Test Sewage

I found this article in Scientific American fascinating:

More than a dozen research groups worldwide have started analysing wastewater for the new coronavirus as a way to estimate the total number of infections in a community, given that most people will not be tested. The method could also be used to detect the coronavirus if it returns to communities, say scientists. So far, researchers have found traces of the virus in the Netherlands, the United States and Sweden.

Analysing wastewater—used water that goes through the drainage system to a treatment facility—is one way that researchers can track infectious diseases that are excreted in urine or faeces, such as SARS-CoV-2.

One treatment plant can capture wastewater from more than one million people, says Gertjan Medema, a microbiologist at KWR Water Research Institute in Nieuwegein, the Netherlands. Monitoring effluent at this scale could provide better estimates for how widespread the coronavirus is than testing, because wastewater surveillance can account for those who have not been tested and have only mild or no symptoms, says Medema, who has detected SARS-CoV-2 genetic material—viral RNA—in several treatment plants in the Netherlands. “Health authorities are only seeing the tip of the iceberg.”

The TL;DR version of the article is that maybe we should put less emphasis on testing individuals for COVID-19 and more on testing their sewage. Something to think about.

4 comments… add one
  • Icepick Link

    Not sure how that tip of the iceberg stuff plays out, though. In Florida, a little under 11% of people tested show as positive for the virus. If it were as wide-spread as some believe, wouldn’t the percentage of positive tests be higher? Or are the tests that unreliable?

  • Icepick Link

    Further, I’m willing to bet that a fair number of people are being tested and retested for a variety of reasons, so that almost 11% figure is probably high.

  • Greyshambler Link

    Well, the people showing up for tests feel sick, or have had contact with a person who tested positive so there’s nothing random about that. Self selected group.

  • Guarneri Link

    Depends on the sample, Ice. The data, and the policy decisions derived from them, are garbage. This is a travesty.

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