One Year of Wastewater Surveillance in South Africa Supporting COVID-19 Clinical Findings Across Two Waves of Infection

Wastewater-based epidemiology (WBE) has been an important tool for the detection of COVID-19 outbreaks. The retrospective analysis of COVID-19 data is vital to understand the spread and impact of the virus as well as to inform future planning and response efforts. In this study, we evaluated the SAR...

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Main Authors: Renée Street, Angela Mathee, Tarylee Reddy, Nomfundo T. Mahlangeni, Noluxabiso Mangwana, Sizwe Nkambule, Candice Webster, Stephanie Dias, Jyoti Rajan Sharma, Pritika Ramharack, Johan Louw, Swastika Surujlal-Naicker, Natacha Berkowitz, Mongezi Mdhluli, Glenda Gray, Christo Muller, Rabia Johnson
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/12/11/2230
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author Renée Street
Angela Mathee
Tarylee Reddy
Nomfundo T. Mahlangeni
Noluxabiso Mangwana
Sizwe Nkambule
Candice Webster
Stephanie Dias
Jyoti Rajan Sharma
Pritika Ramharack
Johan Louw
Swastika Surujlal-Naicker
Natacha Berkowitz
Mongezi Mdhluli
Glenda Gray
Christo Muller
Rabia Johnson
author_facet Renée Street
Angela Mathee
Tarylee Reddy
Nomfundo T. Mahlangeni
Noluxabiso Mangwana
Sizwe Nkambule
Candice Webster
Stephanie Dias
Jyoti Rajan Sharma
Pritika Ramharack
Johan Louw
Swastika Surujlal-Naicker
Natacha Berkowitz
Mongezi Mdhluli
Glenda Gray
Christo Muller
Rabia Johnson
author_sort Renée Street
collection DOAJ
description Wastewater-based epidemiology (WBE) has been an important tool for the detection of COVID-19 outbreaks. The retrospective analysis of COVID-19 data is vital to understand the spread and impact of the virus as well as to inform future planning and response efforts. In this study, we evaluated the SARS-CoV-2 RNA levels in wastewater from 21 wastewater treatment plants (WWTPs) in the City of Cape Town (South Africa) over a period of 12 months and compared the (inactive) SARS-CoV-2 viral RNA in wastewater between wave 2 (November 2020 to January 2021) and wave 3 (June 2021 to September 2021). The SARS-CoV-2 RNA expression was quantified in wastewater using quantitative real-time PCR (qRT-PCR) by targeting the nucleocapsid (N) gene, and the resultant signal was normalized to the WWTP design capacity and catchment size. Our findings show that the maximum SARS-CoV-2 RNA signal was significantly higher in wave 3 than in wave 2 (<i>p</i> < 0.01). The duration of wave 3 (15 weeks) was longer than that of wave 2 (10 weeks), and the wastewater surveillance data supported the clinical findings, as evidenced by the two distinct waves. Furthermore, the data demonstrated the importance of long-term wastewater surveillance as a key indicator of changing trends.
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spelling doaj-art-fd19d16722f74e0fbd7cc4f70cb54ece2024-11-26T18:14:36ZengMDPI AGMicroorganisms2076-26072024-11-011211223010.3390/microorganisms12112230One Year of Wastewater Surveillance in South Africa Supporting COVID-19 Clinical Findings Across Two Waves of InfectionRenée Street0Angela Mathee1Tarylee Reddy2Nomfundo T. Mahlangeni3Noluxabiso Mangwana4Sizwe Nkambule5Candice Webster6Stephanie Dias7Jyoti Rajan Sharma8Pritika Ramharack9Johan Louw10Swastika Surujlal-Naicker11Natacha Berkowitz12Mongezi Mdhluli13Glenda Gray14Christo Muller15Rabia Johnson16Environment & Health Research Unit, South African Medical Research Council (SAMRC), Cape Town 7505, South AfricaEnvironmental Health Department, Faculty of Health Sciences, University of Johannesburg, Johannesburg 2028, South AfricaBiostatistics Unit, South African Medical Research Council (SAMRC), Durban 4091, South AfricaEnvironment & Health Research Unit, South African Medical Research Council (SAMRC), Cape Town 7505, South AfricaBiomedical Research and Innovation Platform (BRIP), South African Medical Research Council (SAMRC), Tygerberg 7505, South AfricaEnvironment & Health Research Unit, South African Medical Research Council (SAMRC), Cape Town 7505, South AfricaEnvironment & Health Research Unit, South African