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Zhan Q, Babler KM, Sharkey ME, Amirali A, Beaver CC, Boone MM, Comerford S, Cooper D, Cortizas EM, Currall BB, Foox J, Grills GS, Kobetz E, Kumar N, Laine J, Lamar WE, Mantero AM, Mason CE, Reding BD, Robertson M, Roca MA, Ryon K, Schürer SC, Shukla BS, Solle NS, Stevenson M, Tallon Jr JJ, Thomas C, Thomas T, Vidović D, Williams SL, Yin X, Solo-Gabriele HM. Relationships between SARS-CoV-2 in Wastewater and COVID-19 Clinical Cases and Hospitalizations, with and without Normalization against Indicators of Human Waste. ACS ES T Water 2022; 2:1992-2003. [PMID: 36398131 PMCID: PMC9664448 DOI: 10.1021/acsestwater.2c00045] [Citation(s) in RCA: 36] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in wastewater has been used to track community infections of coronavirus disease-2019 (COVID-19), providing critical information for public health interventions. Since levels in wastewater are dependent upon human inputs, we hypothesize that tracking infections can be improved by normalizing wastewater concentrations against indicators of human waste [Pepper Mild Mottle Virus (PMMoV), β-2 Microglobulin (B2M), and fecal coliform]. In this study, we analyzed SARS-CoV-2 and indicators of human waste in wastewater from two sewersheds of different scales: a University campus and a wastewater treatment plant. Wastewater data were combined with complementary COVID-19 case tracking to evaluate the efficiency of wastewater surveillance for forecasting new COVID-19 cases and, for the larger scale, hospitalizations. Results show that the normalization of SARS-CoV-2 levels by PMMoV and B2M resulted in improved correlations with COVID-19 cases for campus data using volcano second generation (V2G)-qPCR chemistry (r s = 0.69 without normalization, r s = 0.73 with normalization). Mixed results were obtained for normalization by PMMoV for samples collected at the community scale. Overall benefits from normalizing with measures of human waste depend upon qPCR chemistry and improves with smaller sewershed scale. We recommend further studies that evaluate the efficacy of additional normalization targets.
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Affiliation(s)
- Qingyu Zhan
- Department
of Civil, Architectural, and Environmental Engineering, University of Miami, Coral Gables, Florida 33146, United States
| | - Kristina M. Babler
- Department
of Civil, Architectural, and Environmental Engineering, University of Miami, Coral Gables, Florida 33146, United States
| | - Mark E. Sharkey
- Department
of Medicine, University of Miami Miller
School of Medicine, Miami, Florida 33136, United States
| | - Ayaaz Amirali
- Department
of Civil, Architectural, and Environmental Engineering, University of Miami, Coral Gables, Florida 33146, United States
| | - Cynthia C. Beaver
- Sylvester
Comprehensive Cancer Center, University
of Miami Miller School of Medicine, Miami, Florida 33136, United States
| | - Melinda M. Boone
- Sylvester
Comprehensive Cancer Center, University
of Miami Miller School of Medicine, Miami, Florida 33136, United States
| | - Samuel Comerford
- Department
of Medicine, University of Miami Miller
School of Medicine, Miami, Florida 33136, United States
| | - Daniel Cooper
- DataGrade
Solutions, LLC, Miami, Florida 33173, United
States
| | - Elena M. Cortizas
- Sylvester
Comprehensive Cancer Center, University
of Miami Miller School of Medicine, Miami, Florida 33136, United States
| | - Benjamin B. Currall
- Sylvester
Comprehensive Cancer Center, University
of Miami Miller School of Medicine, Miami, Florida 33136, United States
| | - Jonathan Foox
- Department
of Physiology and Biophysics, Weill Cornell
Medical College, New York
City, New York 10021, United States
| | - George S. Grills
- Sylvester
Comprehensive Cancer Center, University
of Miami Miller School of Medicine, Miami, Florida 33136, United States
| | - Erin Kobetz
- Department
of Medicine, University of Miami Miller
School of Medicine, Miami, Florida 33136, United States
- Sylvester
Comprehensive Cancer Center, University
of Miami Miller School of Medicine, Miami, Florida 33136, United States
| | - Naresh Kumar
- Department
of Public Health Sciences, University of
Miami Miller School of Medicine, Miami, Florida 33136, United States
| | - Jennifer Laine
- Environmental
Health and Safety, University of Miami, Miami, Florida 33146, United States
| | - Walter E. Lamar
- Facilities
Safety & Compliance, University of Miami
Miller School of Medicine, Miami, Florida 33136, United States
| | - Alejandro M.A. Mantero
- Department
of Public Health Sciences, University of
Miami Miller School of Medicine, Miami, Florida 33136, United States
| | - Christopher E. Mason
- Department
of Physiology and Biophysics and the WorldQuant Initiative for Quantitative
Prediction, Weill Cornell Medical College, New York City, New York 10021, United States
| | - Brian D. Reding
- Environmental
Health and Safety, University of Miami, Miami, Florida 33146, United States
| | - Maria Robertson
- Department
of Civil, Architectural, and Environmental Engineering, University of Miami, Coral Gables, Florida 33146, United States
| | - Matthew A. Roca
- Department
of Civil, Architectural, and Environmental Engineering, University of Miami, Coral Gables, Florida 33146, United States
| | - Krista Ryon
- Department
of Physiology and Biophysics, Weill Cornell
Medical College, New York
City, New York 10021, United States
| | - Stephan C. Schürer
- Sylvester
Comprehensive Cancer Center, University
of Miami Miller School of Medicine, Miami, Florida 33136, United States
- Department
of Molecular & Cellular Pharmacology, University of Miami Miller School of Medicines, Miami, Florida 33136, United States
- Institute
for Data Science & Computing, University
of Miami, Coral Gables, Florida 33146, United
States
| | - Bhavarth S. Shukla
- Department
of Medicine, University of Miami Miller
School of Medicine, Miami, Florida 33136, United States
| | - Natasha Schaefer Solle
- Department
of Medicine, University of Miami Miller
School of Medicine, Miami, Florida 33136, United States
- Sylvester
Comprehensive Cancer Center, University
of Miami Miller School of Medicine, Miami, Florida 33136, United States
| | - Mario Stevenson
- Department
of Medicine, University of Miami Miller
School of Medicine, Miami, Florida 33136, United States
| | - John J. Tallon Jr
- Facilities
and Operations, University of Miami, Coral Gables, Florida 33146, United States
| | - Collette Thomas
- Department
of Civil, Architectural, and Environmental Engineering, University of Miami, Coral Gables, Florida 33146, United States
| | - Tori Thomas
- Department
of Civil, Architectural, and Environmental Engineering, University of Miami, Coral Gables, Florida 33146, United States
| | - Dušica Vidović
- Department
of Molecular & Cellular Pharmacology, University of Miami Miller School of Medicines, Miami, Florida 33136, United States
| | - Sion L. Williams
- Sylvester
Comprehensive Cancer Center, University
of Miami Miller School of Medicine, Miami, Florida 33136, United States
| | - Xue Yin
- Department
of Civil, Architectural, and Environmental Engineering, University of Miami, Coral Gables, Florida 33146, United States
| | - Helena M. Solo-Gabriele
- Department
of Civil, Architectural, and Environmental Engineering, University of Miami, Coral Gables, Florida 33146, United States
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