Notes from the Field: The National Wastewater Surveillance System's Centers of Excellence Contributions to Public Health Action During the Respiratory Virus Season - Four U.S. Jurisdictions, 2022-23

In California, WWS supports local health department decision-making, and has been used to provide tailored metrics and messaging to communities, providers, and health care systems to improve awareness and preparedness. During the 2022–23 respiratory disease season, NWSS Centers of Excellence translated WWS data into real-time public health action for multiple respiratory pathogens, highlighting the contribution of WWS in monitoring disease circulation and helping guide public health response. Acknowledgments Participating local California wastewater utilities and local health departments; California Association of Sanitation Agencies; Healthy Central Valley Together; Biobot Analytics; partners in the California Department of Public Health (CDPH) COVID control branch, Immunization Branch, and Drinking Water and Radiation Laboratory; SCAN, Verily Life Sciences; CDPH Wastewater Surveillance Team; Erica Pan; participating Colorado wastewater utilities; Laura Bankers, Kevin Berg, Emily Spence Davizon, Nick Pysnack, Kirsten Weisbeck, Colorado Department of Public Health & Environment; Kevin Messacar, Children’s Hospital Colorado and University of Colorado School of Medicine, Department of Pediatrics, Section of Infectious Diseases; Sam Dominguez, Hai Nguyen-Tran, Children’s Hospital Colorado and University of Colorado School of Medicine, Department of Pediatrics, Section of Infectious Diseases; Meghan Birkholz, Molly Butler, Sarah Jung, Children’s Hospital Colorado; Rachel Herlihy; Maria Murillo, Houston Community Liaison team; Kaylan Henderson, Tia Johnson, Martha Stancil, COVID Outreach Team, Houston Health Department; Houston Health Department Sampling Team, Houston Public Works and Sampling Team; Katherine Ensor, Rice University; Rice University and Houston Health Department Laboratory and Analytics Teams; Varun Shetty, Texas Department of State Health Services; wastewater utilities across Wisconsin; University of Wisconsin-Madison; Anna Llewellyn, Cristina Martinez, Dianne Wisham, CDC. Examples of implemented public health actions related to respiratory viruses — National Wastewater Surveillance System’s Centers of Excellence, four U.S. jurisdictions, 2022–23 Local level Colorado (Denver metro) Biweekly sampling for EV-D68 in the Denver metro area to guide and collaborate with health system and pediatric providers during 2022–23 respiratory season Biweekly sampling of three sewersheds in Denver, covering 1.2 million residents Three statewide alerts to guide