The impact of signal variability on COVID-19 epidemic growth rate estimation from wastewater surveillance data.

Testing samples of wastewater for markers of infectious disease became a widespread method of surveillance during the COVID-19 pandemic. While these data generally correlate well with other indicators of national prevalence, samples that cover localised regions tend to be highly variable over short...

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Main Authors: Ewan Colman, Rowland Kao
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0322057
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author Ewan Colman
Rowland Kao
author_facet Ewan Colman
Rowland Kao
author_sort Ewan Colman
collection DOAJ
description Testing samples of wastewater for markers of infectious disease became a widespread method of surveillance during the COVID-19 pandemic. While these data generally correlate well with other indicators of national prevalence, samples that cover localised regions tend to be highly variable over short time scales. Here we introduce a procedure for estimating the real-time growth rate of pathogen prevalence using time series data from wastewater sampling. The number of copies of a target gene found in a sample is modelled as time-dependent random variable whose distribution is estimated using maximum likelihood. The output depends on a hyperparameter that controls the sensitivity to variability in the underlying data. We apply this procedure to data reporting the number of copies of the N1 gene of SARS-CoV-2 collected at water treatment works across Scotland between February 2021 and February 2023. The real-time growth rate of the SARS-CoV-2 prevalence is estimated at all 121 wastewater sampling sites covering a diverse range of locations and population sizes. We find that the sensitivity of the fitting procedure to natural variability determines its reliability in detecting the early stages of an epidemic wave. Applying the same procedure to hospital admissions data, we find that changes in the growth rate are detected an average of 2 days earlier in wastewater than in hospital admissions. In conclusion, this paper provides a robust method to generate reliable estimates of epidemic growth from highly variable data. Applying this method to samples collected at wastewater treatment works provides highly responsive situational awareness to inform public health.
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spelling doaj-art-62611c19e3ea4d47b02ed041e194ac272025-08-20T02:22:26ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01205e032205710.1371/journal.pone.0322057The impact of signal variability on COVID-19 epidemic growth rate estimation from wastewater surveillance data.Ewan ColmanRowland KaoTesting samples of wastewater for markers of infectious disease became a widespread method of surveillance during the COVID-19 pandemic. While these data generally correlate well with other indicators of national prevalence, samples that cover localised regions tend to be highly variable over short time scales. Here we introduce a procedure for estimating the real-time growth rate of pathogen prevalence using time series data from wastewater sampling. The number of copies of a target gene found in a sample is modelled as time-dependent random variable whose distribution is estimated using maximum likelihood. The output depends on a hyperparameter that controls the sensitivity to variability in the underlying data. We apply this procedure to data reporting the number of copies of the N1 gene of SARS-CoV-2 collected at water treatment works across Scotland between February 2021 and February 2023. The real-time growth rate of the SARS-CoV-2 prevalence is estimated at all 121 wastewater sampling sites covering a diverse range of locations and population sizes. We find that the sensitivity of the fitting procedure to natural variability determines its reliability in detecting the early stages of an epidemic wave. Applying the same procedure to hospital admissions data, we find that changes in the growth rate are detected an average of 2 days earlier in wastewater than in hospital admissions. In conclusion, this paper provides a robust method to generate reliable estimates of epidemic growth from highly variable data. Applying this method to samples collected at wastewater treatment works provides highly responsive situational awareness to inform public health.https://doi.org/10.1371/journal.pone.0322057
spellingShingle Ewan Colman
Rowland Kao
The impact of signal variability on COVID-19 epidemic growth rate estimation from wastewater surveillance data.
PLoS ONE
title The impact of signal variability on COVID-19 epidemic growth rate estimation from wastewater surveillance data.
title_full The impact of signal variability on COVID-19 epidemic growth rate estimation from wastewater surveillance data.
title_fullStr The impact of signal variability on COVID-19 epidemic growth rate estimation from wastewater surveillance data.
title_full_unstemmed The impact of signal variability on COVID-19 epidemic growth rate estimation from wastewater surveillance data.
title_short The impact of signal variability on COVID-19 epidemic growth rate estimation from wastewater surveillance data.
title_sort impact of signal variability on covid 19 epidemic growth rate estimation from wastewater surveillance data
url https://doi.org/10.1371/journal.pone.0322057
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