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Wastewater Surveillance to Inform Public Health Decision Making in Residential Institutions

Testing sewage (wastewater-based surveillance, or WBS) for pathogens is an increasingly important tool for monitoring the health of populations. During the COVID-19 pandemic, some residential institutions including colleges, prisons, and skilled nursing facilities used facility-level wastewater data...

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Autores principales: Harris-Lovett, Sasha, Nelson, Kara L., Kantor, Rose, Korfmacher, Katrina Smith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038809/
https://www.ncbi.nlm.nih.gov/pubmed/36214654
http://dx.doi.org/10.1097/PHH.0000000000001636
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author Harris-Lovett, Sasha
Nelson, Kara L.
Kantor, Rose
Korfmacher, Katrina Smith
author_facet Harris-Lovett, Sasha
Nelson, Kara L.
Kantor, Rose
Korfmacher, Katrina Smith
author_sort Harris-Lovett, Sasha
collection PubMed
description Testing sewage (wastewater-based surveillance, or WBS) for pathogens is an increasingly important tool for monitoring the health of populations. During the COVID-19 pandemic, some residential institutions including colleges, prisons, and skilled nursing facilities used facility-level wastewater data to inform their pandemic responses. To understand how these early adopters used WBS data in decision making, we conducted in-depth, semistructured interviews with multiple decision makers at 6 residential institutions in the United States (universities, prisons, and nursing homes) encompassing a total of more than 70 000 residents and staff about interpretation, uses, and limitations of these data. We found that WBS data were used in extremely diverse ways. WBS combined with clinical surveillance informed a wide range of public health actions at residential institutions, including transmission reduction measures, public health communications, and allocation of resources. WBS also served other institutional purposes, such as maintaining relationships with external stakeholders and helping alleviate decision makers' pervasive stress. Recognizing these diverse ways of using WBS data can inform expansion of this practice among institutions as well as development of community-scale systems.
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spelling pubmed-100388092023-03-28 Wastewater Surveillance to Inform Public Health Decision Making in Residential Institutions Harris-Lovett, Sasha Nelson, Kara L. Kantor, Rose Korfmacher, Katrina Smith J Public Health Manag Pract Research Reports Testing sewage (wastewater-based surveillance, or WBS) for pathogens is an increasingly important tool for monitoring the health of populations. During the COVID-19 pandemic, some residential institutions including colleges, prisons, and skilled nursing facilities used facility-level wastewater data to inform their pandemic responses. To understand how these early adopters used WBS data in decision making, we conducted in-depth, semistructured interviews with multiple decision makers at 6 residential institutions in the United States (universities, prisons, and nursing homes) encompassing a total of more than 70 000 residents and staff about interpretation, uses, and limitations of these data. We found that WBS data were used in extremely diverse ways. WBS combined with clinical surveillance informed a wide range of public health actions at residential institutions, including transmission reduction measures, public health communications, and allocation of resources. WBS also served other institutional purposes, such as maintaining relationships with external stakeholders and helping alleviate decision makers' pervasive stress. Recognizing these diverse ways of using WBS data can inform expansion of this practice among institutions as well as development of community-scale systems. Wolters Kluwer Health, Inc. 2023-05 2022-10-09 /pmc/articles/PMC10038809/ /pubmed/36214654 http://dx.doi.org/10.1097/PHH.0000000000001636 Text en © 2022 Wolters Kluwer Health, Inc. All rights reserved. This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.
spellingShingle Research Reports
Harris-Lovett, Sasha
Nelson, Kara L.
Kantor, Rose
Korfmacher, Katrina Smith
Wastewater Surveillance to Inform Public Health Decision Making in Residential Institutions
title Wastewater Surveillance to Inform Public Health Decision Making in Residential Institutions
title_full Wastewater Surveillance to Inform Public Health Decision Making in Residential Institutions
title_fullStr Wastewater Surveillance to Inform Public Health Decision Making in Residential Institutions
title_full_unstemmed Wastewater Surveillance to Inform Public Health Decision Making in Residential Institutions
title_short Wastewater Surveillance to Inform Public Health Decision Making in Residential Institutions
title_sort wastewater surveillance to inform public health decision making in residential institutions
topic Research Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038809/
https://www.ncbi.nlm.nih.gov/pubmed/36214654
http://dx.doi.org/10.1097/PHH.0000000000001636
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