Advances in Wastewater-Based Epidemiology for Pandemic Surveillance: Methodological Frameworks and Future Perspectives

Wastewater-based epidemiology (WBE) has emerged as a transformative approach for community-level health monitoring, particularly during the COVID-19 pandemic. This review critically examines the methodological framework of WBE systems through the following three core components: (1) sampling strateg...

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Main Authors: Weihe Zhu, Daxi Wang, Pengsong Li, Haohao Deng, Ziqing Deng
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/13/5/1169
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author Weihe Zhu
Daxi Wang
Pengsong Li
Haohao Deng
Ziqing Deng
author_facet Weihe Zhu
Daxi Wang
Pengsong Li
Haohao Deng
Ziqing Deng
author_sort Weihe Zhu
collection DOAJ
description Wastewater-based epidemiology (WBE) has emerged as a transformative approach for community-level health monitoring, particularly during the COVID-19 pandemic. This review critically examines the methodological framework of WBE systems through the following three core components: (1) sampling strategies that address spatial–temporal variability in wastewater systems, (2) comparative performance of different platforms in pathogen detection, and (3) predictive modeling integrating machine learning approaches. We systematically analyze how these components collectively overcome the limitations of conventional surveillance methods through early outbreak detection, asymptomatic case identification, and population-level trend monitoring. While highlighting technical breakthroughs in viral concentration methods and variant tracking through sequencing, the review also identifies persistent challenges, including data standardization, cost-effectiveness concerns in resource-limited settings, and ethical considerations in public health surveillance. Drawing insights from global implementation cases, we propose recommendations for optimizing each operational phase and discuss emerging applications beyond pandemic response. This review highlights WBE as an indispensable tool for modern public health, whose methodological refinements and cross-disciplinary integration are critical for transforming pandemic surveillance from reactive containment to proactive population health management.
format Article
id doaj-art-487c0ac0ac454002a370ab7e4cc146fd
institution OA Journals
issn 2076-2607
language English
publishDate 2025-05-01
publisher MDPI AG
record_format Article
series Microorganisms
spelling doaj-art-487c0ac0ac454002a370ab7e4cc146fd2025-08-20T01:56:41ZengMDPI AGMicroorganisms2076-26072025-05-01135116910.3390/microorganisms13051169Advances in Wastewater-Based Epidemiology for Pandemic Surveillance: Methodological Frameworks and Future PerspectivesWeihe Zhu0Daxi Wang1Pengsong Li2Haohao Deng3Ziqing Deng4Beijing Key Laboratory for Source Control Technology of Water Pollution, College of Environmental Science and Engineering, Beijing Forestry University, Beijing 100083, ChinaBGI Research, Beijing 102601, ChinaBeijing Key Laboratory for Source Control Technology of Water Pollution, College of Environmental Science and Engineering, Beijing Forestry University, Beijing 100083, ChinaBGI Research, Beijing 102601, ChinaBGI Research, Beijing 102601, ChinaWastewater-based epidemiology (WBE) has emerged as a transformative approach for community-level health monitoring, particularly during the COVID-19 pandemic. This review critically examines the methodological framework of WBE systems through the following three core components: (1) sampling strategies that address spatial–temporal variability in wastewater systems, (2) comparative performance of different platforms in pathogen detection, and (3) predictive modeling integrating machine learning approaches. We systematically analyze how these components collectively overcome the limitations of conventional surveillance methods through early outbreak detection, asymptomatic case identification, and population-level trend monitoring. While highlighting technical breakthroughs in viral concentration methods and variant tracking through sequencing, the review also identifies persistent challenges, including data standardization, cost-effectiveness concerns in resource-limited settings, and ethical considerations in public health surveillance. Drawing insights from global implementation cases, we propose recommendations for optimizing each operational phase and discuss emerging applications beyond pandemic response. This review highlights WBE as an indispensable tool for modern public health, whose methodological refinements and cross-disciplinary integration are critical for transforming pandemic surveillance from reactive containment to proactive population health management.https://www.mdpi.com/2076-2607/13/5/1169wastewater-based epidemiologypublic health surveillancesamplingpathogen detectionepidemic forecast modeling
spellingShingle Weihe Zhu
Daxi Wang
Pengsong Li
Haohao Deng
Ziqing Deng
Advances in Wastewater-Based Epidemiology for Pandemic Surveillance: Methodological Frameworks and Future Perspectives
Microorganisms
wastewater-based epidemiology
public health surveillance
sampling
pathogen detection
epidemic forecast modeling
title Advances in Wastewater-Based Epidemiology for Pandemic Surveillance: Methodological Frameworks and Future Perspectives
title_full Advances in Wastewater-Based Epidemiology for Pandemic Surveillance: Methodological Frameworks and Future Perspectives
title_fullStr Advances in Wastewater-Based Epidemiology for Pandemic Surveillance: Methodological Frameworks and Future Perspectives
title_full_unstemmed Advances in Wastewater-Based Epidemiology for Pandemic Surveillance: Methodological Frameworks and Future Perspectives
title_short Advances in Wastewater-Based Epidemiology for Pandemic Surveillance: Methodological Frameworks and Future Perspectives
title_sort advances in wastewater based epidemiology for pandemic surveillance methodological frameworks and future perspectives
topic wastewater-based epidemiology
public health surveillance
sampling
pathogen detection
epidemic forecast modeling
url https://www.mdpi.com/2076-2607/13/5/1169
work_keys_str_mv AT weihezhu advancesinwastewaterbasedepidemiologyforpandemicsurveillancemethodologicalframeworksandfutureperspectives
AT daxiwang advancesinwastewaterbasedepidemiologyforpandemicsurveillancemethodologicalframeworksandfutureperspectives
AT pengsongli advancesinwastewaterbasedepidemiologyforpandemicsurveillancemethodologicalframeworksandfutureperspectives
AT haohaodeng advancesinwastewaterbasedepidemiologyforpandemicsurveillancemethodologicalframeworksandfutureperspectives
AT ziqingdeng advancesinwastewaterbasedepidemiologyforpandemicsurveillancemethodologicalframeworksandfutureperspectives