Unveiling the silent information of wastewater-based epidemiology of SARS-CoV-2 at community and sanitary zone levels: experience in Córdoba City, Argentina

J Water Health. 2024 Nov;22(11):2171-2183. doi: 10.2166/wh.2024.285. Epub 2024 Oct 18.

Abstract

The emergence of COVID-19 in 2020 significantly enhanced the application of wastewater monitoring for detecting SARS-CoV-2 circulation within communities. From October 2021 to October 2022, we collected 406 wastewater samples weekly from the Córdoba Central Pipeline Network (BG-WWTP) and six specific sewer manholes from sanitary zones (SZs). Following WHO guidelines, we processed samples and detected SARS-CoV-2 RNA and variants using real-time PCR. Monitoring at the SZ level allowed for the development of a viral activity flow map, pinpointing key areas of SARS-CoV-2 circulation and tracking its temporal spread and variant evolution. Our findings demonstrate that wastewater-based surveillance acts as a sensitive indicator of viral activity, detecting imminent increases in COVID-19 cases before they become evident in clinical data. This study highlights the effectiveness of targeted wastewater monitoring at both municipal and SZ levels in identifying viral hotspots and assessing community-wide circulation. Importantly, the data shows that environmental wastewater studies provide valuable insights into virus presence, independent of clinical COVID-19 case records, and offer a robust tool for adapting to future public health challenges.

Keywords: COVID-19; SARS-CoV-2; public health policies; wastewater-based epidemiology.

MeSH terms

  • Argentina / epidemiology
  • COVID-19* / epidemiology
  • Cities
  • Humans
  • RNA, Viral / analysis
  • SARS-CoV-2*
  • Wastewater* / virology
  • Wastewater-Based Epidemiological Monitoring*

Substances

  • Wastewater
  • RNA, Viral

Supplementary concepts

  • SARS-CoV-2 variants