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Hill DT, Alazawi MA, Moran EJ, Bennett LJ, Bradley I, Collins MB, Gobler CJ, Green H, Insaf TZ, Kmush B, Neigel D, Raymond S, Wang M, Ye Y, Larsen DA. Wastewater surveillance provides 10-days forecasting of COVID-19 hospitalizations superior to cases and test positivity: A prediction study. Infect Dis Model 2023; 8:1138-1150. [PMID: 38023490 PMCID: PMC10665827 DOI: 10.1016/j.idm.2023.10.004] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 10/13/2023] [Accepted: 10/13/2023] [Indexed: 12/01/2023] Open
Abstract
Background The public health response to COVID-19 has shifted to reducing deaths and hospitalizations to prevent overwhelming health systems. The amount of SARS-CoV-2 RNA fragments in wastewater are known to correlate with clinical data including cases and hospital admissions for COVID-19. We developed and tested a predictive model for incident COVID-19 hospital admissions in New York State using wastewater data. Methods Using county-level COVID-19 hospital admissions and wastewater surveillance covering 13.8 million people across 56 counties, we fit a generalized linear mixed model predicting new hospital admissions from wastewater concentrations of SARS-CoV-2 RNA from April 29, 2020 to June 30, 2022. We included covariates such as COVID-19 vaccine coverage in the county, comorbidities, demographic variables, and holiday gatherings. Findings Wastewater concentrations of SARS-CoV-2 RNA correlated with new hospital admissions per 100,000 up to ten days prior to admission. Models that included wastewater had higher predictive power than models that included clinical cases only, increasing the accuracy of the model by 15%. Predicted hospital admissions correlated highly with observed admissions (r = 0.77) with an average difference of 0.013 hospitalizations per 100,000 (95% CI = [0.002, 0.025]). Interpretation Using wastewater to predict future hospital admissions from COVID-19 is accurate and effective with superior results to using case data alone. The lead time of ten days could alert the public to take precautions and improve resource allocation for seasonal surges.
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Affiliation(s)
- Dustin T. Hill
- Department of Public Health, Syracuse University, Syracuse, NY, 13244, USA
| | - Mohammed A. Alazawi
- Center for Environmental Health, New York State Department of Health, Albany, NY, USA
| | - E. Joe Moran
- Center for Environmental Health, New York State Department of Health, Albany, NY, USA
- CDC Foundation, Atlanta, GA, USA
| | - Lydia J. Bennett
- Center for Environmental Health, New York State Department of Health, Albany, NY, USA
- CDC Foundation, Atlanta, GA, USA
| | - Ian Bradley
- Department of Civil, Structural and Environmental Engineering, University at Buffalo, Buffalo, NY, USA
| | - Mary B. Collins
- School of Marine and Atmospheric Sciences, Sustainability Studies Division, Stony Brook University, Stony Brook, NY, USA
- Institute for Advanced Computational Science, Stony Brook University, Stony Brook, NY, USA
| | - Christopher J. Gobler
- New York State Center for Clean Water Technology, Stony Brook University, Stony Brook, NY, USA
- School of Marine and Atmospheric Sciences, Stony Brook University, Stony Brook, NY, USA
| | - Hyatt Green
- Department of Environmental Biology, State University of New York College of Environmental Science and Forestry, Syracuse, NY, USA
| | - Tabassum Z. Insaf
- Center for Environmental Health, New York State Department of Health, Albany, NY, USA
- Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, Rensselaer, NY, USA
| | - Brittany Kmush
- Department of Public Health, Syracuse University, Syracuse, NY, 13244, USA
| | - Dana Neigel
- Center for Environmental Health, New York State Department of Health, Albany, NY, USA
- CDC Foundation, Atlanta, GA, USA
| | - Shailla Raymond
- Center for Environmental Health, New York State Department of Health, Albany, NY, USA
- CDC Foundation, Atlanta, GA, USA
| | - Mian Wang
- New York State Center for Clean Water Technology, Stony Brook University, Stony Brook, NY, USA
- Department of Civil Engineering, College of Engineering and Applied Sciences, Stony Brook University, Stony Brook, NY, USA
| | - Yinyin Ye
- Department of Civil, Structural and Environmental Engineering, University at Buffalo, Buffalo, NY, USA
| | - David A. Larsen
- Department of Public Health, Syracuse University, Syracuse, NY, 13244, USA
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Ryerson AB, Lang D, Alazawi MA, Neyra M, Hill DT, St. George K, Fuschino M, Lutterloh E, Backenson B, Rulli S, Ruppert PS, Lawler J, McGraw N, Knecht A, Gelman I, Zucker JR, Omoregie E, Kidd S, Sugerman DE, Jorba J, Gerloff N, Ng TFF, Lopez A, Masters NB, Leung J, Burns CC, Routh J, Bialek SR, Oberste MS, Rosenberg ES. Wastewater Testing and Detection of Poliovirus Type 2 Genetically Linked to Virus Isolated from a Paralytic Polio Case - New York, March 9-October 11, 2022. MMWR Morb Mortal Wkly Rep 2022; 71:1418-1424. [PMID: 36327157 PMCID: PMC9639435 DOI: 10.15585/mmwr.mm7144e2] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/13/2023]
