Virtual Poster Session for Standards to Support an Enduring Capability in Wastewater Surveillance for Public Health Workshop

Standards to Support an Enduring Capability in Wastewater Surveillance for Public Health Workshop

Standards for Wastewater Surveillance Workshop Organizing Committee (NIST & DHS)

Wastewater surveillance is a promising approach to monitor biological and chemical contaminants on a community level, and has recently been shown effective for the early detection of SARS-CoV-2 outbreaks. While much has been learned in the past year, much work remains to establish an enduring capability for wastewater surveillance poised to address new targets as they emerge. The goal of this workshop is to identify and prioritize standards needs and technology/measurement gaps and propose a potential path forward to develop standards that enable a robust, comparable wastewater surveillance capability. Topics to be discussed include lessons learned during the COVID-19 pandemic response, the state of the art in measurement science and technology for the entire wastewater surveillance workflow, and challenges in achieving comparable wastewater surveillance results across locations. Stakeholder input will inform future standards development activities, including consensus-based documentary standards, reference methods and protocols, and reference materials, and ensure that efforts are fit for purpose and aligned with the needs of the community. Ultimately, these standards will help to provide a foundation for communities and organizations to have increased confidence in wastewater surveillance results to better inform public health and safety decisions across the nation. This workshop is recommended for participants involved in all aspects of wastewater surveillance from sampling to results/reporting, including those from government, public health, testing and manufacturing, academia, and non-profit organizations.

More info: https://www.nist.gov/news-events/events/2021/06/dhsnist-workshop-standards-support-enduring-capability-wastewater

Filter displayed posters (112 keywords)

COVID-19 8 SARS-CoV-2 5 wastewater 5 RT-qPCR 4 antibiotic resistance 3 Wastewater 2 Wastewater Based Epidemiology (WBE) 2 metagenomics 2 pathogen detection 2 reference materials 2 surface water 2 show more… Antibiotic Resistance; Wastewater Surveillance; Standardized Methods 1 Bioinformatics 1 COVID-19 SARS-CoV-2 Wastewater Surveillance 1 COVID-19 Vulnerability Modeling 1 COVID-19; SARS-CoV-2; Wastewater-based epidemiology; Uncertainty; Prevalence estimation; Standards 1 COVID19 Surveillance 1 Congregate living settings 1 DNA referenced materials 1 Dashboard 1 Detroit 1 Direct Capture 1 EPA methods 1 Escherichia coli 1 GIS 1 Geographic 1 Geographic Information System (GIS) 1 HA electronegative virus capture 1 Machine Learning (ML) 1 Nanomaterials 1 Pasteurization 1 RNA extraction 1 Real-Time Polymerase Chain Reaction; Wastewater-Based Epidemiological Monitoring; SARS-CoV-2; Molecular Probes; Variants of concern 1 Remote and rural environments 1 SARS-CoV-2; Wastewater-based Epidemiology; Composite Sample; Grab Sample; Concentration; Frequency; Filtration; Non-settleable Solids 1 SARS-Cov-2 1 Saccharomyces cerevisiae 1 Sample collection 1 Storage Stability 1 Sub-sewershed wastewater monitoring; actionable response strategies; COVID-19 1 Surveillance; COVID-19; wastewater sequencing; TRACE 1 Systematic Review 1 Viral Concentration 1 Wastewater Based Epidemiology 1 Wastewater Sampling Strategy 1 Wastewater surveillance 1 Wastewater-based epidemiology 1 analysis pipeline 1 antimicrobial resistance 1 bacterial DNA standards 1 bovine coronavirus 1 capacity building 1 catchment 1 community engagement 1 coronavirus 1 culture 1 data correlation 1 data imputation 1 ddPCR 1 droplet digital PCR 1 environment 1 environmental monitoring 1 environmentally relevant concentration 1 epidemiological sub-typing 1 fecal indicators 1 flow cytometry 1 genome copy number 1 genomics analysis 1 in-vitro transcribed RNA 1 liquid-chromatography mass spectrometry 1 living biobank 1 magnetic bead extraction 1 matrix controls 1 method adaptation 1 method validation 1 microbial detection 1 monitoring 1 mutational analysis. 1 on-site sanitaiton 1 opportunistic pathogens 1 process controls 1 proteomics 1 public health 1 qPCR 1 qRT-PCR 1 quantification 1 quantitation standards 1 quantitative polymerase chain reaction 1 rapid detection 1 recovery efficiency 1 recycled water 1 reference material 1 reproducibilty 1 research ethics 1 sequencing 1 sewered sanitation systems 1 sewershed 1 single particle ICP-MS 1 standardization 1 standards 1 ultrafiltration 1 variants 1 viable 1 viral concentration 1 viral enrichment 1 virus proxy 1 viruses 1 visualization 1 wastewater based epidemiology 1 wastewater processing 1 wastewater-based-epidemiology (WBE) 1 water quality 1
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Poster: Using municipal data to develop geographically-precise sampling frame standards

