10.1186/s12939-020-01169-5  PMID: 32252778 
  26. Costa A, Weinstein ES, Sahoo DR, Thompson SC, Faccincani R, Ragazzoni L. How to build the plane while flying: VTE/PE thromboprophylaxis clinical guidelines for COVID-19 patients. Disaster Med Public Health Prep. 2020;14(3):391-405.  https://doi.org/10.1017/dmp.2020.195  PMID: 32613929 
  27. Amato E, Hyllestad S, Heradstveit P, Langlete P, Moen LV, Rohringer A, et al. Evaluation of the pilot wastewater surveillance for SARS-CoV-2 in Norway, June 2022 - March 2023. BMC Public Health. 2023;23(1):1714.  https://doi.org/10.1186/s12889-023-16627-2  PMID: 37667223 
  28. National Academies of Sciences, Engineering, and Medicine. Wastewater-based disease surveillance for public health action. Washington, D.C.: National Academies Press; 2023. Available from:  https://doi.org/10.17226/26767 
  29. Zhang D, Duran SSF, Lim WYS, Tan CKI, Cheong WCD, Suwardi A, et al. SARS-CoV-2 in wastewater: From detection to evaluation. Mater Today Adv. 2022;13:100211.  https://doi.org/10.1016/j.mtadv.2022.100211  PMID: 35098102 
A survey of the representativeness and usefulness of wastewater-based surveillance systems in 10 countries across Europe in 2023
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Guido+Benedetti&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Benedetti Guido</a>, <a href="/search?value1=Lene+Wulff+Krogsgaard&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Wulff Krogsgaard Lene</a>, <a href="/search?value1=Sabine+Maritschnik&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Maritschnik Sabine</a>, <a href="/search?value1=Hans+Peter+St%C3%BCger&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Stüger Hans Peter</a>, <a href="/search?value1=Veronik+Hutse&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hutse Veronik</a>, <a href="/search?value1=Raphael+Janssens&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Janssens Raphael</a>, <a href="/search?value1=Soile+Blomqvist&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Blomqvist Soile</a>, <a href="/search?value1=Tarja+Pitk%C3%A4nen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pitkänen Tarja</a>, <a href="/search?value1=Anastasia+Koutsolioutsou&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Koutsolioutsou Anastasia</a>, <a href="/search?value1=Eszter+R%C3%B3ka&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Róka Eszter</a>, <a href="/search?value1=Marta+Vargha&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Vargha Marta</a>, <a href="/search?value1=Giuseppina+La+Rosa&option1=author&noRedirect=true" class="nonDisambigAuthorLink">La Rosa Giuseppina</a>, <a href="/search?value1=Elisabetta+Suffredini&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Suffredini Elisabetta</a>, <a href="/search?value1=Henry-Michel+Cauchie&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Cauchie Henry-Michel</a>, <a href="/search?value1=Leslie+Ogorzaly&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ogorzaly Leslie</a>, <a href="/search?value1=Rudolf+FHJ+van+der+Beek&option1=author&noRedirect=true" class="nonDisambigAuthorLink">van der Beek Rudolf FHJ</a>, <a href="/search?value1=Willemijn+J+Lodder&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lodder Willemijn J</a>, <a href="/search?value1=Elisabeth+Henie+Madslien&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Madslien Elisabeth Henie</a>, <a href="/search?value1=Jose+Antonio+Baz+Lomba&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Baz Lomba Jose Antonio</a>, <a href="/search?value1=Steen+Ethelberg&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ethelberg Steen</a></span>. A survey of the representativeness and usefulness of wastewater-based surveillance systems in 10 countries across Europe in 2023. <a href="/content/ecdc">Euro Surveill.</a> 2024;29(33):pii=2400096. <a href="https://doi.org/10.2807/1560-7917.ES.2024.29.33.2400096" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2024.29.33.2400096</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 09 Feb 2024;&nbsp;&nbsp; <span class="generated">Accepted</span>: 03 Jun 2024 </span> </p>
/content/10.2807/1560-7917.ES.2024.29.33.2400096
/content/10.2807/1560-7917.ES.2024.29.33.2400096
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