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Li Y, Ash K, Alamilla I, Joyner D, Williams DE, McKay PJ, Green B, DeBlander S, North C, Kara-Murdoch F, Swift C, Hazen TC. COVID-19 trends at the University of Tennessee: predictive insights from raw sewage SARS-CoV-2 detection and evaluation and PMMoV as an indicator for human waste. Front Microbiol 2024; 15:1379194. [PMID: 38605711 PMCID: PMC11007199 DOI: 10.3389/fmicb.2024.1379194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 03/19/2024] [Indexed: 04/13/2024] Open
Abstract
Wastewater-based epidemiology (WBE) has become a valuable tool for monitoring the prevalence of SARS-CoV-2 on university campuses. However, concerns about effectiveness of raw sewage as a COVID-19 early warning system still exist, and it's not clear how useful normalization by simultaneous comparison of Pepper Mild Mottle Virus (PMMoV) is in addressing variations resulting from fecal discharge dilution. This study aims to contribute insights into these aspects by conducting an academic-year field trial at the student residences on the University of Tennessee, Knoxville campus, raw sewage. This was done to investigate the correlations between SARS-CoV-2 RNA load, both with and without PMMoV normalization, and various parameters, including active COVID-19 cases, self-isolations, and their combination among all student residents. Significant positive correlations between SARS-CoV-2 RNA load a week prior, during the monitoring week, and the subsequent week with active cases. Despite these correlations, normalization by PMMoV does not enhance these associations. These findings suggest the potential utility of SARS-CoV-2 RNA load as an early warning indicator and provide valuable insights into the application and limitations of WBE for COVID-19 surveillance specifically within the context of raw sewage on university campuses.
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Affiliation(s)
- Ye Li
- Department of Civil and Environmental Sciences, University of Tennessee, Knoxville, TN, United States
| | - Kurt Ash
- Department of Civil and Environmental Sciences, University of Tennessee, Knoxville, TN, United States
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States
| | | | - Dominique Joyner
- Department of Civil and Environmental Sciences, University of Tennessee, Knoxville, TN, United States
| | - Daniel Edward Williams
- Center for Environmental Biotechnology, University of Tennessee, Knoxville, TN, United States
| | - Peter J. McKay
- Battelle Memorial Institute, Columbus, OH, United States
| | - Brianna Green
- Department of Microbiology, University of Tennessee, Knoxville, TN, United States
| | - Sydney DeBlander
- College of Natural Science, Michigan State University, East Lansing, MI, United States
| | - Carman North
- Student Health Center, University of Tennessee, Knoxville, TN, United States
| | - Fadime Kara-Murdoch
- Department of Civil and Environmental Sciences, University of Tennessee, Knoxville, TN, United States
- Battelle Memorial Institute, Columbus, OH, United States
- Center for Environmental Biotechnology, University of Tennessee, Knoxville, TN, United States
| | - Cynthia Swift
- Department of Civil and Environmental Sciences, University of Tennessee, Knoxville, TN, United States
- Center for Environmental Biotechnology, University of Tennessee, Knoxville, TN, United States
| | - Terry C. Hazen
- Department of Civil and Environmental Sciences, University of Tennessee, Knoxville, TN, United States
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States
- Department of Microbiology, University of Tennessee, Knoxville, TN, United States
- Department of Earth and Planetary Sciences, University of Tennessee, Knoxville, TN, United States
- Institute for a Secure and Sustainable Environment, University of Tennessee, Knoxville, TN, United States
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Ash KT, Li Y, Alamilla I, Joyner DC, Williams DE, McKay PJ, Green BM, Iler C, DeBlander SE, North CM, Kara-Murdoch F, Swift CM, Hazen TC. SARS-CoV-2 raw wastewater surveillance from student residences on an urban university campus. Front Microbiol 2023; 14:1101205. [PMID: 36846780 PMCID: PMC9948028 DOI: 10.3389/fmicb.2023.1101205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 01/26/2023] [Indexed: 02/11/2023] Open
Abstract
The COVID-19 pandemic brought about an urgent need to monitor the community prevalence of infection and detect the presence of SARS-CoV-2. Testing individual people is the most reliable method to measure the spread of the virus in any given community, but it is also the most expensive and time-consuming. Wastewater-based epidemiology (WBE) has been used since the 1960s when scientists implemented monitoring to measure the effectiveness of the Polio vaccine. Since then, WBE has been used to monitor populations for various pathogens, drugs, and pollutants. In August 2020, the University of Tennessee-Knoxville implemented a SARS-CoV-2 surveillance program that began with raw wastewater surveillance of the student residence buildings on campus, the results of which were shared with another lab group on campus that oversaw the pooled saliva testing of students. Sample collection began at 8 am, and the final RT-qPCR results were obtained by midnight. The previous day's results were presented to the campus administrators and the Student Health Center at 8 am the following morning. The buildings surveyed included all campus dormitories, fraternities, and sororities, 46 buildings in all representing an on-campus community of over 8,000 students. The WBE surveillance relied upon early morning "grab" samples and 24-h composite sampling. Because we only had three Hach AS950 Portable Peristaltic Sampler units, we reserved 24-h composite sampling for the dormitories with the highest population of students. Samples were pasteurized, and heavy sediment was centrifuged and filtered out, followed by a virus concentration step before RNA extraction. Each sample was tested by RT-qPCR for the presence of SARS-CoV-2, using the CDC primers for N Capsid targets N1 and N3. The subsequent pooled saliva tests from sections of each building allowed lower costs and minimized the total number of individual verification tests that needed to be analyzed by the Student Health Center. Our WBE results matched the trend of the on-campus cases reported by the student health center. The highest concentration of genomic copies detected in one sample was 5.06 × 107 copies/L. Raw wastewater-based epidemiology is an efficient, economical, fast, and non-invasive method to monitor a large community for a single pathogen or multiple pathogen targets.
