Non-detection of emerging and re-emerging pathogens in wastewater surveillance to confirm absence of transmission risk: A case study of polio in New York.

Infectious disease surveillance systems, including wastewater surveillance, can alert communities to the threat of emerging pathogens. We need methods to infer understanding of transmission dynamics from non-detection. We estimate a sensitivity of detection of poliovirus in wastewater to inform the...

Full description

Saved in:
Bibliographic Details
Main Authors: David A Larsen, Dustin Hill, Yifan Zhu, Mohammed Alazawi, Dana Chatila, Christopher Dunham, Catherine Faruolo, Brandon Ferro, Alejandro Godinez, Brianna Hanson, Tabassum Insaf, Dan Lang, Dana Neigel, Milagros Neyra, Nicole Pulido, Max Wilder, Nan Yang, Brittany Kmush, Hyatt Green
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0002381
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841555271531364352
author David A Larsen
Dustin Hill
Yifan Zhu
Mohammed Alazawi
Dana Chatila
Christopher Dunham
Catherine Faruolo
Brandon Ferro
Alejandro Godinez
Brianna Hanson
Tabassum Insaf
Dan Lang
Dana Neigel
Milagros Neyra
Nicole Pulido
Max Wilder
Nan Yang
Brittany Kmush
Hyatt Green
author_facet David A Larsen
Dustin Hill
Yifan Zhu
Mohammed Alazawi
Dana Chatila
Christopher Dunham
Catherine Faruolo
Brandon Ferro
Alejandro Godinez
Brianna Hanson
Tabassum Insaf
Dan Lang
Dana Neigel
Milagros Neyra
Nicole Pulido
Max Wilder
Nan Yang
Brittany Kmush
Hyatt Green
author_sort David A Larsen
collection DOAJ
description Infectious disease surveillance systems, including wastewater surveillance, can alert communities to the threat of emerging pathogens. We need methods to infer understanding of transmission dynamics from non-detection. We estimate a sensitivity of detection of poliovirus in wastewater to inform the sensitivity of wastewater surveillance for poliovirus using both a clinical epidemiology and fecal shedding approach. We then apply freedom from disease to estimate the sensitivity of the wastewater surveillance network. Estimated sensitivity to detect a single poliovirus infection was low, <11% at most wastewater treatment plants and <3% in most counties. However, the maximum threshold for the number of infections when polio is not detected in wastewater was much lower. Prospective wastewater surveillance can confirm the absence of a polio threat and be escalated in the case of poliovirus detection. These methods can be applied to any emerging or re-emerging pathogen, and improve understanding from wastewater surveillance.
format Article
id doaj-art-d1293fa015a346a4aaeb801742f9c187
institution Kabale University
issn 2767-3375
language English
publishDate 2024-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLOS Global Public Health
spelling doaj-art-d1293fa015a346a4aaeb801742f9c1872025-01-08T05:51:31ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-01412e000238110.1371/journal.pgph.0002381Non-detection of emerging and re-emerging pathogens in wastewater surveillance to confirm absence of transmission risk: A case study of polio in New York.David A LarsenDustin HillYifan ZhuMohammed AlazawiDana ChatilaChristopher DunhamCatherine FaruoloBrandon FerroAlejandro GodinezBrianna HansonTabassum InsafDan LangDana NeigelMilagros NeyraNicole PulidoMax WilderNan YangBrittany KmushHyatt GreenInfectious disease surveillance systems, including wastewater surveillance, can alert communities to the threat of emerging pathogens. We need methods to infer understanding of transmission dynamics from non-detection. We estimate a sensitivity of detection of poliovirus in wastewater to inform the sensitivity of wastewater surveillance for poliovirus using both a clinical epidemiology and fecal shedding approach. We then apply freedom from disease to estimate the sensitivity of the wastewater surveillance network. Estimated sensitivity to detect a single poliovirus infection was low, <11% at most wastewater treatment plants and <3% in most counties. However, the maximum threshold for the number of infections when polio is not detected in wastewater was much lower. Prospective wastewater surveillance can confirm the absence of a polio threat and be escalated in the case of poliovirus detection. These methods can be applied to any emerging or re-emerging pathogen, and improve understanding from wastewater surveillance.https://doi.org/10.1371/journal.pgph.0002381
spellingShingle David A Larsen
Dustin Hill
Yifan Zhu
Mohammed Alazawi
Dana Chatila
Christopher Dunham
Catherine Faruolo
Brandon Ferro
Alejandro Godinez
Brianna Hanson
Tabassum Insaf
Dan Lang
Dana Neigel
Milagros Neyra
Nicole Pulido
Max Wilder
Nan Yang
Brittany Kmush
Hyatt Green
Non-detection of emerging and re-emerging pathogens in wastewater surveillance to confirm absence of transmission risk: A case study of polio in New York.
PLOS Global Public Health
title Non-detection of emerging and re-emerging pathogens in wastewater surveillance to confirm absence of transmission risk: A case study of polio in New York.
title_full Non-detection of emerging and re-emerging pathogens in wastewater surveillance to confirm absence of transmission risk: A case study of polio in New York.
title_fullStr Non-detection of emerging and re-emerging pathogens in wastewater surveillance to confirm absence of transmission risk: A case study of polio in New York.
title_full_unstemmed Non-detection of emerging and re-emerging pathogens in wastewater surveillance to confirm absence of transmission risk: A case study of polio in New York.
title_short Non-detection of emerging and re-emerging pathogens in wastewater surveillance to confirm absence of transmission risk: A case study of polio in New York.
title_sort non detection of emerging and re emerging pathogens in wastewater surveillance to confirm absence of transmission risk a case study of polio in new york
url https://doi.org/10.1371/journal.pgph.0002381
work_keys_str_mv AT davidalarsen nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT dustinhill nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT yifanzhu nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT mohammedalazawi nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT danachatila nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT christopherdunham nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT catherinefaruolo nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT brandonferro nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT alejandrogodinez nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT briannahanson nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT tabassuminsaf nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT danlang nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT dananeigel nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT milagrosneyra nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT nicolepulido nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT maxwilder nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT nanyang nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT brittanykmush nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork
AT hyattgreen nondetectionofemergingandreemergingpathogensinwastewatersurveillancetoconfirmabsenceoftransmissionriskacasestudyofpolioinnewyork