Using municipal data to develop geographically-precise sampling frame standards

R. Yeager, R. H. Holm, K. Saurabh, D. Talley, A. Bhatnagar, T. Smith

Abstract
Wastewater monitoring for SARS-CoV-2 within communities can be utilized as a powerful to surveil and respond to the current COVID-19 pandemic, variants of concern, and future outbreaks with pandemic potential. However, there are currently no evidence-based and widely-accepted standards for urban sampling site identification and assessment. To inform development of such standards, we describe a protocol for developing a geographically-resolved wastewater sampling methodology in Jefferson County, Kentucky, and describe our preliminary results. We utilized this site selection protocol to identify 17 sample locations, based on municipal sewer data, representing distinct wastewater catchment areas. We collected samples (n = 285) at these locations from September 8 to October 30, 2020 from one to four times per week. We then compared SARS-CoV-2 testing results with contemporaneous and geographically-matched clinical testing-based COVID-19 rates. We found that SARS-CoV-2 RNA was consistently present in each catchment area with significant spatial and temporal variation. We also observed substantial differences between trends in wastewater-based detection and clinical-testing. These findings verify that our site selection protocol is an efficacious approach, which may be used to inform development of a standardized best-practice approach of geographically-resolved SARS-CoV-2 wastewater sample site selection in urban areas.
Presented by
Ray Yeager <rayeag01@louisville.edu>
Institution
University of Louisville, Department of Environmental Medicine
Other Affiliations
Christina Lee Brown Envirome Institute, University of Louisville, Department of Environmental and Occupational Health Sciences, School of Public Health and Information Sciences, University of Louisville, James Graham Brown Cancer Center, School of Medicine, University of Louisville, Department of Oncology, St. Jude Children’s Research Hospital, Louisville/Jefferson County Metropolitan Sewer District
Keywords
Wastewater, Geographic, GIS, sewershed, catchment
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Poster: EzCOVID19: A Cloud-based Bioinformatics Platform for Rapid Detection, Characterization and Epidemiological Sub-typing of SARS-CoV-2

EzCOVID19: A Cloud-based Bioinformatics Platform for Rapid Detection, Characterization and Epidemiological Sub-typing of SARS-CoV-2

Nur Hasan

Abstract
Background: The COVID-19 pandemic has caused enormous social and economic disruption worldwide. Tracing the evolutionary development and spread of SARS-CoV-2 across the globe requires continuous and exhaustive genomic sequencing. With the development of next generation sequencing (NGS) technology, genomic information is accessible to many researchers. However, the data generated by scientists, globally, comes in varying formats and from different sources. Additionally, despite the need for consensus genome assemblies, there is no single consensus protocol for sequencing SARS-CoV-2. Such information requires standardizing and compiling before it can be accurately analyzed. EzCOVID19, is a cloud-based bioinformatics platform that enables researchers the ability to rapidly detect, standardize, and characterize SARS-CoV-2 genomes from any NGS data suspected of containing SARS-CoV-2.

Method: EzCOVID19 generates consensus genome assembles, locates genetic variations from the SARS-CoV-2 Wuhan-Hu-1 reference (NC_045512.2), utilizes a novel SNV-based classification system for accurate identification, and produces parsimony trees based on public GISAID genomes.

