Fate of COVID-19 Occurrences in Wastewater Systems: Emerging Detection and Treatment Technologies—A Review

An interpretative review of the wastewater-based surveillance of the SARS-CoV-2: where do we stand on its presence and concern?

Wastewater-based epidemiology (WBE) has been used for monitoring infectious diseases like polio, hepatitis, etc. since the 1940s. It is also being used for tracking the SARS-CoV-2 at the population level. This article aims to compile and assess the information for the qualitative and quantitative detection of the SARS-CoV-2 in wastewater. Based on the globally published studies, we highlight the importance of monitoring SARS-CoV-2 presence/detection in the wastewater and concurrently emphasize the development of early surveillance techniques. SARS-CoV-2 RNA sheds in the human feces, saliva, sputum and mucus that ultimately reaches to the wastewater and brings viral RNA into it. For the detection of the virus in the wastewater, different detection techniques have been optimized and are in use. These are based on serological, biosensor, targeted PCR, and next generation sequencing for whole genome sequencing or targeted amplicon sequencing. The presence of the SARS-CoV-2 RNA in wastewater could be used as a potential tool for early detection and devising the strategies for eradication of the virus before it is spread in the community. Additionally, with the right and timely understanding of viral behavior in the environment, an accurate and instructive model that leverages WBE-derived data may be created. This might help with the creation of technological tools and doable plans of action to lessen the negative effects of current viral epidemics or future potential outbreaks on public health and the economy. Further work toward whether presence of viral load correlates with its ability to induce infection, still needs evidence. The current increasing incidences of JN.1 variant is a case in point for continued early detection and surveillance, including wastewater.

Changes to Public Health Surveillance Methods Due to the COVID-19 Pandemic: Scoping Review

BACKGROUND

Public health surveillance plays a vital role in informing public health decision-making. The onset of the COVID-19 pandemic in early 2020 caused a widespread shift in public health priorities. Global efforts focused on COVID-19 monitoring and contact tracing. Existing public health programs were interrupted due to physical distancing measures and reallocation of resources. The onset of the COVID-19 pandemic intersected with advancements in technologies that have the potential to support public health surveillance efforts.

OBJECTIVE

This scoping review aims to explore emergent public health surveillance methods during the early COVID-19 pandemic to characterize the impact of the pandemic on surveillance methods.

METHODS

A scoping search was conducted in multiple databases and by scanning key government and public health organization websites from March 2020 to January 2022. Published papers and gray literature that described the application of new or revised approaches to public health surveillance were included. Papers that discussed the implications of novel public health surveillance approaches from ethical, legal, security, and equity perspectives were also included. The surveillance subject, method, location, and setting were extracted from each paper to identify trends in surveillance practices. Two public health epidemiologists were invited to provide their perspectives as peer reviewers.

RESULTS

Of the 14,238 unique papers, a total of 241 papers describing novel surveillance methods and changes to surveillance methods are included. Eighty papers were review papers and 161 were single studies. Overall, the literature heavily featured papers detailing surveillance of COVID-19 transmission (n=187). Surveillance of other infectious diseases was also described, including other pathogens (n=12). Other public health topics included vaccines (n=9), mental health (n=11), substance use (n=4), healthy nutrition (n=1), maternal and child health (n=3), antimicrobial resistance (n=2), and misinformation (n=6). The literature was dominated by applications of digital surveillance, for example, by using big data through mobility tracking and infodemiology (n=163). Wastewater surveillance was also heavily represented (n=48). Other papers described adaptations to programs or methods that existed prior to the COVID-19 pandemic (n=9). The scoping search also found 109 papers that discuss the ethical, legal, security, and equity implications of emerging surveillance methods. The peer reviewer public health epidemiologists noted that additional changes likely exist, beyond what has been reported and available for evidence syntheses.

CONCLUSIONS

The COVID-19 pandemic accelerated advancements in surveillance and the adoption of new technologies, especially for digital and wastewater surveillance methods. Given the investments in these systems, further applications for public health surveillance are likely. The literature for surveillance methods was dominated by surveillance of infectious diseases, particularly COVID-19. A substantial amount of literature on the ethical, legal, security, and equity implications of these emerging surveillance methods also points to a need for cautious consideration of potential harm.

Establishment of wastewater-based SARS-CoV-2 monitoring system over two years: Case studies in South Korea

With the global COVID-19 pandemic, wastewater surveillance has received a considerable attention as a method for the early identification of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in wastewater treatment plant (WWTP) and sewer systems. For the first time in Korea, this study utilized the wastewater surveillance technique to monitor the COVID-19 outbreak. Sampling efforts were carried out at the WWTPs in the capital city of Korea, Seoul, and Daegu the place where the first severe outbreak was reported. The RNA of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been extracted from the collected wastewater influent and primary sewage sludge samples. The outcomes were contrasted with the COVID-19 cases in the WWTPs served area. Additionally, whole transcriptome sequencing was used to compare the microbial community alterations before and after the COVID-19 outbreak and SARS-CoV-2 variations. The results demonstrated that the changes in SARS-CoV-2 RNA concentrations in the influent and sludge matched the trends of reported COVID-19 cases, especially sludge showed high-resolution data, which is well-matched when fewer COVID-19 cases (0-250) are reported. Interestingly, one month before the clinical report, we found that the SARS-CoV-2 Beta variant (South Africa, B.1.351) in the wastewater. In addition, the Aeromonas bacterial species was dominated (21.2%) among other bacterial species in wastewater after the COVID-19 outbreak, suggesting a potential indirect microbial indicator of the COVID-19 outbreak.

