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2023 (English)In: Science of the Total Environment, ISSN 0048-9697, E-ISSN 1879-1026, Vol. 858, article id 160023Article in journal (Refereed) Published
Abstract [en]
Wastewater-based epidemiology (WBE) can be used to track the spread of SARS-CoV-2 in a population. This study pre-sents the learning outcomes from over two-year long monitoring of SARS-CoV-2 in Stockholm, Sweden. The three main wastewater treatment plants in Stockholm, with a total of six inlets, were monitored from April 2020 until June 2022 (in total 600 samples). This spans five major SARS-CoV-2 waves, where WBE data provided early warning signals for each wave. Further, the measured SARS-CoV-2 content in the wastewater correlated significantly with the level of positive COVID-19 tests (r = 0.86; p << 0.0001) measured by widespread testing of the population. Moreover, as a proof-of-concept, six SARS-CoV-2 variants of concern were monitored using hpPCR assay, demonstrating that var-iants can be traced through wastewater monitoring.During this long-term surveillance, two sampling protocols, two RNA concentration/extraction methods, two calcula-tion approaches, and normalization to the RNA virus Pepper mild mottle virus (PMMoV) were evaluated. In addition, a study of storage conditions was performed, demonstrating that the decay of viral RNA was significantly reduced upon the addition of glycerol to the wastewater before storage at -80 degrees C. Our results provide valuable information that can facilitate the incorporation of WBE as a prediction tool for possible future outbreaks of SARS-CoV-2 and preparations for future pandemics.
Place, publisher, year, edition, pages
Elsevier BV, 2023
Keywords
Severe acute respiratory syndrome coronavirus 2, (SARS-CoV-2), COVID-19, Wastewater-based epidemiology (WBE), Storage conditions, Sewage surveillance, hpPCR
National Category
Infectious Medicine
Identifiers
urn:nbn:se:kth:diva-323417 (URN)10.1016/j.scitotenv.2022.160023 (DOI)000905229500012 ()36356735 (PubMedID)2-s2.0-85141913926 (Scopus ID)
Note
QC 20230201
2023-02-012023-02-012023-02-01Bibliographically approved