Results: This user-friendly tool provides a platform for scientists to submit samples for rapid detection of SARS-CoV-2, download assembled genomes and profile tables, identify genetic variations, and compare with related genomes in public databases. EzCOVID19 also provides in-depth analyses and visualizations of the data with parsimony and maximum likelihood trees based on novel SNV sites. Its cloud-based system and online support provide immediate results from regularly updated public databases, including monitoring of variants of concern. To analyze your samples, access EzCOVID19 here https://www.ezbiocloud.net/tools/sc2.

Conclusion: Many scientists and public health workers from various research backgrounds have been required to adapt viral genomics into their research as a means of understanding SARS-CoV-2 without prior knowledge of virology or genomics. EzCOVID19 is a cloud-based, user-friendly, robust platform to assist scientists from different disciplines to research SARS-CoV-2. Regardless of method or sequencing instrument used, EzCOVID19 is able to integrate raw metagenomics or isolate sequence data for standardized bioinformatic analyses. Processed data are presented with detailed visuals and relevant information related to concurrently circulated publicly available SARS-CoV-2 genomes.
Presented by
Nur Hasan
Institution
EzBiome
Other Affiliations
University of Maryland College Park
Keywords
COVID19 Surveillance, Bioinformatics, rapid detection, epidemiological sub-typing, mutational analysis.
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Poster: Systematic review of correlations for time-lagged COVID-19 cases and viral load in wastewater

Systematic review of correlations for time-lagged COVID-19 cases and viral load in wastewater

Michael Austin

Abstract
Early detection of cases by the diagnostic testing of symptomatic persons and regular screening, isolation of presumed and confirmed cases and contact tracing are the key to controlling an infectious disease outbreak. However, the standard public health approach to an outbreak requires augmented ancillary surveillance mechanisms to successfully control COVID-19. Amid the pandemic, numerous studies have reported a positive correlation between COVID-19 epidemic indicators and the normalized viral load of SARS-CoV-2 in wastewater. Additionally, studies report that the viral load in wastewater is a leading indicator of confirmed cases within a population by days to weeks. Yet, significant methodological questions remain to robustly trend community cases with the viral signal in wastewater utilizing the technique known as wastewater-based epidemiology (WBE). The aim of this study is to systematically review the literature on WBE for studies trending normalized viral load of SARS-CoV-2 with disease indicators and to compare the effects observed at baseline with those that include a time-lag. We also aim to pool results for studies reporting common effect sizes and outcomes to delineate study-level heterogeneity by conducting either a multi-level meta-analysis or analysis of subgroups utilizing a random effects model. Following a literature search of three databases on 05 May 2021, a single reviewer identified a total of 25 preprint and peer-reviewed articles that reported either correlation coefficients or regression coefficients and standard errors between the longitudinal trend between viral titers in wastewater and epidemic metrics for the time-course of COVID-19.
Presented by
Michael Austin <maustin9138@sdsu.edu>
Institution
San Diego State University
Keywords
Systematic Review
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Poster: PiGx SARS-CoV-2 wastewater: A pipeline for reproducible wastewater sequencing analysis providing comprehensible geo-tagged time series reports

PiGx SARS-CoV-2 wastewater: A pipeline for reproducible wastewater sequencing analysis providing comprehensible geo-tagged time series reports

Vic-Fabienne Schumann, Ricardo Wurmus, Miriam Faxel, Jan Dohmen, Rafael Cuadrat, Bora Uyar, Vedran Franke, Alexander Blume, and Altuna Akalin

Abstract
We present PiGx SARS-CoV-2, which is a pipeline for analysing data from sequenced wastewater samples and identifying given variants-of-concern of SARS-CoV-2. The pipeline automates the full workflow from input data, over read processing, variant calling, deconvolution, and data visualisation. It is built with and available through using GNU Guix and therefore bit-by-bit reproducible.
Presented by
Vic-Fabienne Schumann <Vic-Fabienne.Schumann@mdc-berlin.de>
Institution
Max Delbrück Center for Molecular Medicine in the Helmholtz Association; Medical Systems Biology (BIMSB), Bioinformatics Platform
Keywords
analysis pipeline, reproducibilty, variants, monitoring, visualization
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Poster: Wastewater SARS Public Health Environmental Response (W-SPHERE) Global Data Center

Wastewater SARS Public Health Environmental Response (W-SPHERE) Global Data Center