Occurrence and transport of SARS-CoV-2 in wastewater streams and its detection and remediation by chemical-biological methods

This paper explains the transmission of SARS-CoV and influences of several environmental factors in the transmission process. The article highlighted several methods of collection, sampling and monitoring/estimation as well as surveillance tool for detecting SARS-CoV in wastewater streams. In this context, WBE (Wastewater based epidemiology) is found to be the most effective surveillance tool. Several methods of genomic sequencing are discussed in the paper, which are applied in WBE, like qPCR-based wastewater testing, metagenomics-based analysis, next generation sequencing etc. Additionally, several types of biosensors (colorimetric biosensor, mobile phone-based biosensors, and nanomaterials-based biosensors) showed promising results in sensing SARS-CoV in wastewater. Further, this review paper outlined the gaps in assessing the factors responsible for transmission and challenges in detection and monitoring along with the remediation and disinfection methods of this virus in wastewater. Various methods of disinfection of SARS-CoV-2 in wastewater are discussed (primary, secondary, and tertiary phases) and it is found that a suite of disinfection methods can be used for complete disinfection/removal of the virus. Application of ultraviolet light, ozone and chlorine-based disinfectants are also discussed in the context of treatment methods. This study calls for continuous efforts to gather more information about the virus through continuous monitoring and analyses and to address the existing gaps and identification of the most effective tool/ strategy to prevent SARS-CoV-2 transmission. Wastewater surveillance can be very useful in effective surveillance of future pandemics and epidemics caused by viruses, especially after development of new technologies in detecting and disinfecting viral pathogens more effectively.

Wastewater-based epidemiological surveillance to monitor the prevalence of SARS-CoV-2 in developing countries with onsite sanitation facilities

Wastewater-based epidemiology (WBE) has emerged as a valuable approach for forecasting disease outbreaks in developed countries with a centralized sewage infrastructure. On the other hand, due to the absence of well-defined and systematic sewage networks, WBE is challenging to implement in developing countries like Bangladesh where most people live in rural areas. Identification of appropriate locations for rural Hotspot Based Sampling (HBS) and urban Drain Based Sampling (DBS) are critical to enable WBE based monitoring system. We investigated the best sampling locations from both urban and rural areas in Bangladesh after evaluating the sanitation infrastructure for forecasting COVID-19 prevalence. A total of 168 wastewater samples were collected from 14 districts of Bangladesh during each of the two peak pandemic seasons. RT-qPCR commercial kits were used to target ORF1ab and N genes. The presence of SARS-CoV-2 genetic materials was found in 98% (165/168) and 95% (160/168) wastewater samples in the first and second round sampling, respectively. Although wastewater effluents from both the marketplace and isolation center drains were found with the highest amount of genetic materials according to the mixed model, quantifiable SARS-CoV-2 RNAs were also identified in the other four sampling sites. Hence, wastewater samples of the marketplace in rural areas and isolation centers in urban areas can be considered the appropriate sampling sites to detect contagion hotspots. This is the first complete study to detect SARS-CoV-2 genetic components in wastewater samples collected from rural and urban areas for monitoring the COVID-19 pandemic. The results based on the study revealed a correlation between viral copy numbers in wastewater samples and SARS-CoV-2 positive cases reported by the Directorate General of Health Services (DGHS) as part of the national surveillance program for COVID-19 prevention. The findings of this study will help in setting strategies and guidelines for the selection of appropriate sampling sites, which will facilitate in development of comprehensive wastewater-based epidemiological systems for surveillance of rural and urban areas of low-income countries with inadequate sewage infrastructure.

Anaerobic Digested Wastewater CO2 Sequestration Using a Biophotocatalytic System with a Magnetized Photocatalyst (Fe-TiO2)

This study presents a biophotocatalytic system as a sustainable technology for the recovery of clean water and renewable energy from wastewater, thereby providing a unique opportunity to drive industrialization and global sustainable development throughputs. Herein, inhouse magnetized photocatalyst (Fe-TiO₂) with surface area 62.73 m²/g synthesized via co-precipitation, was hypothesized to hasten an up-flow anaerobic sludge blanket (UASB) reactor for the treatment of local South Africa municipality wastewater with the benefit of high-quality biogas production. A lab scale UASB process with a working volume of 5 L coupled with two UV-lights (T8 blacklight-blue tube, 365 nm, 18 W) was operated batchwise under mesophilic conditions for the period of 30 days with a constant organic load charge of 2.76 kg COD/m³. d. This biophotocatalytic system performance was investigated and compared with and without the Fe-TiO₂ charge (2–6 g) with respect to effluent quality, biogas production and CO₂ methanation. Using chemical oxygen demand (COD) measured as the degree of degradation of the pollutants, the best efficiency of 93% COD removal was achieved by a 4 g Fe-TiO₂ charge at 14 days and pH of 7.13, as compared to zero charge where only 49.6% degradation was achieved. Under the same charge, cumulative biogas and methane content of 1500 mL/g COD.d and 85% were respectively attained as compared with the control with 400 mL/g COD.d and 65% methane content. Also, the energy produced can be used to offset the energy utilized by the UV-light for the wastewater abatement and other limitations of photocatalysis. The BP system was found to be an eco-friendly and cost-effective technology to be explored in water treatment settings.

