Title: Qualitative Assessment of a Novel Results-Based Partnership between National Wastewater Surveillance Centers of Excellence and Utility Companies, Houston (Texas), Colorado, Wisconsin, and California, 2023.

Author:

Turner Hannah1,Horter Libby2,Welton Michael3,Martinez Cristina2,Soelaeman Rieza2,Tatti Kathleen3,Louis Souci2,Santibanez Scott2,Kirby Amy2,Fehernbach Nicole2,Person John2,Valencia Diana2

Affiliation:

1. Oak Ridge Institute for Science and Education

2. U.S. Centers for Disease Control and Prevention

3. G2S Cooperation

Abstract

Abstract

Background The U.S. Centers for Disease Control and Prevention (CDC) initiated the National Wastewater Surveillance System (NWSS) in September 2020. Four Centers of Excellence (COEs) were established between 2021–2023 in Houston (Texas), Colorado, Wisconsin, and California to guide wastewater surveillance efforts for public health. Our objective was to increase understanding of factors that facilitated implementation of wastewater surveillance from the perspectives and experiences shared by health department COEs and wastewater utility partners. Methods We used a purposive sampling strategy to select eight key respondents from the four NWSS COEs and four respective wastewater utility partners. We conducted in-depth interviews related to the implementation of wastewater surveillance and identified common experiences and key points from interview transcription files. Insights on WWS implementation from COEs and wastewater utility partners were distilled from the responses into lessons learned. Results Three primary themes emerged after we analyzed the interview responses: perceived community benefits from wastewater surveillance, collaboration and trust building among partners that helped program advancement, and sustainability strategies and considerations. Conclusion This analysis has highlighted the importance of partnerships and collaborations.

Publisher

Springer Science and Business Media LLC

Reference19 articles.

1. Wastewater surveillance for public health;Levy JI;Science,2023

2. Environmental Protection Agency (EPA). A Compendium of U.S. Wastewater Surveillance for COVID-19 Public Health Efforts. 2021.

3. Nationwide public perceptions regarding the acceptance of using wastewater for community health monitoring in the United States;LaJoie AS;PLoS ONE,2022

4. COVID-19 wastewater epidemiology: a model to estimate infected populations;McMahan CS;Lancet Planet Health,2021

5. Development of Wastewater Pooled Surveillance of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) from Congregate Living Settings;Colosi LM;Appl Environ Microbiol,2021

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