Key Laboratory of Risk Assessment and Control for Environment & Food Safety, Tianjin Institute of Environmental & Operational Medicine, No.1, Dali Road, Tianjin 300050, China.
Department of Clinical Laboratory, Tianjin Children's Hospital, No. 238, Longyan Road, Tianjin 300134, China.
Sci Total Environ. 2021 Feb 1;754:142203. doi: 10.1016/j.scitotenv.2020.142203. Epub 2020 Sep 3.
Enteric viruses exposed to water pose a huge threat to global public health and can lead to waterborne disease outbreaks. A sudden increase in enteric viruses in some water matrices also underpins the prevalence of corresponding waterborne diseases in communities over the same time period. However, few efforts have been focused on water matrices whose viral pollution may best reflect the clinical prevalence in communities. Here, a one-year surveillance of human enteric viruses including Enteroviruses (EnVs), Rotaviruses (HRVs), Astroviruses (AstVs), Noroviruses GII (HuNoVsGII) and Mastadenoviruses (HAdVs) in four representative water matrices: an urban river (UR) running through city, effluent from Wastewater Treatment Plant (EW), raw water for Urban Water Treatment Plant (RW), and tap water (TW) were performed by qPCR. The relationship between the virus detection frequency at each site and their prevalence in clinical PCR assay was further analyzed. We found that the detection frequencies of HRVs, HuNoVsGII, and AstVs in stools peaked in winter, while EnVs peaked in autumn. No EnVs occurred in EW, RW, or TW, but HuNoVsGII and AstVs occurred intensively in winter. For UR, all types of enteric viruses could be detected and the levels of acute gastroenteritis viruses (HRVs, HuNoVsGII, AstVs, and HAdVs) were highest in autumn or winter, whereas EnVs peaked in summer. In terms of correlation analyses, only HRVs and HuNoVsGII levels in UR showed a strong positive correlation with their prevalence in clinical stool samples. This study indicated that HRVs and HuNoVsGII levels in URs may mirror the local virus prevalence, thereby implying the possibility of revealing their local epidemiology by monitoring them in the URs.
暴露于水中的肠道病毒对全球公共卫生构成巨大威胁,并可能导致食源性疾病爆发。某些水基质中肠道病毒的突然增加也支持了同期社区中相应的食源性疾病的流行。然而,很少有人关注那些病毒污染可能最能反映社区临床流行情况的水基质。在这里,通过 qPCR 对四个代表性水基质(穿过城市的城市河流(UR)、污水处理厂的出水(EW)、城市水处理厂的原水(RW)和自来水(TW))中的人类肠道病毒(包括肠道病毒(EnVs)、轮状病毒(HRVs)、星状病毒(AstVs)、诺如病毒 GII(HuNoVsGII)和腺病毒(HAdVs))进行了为期一年的监测。还进一步分析了每个地点的病毒检测频率与临床 PCR 检测中的流行率之间的关系。我们发现,粪便中 HRVs、HuNoVsGII 和 AstVs 的检测频率在冬季达到峰值,而 EnVs 在秋季达到峰值。EW、RW 或 TW 中均未检测到 EnVs,但 HuNoVsGII 和 AstVs 在冬季集中出现。对于 UR,可以检测到所有类型的肠道病毒,急性胃肠炎病毒(HRVs、HuNoVsGII、AstVs 和 HAdVs)的水平在秋季或冬季最高,而 EnVs 在夏季达到峰值。在相关分析方面,只有 UR 中 HRVs 和 HuNoVsGII 的水平与临床粪便样本中的流行率呈强烈正相关。这项研究表明,UR 中 HRVs 和 HuNoVsGII 的水平可能反映了当地的病毒流行情况,从而暗示通过监测 UR 来揭示其当地流行病学的可能性。