Assessment of Magnetic Nanomaterials for Municipality Wastewater Treatment Using Biochemical Methane Potential (BMP) Tests

Wastewater as a substrate potential for producing renewable energy in the form of biogas is gaining global attention. Herein, nanomaterials can be utilised as a nutrient source for microorganisms for anaerobic digestion activity. Therefore, this study explored the impact of seven different magnetic nanomaterials (MNMs) on the anaerobic digestion of wastewater via biochemical methane potential (BMP) tests for biogas production. The BMP assay was carried out with eight bioreactors, where each was charged with 50% wastewater and 30% activated sludge, leaving a headspace of 20%. Aside the control bioreactor, the other seven (7) bioreactors were dosed with 1.5 g of MNMs. This was operated under anaerobic conditions at a mesophilic temperature of 35 °C for 31 days. At the degree of 80% degradation of contaminants, the results that showed bioreactors charged with 1.5 g MNMs of TiO₂ photocatalyst composites were more effective than those constituting metallic composites, whereas the control achieved 65% degradation. Additionally, the bioreactor with magnetite (Fe₃O₄) produced the highest cumulative biogas of 1172 mL/day. Kinetically, the modified Gompertz model favoured the cumulative biogas data obtained with a significant regression coefficient (R²) close to one.

A systematic review on the occurrence, fate, and remediation of SARS-CoV-2 in wastewater

The COVID-19 has been declared a pandemic by the World Health Organization. Along with impairing the respiratory system, it also affects the gastrointestinal system. By reviewing experiments on the wastewater analysis for the detection of coronavirus, this study explores the fate, persistence, and various remediation strategies for the virus removal from the wastewater. The results indicated that the virus can be detected in the wastewater samples, feces, and sewage, even before the onset of symptoms. Coronavirus can be a potential panzootic disease, as several mammalian species get infected by the deadly virus. The disinfection strategies used earlier for the treatment of wastewater are not sufficient for the removal of viruses from the wastewater. Therefore, concerted efforts should be made to understand their fate, sources, and occurrence in the environmental matrices. To prevent the spread of the panzootic disease, revised guidelines should be issued for the remediation of the virus. Recent viral remediation methods such as membrane bioreactors and advanced oxidation methods can be used. Therefore, the present review puts a light on the current knowledge on the occurrence of coronaviruses in wastewater, the possible sources, fate, and removal strategies.

Molecular Diagnostic Tools Applied for Assessing Microbial Water Quality

Microbial water quality is of vital importance for human, animal, and environmental health. Notably, pathogenically contaminated water can result in serious health problems, such as waterborne outbreaks, which have caused huge economic and social losses. In this context, the prompt detection of microbial contamination becomes essential to enable early warning and timely reaction with proper interventions. Recently, molecular diagnostics have been increasingly employed for the rapid and robust assessment of microbial water quality implicated by various microbial pollutants, e.g., waterborne pathogens and antibiotic-resistance genes (ARGs), imposing the most critical health threats to humans and the environment. Continuous technological advances have led to constant improvements and expansions of molecular methods, such as conventional end-point PCR, DNA microarray, real-time quantitative PCR (qPCR), multiplex qPCR (mqPCR), loop-mediated isothermal amplification (LAMP), digital droplet PCR (ddPCR), and high-throughput next-generation DNA sequencing (HT-NGS). These state-of-the-art molecular approaches largely facilitate the surveillance of microbial water quality in diverse aquatic systems and wastewater. This review provides an up-to-date overview of the advancement of the key molecular tools frequently employed for microbial water quality assessment, with future perspectives on their applications.

Toward smart diagnosis of pandemic infectious diseases using wastewater-based epidemiology

COVID-19 outbreak revealed fundamental weaknesses of current diagnostic systems, particularly in prediction and subsequently prevention of pandemic infectious diseases (PIDs). Among PIDs detection methods, wastewater-based epidemiology (WBE) has been demonstrated to be a favorable mean for estimation of community-wide health. Besides, by going beyond purely sensing usages of WBE, it can be efficiently exploited in Healthcare 4.0/5.0 for surveillance, monitoring, control, and above all prediction and prevention, thereby, resulting in smart sensing and management of potential outbreaks/epidemics/pandemics. Herein, an overview of WBE sensors for PIDs is presented. The philosophy behind the smart diagnosis of PIDs using WBE with the help of digital technologies is then discussed, as well as their characteristics to be met. Analytical techniques that are pushing the frontiers of smart sensing and have a high potential to be used in the smart diagnosis of PIDs via WBE are surveyed. In this context, we underscore key challenges ahead and provide recommendations for implementing and moving faster toward smart diagnostics.

