SARS-CoV-2 detection in sewage samples: Standardization of method & preliminary observations

Background & objectives: Since its first recognition in Wuhan, China, in December 2019, the SARS-CoV-2 has spread rapidly across the world. Though SARS-CoV-2 spreads mainly via the droplets of respiratory secretions, it was also detected in stool samples of patients, indicating active infection...

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Veröffentlicht in:Indian journal of medical research (New Delhi, India : 1994) India : 1994), 2021-01, Vol.153 (1), p.159-165
Hauptverfasser: Sharma, Deepa, Nalavade, Uma, Kalgutkar, Kamlesh, Gupta, Nivedita, Deshpande, Jagadish
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container_title Indian journal of medical research (New Delhi, India : 1994)
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creator Sharma, Deepa
Nalavade, Uma
Kalgutkar, Kamlesh
Gupta, Nivedita
Deshpande, Jagadish
description Background & objectives: Since its first recognition in Wuhan, China, in December 2019, the SARS-CoV-2 has spread rapidly across the world. Though SARS-CoV-2 spreads mainly via the droplets of respiratory secretions, it was also detected in stool samples of patients, indicating active infection of the gastrointestinal tract. Presence of SARS-CoV-2 RNA in sewage samples was reported in February 2020, raising the possibility of using environmental water surveillance to monitor SARS-CoV-2 activity in infected areas. The aim of this study was to standardize the methodology for detection of SARS-CoV-2 from sewage and explore the feasibility of establishing supplementary surveillance for COVID-19. Methods: Sewage specimens were collected from six sites in Mumbai, India, using the grab sample method and processed using polyethylene glycol (PEG)-dextran phase separation method for virus concentration. Real-time reverse transcription-polymerase chain reaction (RT-PCR) assay was used to detect the presence of SARS-CoV-2 RNA. Results: A total of 20 sewage samples collected from six different wards in Mumbai city, before the spread of SARS-CoV-2 infections and during May 11-22, 2020, were processed using the phase separation method. The WHO two-phase PEG-dextran method was modified during standardization. SARS-CoV-2 was found to concentrate in the middle phase only. All samples collected before March 16, 2020 were SARS-CoV-2 negative. Viral RNA was detected in sewage samples collected during the ongoing COVID-19 pandemic in all the six wards. Interpretation & conclusions: PEG-dextran phase separation method was effectively used to concentrate SARS-CoV-2 from domestic waste waters to detection levels. It would be feasible to initiate sewage surveillance for SARS-CoV-2 to generate data about the viral transmission in various epidemiologic settings.
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Results: A total of 20 sewage samples collected from six different wards in Mumbai city, before the spread of SARS-CoV-2 infections and during May 11-22, 2020, were processed using the phase separation method. The WHO two-phase PEG-dextran method was modified during standardization. SARS-CoV-2 was found to concentrate in the middle phase only. All samples collected before March 16, 2020 were SARS-CoV-2 negative. Viral RNA was detected in sewage samples collected during the ongoing COVID-19 pandemic in all the six wards. Interpretation &amp; conclusions: PEG-dextran phase separation method was effectively used to concentrate SARS-CoV-2 from domestic waste waters to detection levels. It would be feasible to initiate sewage surveillance for SARS-CoV-2 to generate data about the viral transmission in various epidemiologic settings.</description><identifier>ISSN: 0971-5916</identifier><identifier>EISSN: 0975-9174</identifier><identifier>DOI: 10.4103/ijmr.IJMR_3541_20</identifier><identifier>PMID: 33818473</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. Ltd</publisher><subject>Coronaviruses ; COVID-19 ; Disease transmission ; Epidemiological Monitoring ; Health aspects ; Humans ; Identification and classification ; India ; Original ; Pandemics ; Polyethylene glycol ; RNA, Viral - genetics ; SARS-CoV-2 - isolation &amp; purification ; Severe acute respiratory syndrome coronavirus 2 ; Sewage - virology ; Sewage disposal ; Sewer systems</subject><ispartof>Indian journal of medical research (New Delhi, India : 1994), 2021-01, Vol.153 (1), p.159-165</ispartof><rights>COPYRIGHT 2021 Medknow Publications and Media Pvt. 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preliminary observations</atitle><jtitle>Indian journal of medical research (New Delhi, India : 1994)</jtitle><addtitle>Indian J Med Res</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>153</volume><issue>1</issue><spage>159</spage><epage>165</epage><pages>159-165</pages><issn>0971-5916</issn><eissn>0975-9174</eissn><abstract>Background &amp; objectives: Since its first recognition in Wuhan, China, in December 2019, the SARS-CoV-2 has spread rapidly across the world. 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subjects Coronaviruses
COVID-19
Disease transmission
Epidemiological Monitoring
Health aspects
Humans
Identification and classification
India
Original
Pandemics
Polyethylene glycol
RNA, Viral - genetics
SARS-CoV-2 - isolation & purification
Severe acute respiratory syndrome coronavirus 2
Sewage - virology
Sewage disposal
Sewer systems
title SARS-CoV-2 detection in sewage samples: Standardization of method & preliminary observations
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