Understanding and managing uncertainty and variability for wastewater monitoring beyond the pandemic: Lessons learned from the United Kingdom national COVID-19 surveillance programmes
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In: Journal of Hazardous Materials, Vol. 424, No. Pt B, 127456, 15.02.2022.
Research output: Contribution to journal › Article › peer-review
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T1 - Understanding and managing uncertainty and variability for wastewater monitoring beyond the pandemic: Lessons learned from the United Kingdom national COVID-19 surveillance programmes
AU - Wade, Matthew J
AU - Lo Jacomo, Anna
AU - Armenise, Elena
AU - Brown, Mathew R
AU - Bunce, Joshua T
AU - Cameron, Graeme J
AU - Fang, Zhou
AU - Farkas, Kata
AU - Gilpin, Deidre F
AU - Graham, David W
AU - Grimsley, Jasmine M S
AU - Hart, Alwyn
AU - Hoffmann, Till
AU - Jackson, Katherine J
AU - Jones, David L
AU - Lilley, Chris J
AU - McGrath, John W
AU - McKinley, Jennifer M
AU - McSparron, Cormac
AU - Nejad, Behnam F
AU - Morvan, Mario
AU - Quintela-Baluja, Marcos
AU - Roberts, Adrian M I
AU - Singer, Andrew C
AU - Souque, Célia
AU - Speight, Vanessa L
AU - Sweetapple, Chris
AU - Walker, David
AU - Watts, Glenn
AU - Weightman, Andrew
AU - Kasprzyk-Hordern, Barbara
N1 - Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.
PY - 2022/2/15
Y1 - 2022/2/15
N2 - The COVID-19 pandemic has put unprecedented pressure on public health resources around the world. From adversity, opportunities have arisen to measure the state and dynamics of human disease at a scale not seen before. In the United Kingdom, the evidence that wastewater could be used to monitor the SARS-CoV-2 virus prompted the development of National wastewater surveillance programmes. The scale and pace of this work has proven to be unique in monitoring of virus dynamics at a national level, demonstrating the importance of wastewater-based epidemiology (WBE) for public health protection. Beyond COVID-19, it can provide additional value for monitoring and informing on a range of biological and chemical markers of human health. A discussion of measurement uncertainty associated with surveillance of wastewater, focusing on lessons-learned from the UK programmes monitoring COVID-19 is presented, showing that sources of uncertainty impacting measurement quality and interpretation of data for public health decision-making, are varied and complex. While some factors remain poorly understood, we present approaches taken by the UK programmes to manage and mitigate the more tractable sources of uncertainty. This work provides a platform to integrate uncertainty management into WBE activities as part of global One Health initiatives beyond the pandemic.
AB - The COVID-19 pandemic has put unprecedented pressure on public health resources around the world. From adversity, opportunities have arisen to measure the state and dynamics of human disease at a scale not seen before. In the United Kingdom, the evidence that wastewater could be used to monitor the SARS-CoV-2 virus prompted the development of National wastewater surveillance programmes. The scale and pace of this work has proven to be unique in monitoring of virus dynamics at a national level, demonstrating the importance of wastewater-based epidemiology (WBE) for public health protection. Beyond COVID-19, it can provide additional value for monitoring and informing on a range of biological and chemical markers of human health. A discussion of measurement uncertainty associated with surveillance of wastewater, focusing on lessons-learned from the UK programmes monitoring COVID-19 is presented, showing that sources of uncertainty impacting measurement quality and interpretation of data for public health decision-making, are varied and complex. While some factors remain poorly understood, we present approaches taken by the UK programmes to manage and mitigate the more tractable sources of uncertainty. This work provides a platform to integrate uncertainty management into WBE activities as part of global One Health initiatives beyond the pandemic.
U2 - 10.1016/j.jhazmat.2021.127456
DO - 10.1016/j.jhazmat.2021.127456
M3 - Article
C2 - 34655869
VL - 424
JO - Journal of Hazardous Materials
JF - Journal of Hazardous Materials
SN - 0304-3894
IS - Pt B
M1 - 127456
ER -