Response Surface Optimization of Biophotocatalytic Degradation of Industrial Wastewater for Bioenergy Recovery

The continuous combustion of fossil fuels and industrial wastewater pollution undermines global environmental and socio-economic sustainability. Addressing this necessitates a techno-scientific revolution to recover the renewable energy potential of wastewater towards a circular economy. Herein, a developed biophotocatalytic (BP) system was examined with an engineered Fe-TiO2 to ascertain its degradability efficiency and biogas production from industrial wastewater. The response surface methodology (RSM) based on a modified Box-Behnken designed experiment was used to optimize and maximize the BP system’s desirability. The parameters investigated included catalyst dosage of 2−6 g and hydraulic retention time (HRT) of 1−31 d at a constant temperature of 37.5 °C and organic loading rate of 2.38 kgCOD/Ld. The modified RSM-BBD predicted 100% desirability at an optimal catalyst load of 4 g and HRT of 21 d. This represented 267 mL/d of biogas and >98% COD, color, and turbidity removal. The experimental validity was in good agreement with the model predicted results at a high regression (R2 > 0.98) and 95% confidence level. This finding provides an insight into RSM modeling and optimization with the potential of integrating the BP system into wastewater settings for the treatment of industrial wastewater and biogas production.

Utilization of SARS-CoV-2 Wastewater Surveillance in Africa-A Rapid Review

Wastewater-based epidemiology for SARS-CoV-2 RNA detection in wastewater is desirable for understanding COVID-19 in settings where financial resources and diagnostic facilities for mass individual testing are severely limited. We conducted a rapid review to map research evidence on the utilization of SARS-CoV-2 wastewater surveillance in Africa. We searched PubMed, Google Scholar, and the World Health Organization library databases for relevant reports, reviews, and primary observational studies. Eight studies met the inclusion criteria. Narrative synthesis of the findings from included primary studies revealed the testing methodologies utilized and that detected amount of SARS-CoV-2 viral RNA correlated with the number of new cases in the studied areas. The included reviews revealed the epidemiological significance and environmental risks of SARS-CoV-2 wastewater. Wastewater surveillance data at the community level can be leveraged for the rapid assessment of emerging threats and aid pandemic preparedness. Our rapid review revealed a glaring gap in the primary literature on SARS-CoV-2 wastewater surveillance on the continent, and accelerated and adequate investment into research is urgently needed to address this gap.

Biophotocatalytic Reduction of CO2 in Anaerobic Biogas Produced from Wastewater Treatment Using an Integrated System

This study presents the bio-photocatalytic upgrading of biogas utilising carbon dioxide (CO2) as a potential option for beginning fossil fuel depletion and the associated environmental risks in the pursuit of sustainable development. Herein, magnetite photocatalyst (Fe-TiO2) was employed with an integrated anaerobic-photomagnetic system for the decontamination of municipality wastewater for biogas production. The Fe-TiO2 photocatalyst used, manufactured via a co-precipitation technique, had a specific surface area of 62.73 m2/g, micropore volume of 0.017 cm3/g and pore size of 1.337 nm. The results showed that using the ultraviolet-visible (UV-Vis) photomagnetic system as a post-treatment to the anaerobic digestion (AD) process was very effective with over 85% reduction in colour, chemical oxygen demand (COD) and turbidity. With an organic loading rate (OLR) of 0.394 kg COD/L·d and hydraulic retention time (HTR) of 21 days, a 92% degradation of the organic content (1.64 kgCOD/L) was attained. This maximised the bioenergy production to 5.52 kWh/m3 with over 10% excess energy to offset the energy demand of the UV-Vis lamp. Assuming 33% of the bioenergy produced was used as electricity to power the UV-Vis lamp, the CO2 emission reduction was 1.74 kg CO2 e/m3, with good potential for environmental conservation.

SARS-CoV-2 and other pathogens in municipal wastewater, landfill leachate, and solid waste: A review about virus surveillance, infectivity, and inactivation

This review discusses the techniques available for detecting and inactivating of pathogens in municipal wastewater, landfill leachate, and solid waste. In view of the current COVID-19 pandemic, SARS-CoV-2 is being given special attention, with a thorough examination of all possible transmission pathways linked to the selected waste matrices. Despite the lack of works focused on landfill leachate, a systematic review method, based on cluster analysis, allows to analyze the available papers devoted to sewage sludge and wastewater, allowing to focalize the work on technologies able to detect and treat pathogens. In this work, great attention is also devoted to infectivity and transmission mechanisms of SARS-CoV-2. Moreover, the literature analysis shows that sewage sludge and landfill leachate seem to have a remote chance to act as a virus transmission route (pollution-to-human transmission) due to improper collection and treatment of municipal wastewater and solid waste. However due to the incertitude about virus infectivity, these possibilities cannot be excluded and need further investigation. As a conclusion, this paper shows that additional research is required not only on the coronavirus-specific disinfection, but also the regular surveillance or monitoring of viral loads in sewage sludge, wastewater, and landfill leachate. The disinfection strategies need to be optimized in terms of dosage and potential adverse impacts like antimicrobial resistance, among many other factors. Finally, the presence of SARS-CoV-2 and other pathogenic microorganisms in sewage sludge, wastewater, and landfill leachate can hamper the possibility to ensure safe water and public health in economically marginalized countries and hinder the realization of the United Nations' sustainable development goals (SDGs).

