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Building health system resilience and pandemic preparedness using wastewater-based epidemiology from SARS-CoV-2 monitoring in Bengaluru, India

The COVID-19 pandemic was a watershed event for wastewater-based epidemiology (WBE). It highlighted the inability of existing disease surveillance systems to provide sufficient forewarning to governments on the existing stage and scale of disease spread and underscored the need for an effective earl...

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Autores principales: Chaudhuri, Angela, Pangaria, Aditya, Sodhi, Chhavi, Kumar V, Nitish, Harshe, Shirish, Parikh, Neha, Shridhar, Varsha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9999730/
https://www.ncbi.nlm.nih.gov/pubmed/36908428
http://dx.doi.org/10.3389/fpubh.2023.1064793
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author Chaudhuri, Angela
Pangaria, Aditya
Sodhi, Chhavi
Kumar V, Nitish
Harshe, Shirish
Parikh, Neha
Shridhar, Varsha
author_facet Chaudhuri, Angela
Pangaria, Aditya
Sodhi, Chhavi
Kumar V, Nitish
Harshe, Shirish
Parikh, Neha
Shridhar, Varsha
author_sort Chaudhuri, Angela
collection PubMed
description The COVID-19 pandemic was a watershed event for wastewater-based epidemiology (WBE). It highlighted the inability of existing disease surveillance systems to provide sufficient forewarning to governments on the existing stage and scale of disease spread and underscored the need for an effective early warning signaling system. Recognizing the potentiality of environmental surveillance (ES), in May 2021, COVIDActionCollaborative launched the Precision Health platform. The idea was to leverage ES for equitable mapping of the disease spread in Bengaluru, India and provide early information regarding any inflection in the epidemiological curve of COVID-19. By sampling both networked and non-networked sewage systems in the city, the platform used ES for both equitable and comprehensive surveillance of the population to derive precise information on the existing stage of disease maturity across communities and estimate the scale of the approaching threat. This was in contrast to clinical surveillance, which during the peak of the COVID-19 pandemic in Bengaluru excluded a significant proportion of poor and vulnerable communities from its ambit of representation. The article presents the findings of a sense-making tool which the platform developed for interpreting emerging signals from wastewater data to map disease progression and identifying the inflection points in the epidemiological curve. Thus, the platform accurately generated early warning signals on disease escalation and disseminated it to the government and the general public. This information enabled concerned audiences to implement preventive measures in advance and effectively plan their next steps for improved disease management.
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spelling pubmed-99997302023-03-11 Building health system resilience and pandemic preparedness using wastewater-based epidemiology from SARS-CoV-2 monitoring in Bengaluru, India Chaudhuri, Angela Pangaria, Aditya Sodhi, Chhavi Kumar V, Nitish Harshe, Shirish Parikh, Neha Shridhar, Varsha Front Public Health Public Health The COVID-19 pandemic was a watershed event for wastewater-based epidemiology (WBE). It highlighted the inability of existing disease surveillance systems to provide sufficient forewarning to governments on the existing stage and scale of disease spread and underscored the need for an effective early warning signaling system. Recognizing the potentiality of environmental surveillance (ES), in May 2021, COVIDActionCollaborative launched the Precision Health platform. The idea was to leverage ES for equitable mapping of the disease spread in Bengaluru, India and provide early information regarding any inflection in the epidemiological curve of COVID-19. By sampling both networked and non-networked sewage systems in the city, the platform used ES for both equitable and comprehensive surveillance of the population to derive precise information on the existing stage of disease maturity across communities and estimate the scale of the approaching threat. This was in contrast to clinical surveillance, which during the peak of the COVID-19 pandemic in Bengaluru excluded a significant proportion of poor and vulnerable communities from its ambit of representation. The article presents the findings of a sense-making tool which the platform developed for interpreting emerging signals from wastewater data to map disease progression and identifying the inflection points in the epidemiological curve. Thus, the platform accurately generated early warning signals on disease escalation and disseminated it to the government and the general public. This information enabled concerned audiences to implement preventive measures in advance and effectively plan their next steps for improved disease management. Frontiers Media S.A. 2023-02-24 /pmc/articles/PMC9999730/ /pubmed/36908428 http://dx.doi.org/10.3389/fpubh.2023.1064793 Text en Copyright © 2023 Chaudhuri, Pangaria, Sodhi, Kumar V, Harshe, Parikh and Shridhar. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Chaudhuri, Angela
Pangaria, Aditya
Sodhi, Chhavi
Kumar V, Nitish
Harshe, Shirish
Parikh, Neha
Shridhar, Varsha
Building health system resilience and pandemic preparedness using wastewater-based epidemiology from SARS-CoV-2 monitoring in Bengaluru, India
title Building health system resilience and pandemic preparedness using wastewater-based epidemiology from SARS-CoV-2 monitoring in Bengaluru, India
title_full Building health system resilience and pandemic preparedness using wastewater-based epidemiology from SARS-CoV-2 monitoring in Bengaluru, India
title_fullStr Building health system resilience and pandemic preparedness using wastewater-based epidemiology from SARS-CoV-2 monitoring in Bengaluru, India
title_full_unstemmed Building health system resilience and pandemic preparedness using wastewater-based epidemiology from SARS-CoV-2 monitoring in Bengaluru, India
title_short Building health system resilience and pandemic preparedness using wastewater-based epidemiology from SARS-CoV-2 monitoring in Bengaluru, India
title_sort building health system resilience and pandemic preparedness using wastewater-based epidemiology from sars-cov-2 monitoring in bengaluru, india
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9999730/
https://www.ncbi.nlm.nih.gov/pubmed/36908428
http://dx.doi.org/10.3389/fpubh.2023.1064793
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