A 30-day follow-up study on the prevalence of SARS-COV-2 genetic markers in wastewater from the residence of COVID-19 patient and comparison with clinical positivity

Wastewater based epidemiology (WBE) is an important tool to fight against COVID-19 as it provides insights into the health status of the targeted population from a small single house to a large municipality in a cost-effective, rapid, and non-invasive way. The implementation of wastewater based surveillance (WBS) could reduce the burden on the public health system, management of pandemics, help to make informed decisions, and protect public health. In this study, a house with COVID-19 patients was targeted for monitoring the prevalence of SARS-CoV-2 genetic markers in wastewater samples (WS) with clinical specimens (CS) for a period of 30 days. RT-qPCR technique was employed to target nonstructural (ORF1ab) and structural-nucleocapsid (N) protein genes of SARS-CoV-2, according to a validated experimental protocol. Physiological, environmental, and biological parameters were also measured following the American Public Health Association (APHA) standard protocols. SARS-CoV-2 viral shedding in wastewater peaked when the highest number of COVID-19 cases were clinically diagnosed. Throughout the study period, 7450 to 23,000 gene copies/1000 mL were detected, where we identified 47 % (57/120) positive samples from WS and 35 % (128/360) from CS. When the COVID-19 patient number was the lowest (2), the highest CT value (39.4; i.e., lowest copy number) was identified from WS. On the other hand, when the COVID-19 patients were the highest (6), the lowest CT value (25.2 i.e., highest copy numbers) was obtained from WS. An advance signal of increased SARS-CoV-2 viral load from the COVID-19 patient was found in WS earlier than in the CS. Using customized primer sets in a traditional PCR approach, we confirmed that all SARS-CoV-2 variants identified in both CS and WS were Delta variants (B.1.617.2). To our knowledge, this is the first follow-up study to determine a temporal relationship between COVID-19 patients and their discharge of SARS-CoV-2 RNA genetic markers in wastewater from a single house including all family members for clinical sampling from a developing country (Bangladesh), where a proper sewage system is lacking. The salient findings of the study indicate that monitoring the genetic markers of the SARS-CoV-2 virus in wastewater could identify COVID-19 cases, which reduces the burden on the public health system during COVID-19 pandemics.

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.

Highly effective water hyacinth (Eichhornia crassipes) waste-based functionalized sustainable green adsorbents for antibiotic remediation from wastewater

Azithromycin (AZIM) is considered as one of the most frequently prescribed antibiotics (ABs) in the world by medical professionals. This study explored, two novel, cheap and environmentally beneficial adsorbents i.e., alkali treated water hyacinth powder (AT-WHP) and graphene oxide-water hyacinth-polyvinyl alcohol (GO-WH-PVA) composite, fabricated from water hyacinth (Eichhornia crassipes) waste to remediate AZIM from wastewater. Biosorption experiments were performed by batch and packed-bed column studies and the adsorbents were characterized using various instrumental methods. The morpho-chemical profile of the adsorbents suggested noteworthy AZIM adsorption. AZIM adsorption data can be reasonably explained by pseudo second order (PSO) kinetic model with maximum regression coefficient (R² > 0.99) and lowest Marquardt's present standard deviation (MPSD) and root mean squared error (RMSE) values. The isotherm models recommended Langmuir and Temkin to be the best-fitted, providing highest regression coefficient and lowest error values. Conferring to Langmuir model, the theoretical highest adsorption potentials (q_max) were accounted to be 244.498 and 338.115 mg/g for AT-WHP and GO-WH-PVA, correspondingly, very close to experimental values (q_e, exp). AZIM adsorption processes were governed by the chemisorption mechanisms. The adsorbents had excellent regeneration potential and could be reused several times. In order to scale-up application of the adsorbents, performance of a 100 L packed-bed reactor was assessed and a breakthrough time of adsorption for GO-WH-PVA was 15 min in 5000 mg/L AZIM concentration. Thus, the absorbents synthesized in this study can be considered highly effective at removal of AZIM from wastewater.

Characterization of groundwater hydrogeochemistry, quality, and associated health hazards to the residents of southwestern Bangladesh

In this research, we intended to appraise the hydrogeochemistry and human health risks of groundwater (GW) in southwestern Bangladesh, applying hydrogeochemical techniques, GW quality index (GWQI), several pollution indices, and mathematical health risk models. The trace elements (TEs) and ionic composition of GW samples were analyzed by atomic absorption spectroscopy and ion chromatography (AAS-IC) technique. The evaporate dissolution, silicate weathering, and ionic exchange processes control the hydrogeochemistry in GW. The GWQI revealed that 34% of samples were poor to very poor quality for drinking purposes, whereas irrigation water quality indices suggested moderate suitability of GW. The mean hazard quotient (HQ) and hazard index (HI) exceeded the tolerable level for adults and children, making substantial chronic health impacts on humans. The estimated carcinogenic risk of As and Pb surpassed the upper level of 1 × 10^-4 for both aged populations. Overall, the results indicate that the local inhabitants have detrimental health risks; hence, effective regulation and proper measures should be concentrated for continuous monitoring, assessment, and remediation of As, Mn, Pb, and Hg in the study area.