New approach in SARS-CoV-2 surveillance using biosensor technology: a review

Biosensors are analytical tools that transform the bio-signal into an observable response. Biosensors are effective for early detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection because they target viral antigens to assess clinical development and provide information on the severity and critical trends of infection. The biosensors are capable of being on-site, fast, and extremely sensitive to the target viral antigen, opening the door for early detection of SARS-CoV-2. They can screen individuals in hospitals, airports, and other crowded locations. Microfluidics and nanotechnology are promising cornerstones for the development of biosensor-based techniques. Recently, due to high selectivity, simplicity, low cost, and reliability, the production of biosensor instruments have attracted considerable interest. This review article precisely provides the extensive scientific advancement and intensive look of basic principles and implementation of biosensors in SARS-CoV-2 surveillance, especially for human health. In this review, the importance of biosensors including Optical, Electrochemical, Piezoelectric, Microfluidic, Paper-based biosensors, Immunosensors, and Nano-Biosensors in the detection of SARS-CoV-2 has been underscored. Smartphone biosensors and calorimetric strips that target antibodies or antigens should be developed immediately to combat the rapidly spreading SARS-CoV-2. Wearable biosensors can constantly monitor patients, which is a highly desired feature of biosensors. Finally, we summarized the literature, outlined new approaches and future directions in diagnosing SARS-CoV-2 by biosensor-based techniques.

Effect of Engineered Biomaterials and Magnetite on Wastewater Treatment: Biogas and Kinetic Evaluation

In this study, the principle of sustaining circular economy is presented as a way of recovering valuable resources from wastewater and utilizing its energy potential via anaerobic digestion (AD) of municipality wastewater. Biostimulation of the AD process was investigated to improve its treatability efficiency, biogas production, and kinetic stability. Addressing this together with agricultural waste such as eggshells (CE), banana peel (PB), and calcined banana peels (BI) were employed and compared to magnetite (Fe₃O₄) as biostimulation additives via 1 L biochemical methane potential tests. With a working volume of 0.8 L (charge with inoculum to substrate ratio of 3:5 v/v) and 1.5 g of the additives, each bioreactor was operated at a mesophilic temperature of 40 °C for 30 days while being compared to a control bioreactor. Scanning electron microscopy and energy dispersive X-ray (SEM/EDX) analysis was used to reveal the absorbent’s morphology at high magnification of 10 kx and surface pore size of 20.8 µm. The results showed over 70% biodegradation efficiency in removing the organic contaminants (chemical oxygen demand, color, and turbidity) as well as enhancing the biogas production. Among the setups, the bioreactor with Fe₃O₄ additives was found to be the most efficient, with an average daily biogas production of 40 mL/day and a cumulative yield of 1117 mL/day. The kinetic dynamics were evaluated with the cumulative biogas produced by each bioreactor via the first order modified Gompertz and Chen and Hashimoto kinetic models. The modified Gompertz model was found to be the most reliable, with good predictability.

Recent Progress and Prospects in Catalytic Water Treatment

Presently, conventional technologies in water treatment are not efficient enough to completely mineralize refractory water contaminants. In this context, the implementation of catalytic processes could be an alternative. Despite the advantages provided in terms of kinetics of transformation, selectivity, and energy saving, numerous attempts have not yet led to implementation at an industrial scale. This review examines investigations at different scales for which controversies and limitations must be solved to bridge the gap between fundamentals and practical developments. Particular attention has been paid to the development of solar-driven catalytic technologies and some other emerging processes, such as microwave assisted catalysis, plasma-catalytic processes, or biocatalytic remediation, taking into account their specific advantages and the drawbacks. Challenges for which a better understanding related to the complexity of the systems and the coexistence of various solid-liquid-gas interfaces have been identified.

A review on detection of SARS-CoV-2 RNA in wastewater in light of the current knowledge of treatment process for removal of viral fragments

The entire globe is affected by the novel disease of coronavirus 2019 (COVID-19 or 2019-nCoV), which is formally recognised as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The World Health Organisation (WHO) announced this disease as a global pandemic. The presence of SARS-CoV-2 RNA in unprocessed wastewater has become a cause of worry due to these emerging pathogens in the process of wastewater treatment, as reported in the present study. This analysis intends to interpret the fate, environmental factors and route of transmission of SARS-CoV-2, along with its eradication by treating the wastewater for controlling and preventing its further spread. Different recovery estimations of the virus have been depicted by the detection of SARS-CoV-2 RNA in wastewater through the viral concentration techniques. Most frequently used viral concentration techniques include polyethylene glycol (PEG) precipitation, ultrafiltration, electronegative membrane, and ultracentrifugation, after which the detection and quantification of SARS-CoV-2 RNA are done in wastewater samples through quantitative reverse transcription-polymerase chain reaction (RT-qPCR). The wastewater treatment plant (WWTP) holds the key responsibility of eliminating pathogens prior to the discharge of wastewater into surface water bodies. The removal of SARS-CoV-2 RNA at the treatment stage is dependent on the operations of wastewater treatment systems during the outbreak of the virus; particularly, in the urban and extensively populated regions. Efficient primary, secondary and tertiary methods of wastewater treatment and disinfection can reduce or inactivate SARS-CoV-2 RNA before being drained out. Nonetheless, further studies regarding COVID-19-related disinfectants, environment conditions and viral concentrations in each treatment procedure, implications on the environment and regular monitoring of transmission need to be done urgently. Hence, monitoring the SARS-CoV-2 RNA in samples of wastewater under the procedure of wastewater-based epidemiology (WBE) supplement the real-time data pertaining to the investigation of the COVID-19 pandemic in the community, regional and national levels.

