Application of human RNase P normalization for the realistic estimation of SARS-CoV-2 viral load in wastewater: A perspective from Qatar wastewater surveillance

Shimaa S. El-Malah, Jayaprakash Saththasivam, Khadeeja Abdul Jabbar, K. K. Arun, Tricia A. Gomez, Ayeda A. Ahmed, Yasmin A. Mohamoud, Joel A. Malek, Laith J. Abu Raddad, Hussein A. Abu Halaweh, Roberto Bertollini, Jenny Lawler, Khaled A. Mahmoud*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

The apparent uncertainty associated with shedding patterns, environmental impacts, and sample processing strategies have greatly influenced the variability of SARS-CoV-2 concentrations in wastewater. This study evaluates the use of a new normalization approach using human RNase P for the logic estimation of SARS-CoV-2 viral load in wastewater. SARS-CoV-2 variants outbreak was monitored during the circulating wave between February and August 2021. Sewage samples were collected from five major wastewater treatment plants and subsequently analyzed to determine the viral loads in the wastewater. SARS-CoV-2 was detected in all the samples where the wastewater Ct values exhibited a similar trend as the reported number of new daily positive cases in the country. The infected population number was estimated using a mathematical model that compensated for RNA decay due to wastewater temperature and sewer residence time, and which indicated that the number of positive cases circulating in the population declined from 765,729 ± 142,080 to 2,303 ± 464 during the sampling period. Genomic analyses of SARS-CoV-2 of thirty wastewater samples collected between March 2021 and April 2021 revealed that alpha (B.1.1.7) and beta (B.1.351) were among the dominant variants of concern (VOC) in Qatar. The findings of this study imply that the normalization of data allows a more realistic assessment of incidence trends within the population.

Original languageEnglish
Article number102775
JournalEnvironmental Technology and Innovation
Volume27
DOIs
Publication statusPublished - Aug 2022

Keywords

  • Municipal wastewater
  • SARS-CoV-2 monitoring
  • Sequencing
  • Variant of concern
  • Wastewater surveillance
  • Wastewater-based epidemiology (WBE)

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