Wastewater based epidemiology as a public health resource in low- and middle-income settings

In the face of emerging and re-emerging diseases, novel and innovative approaches to population scale surveillance are necessary for the early detection and quantification of pathogens. The last decade has seen the rapid development of wastewater and environmental surveillance (WES) to address publi...

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Main Authors: Hamilton, Katie A., Wade, M.J., Barnes, K.G., Street, R.A., Paterson, S.
Format: Journal Article
Language:Inglés
Published: Elsevier 2024
Subjects:
Online Access:https://hdl.handle.net/10568/141609
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author Hamilton, Katie A.
Wade, M.J.
Barnes, K.G.
Street, R.A.
Paterson, S.
author_browse Barnes, K.G.
Hamilton, Katie A.
Paterson, S.
Street, R.A.
Wade, M.J.
author_facet Hamilton, Katie A.
Wade, M.J.
Barnes, K.G.
Street, R.A.
Paterson, S.
author_sort Hamilton, Katie A.
collection Repository of Agricultural Research Outputs (CGSpace)
description In the face of emerging and re-emerging diseases, novel and innovative approaches to population scale surveillance are necessary for the early detection and quantification of pathogens. The last decade has seen the rapid development of wastewater and environmental surveillance (WES) to address public health challenges, which has led to establishment of wastewater-based epidemiology (WBE) approaches being deployed to monitor a range of health hazards. WBE exploits the fact that excretions and secretions from urine, and from the gut are discharged in wastewater, particularly sewage, such that sampling sewage systems provides an early warning system for disease outbreaks by providing an early indication of pathogen circulation. While WBE has been mainly used in locations with networked wastewater systems, here we consider its value for less connected populations typical of lower-income settings, and assess the opportunity afforded by pit latrines to sample communities and localities. We propose that where populations struggle to access health and diagnostic facilities, and despite several additional challenges, sampling unconnected wastewater systems remains an important means to monitor the health of large populations in a relatively cost-effective manner.
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spelling CGSpace1416092025-12-08T09:54:28Z Wastewater based epidemiology as a public health resource in low- and middle-income settings Hamilton, Katie A. Wade, M.J. Barnes, K.G. Street, R.A. Paterson, S. epidemiology health wastewater In the face of emerging and re-emerging diseases, novel and innovative approaches to population scale surveillance are necessary for the early detection and quantification of pathogens. The last decade has seen the rapid development of wastewater and environmental surveillance (WES) to address public health challenges, which has led to establishment of wastewater-based epidemiology (WBE) approaches being deployed to monitor a range of health hazards. WBE exploits the fact that excretions and secretions from urine, and from the gut are discharged in wastewater, particularly sewage, such that sampling sewage systems provides an early warning system for disease outbreaks by providing an early indication of pathogen circulation. While WBE has been mainly used in locations with networked wastewater systems, here we consider its value for less connected populations typical of lower-income settings, and assess the opportunity afforded by pit latrines to sample communities and localities. We propose that where populations struggle to access health and diagnostic facilities, and despite several additional challenges, sampling unconnected wastewater systems remains an important means to monitor the health of large populations in a relatively cost-effective manner. 2024-06 2024-04-25T11:32:37Z 2024-04-25T11:32:37Z Journal Article https://hdl.handle.net/10568/141609 en Open Access Elsevier Hamilton, K.A., Wade, M.J., Barnes, K.G., Street, R.A. and Paterson, S. 2024. Wastewater based epidemiology as a public health resource in low- and middle-income settings. Environmental Pollution 351: 124045.
spellingShingle epidemiology
health
wastewater
Hamilton, Katie A.
Wade, M.J.
Barnes, K.G.
Street, R.A.
Paterson, S.
Wastewater based epidemiology as a public health resource in low- and middle-income settings
title Wastewater based epidemiology as a public health resource in low- and middle-income settings
title_full Wastewater based epidemiology as a public health resource in low- and middle-income settings
title_fullStr Wastewater based epidemiology as a public health resource in low- and middle-income settings
title_full_unstemmed Wastewater based epidemiology as a public health resource in low- and middle-income settings
title_short Wastewater based epidemiology as a public health resource in low- and middle-income settings
title_sort wastewater based epidemiology as a public health resource in low and middle income settings
topic epidemiology
health
wastewater
url https://hdl.handle.net/10568/141609
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