Krystin Kadonsky (1), Colleen C. Naughton (1), Clara Medina (1), Gertjan Medema (2), Panagis Katsivelis (3), Vajra Allan (4), Joan B. Rose (5)

Abstract
Over a year since the declaration of the global coronavirus disease 2019 (COVID-19) pandemic there have been over 173 million cases and 3.7 million deaths. Using methods to track community spread of other viruses such as poliovirus, environmental virologists and those in the wastewater based epidemiology (WBE) field quickly adapted their existing methods to detect SARS-CoV-2 RNA in wastewater. Unlike COVID-19 case and mortality data, there was not a global dashboard to track wastewater monitoring of SARS-CoV-2 RNA worldwide. We first created COVIDPoops19, a global dashboard for wastewater monitoring of SARS-CoV-2, that has grown into a global data center. Methods for the COVIDPoops19 ArcGIS online dashboard included google form submission of direct sampling of wastewater for SARS-CoV-2 in several countries and stakeholder engagement, literature review, social media and news key-word searches, and attendance at online wastewater surveillance webinars worldwide. After a year of data tracking, wastewater surveillance for SARS-CoV-2 is conducted in over 55 countries, 2,276 sites, and 263 universities/institutions. A small subset (86) of those monitoring for SARS-CoV-2 in wastewater provide their data publicly and less than 20 provide downloadable data. Of the 55 that are conducting wastewater monitoring: 36 (65%) are in high-income countries, 11 (20%) are upper middle income, 8 (15%) are lower middle income, and 0% are low income countries. COVIDPoops19 is informing a global data center W-SPHERE global data center (Wastewater SARS Public Health Environmental REsponse) using open data from individual country/city wastewater dashboards and soliciting data submissions and agreements from the research community. The mission of W-SPHERE is to advance environmental surveillance of sewage to inform local and global efforts for monitoring and supporting public health measures to combat COVID-19. Wastewater surveillance has been a powerful tool to build resilience to the COVID-19 pandemic. However, there is a lack of data standards, limited use in low-income countries, limited data sharing publicly and challenges in analysis of the data to communicate to public health officials for decision making. We will provide a global data center and standards to build resilience beyond COVID-19 in the face of climate change and increased pathogens in the environment.

Key words: Dashboard, COVID-19, Geographic Information System (GIS), Wastewater Based Epidemiology (WBE)

Standards and control materials used: Various standards and control methods used since data from many sources are aggregated for the data center.
Presented by
Krystin Kadonsky <kkadonsky@ucmerced.edu>
Institution
University of California Merced (1)
Other Affiliations
KWR Water Research Institute (2), Venthic Technologies (3), PATH (4), Michigan State University (5)
Keywords
Dashboard, COVID-19, Geographic Information System (GIS), Wastewater Based Epidemiology (WBE)
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Poster: Targeted communications using wastewater monitoring at the sub-sewershed scale in Davis, CA

Targeted communications using wastewater monitoring at the sub-sewershed scale in Davis, CA

Heather N. Bischel, Hannah R. Safford, Rogelio Zuniga-Montanez, Minji Kim, Lezlie Rueda, C. Winston Bess, Michelle Dunigan, Randi Pechacek, Karen Shapiro, Tod Stoltz

Abstract
Healthy Davis Together (HDT), a joint project between UC Davis and the City of Davis, collects wastewater samples from nodes within the city’s sewer system and monitors the City of Davis and the UC Davis Wastewater Treatment Plants. Samples are collected three times per week at 24 sewer nodes in the city and seven days per week from wastewater influent at the City of Davis and UC Davis WWTPs. Sample processing takes about 24 hours, and SARS-CoV-2 concentrations are normalized to pepper mild mottle virus (PMMoV) for presentation and analysis.

HDT formed a Wastewater Action Committee (WAC) to coordinate communications of all wastewater results between HDT scientists and City leadership on a weekly basis and to develop and implement responses to wastewater results. A press release invited community members to opt into the pre-existing Yolo Alert messaging system to receive notifications when elevations are detected.