Viral Inactivation with Emphasis on SARS-CoV-2 Using Physical and Chemical Disinfectants

Background

Recently, an outbreak of a novel human coronavirus SARS-CoV-2 has become a world health concern leading to severe respiratory tract infections in humans. Virus transmission occurs through person-to-person contact, respiratory droplets, and contaminated hands or surfaces. Accordingly, we aim at reviewing the literature on all information available about the persistence of coronaviruses, including human and animal coronaviruses, on inanimate surfaces and inactivation strategies with biocides employed for chemical and physical disinfection.

Method

A comprehensive search was systematically conducted in main databases from 1998 to 2020 to identify various viral disinfectants associated with HCoV and methods for control and prevention of this newly emerged virus.

Results

The analysis of 62 studies shows that human coronaviruses such as severe acute respiratory syndrome (SARS) coronavirus, Middle East respiratory syndrome (MERS) coronavirus or endemic human coronaviruses (HCoV), canine coronavirus (CCV), transmissible gastroenteritis virus (TGEV), and mouse hepatitis virus (MHV) can be efficiently inactivated by physical and chemical disinfectants at different concentrations (70, 80, 85, and 95%) of 2-propanol (70 and 80%) in less than or equal to 60 s and 0.5% hydrogen peroxide or 0.1% sodium hypochlorite within 1 minute. Additionally, glutaraldehyde (0.5–2%), formaldehyde (0.7–1%), and povidone-iodine (0.1–0.75%) could readily inactivate coronaviruses. Moreover, dry heat at 56°C, ultraviolet light dose of 0.2 to 140 J/cm², and gamma irradiation could effectively inactivate coronavirus. The WHO recommends the use of 0.1% sodium hypochlorite solution or an ethanol-based disinfectant with an ethanol concentration between 62% and 71%.

Conclusion

The results of the present study can help researchers, policymakers, health decision makers, and people perceive and take the correct measures to control and prevent further transmission of COVID-19. Prevention and decontamination will be the main ways to stop the ongoing outbreak of COVID-19.

Nano-engineered tools in the diagnosis, therapeutics, prevention, and mitigation of SARS-CoV-2

The recent outbreak of SARS-CoV-2 has forever altered mankind resulting in the COVID-19 pandemic. This respiratory virus further manifests into vital organ damage, resulting in severe post COVID-19 complications. Nanotechnology has been moonlighting in the scientific community to combat several severe diseases. This review highlights the triune of the nano-toolbox in the areas of diagnostics, therapeutics, prevention, and mitigation of SARS-CoV-2. Nanogold test kits have already been on the frontline of rapid detection. Breath tests, magnetic nanoparticle-based nucleic acid detectors, and the use of Raman Spectroscopy present myriads of possibilities in developing point of care biosensors, which will ensure sensitive, affordable, and accessiblemass surveillance. Most of the therapeutics are trying to focus on blocking the viral entry into the cell and fighting with cytokine storm, using nano-enabled drug delivery platforms. Nanobodies and mRNA nanotechnology with lipid nanoparticles (LNPs) as vaccines against S and N protein have regained importance. All the vaccines coming with promising phase 3 clinical trials have used nano-delivery systems for delivery of vaccine-cargo, which are currently administered widely in many countries. The use of chemically diverse metal, carbon and polymeric nanoparticles, nanocages and nanobubbles demonstrate opportunities to develop anti-viral nanomedicine. In order to prevent and mitigate the viral spread, high-performance charged nanofiber filters, spray coating of nanomaterials on surfaces, novel materials for PPE kits and facemasks have been developed that accomplish over 90% capture of airborne SARS-CoV-2. Nano polymer-based disinfectants are being tested to make smart-transport for human activities. Despite the promises of this toolbox, challenges in terms of reproducibility, specificity, efficacy and emergence of new SARS-CoV-2 variants are yet to overcome.

A Global Overview of SARS-CoV-2 in Wastewater: Detection, Treatment, and Prevention

A novel coronavirus (SARS-CoV-2) causing corona virus disease 2019 (COVID-19) has attracted global attention due to its highly infectious and pathogenic properties. Most of current studies focus on aerosols released from infected individuals, but the presence of SARS-CoV-2 in wastewater also should be examined. In this review, we used bibliometrics to statistically evaluate the importance of water-related issues in the context of COVID-19. The results show that the levels and transmission possibilities of SARS-CoV-2 in wastewater are the main concerns, followed by potential secondary pollution by the intensive use of disinfectants, sludge disposal, and the personal safety of workers. The presence of SARS-CoV-2 in wastewater requires more attention during the COVID-19 pandemic. Thus, the most effective techniques, i.e., wastewater-based epidemiology and quantitative microbial risk assessment, for virus surveillance in wastewater are systematically analyzed. We further explicitly review and analyze the successful operation of a sewage treatment plant in Huoshenshan Hospital in China as an example and reference for other sewage treatment systems to properly ensure discharge safety and tackle the COVID-19 pandemic. This review offers deeper insight into the prevention and control of SARS-CoV-2 and similar viruses in the post-COVID-19 era from a wastewater perspective.

