Investigating SARS-CoV-2 RNA in five municipal wastewater treatment plants, hospital wastewater and wastewater collection networks during the COVID-19 pandemic in Ardabil Province, Iran

An updated review on SARS-CoV-2 in hospital wastewater: occurrence and persistence

SARS-CoV-2, primarily affecting the respiratory system, is also found in fecal samples from COVID-19 patients, demonstrating wastewater as a significant route for viral RNA transmission. During high prevalence periods, healthcare facility wastewater became a potential contamination source. Understanding the role of wastewater in epidemiology is crucial for public health risk assessment. In hospitals, with a specific number of COVID-19 cases, wastewater analysis offers a unique opportunity to link virus presence in wastewater with COVID-19 hospitalizations, a connection that is not possible in urban wastewater treatment plants (WWTPs). Shorter wastewater transit times enable more accurate virus tracking. With documented infection rates and rigorous testing, hospitals are ideal for wastewater monitoring, revealing practicalities and limitations. This review updates global efforts in quantifying SARS-CoV-2 in hospital wastewater, considering hospitalization rates' influence on viral RNA levels and comparing disinfection methods. Insights gleaned from this study contribute to Wastewater-based Epidemiology (WBE) and can be applied to other virus strains, enhancing our understanding of disease transmission dynamics and aiding in public health response strategies.

Effective stabilization of electrochemically prepared ecological oxidizing agent-ferrate(VI)-by encapsulation in zeolite and its application to water containing SARS-CoV-2 virus

Improper and insufficient treatment of infectious hospital wastewater could seriously endanger public health and the environment. Ferrate(VI), a strong oxidizing, disinfecting, and coagulating agent, has the potential as a green solution for decontamination of water and wastewater. In this paper, electrochemically prepared potassium ferrate (K2 FeO4 ) with high purity was successfully encapsulated and applied to the water contaminated by SARS-CoV-2. Natural zeolite was chosen as an appropriate ecological material for ferrate encapsulation. The stability of encapsulated ferrate (in tablet form) was monitored for an extended time period (290 days) and has significantly increased in contrast with free potassium ferrate by almost 30%. Subsequently, the K2 FeO4 encapsulated with zeolite in tablet form was applied to the water and municipal water samples containing the SARS-CoV-2 virus. The removal efficiency reached up to 98.5% and 86.7%, respectively, under natural conditions. Combination of environmentally friendly oxidizing agent and natural excellent adsorbent leads to the creation of very effective water treatment matter. These findings are essentially immediate and especially important for immediate water treatment in urgent situations such as natural disasters or military conflict. PRACTITIONER POINTS: Electrochemical preparation of oxidizing agent, K2 FeO4 , in high purity by own constructed electrolyzer. Encapsulation of ferrate(VI) to natural zeolite threefold improving the stability during 9 months. SARS-CoV-2 virus was successfully removed from various contaminated types of water. High degradation efficiency of virus fragments by Fe(VI) was achieved without additional water adjustment, in natural pH range.

Significance of wastewater surveillance in detecting the prevalence of SARS-CoV-2 variants and other respiratory viruses in the community - A multi-site evaluation

Detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral genome in wastewater has proven to be useful for tracking the trends of virus prevalence within the community. The surveillance also provides precise and early detection of any new and circulating variants, which aids in response to viral outbreaks. Site-specific monitoring of SARS-CoV-2 variants provides valuable information on the prevalence of new or emerging variants in the community. We sequenced the genomic RNA of viruses present in the wastewater samples and analyzed for the prevalence of SARS-CoV-2 variants as well as other respiratory viruses for a period of one year to account for seasonal variations. The samples were collected from the Reno-Sparks metropolitan area on a weekly basis between November 2021 to November 2022. Samples were analyzed to detect the levels of SARS-CoV-2 genomic copies and variants identification. This study confirmed that wastewater monitoring of SARS-CoV-2 variants can be used for community surveillance and early detection of circulating variants and supports wastewater-based epidemiology (WBE) as a complement to clinical respiratory virus testing as a healthcare response effort. Our study showed the persistence of the SARS-CoV-2 virus throughout the year compared to a seasonal presence of other respiratory viruses, implicating SARS-CoV-2's broad genetic diversity and strength to persist and infect susceptible hosts. Through secondary analysis, we further identified antimicrobial resistance (AMR) genes in the same wastewater samples and found WBE to be a feasible tool for community AMR detection and monitoring.