西班牙拉科鲁尼亚的 SARS-CoV-2 暴发和变异的废水预警系统。
Wastewater early warning system for SARS-CoV-2 outbreaks and variants in a Coruña, Spain.
机构信息
University of A Coruña (UDC) - Microbiome and Health group (meiGAbiome), Institute of Biomedical Research (INIBIC) - University Hospital of A Coruña (CHUAC) - Interdisciplinary Center for Chemistry and Biology (CICA) - Spanish Network for Infectious Diseases (CIBERINFEC-ISCIII), Campus da Zapateira, 15008, A Coruña, Spain.
Research Group MODES, Research Center for Information and Communication Technologies (CITIC), University of A Coruña (UDC), Campus de Elviña, 15071 , A Coruña, Spain.
出版信息
Environ Sci Pollut Res Int. 2023 Jul;30(32):79315-79334. doi: 10.1007/s11356-023-27877-3. Epub 2023 Jun 7.
Wastewater-based epidemiology has been widely used as a cost-effective method for tracking the COVID-19 pandemic at the community level. Here we describe COVIDBENS, a wastewater surveillance program running from June 2020 to March 2022 in the wastewater treatment plant of Bens in A Coruña (Spain). The main goal of this work was to provide an effective early warning tool based in wastewater epidemiology to help in decision-making at both the social and public health levels. RT-qPCR procedures and Illumina sequencing were used to weekly monitor the viral load and to detect SARS-CoV-2 mutations in wastewater, respectively. In addition, own statistical models were applied to estimate the real number of infected people and the frequency of each emerging variant circulating in the community, which considerable improved the surveillance strategy. Our analysis detected 6 viral load waves in A Coruña with concentrations between 10 and 10 SARS-CoV-2 RNA copies/L. Our system was able to anticipate community outbreaks during the pandemic with 8-36 days in advance with respect to clinical reports and, to detect the emergence of new SARS-CoV-2 variants in A Coruña such as Alpha (B.1.1.7), Delta (B.1.617.2), and Omicron (B.1.1.529 and BA.2) in wastewater with 42, 30, and 27 days, respectively, before the health system did. Data generated here helped local authorities and health managers to give a faster and more efficient response to the pandemic situation, and also allowed important industrial companies to adapt their production to each situation. The wastewater-based epidemiology program developed in our metropolitan area of A Coruña (Spain) during the SARS-CoV-2 pandemic served as a powerful early warning system combining statistical models with mutations and viral load monitoring in wastewater over time.
污水流行病学已被广泛用作在社区层面追踪 COVID-19 大流行的一种具有成本效益的方法。在这里,我们描述了 COVIDBENS,这是一个从 2020 年 6 月至 2022 年 3 月在西班牙拉科鲁尼亚的本斯污水处理厂运行的污水监测计划。这项工作的主要目标是提供一种基于污水流行病学的有效早期预警工具,以帮助在社会和公共卫生层面做出决策。RT-qPCR 程序和 Illumina 测序分别用于每周监测废水中的病毒载量和检测 SARS-CoV-2 突变。此外,还应用了自己的统计模型来估计受感染人数和在社区中传播的每种新变体的频率,这大大改进了监测策略。我们的分析在拉科鲁尼亚检测到了 6 波病毒载量波,浓度在 10 到 10 SARS-CoV-2 RNA 拷贝/L 之间。我们的系统能够在大流行期间提前 8-36 天预测社区爆发,比临床报告提前,并且能够在污水中检测到新的 SARS-CoV-2 变体在拉科鲁尼亚的出现,例如 Alpha(B.1.1.7)、Delta(B.1.617.2)和 Omicron(B.1.1.529 和 BA.2),分别提前 42、30 和 27 天,早于卫生系统。这里生成的数据帮助地方当局和卫生管理人员对大流行情况做出更快、更有效的反应,也使重要的工业公司能够根据情况调整生产。在西班牙拉科鲁尼亚的大都市区在 SARS-CoV-2 大流行期间开发的污水流行病学计划是一种强大的早期预警系统,它将统计模型与随时间推移在废水中监测突变和病毒载量相结合。