Wastewater aerosols produced during flushing toilets, WWTPs, and irrigation with reclaimed municipal wastewater as indirect exposure to SARS-CoV-2

The detection of SARS-CoV-2 RNA in raw and treated wastewater can open up a fresh perspective to waterborne and aerosolized wastewater as a new transmission route of SARS-CoV-2 RNA during the current pandemic. The aim of this paper is to discuss the potential transmission of SARS-CoV-2 RNA from wastewater aerosols formed during toilet flushing, plumbing failure, wastewater treatment plants, and municipal wastewater reuse for irrigation. Moreover, how these aerosols might increase the risk of exposure to this novel coronavirus (SARS-CoV-2 RNA). This article supplies a review of the literature on the presence of SARS-CoV-2 RNA in untreated wastewater, as well as the fate and stability of SARS-CoV-2 RNA in wastewater. We also reviewed the existing literatures on generation and transmission of aerosolized wastewater through flush a toilet, house's plumbing networks, WWTPs, wastewater reuse for irrigation of agricultural areas. Finally, the article briefly studies the potential risk of infection with exposure to the fecal bioaerosols of SARS-CoV-2 RNA for the people who might be exposed through flushing toilets or faulty building plumbing systems, operators/workers in wastewater treatment plants, and workers of fields irrigated with treated wastewater - based on current knowledge. Although this review highlights the indirect transmission of SARS-CoV-2 RNA through wastewater aerosols, no research has yet clearly demonstrated the role of aerosolized wastewater in disease transmission regarding the continuation of this pandemic. Therefore, there is a need for additional studies on wastewater aerosols in transmission of COVID-19.

Monitoring changes in COVID-19 infection using wastewater-based epidemiology: A South African perspective

Monitoring of COVID-19 infections within communities via wastewater-based epidemiology could provide a cost-effective alternative to clinical testing. This approach, however, still requires improvement for its efficient application. In this paper, we present the use of wastewater-based epidemiology in monitoring COVID-19 infection dynamics in the KwaZulu-Natal province of South Africa, focusing on four wastewater treatment plants for 14 weeks. The SARS-CoV-2 viral load in influent wastewater was determined using droplet digital PCR, and the number of people infected was estimated using published models as well as using a modified model to improve efficiency. On average, viral loads ranged between 0 and 2.73 × 10⁵ copies/100 ml, 0-1.52 × 10⁵ copies/100 ml, 3 × 10⁴-7.32 × 10⁵ copies/100 ml and 1.55 × 10⁴-4.12 × 10⁵ copies/100 ml in the four wastewater treatment plants studied. The peak in viral load corresponded to the reported COVID-19 infections within the districts where these catchments are located. In addition, we also observed that easing of lockdown restrictions by authorities corresponded with an increase in viral load in the untreated wastewater. Estimation of infection numbers based on the viral load showed that a higher number of people could potentially be infected, compared to the number of cases reported based on clinical testing. The findings reported in this paper contribute to the field of wastewater-based epidemiology for COVID-19 surveillance, whilst highlighting some of the challenges associated with this approach, especially in developing countries.

Effects of COVID-19 on the environment: An overview on air, water, wastewater, and solid waste

The COVID-19 pandemic has hit the world hardly as of the beginning of 2020 and quickly spread worldwide from its first-reported point in early Dec. 2019. By mid-March 2021, the COVID-19 almost hit all countries worldwide, with about 122 and 2.7 million confirmed cases and deaths, respectively. As a strong measure to stop the infection spread and deaths, many countries have enforced quarantine and lockdown of many activities. The shutdown of these activities has resulted in large economic losses. However, it has been widely reported that these measures have resulted in improved air quality, more specifically in highly polluted areas characterized by massive population and industrial activities. The reduced levels of carbon, nitrogen, sulfur, and particulate matter emissions have been reported and confirmed worldwide in association with lockdown periods. On the other hand, ozone levels in ambient air have been found to increase, mainly in response to the reduced nitrogen emissions. In addition, improved water quality in natural water resources has been reported as well. Wastewater facilities have reported a higher level of organic load with persistent chemicals due to the increased use of sanitizers, disinfectants, and antibiotics. The solid waste generated due to the COVID-19 pandemic was found to increase both qualitatively and quantitatively. This work presents and summarizes the observed environmental effects of COVID-19 as reported in the literature for different countries worldwide. The work provides a distinct overview considering the effects imposed by COVID-19 on the air, water, wastewater, and solid waste as critical elements of the environment.

Direct and indirect effects of SARS-CoV-2 on wastewater treatment

The novel SARS-CoV-2 is expanding internationally. While the current focus is on limiting its transmission from direct contact with infected patients and surfaces during the pandemic, the secondary transmission potential via sewage should not be underestimated, especially in low-income and developing countries with weak wastewater treatment technologies. Recent studies have indicated SARS-CoV-2 positivity also be detected in the feces of patients. Therefore, the risk of transmission and infection can be increased into sewage by the fecal-oral way, mainly in some parts of the globe with a high amount of open defecation. This review collected scattered data and recent studies about the direct and indirect effects of coronavirus in the water cycle. The direct impacts of COVID-19 on wastewater are related to the presence of the coronavirus and suitable viral removal methods in different phases of treatment in wastewater treatment plants. The indirect effects of COVID-19 on wastewater are related to the overuse of cleaning and disinfecting products to protect against viral infection and the overuse of certain drugs to protect against virus or novel mental problems and panic to COVID-19 and consequently their presence in wastewater. This unexpected situation leads to changes in the quality of wastewater and brings adverse and harmful effects for the human, aquatic organisms, and the environment. Therefore, applying effective wastewater treatment technologies with low toxic by-products in wastewater treatment plants will be helpful to prevent the increasing occurrence of these extra contaminants in the environment.