First detection of SARS-CoV-2 genetic material in the vicinity of COVID-19 isolation Centre in Bangladesh: Variation along the sewer network

We made the first and successful attempt to detect SARS-CoV-2 genetic material in the vicinity wastewaters of an isolation centre i.e. Shaheed Bhulu Stadium, situated at Noakhali, Southeastern Bangladesh. Owing to the fact that isolation centre, in general, always contained a constant number of 200 COVID-19 patients, the prime objective of the study was to check if several drains carrying RNA of coronavirus are actually getting diluted or accumulated along with the sewage network. Our finding suggested that while the temporal variation of the genetic load decreased in small drains over the span of 50 days, the main sewer exhibited accumulation of SARS-CoV-2 RNA. Other interesting finding displays that probably distance of sampling location in meters is not likely to have a significant impact on the detected gene concentration, although the quantity of the RNA extracted in the downstream of the drain was higher. These findings are of immense value from the perspective of wastewater surveillance of COVID-19, as they largely imply that we do not need to monitor every wastewater system, and probably major drains monitoring may illustrate the city health. Perhaps, we are reporting the accumulation of SARS-CoV-2 genetic material along with the sewer network i.e. from primary to tertiary drains. The study sought further data collection in this line to simulate conditions prevailed in most of the developing countries and to shed further light on decay/accumulation processes of the genetic load of the SARS-COV-2.

First detection of SARS-CoV-2 genetic material in the vicinity of COVID-19 isolation Centre in Bangladesh: Variation along the sewer network

We made the first and successful attempt to detect SARS-CoV-2 genetic material in the vicinity wastewaters of an isolation centre i.e. Shaheed Bhulu Stadium, situated at Noakhali, Southeastern Bangladesh. Owing to the fact that isolation centre, in general, always contained a constant number of 200 COVID-19 patients, the prime objective of the study was to check if several drains carrying RNA of coronavirus are actually getting diluted or accumulated along with the sewage network. Our finding suggested that while the temporal variation of the genetic load decreased in small drains over the span of 50 days, the main sewer exhibited accumulation of SARS-CoV-2 RNA. Other interesting finding displays that probably distance of sampling location in meters is not likely to have a significant impact on the detected gene concentration, although the quantity of the RNA extracted in the downstream of the drain was higher. These findings are of immense value from the perspective of wastewater surveillance of COVID-19, as they largely imply that we do not need to monitor every wastewater system, and probably major drains monitoring may illustrate the city health. Perhaps, we are reporting the accumulation of SARS-CoV-2 genetic material along with the sewer network i.e. from primary to tertiary drains. The study sought further data collection in this line to simulate conditions prevailed in most of the developing countries and to shed further light on decay/accumulation processes of the genetic load of the SARS-COV-2.

Salinity-induced fluorescent dissolved organic matter influence co-contamination, quality and risk to human health of tube well water, southeast coastal Bangladesh

Salinity in the drinking water of coastal Bangladesh results from a severe socio-economic, environmental and human health safety crisis. In this paper, we analyzed 120 tube well water samples from southeast coastal Bangladesh for eight trace metals (TMs). Contamination, quality and risk of TMs to human health of tube well water influenced by salinity-induced fluorescent dissolved organic matter (FDOM) were assessed using multiple pollution indices, GW quality index (GWQI), traditional health risk, and PARAFAC models. The mean values of EC, Fe, Cd, Cr, and As surpassed the limit set by local and international standards with significant spatial variations. The results of the GWQI showed that 52.5% of the samples were within the moderate-poor quality range in the study region. PARAFAC modeling identified three groundwater FDOM constituents with a coupling of humic acid (HA), fulvic acid (FA), and degraded fulvic acid (DFA)-like substances. Moreover, the positive correlations among EC, TMs, HA, FA, and DFA proved that salinity-induced FDOM had significant contributions to the dissolution potential of contaminants in the aquifer, hence increased the mobilization of TMs. Health risk models suggested that children are more susceptible to the non-carcinogenic and carcinogenic risks than adults at the community level. The carcinogenic risks of Cd, As, Pb, and Cr via oral exposure pathway indicated the highest carcinogenic risks for both adults and children. The findings also indicated that the salinity-derived FDOM-TMs complex is the key driver to groundwater co-contaminations and elevated health impacts. Besides, high concentrations of Fe and As are the key causal issues for sustainable water safety. Thus, strict water management and monitoring plans require preventing these contaminants for sustainable community well-being in the coastal region.