Abstract
In July 2022, a case of paralytic poliomyelitis resulting from infection with vaccine-derived poliovirus (VDPV) type 2 (VDPV2)§ was confirmed in an unvaccinated adult resident of Rockland County, New York (1). As of August 10, 2022, poliovirus type 2 (PV2)¶ genetically linked to this VDPV2 had been detected in wastewater** in Rockland County and neighboring Orange County (1). This report describes the results of additional poliovirus testing of wastewater samples collected during March 9-October 11, 2022, and tested as of October 20, 2022, from 48 sewersheds (the community area served by a wastewater collection system) serving parts of Rockland County and 12 surrounding counties. Among 1,076 wastewater samples collected, 89 (8.3%) from 10 sewersheds tested positive for PV2. As part of a broad epidemiologic investigation, wastewater testing can provide information about where poliovirus might be circulating in a community in which a paralytic case has been identified; however, the most important public health actions for preventing paralytic poliomyelitis in the United States remain ongoing case detection through national acute flaccid myelitis (AFM) surveillance†† and improving vaccination coverage in undervaccinated communities. Although most persons in the United States are sufficiently immunized, unvaccinated or undervaccinated persons living or working in Kings, Orange, Queens, Rockland, or Sullivan counties, New York should complete the polio vaccination series as soon as possible.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - 2022 U.S. Poliovirus Response Team
- 2022 CDC Domestic Poliovirus Emergency Response Team; New York State Department of Health; Department of Public Health, Syracuse University, Syracuse, New York; Department of Biomedical Science, State University of New York at Albany, Albany, New York; Rockland County Department of Health, Pomona, New York; Orange County Department of Health, Goshen, New York; Sullivan County Department of Public Health, Liberty, New York; Nassau County Department of Health, Mineola, New York; New York City Department of Health and Mental Hygiene, New York, New York; Epidemic Intelligence Service, CDC; Department of Epidemiology and Biostatistics, State University of New York at Albany, Albany, New York
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Alazawi MA, Jiang S, Messner SF. Identifying a spatial scale for the analysis of residential burglary: An empirical framework based on point pattern analysis. PLoS One 2022; 17:e0264718. [PMID: 35226707 PMCID: PMC8884495 DOI: 10.1371/journal.pone.0264718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 02/15/2022] [Indexed: 11/18/2022] Open
Abstract
A key issue in the spatial and temporal analysis of residential burglary is the choice of scale: spatial patterns might differ appreciably for different time periods and vary across geographic units of analysis. Based on point pattern analysis of burglary incidents in Columbus, Ohio during a 9-year period, this study develops an empirical framework to identify a useful spatial scale and its dependence on temporal aggregation. Our analysis reveals that residential burglary in Columbus clusters at a characteristic scale of 2.2 km. An ANOVA test shows no significant impact of temporal aggregation on spatial scale of clustering. This study demonstrates the value of point pattern analysis in identifying a scale for the analysis of crime patterns. Furthermore, the characteristic scale of clustering determined using our method has great potential applications: (1) it can reflect the spatial environment of criminogenic processes and thus be used to define the spatial boundary for place-based policing; (2) it can serve as a candidate for the bandwidth (search radius) for hot spot policing; (3) its independence of temporal aggregation implies that police officials need not be concerned about the shifting sizes of risk-areas depending on the time of the year.
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Affiliation(s)
- Mohammed A. Alazawi
- Department of Information Science, University at Albany, State University of New York, Albany, NY, United States of America
| | - Shiguo Jiang
- Department of Geography and Planning, University at Albany, State University of New York, Albany, NY, United States of America
| | - Steven F. Messner
- Department of Sociology, University at Albany, State University of New York, Albany, NY, United States of America
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