Wastewater-based SARS-CoV-2 airport surveillance: key trends at the Cape Town International Airport

Author:

Nkambule Sizwe1ORCID,Johnson Rabia23,Mathee Angela145,Mahlangeni Nomfundo1,Webster Candice1,Horn Suranie16,Mangwana Noluxabiso27,Dias Stephanie2,Sharma Jyoti Rajan2,Ramharack Pritika28,Louw Johan29,Reddy Tarylee10,Surujlal-Naicker Swastika11,Mdhluli Mongezi12,Gray Glenda13,Muller Christo239,Street Renee14

Affiliation:

1. a Environment & Health Research Unit, South African Medical Research Council (SAMRC), Durban 4091, South Africa

2. b Biomedical Research and Innovation Platform (BRIP), South African Medical Research Council (SAMRC), Tygerberg 7505, South Africa

3. c Centre for Cardio-Metabolic Research in Africa, Division of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch 7600, South Africa

4. d Environmental Health Department, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa

5. e School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

6. m Occupational Hygiene and Health Research Initiative, North-West University, Potchefstroom, South Africa

7. f Department of Microbiology, Stellenbosch University, Stellenbosch 7600, South Africa

8. g Discipline of Pharmaceutical Sciences, School of Health Sciences, University of KwaZulu-Natal, Westville Campus, Durban 4001, South Africa

9. h Department of Biochemistry and Microbiology, University of Zululand, KwaDlangezwa 3886, South Africa

10. i Biostatistics Unit, South African Medical Research Council (SAMRC), Durban 4091, South Africa

11. j Scientific Services, Water and Sanitation Department, City of Cape Town Metropolitan Municipality, Cape Town 8000, South Africa

12. k Chief Research Operations Office, South African Medical Research Council, Tygerberg 7050, South Africa

13. l Office of the President, South African Medical Research Council, Tygerberg 7050, South Africa

Abstract

Abstract Monitoring of SARS-CoV-2 RNA in wastewater has revealed the role of mobility in the transmission of coronavirus disease (COVID-19), and the surveillance of airport wastewater in cities across the world has demonstrated how travel entry points can give an indication of trends in transmission. This study undertook wastewater surveillance at the Cape Town International Airport (CTIA) to assess the use of a WBE approach to provide supplementary information on the presence of COVID-19 at a key air travel entry point in South Africa. Grab wastewater samples (n = 55) were collected from the CTIA wastewater pump station and analysed using quantitative real-time polymerase chain reaction (qRT-PCR) method. The study found a correlation between the wastewater data and clinical cases reported in the City of Cape Town during various time periods and during the peak of a COVID-19 wave. Highly elevated viral loads in the wastewater were observed at times there was increased mobility through the airport. The study also revealed elevated viral load levels at the airport despite the stricter restrictions and through the lower restrictions. The study findings indicate wastewater surveillance and airports can provide supplementary information to airport authorities to assess the impacts of imposed travel restrictions.

Funder

South African Medical Research Council

National Research Foundation

The Solidarity Fund

Publisher

IWA Publishing

Subject

Infectious Diseases,Microbiology (medical),Public Health, Environmental and Occupational Health,Waste Management and Disposal,Water Science and Technology

Reference11 articles.

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2. Detection of the Omicron (B. 1.1. 529) variant of SARS-CoV-2 in aircraft wastewater;Science of the Total Environment,2022

3. First confirmed detection of SARS-COV-2 in untreated municipal and aircraft wastewater in Dubai, UAE: the use of wastewater based epidemiology as an early warning tool to monitor the prevalence of COVID-19;Science of the Total Environment,2021

4. CDC 2020 2019-Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Panel Primers and Probes. Available from: https://www.cdc.gov/coronavirus/2019-ncov/downloads/rt-pcr-panel-primer-probes.pdf (accessed 6 October 2021).

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