Department of Public Health Sciences, University of California Davis, Davis, CA 95616, United States.
Department of Public Health Sciences, University of California Davis, Davis, CA 95616, United States.
Sci Total Environ. 2023 Feb 1;858(Pt 1):159680. doi: 10.1016/j.scitotenv.2022.159680. Epub 2022 Oct 26.
Wastewater-based epidemiology (WBE) has been deployed broadly as an early warning tool for emerging COVID-19 outbreaks. WBE can inform targeted interventions and identify communities with high transmission, enabling quick and effective responses. As the wastewater (WW) becomes an increasingly important indicator for COVID-19 transmission, more robust methods and metrics are needed to guide public health decision-making. This research aimed to develop and implement a mathematical framework to infer incident cases of COVID-19 from SARS-CoV-2 levels measured in WW. We propose a classification scheme to assess the adequacy of model training periods based on clinical testing rates and assess the sensitivity of model predictions to training periods. A testing period is classified as adequate when the rate of change in testing is greater than the rate of change in cases. We present a Bayesian deconvolution and linear regression model to estimate COVID-19 cases from WW data. The effective reproductive number is estimated from reconstructed cases using WW. The proposed modeling framework was applied to three Northern California communities served by distinct WW treatment plants. The results showed that training periods with adequate testing are essential to provide accurate projections of COVID-19 incidence.
基于污水的流行病学(WBE)已广泛应用于新冠疫情爆发的早期预警工具。WBE 可以为有针对性的干预措施提供信息,并确定传播率较高的社区,从而实现快速有效的应对。随着污水(WW)成为新冠病毒传播的一个越来越重要的指标,需要更强大的方法和指标来指导公共卫生决策。本研究旨在开发和实施一个数学框架,从 WW 中测量的 SARS-CoV-2 水平推断新冠病例。我们提出了一种分类方案,根据临床检测率评估模型训练期的充分性,并评估模型预测对训练期的敏感性。当检测的变化率大于病例的变化率时,将测试期分类为充分。我们提出了一种贝叶斯解卷积和线性回归模型,从 WW 数据中估计新冠病例。使用 WW 从重建病例中估计有效繁殖数。该建模框架应用于三个由不同 WW 处理厂服务的北加州社区。结果表明,充分的检测期对于提供新冠发病率的准确预测至关重要。