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Title

Metropolitan wastewater analysis for COVID-19 epidemiological surveillance

AuthorsRandazzo, Walter; Cuevas Ferrando, Enric; Sanjuán, Rafael ; Domingo-Calap, Pilar; Sánchez Moragas, Gloria
KeywordsEpidemiological surveillance
SARS-CoV-2
COVID-19
Early warning
Issue Date1-Sep-2020
PublisherElsevier BV
CitationInternational Journal of Hygiene and Environmental Health 230: 113621 (2020)
AbstractThe COVID-19 disease, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a rapidly emerging pandemic which has enforced extreme containment measures worldwide. In the absence of a vaccine or efficient treatment, cost-effective epidemiological surveillance strategies are urgently needed. Here, we have used RT-qPCR for SARS-CoV-2 detection in a series of longitudinal metropolitan wastewaters samples collected from February to April 2020, during the earliest stages of the epidemic in the Region of Valencia, Spain. We were able to consistently detect SARS-CoV-2 RNA in samples taken in late February, when communicated cases in that region were only incipient. We also find that the wastewater viral RNA context increased rapidly and anticipated the subsequent ascent in the number of declared cases. Our results strongly suggest that the virus was undergoing community transmission earlier than previously believed, and suggest that wastewater analysis could be sensitive and cost-effective strategy for COVID-19 epidemiological surveillance. Routine implementation of this surveillance tool would significantly improve our preparedness against new or re-occurring viral outbreaks.
Publisher version (URL)https://doi.org/10.1016/j.ijheh.2020.113621
URIhttp://hdl.handle.net/10261/219595
DOI10.1016/j.ijheh.2020.113621
ISSN1438-4639
Appears in Collections:(I2SysBio) Artículos
(IATA) Artículos
(VICYT) Colección Especial COVID-19
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