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Affiliation(s)
- K. T. Ash
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States,Department of Civil and Environmental Sciences, University of Tennessee, Knoxville, TN, United States
| | - Y. Li
- Department of Civil and Environmental Sciences, University of Tennessee, Knoxville, TN, United States
| | - I. Alamilla
- Student Health Center, University of Tennessee, Knoxville, TN, United States
| | - D. C. Joyner
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States
| | - D. E. Williams
- Center for Environmental Biotechnology, University of Tennessee, Knoxville, TN, United States
| | - P. J. McKay
- Student Health Center, University of Tennessee, Knoxville, TN, United States
| | - B. M. Green
- Department of Microbiology, University of Tennessee, Knoxville, TN, United States
| | - C. Iler
- Facilities Services Department, University of Tennessee, Knoxville, TN, United States
| | - S. E. DeBlander
- College of Natural Science, Michigan State University, East Lansing, MI, United States
| | - C. M. North
- Student Health Center, University of Tennessee, Knoxville, TN, United States
| | - F. Kara-Murdoch
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States,Center for Environmental Biotechnology, University of Tennessee, Knoxville, TN, United States,Battelle Memorial Institute, Columbus, OH, United States
| | - C. M. Swift
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States,Center for Environmental Biotechnology, University of Tennessee, Knoxville, TN, United States
| | - T. C. Hazen
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States,Department of Civil and Environmental Sciences, University of Tennessee, Knoxville, TN, United States,Department of Microbiology, University of Tennessee, Knoxville, TN, United States,Department of Earth and Planetary Sciences, University of Tennessee, Knoxville, TN, United States,Institute for a Secure and Sustainable Environment, University of Tennessee, Knoxville, TN, United States,*Correspondence: T. C. Hazen, ✉
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Li Y, Ash KT, Joyner DC, Williams DE, Alamilla I, McKay PJ, Iler C, Green BM, Kara-Murdoch F, Swift CM, Hazen TC. Decay of enveloped SARS-CoV-2 and non-enveloped PMMoV RNA in raw sewage from university dormitories. Front Microbiol 2023; 14:1144026. [PMID: 37187532 PMCID: PMC10175580 DOI: 10.3389/fmicb.2023.1144026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 04/03/2023] [Indexed: 05/17/2023] Open
Abstract
Introduction Although severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) RNA has been frequently detected in sewage from many university dormitories to inform public health decisions during the COVID-19 pandemic, a clear understanding of SARS-CoV-2 RNA persistence in site-specific raw sewage is still lacking. To investigate the SARS-CoV-2 RNA persistence, a field trial was conducted in the University of Tennessee dormitories raw sewage, similar to municipal wastewater. Methods The decay of enveloped SARS-CoV-2 RNA and non-enveloped Pepper mild mottle virus (PMMoV) RNA was investigated by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) in raw sewage at 4°C and 20°C. Results Temperature, followed by the concentration level of SARS-CoV-2 RNA, was the most significant factors that influenced the first-order decay rate constants (k) of SARS-CoV-2 RNA. The mean k values of SARS-CoV-2 RNA were 0.094 day-1 at 4°C and 0.261 day-1 at 20°C. At high-, medium-, and low-concentration levels of SARS-CoV-2 RNA, the mean k values were 0.367, 0.169, and 0.091 day-1, respectively. Furthermore, there was a statistical difference between the decay of enveloped SARS-CoV-2 and non-enveloped PMMoV RNA at different temperature conditions. Discussion The first decay rates for both temperatures were statistically comparable for SARS-CoV-2 RNA, which showed sensitivity to elevated temperatures but not for PMMoV RNA. This study provides evidence for the persistence of viral RNA in site-specific raw sewage at different temperature conditions and concentration levels.
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Affiliation(s)
- Ye Li
- Department of Civil and Environmental Engineering, University of Tennessee, Knoxville, TN, United States
| | - K. T. Ash
- Department of Civil and Environmental Engineering, University of Tennessee, Knoxville, TN, United States
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States
| | - Dominique C. Joyner
- Department of Civil and Environmental Engineering, University of Tennessee, Knoxville, TN, United States
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States
| | - Daniel E. Williams
- Center for Environmental Biotechnology, University of Tennessee, Knoxville, TN, United States
| | - I. Alamilla
- Student Health Center, University of Tennessee, Knoxville, TN, United States
| | - P. J. McKay
- Student Health Center, University of Tennessee, Knoxville, TN, United States
| | - C. Iler
- Department of Facilities Services, The University of Tennessee, Knoxville, TN, United States
| | - B. M. Green
- Department of Earth and Planetary Sciences, University of Tennessee, Knoxville, TN, United States
| | - F. Kara-Murdoch
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States
- Center for Environmental Biotechnology, University of Tennessee, Knoxville, TN, United States
| | - C. M. Swift
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States
- Center for Environmental Biotechnology, University of Tennessee, Knoxville, TN, United States
| | - Terry C. Hazen
- Department of Civil and Environmental Engineering, University of Tennessee, Knoxville, TN, United States
- Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, United States
- Department of Earth and Planetary Sciences, University of Tennessee, Knoxville, TN, United States
- Department of Microbiology, University of Tennessee, Knoxville, TN, United States
- Bredesen Center, University of Tennessee, Knoxville, TN, United States
- Institute for a Secure and Sustainable Environment, University of Tennessee, Knoxville, TN, United States
- *Correspondence: Terry C. Hazen,
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