Virus levels in wastewater that exceed pre-defined action thresholds are reviewed by the WAC with three primary response strategies, together intended to encourage participation in HDT’s widely available, free asymptomatic COVID-19 testing program. First, HDT posts results on its website, broken down by sampling region to keep the public informed each week. The slope of a two-week moving average is evaluated to denote on the HDT website if levels in each sampling region are increasing, staying about the same, or decreasing. Second, the highest absolute normalized values of detection are used by HDT and the WAC to identify priority regions within the city and to cross-check participation in asymptomatic individual testing programs within different regions. Third and finally, geo-targeted text, email, and social media messages can be sent to a sub-sewershed region following a sustained elevation of normalized virus concentrations above the limit of detection. Sub-sewershed samples represent smaller populations (hundreds to low thousands of people) and are expected to frequently yield nondetects; an increase in levels above the detection limit represents a significant and easily identifiable change. The city used its opt-in text message alert system as well as Nextdoor to notify residents within the associated sub-sewershed region based on sewer system data collected in March 2021.
Presented by
Heather N. Bischel
Institution
University of California, Davis
Keywords
Sub-sewershed wastewater monitoring; actionable response strategies; COVID-19
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Poster: WBE Data Sharing, Ethics, and Community Outreach

WBE Data Sharing, Ethics, and Community Outreach

Lauren Anderson1,2, Alexis Ecarma1,2, and Ted Smith1,2

Abstract
Abstract: Issues of privacy or stigmatization pose potential concerns for research, data collection, and analysis of wastewater. However, through the assurance of anonymous results, the protection of identifiable information, and diversity of selected sampling sites, the Co-Immunity Project has incorporated ethical approaches to their work which safeguard the safety and well-being of individual privacy in effective ways. By developing strategies for transparency around scientific findings and research outcomes, as well as plans for crafting community agreements that incorporate the input of our community members, ethical research methods have become a major component of the Co-Immunity wastewater study. As further knowledge and insights regarding the ethics of wastewater testing continue to emerge and evolve, we are committed to adjusting our own principles and adopting new guidelines into our studies with the intent of promoting equity and inclusivity in the realms of medicine and public health.
Presented by
Lauren Anderson
Institution
1Center for Healthy Air Water and Soil; 2 Christina Lee Brown Envirome Institute, University of Louisville
Keywords
wastewater based epidemiology, COVID-19, SARS-Cov-2, environmental monitoring, research ethics, community engagement
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Poster: Using high-resolution sampling in Davis, CA to understand how to best analyze and act on WBE data

Using high-resolution sampling in Davis, CA to understand how to best analyze and act on WBE data

H. Safford, R. Zuniga-Montanez, M. Kim, L. Rueda, R. Pechacek, R. Guerrero, M. Clauzel, X. Liu, L. Wei, M. Daza, M. Nuno, J. Sharpnack, K. Shapiro, H. Bischel

Abstract
Wastewater-based epidemiology (WBE) is a useful complement to clinical testing for pandemic response. The public-health benefits of WBE depend on the scale at which WBE is carried out. Samples from building or neighborhood outflows can support direct and targeted interventions. Samples isolating different sub-regions of a community sewershed can help officials decide how to allocate resources (e.g., testing and public messaging) within the community. Samples from wastewater treatment plant (WWTP) influent provide information that can reinforce confidence in clinical trends or suggest when clinical testing may be missing key population segments. WBE data can also be incorporated into education and outreach campaigns.

The Healthy Davis Together (HDT) program in Davis, CA applies WBE at all three of the above scales. Since Fall 2020, HDT has been collecting and analyzing levels of SARS-CoV-2 in wastewater collected from the following sites: • Building/neighborhood outflow [collected 1–3x/week]: o 22 UC Davis residential buildings or complexes o 6 Davis neighborhoods o 1 apartment complex o 1 elementary school • Sewershed sub-regions [3x/week]: o 15 sub-regions of the Davis sewershed • WWTP influent [7x/week]: o City of Davis WWTP o UC Davis WWTP

