One of the most frustrating aspects of the current pandemic has been that identification and extent of community outbreaks is tied to the number of test kits available and limited to individuals already experiencing symptoms.
Finding a quick way to locate and identify disease outbreaks before they manifest in the community has researchers focusing their attention on a surprising yet familiar matrix—wastewater.
“There is real hope that this can be a sensitive, early warning” if, as officials ease social distancing measures, Covid-19 begins to spread again, according to the nonprofit Water Research Foundation. “Several labs have achieved a proof-of-concept in terms of demonstrating the ability to detect the RNA [genetic material] of the virus in wastewater.”
Studies in the U.S. and the Netherlands, among others, have shown you can pick up a signal about a week before the first clinical case.
“Wastewater epidemiology” has been used for decades to detect polio in countries where the disease remains endemic and, more recently, to estimate the prevalence of opioid abuse in U.S. communities.
“We know that the virus that causes Covid-19 is shed in stool, which means it can be collected in sewage systems,” said Megan Murray of the Harvard T.H. Chan School of Public Health. In small studies so far, the detection of the new coronavirus in sewage samples “has correlated with the arrival of Covid-19 into different communities,” she added,
including picking up “significant amounts of viral material” in Boston sewage weeks before cases arrived in March.
In the case of Covid-19, the absence of a vaccine makes early identification of community outbreak paramount if we wish to contain and eradicate it. If it is known that the virus is active before people exhibit symptoms, members of the community can be cautioned to practice social distancing and sensitive populations can be advised to self-isolate in advance of widespread exposure. This is critical if we wish to re-open businesses and public spaces
in a safe and responsible manner.
Wastewater testing, while unhelpful in identifying and tracking infected individuals, may equip states with the data they need to identify and contain COVID-19 hot-spots and flareups, while allowing non-detect communities to cautiously resume normal community operations.
Sources:
https://www.statnews.com/2020/05/28/wastewater-testing-gains-support-as-covid19-early-warning/
https://www.babcocklabs.com/news/the-path-out-of-coronavirus-lockdown-follow-the-wastewater/2020