Prevalence, environmental fate, treatment strategies, and future challenges for wastewater contaminated with SARS-CoV-2

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been detected in untreated and treated wastewater and studies have shown that the concentration of SARS-CoV-2 is proportional to the prevalence of the coronavirus disease 2019 (COVID-19) in communities. This article presents a literature review of the prevalence of SARS-CoV-2 in wastewater, its environmental fate, recommended treatment strategies for contaminated wastewater, and treatment challenges to be faced in the future. The environmental fate of SARS-CoV-2 in wastewater is not straightforward because it can be a source of infection when present in the treated wastewater depending on the permeability of the wastewater treatment plant containment area, and can also leach into aquifers, which may serve as drinking water supplies. Secondly, there are different practices that can mitigate the SARS-CoV-2 infection rate from infected feces and urine. The World Health Organization has recommended the use of ultraviolet radiation (UV), disinfection, and filtration for wastewater contaminated with SARS-CoV-2, processes also common in wastewater treatment facilities. This article discusses these strategies referencing studies performed with surrogate viruses and shows that SARS-CoV-2 treatment can be complicated due to the interference from other aqueous chemical and physical factors. Considering that COVID-19 is not the first and certainly not the last pandemic, it is imperative to develop an effective multitreatment strategy for wastewater contaminated with contagious viruses and, preferably, those that are compatible with current wastewater treatment methods.

Prospects of Synthesized Magnetic TiO2-Based Membranes for Wastewater Treatment: A Review

Global accessibility to clean water has stressed the need to develop advanced technologies for the removal of toxic organic and inorganic pollutants and pathogens from wastewater to meet stringent discharge water quality limits. Conventionally, the high separation efficiencies, relative low costs, small footprint, and ease of operation associated with integrated photocatalytic-membrane (IPM) technologies are gaining an all-inclusive attention. Conversely, photocatalysis and membrane technologies face some degree of setbacks, which limit their worldwide application in wastewater settings for the treatment of emerging contaminants. Therefore, this review elucidated titanium dioxide (TiO₂), based on its unique properties (low cost, non-toxicity, biocompatibility, and high chemical stability), to have great potential in engineering photocatalytic-based membranes for reclamation of wastewater for re-use. The environmental pathway of TiO₂ nanoparticles, membranes and configuration types, modification process, characteristics, and applications of IPMs in water settings are discussed. Future research and prospects of magnetized TiO₂-based membrane technology is highlighted as a viable water purification technology to mitigate fouling in the membrane process and photocatalyst recoverability. In addition, exploring life cycle assessment research would also aid in utilizing the concept and pressing for large-scale application of this technology.

Route of SARS-CoV-2 in sewerage and wastewater treatment plants

The detection of SARS-CoV-2 in the stool of COVID-19 positive persons raises the question of potential fecal-oral transmission. The virus is transported from feces to the sewer system where a dilution of about 10³ times occurs, due to the discharge of drinking water, rainwater, or infiltrations. A progressive decay of SARS-CoV-2 occurs along the sewerage network and in wastewater treatment plants due to the presence of pollutants, solids, and detergents. The fragile envelope makes SARS-CoV-2 more rapidly inactivated than enteric viruses. In WWTPs, primary treatment and activated sludge process contribute partially to the virus reduction, while SARS-CoV-2 is more susceptible to disinfection such as chlorination, ozonation, or UV light. Potential sewage-associated transmission of COVID-19 may occur during flooding events in urban areas when untreated wastewater is spread or from the overload of untreated blackwater in the combined sewer systems.

Adsorption and Photocatalytic Mineralization of Bromophenol Blue Dye with TiO2 Modified with Clinoptilolite/Activated Carbon

This study presents a hybridized photocatalyst with adsorbate as a promising nanocomposite for photoremediation of wastewater. Photocatalytic degradation of bromophenol blue (BPB) in aqueous solution under UV-irradiation of wavelength 400 nm was carried out with TiO2 doped with activated carbon (A) and clinoptilolite (Z) via the co-precipitation technique. The physiochemical properties of the nanocomposite (A–TiO2 and Z–TiO2) and TiO2 were characterized by X-ray diffraction (XRD), scanning electron microscopy (SEM), and Fourier-transform infrared (FTIR) spectroscopy. Results of the nanocomposite (A–TiO2 and Z–TiO2) efficiency was compared to that with the TiO2, which demonstrated their adsorption and synergistic effect for the removal of chemical oxygen demand (COD) and color from the wastewater. At an optimal load of 4 g, the photocatalytic degradation activity (Z–TiO2 > A–TiO2 > TiO2) was found favorably by the second-order kinetic model. Consequently, the Langmuir adsorption isotherms favored the nanocomposites (Z–TiO2 > A–TiO2), whereas that of the TiO2 fitted very well on the Freundlich isotherm approach. Z–TiO2 evidently exhibited a high photocatalytic efficacy of decomposition over 80% of BPB (COD) at reaction rate constant (k) and coefficient of determination (R2) values of 5.63 × 10−4 min−1 and 0.989, respectively.