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COVID-19 monitoring with sparse sampling of sewered and non-sewered wastewater in urban and rural communities

Wannigama, D. L. (author)
Amarasiri, M. (author)
Hongsing, P. (author)
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Hurst, C. (author)
Modchang, C. (author)
Chadsuthi, S. (author)
Anupong, S. (author)
Phattharapornjaroen, Phatthranit (author)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery
Rad, Smah (author)
Fernandez, S. (author)
Huang, A. T. (author)
Vatanaprasan, P. (author)
Jay, D. J. (author)
Saethang, T. (author)
Luk-in, S. (author)
Storer, R. J. (author)
Ounjai, P. (author)
Ragupathi, N. K. D. (author)
Kanthawee, P. (author)
Sano, D. (author)
Furukawa, T. (author)
Sei, K. (author)
Leelahavanichkul, A. (author)
Kanjanabuch, T. (author)
Hirankarn, N. (author)
Higgins, P. G. (author)
Kicic, A. (author)
Singer, A. C. (author)
Chatsuwan, T. (author)
Trowsdale, S. (author)
Abe, S. (author)
McLellan, A. D. (author)
Ishikawa, H. (author)
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 (creator_code:org_t)
2023
2023
English.
In: Iscience. ; 26:7
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Equitable SARS-CoV-2 surveillance in low-resource communities lacking centralized sewers is critical as wastewater-based epidemiology (WBE) progresses. However, large-scale studies on SARS-CoV-2 detection in wastewater from low-and middle-income countries is limited because of economic and technical reasons. In this study, wastewater samples were collected twice a month from 186 urban and rural subdistricts in nine provinces of Thailand mostly having decentralized and non-sewered sanitation infrastructure and analyzed for SARS-CoV-2 RNA variants using allele-specific RT-qPCR. Wastewater SARS-CoV-2 RNA concentration was used to estimate the real-time incidence and time-varying effective reproduction number (Re). Results showed an increase in SARS-CoV-2 RNA concentrations in wastewater from urban and rural areas 14-20 days earlier than infected individuals were officially reported. It also showed that community/food markets were ''hot spots'' for infected people. This approach offers an opportunity for early detection of transmission surges, allowing preparedness and potentially mitigating significant outbreaks at both spatial and temporal scales.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Keyword

regression
health
Science & Technology - Other Topics

Publication and Content Type

ref (subject category)
art (subject category)

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