We are leveraging the high temporal and spatial resolution of HDT wastewater analysis to understand how to best analyze and act on WBE data. We are pleased to present and discuss early insights related to the following key topics and questions: • Treatment of non-detects. Relatively low concentrations of SARS-CoV-2 in environmental matrices like wastewater mean that qPCR technical replicates of the same sample frequently yield a mix of positive (“detect”) and negative (“non-detect”) results. Researchers commonly substitute a single constant value (e.g., zero or half the detection limit) for non-detects during data analysis. We are (i) illustrating how this crude approach biases results, and (ii) exploring multiple-imputation methods for more sophisticated handling of non-detects. • Sub-regional comparison of wastewater and clinical data. Many groups have demonstrated strong correlation between trends in wastewater SARS-CoV-2 concentrations and clinically confirmed COVID-19 cases at the city or college level. We are exploring whether similar relationships exist at the sub-regional level.
Presented by
Hannah Safford
Institution
UC Davis
Keywords
Wastewater-based epidemiology, public health, SARS-CoV-2, COVID-19, data imputation, data correlation
Chat with PresenterAvailable June 15 3–4 PM EST Join the Discussion
Poster: An organism-centric approach to performance metrics for metagenomic NGS-based diagnostics

An organism-centric approach to performance metrics for metagenomic NGS-based diagnostics

Jason G. Kralj, Stephanie L. Servetas, Samuel P. Forry, Scott A. Jackson

Abstract
Metagenomic Next-Generation Sequencing (mNGS) analyses applied to wastewater has potential for population-level characterization and tracking. Sequencing is generally agnostic to the DNA/RNA source, allowing the same data to be analyzed for >10k organisms (virus, bacteria, etc.) using different computational tools. The benefits are clear—outbreaks like SARS-CoV-2 could be retrospectively tracked, and health officials could respond quickly to rising levels of potential pathogens such as Listeria. However, mNGS-based diagnostics are also prone to false positives and negatives, and those can degrade confidence in the technology and public health administration in general. We have proposed evaluating mNGS performance on a per organism basis. This organism-centric approach has particularly strong potential for wastewater because it allows end users to know the technical limitations and indicate how to address them, especially when distinguishing species or strains; the organism load is low; and the results of an analysis can be actionable. Further, the technology can provide indications of novel pathogens in need of a closer look, and this organism-centric approach can be scaled out to incorporate new taxa as needs evolve.
Presented by
Jason Kralj
Institution
NIST
Keywords
metagenomics, sequencing, pathogen detection
Chat with PresenterAvailable 6/15 3-5p EST Join the Discussion
Poster: Early Warnings of COVID-19 Second Wave in Detroit MI

Early Warnings of COVID-19 Second Wave in Detroit MI

Brijen Miyani, Liang Zhao, Maddie Spooner, Zachary Gentry, Irene Xagoraraki

Abstract
This study focuses on using wastewater-based-epidemiology to provide early warnings of the second COVID-19 wave in Detroit metropolitan area in MI, USA. SARS-CoV-2 RNA from untreated wastewater samples was compared to reported public health records. Untreated wastewater samples were collected from the Great Lakes Water Authority (GLWA) Water Resource Recovery Facility (WRRF), located in southeast Michigan, between Sept 6, 2020 and Dec 14, 2020. The WRRF receives wastewater from its service area via three main interceptors: Detroit River Interceptor (DRI), North Interceptor-East Arm (NIEA), and Oakwood-Northwest-Wayne County Interceptor (ONWI). A total of 144 untreated wastewater samples were collected (45, 48, and 51 for ONWI, NIEA and DRI respectively) at the point of intake into the WRRF. Virus-selective sampling was conducted, and viruses were isolated from wastewater using electropositive NanoCeram column filters. For each sample, an average of 33 L of wastewater was passed through NanoCeram electropositive cartridge filters at an average rate of 11 L/m. Viruses were eluted and concentrated and SARS-CoV-2 RNA concentrations were quantified with RT-qPCR. SARS-CoV-2 RNA was detected in 98% of samples and measured concentrations were in the range of 4.45E+04 to 5.30E+06 genomic copies/L. Early warnings of COVID-19 peaks were observed approximately four weeks prior to reported publicly available clinical data. This was confirmed by statistical analysis as well.
Presented by
Brijen Babulal Miyani
Institution
Michigan State University
Other Affiliations
Civil and Environmental Engineering, College of Engineering
Keywords
SARS-CoV-2, coronavirus, COVID-19, wastewater, wastewater-based-epidemiology (WBE), Detroit
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Poster: Wastewater Surveillance’s Role as Part of a Whole-of-University Response in Campus Protection

Wastewater Surveillance’s Role as Part of a Whole-of-University Response in Campus Protection

Jeffrey W. Bethel(1), Benjamin Dalziel(2,3), Roy Haggerty(4), Kathryn A. Higley(5), Katherine R. McLaughlin(6), F. Javier Nieto(7), Justin L. Sanders(8), Brett M. Tyler(9,10), and Tyler S. Radniecki(11).

