Detecting SARS-CoV-2 in sludge samples: A systematic review

Influent, as opposed to activated sludge, is more suitable for SARS-CoV-2 surveillance in wastewater treatment plants

Wastewater surveillance programs based at wastewater treatment plants (WWTPs) have been widely implemented, becoming a crucial measure for public health. Recently, the scope of monitoring has expanded from influent wastewater to include primary settled solids and activated sludge. The effectiveness of monitoring primary settled solids has been widely validated, but the suitability of activated sludge as a monitoring target remains unclear. In this work, we investigated the total amount distribution coefficients of SARS-CoV-2 RNA in both solid and liquid fractions of influent and biological treatment process in WWTPs. Capitalizing on the strategic timing of policy adjustments in China, we conducted a quantitative analysis of the SARS-CoV-2 monitoring results over a three-month span during the first large-scale COVID-19 outbreak from three WWTPs in Hefei city, China. Importantly, in the monitoring of activated sludge, we observed a significant delayed effect, with the viral peak occurring 1 to 2 weeks later than in the influent. In addition, we also reveal a significant correlation between the abundance of SARS-CoV-2 in influent and urban resident behaviors, providing novel insights into the pandemic's dynamics. Collectively, this work demonstrates that influent sample is more appropriate for wastewater surveillance compared to sludge sample.

Comparison of the methods for isolation and detection of SARS-CoV-2 RNA in municipal wastewater

Introduction

Coronavirus SARS-CoV-2 is a causative agent responsible for the current global pandemic situation known as COVID-19. Clinical manifestations of COVID-19 include a wide range of symptoms from mild (i.e., cough, fever, dyspnea) to severe pneumonia-like respiratory symptoms. SARS-CoV-2 has been demonstrated to be detectable in the stool of COVID-19 patients. Waste-based epidemiology (WBE) has been shown as a promising approach for early detection and monitoring of SARS-CoV-2 in the local population performed via collection, isolation, and detection of viral pathogens from environmental sources.

Methods

In order to select the optimal protocol for monitoring the COVID-19 epidemiological situation in region Turiec, Slovakia, we (1) compared methods for SARS-CoV-2 separation and isolation, including virus precipitation by polyethylene glycol (PEG), virus purification via ultrafiltration (Vivaspin®) and subsequent isolation by NucleoSpin RNA Virus kit (Macherey-Nagel), and direct isolation from wastewater (Zymo Environ Water RNA Kit); (2) evaluated the impact of water freezing on SARS- CoV-2 separation, isolation, and detection; (3) evaluated the role of wastewater filtration on virus stability; and (4) determined appropriate methods including reverse transcription-droplet digital PCR (RT-ddPCR) and real-time quantitative polymerase chain reaction (RT-qPCR) (targeting the same genes, i.e., RdRp and gene E) for quantitative detection of SARS-CoV-2 in wastewater samples.

Results

(1) Usage of Zymo Environ Water RNA Kit provided superior quality of isolated RNA in comparison with both ultracentrifugation and PEG precipitation. (2) Freezing of wastewater samples significantly reduces the RNA yield. (3) Filtering is counterproductive when Zymo Environ Water RNA Kit is used. (4) According to the specificity and sensitivity, the RT-ddPCR outperforms RT-qPCR.

Discussion

The results of our study suggest that WBE is a valuable early warning alert and represents a non-invasive approach to monitor viral pathogens, thus protects public health on a regional and national level. In addition, we have shown that the sensitivity of testing the samples with a nearer detection limit can be improved by selecting the appropriate combination of enrichment, isolation, and detection methods.