Medical Research Council (SAMRC), Cape Town 7505, South AfricaBiomedical Research and Innovation Platform (BRIP), South African Medical Research Council (SAMRC), Tygerberg 7505, South AfricaBiomedical Research and Innovation Platform (BRIP), South African Medical Research Council (SAMRC), Tygerberg 7505, South AfricaBiomedical Research and Innovation Platform (BRIP), South African Medical Research Council (SAMRC), Tygerberg 7505, South AfricaBiomedical Research and Innovation Platform (BRIP), South African Medical Research Council (SAMRC), Tygerberg 7505, South AfricaScientific Services, Water and Sanitation Department, City of Cape Town Metropolitan Municipality, Cape Town 8000, South AfricaCommunity Service and Health, City Health, City of Cape Town, Hertzog Boulevard, Cape Town 8000, South AfricaChief Research Operations Office, South African Medical Research Council, Tygerberg 7050, South AfricaOffice of the President, South African Medical Research Council, Tygerberg 7050, South AfricaBiomedical Research and Innovation Platform (BRIP), South African Medical Research Council (SAMRC), Tygerberg 7505, South AfricaBiomedical Research and Innovation Platform (BRIP), South African Medical Research Council (SAMRC), Tygerberg 7505, South AfricaWastewater-based epidemiology (WBE) has been an important tool for the detection of COVID-19 outbreaks. The retrospective analysis of COVID-19 data is vital to understand the spread and impact of the virus as well as to inform future planning and response efforts. In this study, we evaluated the SARS-CoV-2 RNA levels in wastewater from 21 wastewater treatment plants (WWTPs) in the City of Cape Town (South Africa) over a period of 12 months and compared the (inactive) SARS-CoV-2 viral RNA in wastewater between wave 2 (November 2020 to January 2021) and wave 3 (June 2021 to September 2021). The SARS-CoV-2 RNA expression was quantified in wastewater using quantitative real-time PCR (qRT-PCR) by targeting the nucleocapsid (N) gene, and the resultant signal was normalized to the WWTP design capacity and catchment size. Our findings show that the maximum SARS-CoV-2 RNA signal was significantly higher in wave 3 than in wave 2 (<i>p</i> < 0.01). The duration of wave 3 (15 weeks) was longer than that of wave 2 (10 weeks), and the wastewater surveillance data supported the clinical findings, as evidenced by the two distinct waves. Furthermore, the data demonstrated the importance of long-term wastewater surveillance as a key indicator of changing trends.https://www.mdpi.com/2076-2607/12/11/2230SARS-CoV-2COVID-19viral RNAwastewaterenvironmental epidemiologySouth Africa
spellingShingle Renée Street
Angela Mathee
Tarylee Reddy
Nomfundo T. Mahlangeni
Noluxabiso Mangwana
Sizwe Nkambule
Candice Webster
Stephanie Dias
Jyoti Rajan Sharma
Pritika Ramharack
Johan Louw
Swastika Surujlal-Naicker
Natacha Berkowitz
Mongezi Mdhluli
Glenda Gray
Christo Muller
Rabia Johnson
One Year of Wastewater Surveillance in South Africa Supporting COVID-19 Clinical Findings Across Two Waves of Infection
Microorganisms
SARS-CoV-2
COVID-19
viral RNA
wastewater
environmental epidemiology
South Africa
title One Year of Wastewater Surveillance in South Africa Supporting COVID-19 Clinical Findings Across Two Waves of Infection
title_full One Year of Wastewater Surveillance in South Africa Supporting COVID-19 Clinical Findings Across Two Waves of Infection
title_fullStr One Year of Wastewater Surveillance in South Africa Supporting COVID-19 Clinical Findings Across Two Waves of Infection
title_full_unstemmed One Year of Wastewater Surveillance in South Africa Supporting COVID-19 Clinical Findings Across Two Waves of Infection
title_short One Year of Wastewater Surveillance in South Africa Supporting COVID-19 Clinical Findings Across Two Waves of Infection
title_sort one year of wastewater surveillance in south africa supporting covid 19 clinical findings across two waves of infection
topic SARS-CoV-2
COVID-19
viral RNA
wastewater
environmental epidemiology
South Africa
url https://www.mdpi.com/2076-2607/12/11/2230
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