Abstract
During the last year, campuses of higher education have struggled with how to protect their communities in the face of the SARS CoV-2 pandemic. Initial strategies included massive routine testing of students, faculty, and staff to no testing at all(1). At Oregon State University, selective COVID-19 testing of students, faculty and staff coupled with wastewater sampling and analysis, including RNA sequencing, across multiple campuses was used to inform the university’s COVID-19 Continuity Management Team(2). Health authorities in the relevant counties were also kept advised of the progression of the disease within the campus community, and the presence of variants of concern. While the testing strategy, of necessity, evolved over the course of the pandemic, wastewater remained a consistent, and initially under-appreciated tool for providing insight on locations and pockets of the disease within the college community. Results from routine wastewater sampling across multiple campuses were used by university decision makers in directing increased testing, and subsequently quarantining of on campus residents. The data were also used in crafting website and email messaging for off campus students. The net result was that information from wastewater surveillance informed health staff, underpinned rapid response testing of students, faculty, and staff, and help mitigate the spread of COVID-19 to the larger community.

(1) https://www.forbes.com/sites/jemimamcevoy/2020/09/11/19-of-the-25-worst-us-coronavirus-outbreaks-are-in-college-towns/?sh=13d0f4491df7 (2) https://trace.oregonstate.edu/
Presented by
Kathryn Higley
Institution
Oregon State University
Other Affiliations
(1)School of Biological and Population Health Sciences; (2)Department of Integrative Biology; (3)Department of Mathematics; (4)College of Science; (5)School of Nuclear Science and Engineering; (6)Department of Statistics; (7)College of Public Health and Human Sciences; (8)Carlson College of Veterinary Medicine; (9)Center for Genome Research and Biocomputing; (10)Department of Botany and Plant Pathology; (11)School of Chemical, Biological, and Environmental Engineering, Oregon State University, Corvallis, OR.
Keywords
Surveillance; COVID-19; wastewater sequencing; TRACE
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Poster: First detection of SARS-CoV-2 RNA in wastewater in North America: A study in Louisiana, USA

First detection of SARS-CoV-2 RNA in wastewater in North America: A study in Louisiana, USA

Dr. Samendra sherchan

Abstract
We investigated the presence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA in wastewater samples in southern Louisiana, USA. Untreated and treated wastewater samples were collected on five occasions over a four-month period from January to April 2020. The wastewater samples were concentrated via ultrafiltration (Method A), and an adsorption–elution method using electronegative membranes (Method B). SARS-CoV-2 RNA was detected in 2 out of 15 wastewater samples using two reverse transcription-quantitative polymerase chain reaction (RT-qPCR) assays (CDC N1 and N2). None of the secondary treated and final effluent samples tested positive for SARS-CoV-2 RNA. To our knowledge, this is the first study reporting the detection of SARS-CoV-2 RNA in wastewater in North America, including the USA.
Presented by
Samendra Sherchan
Institution
Tulane University
Keywords
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Poster: First detection of SARS-CoV-2 proteins in wastewater samples by mass spectrometry

First detection of SARS-CoV-2 proteins in wastewater samples by mass spectrometry

Lara-Jacobo Linda R, Islam Golam, Gedge Ashley, Desaulniers Jean-Paul, Kirkwood Andrea E and Simmons Denina BD

Abstract
On March 12, 2020, the World Health Organization (WHO) declared COVID-19 as a global pandemic. COVID-19 is produced by a novel β-coronavirus known as Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Several studies have detected SARS-CoV-2 RNA in urine, feces, and other biofluids from both symptomatic and asymptomatic people with COVID-19, suggesting that SARS-CoV-2 RNA could be detected in human wastewater. Thus, wastewater-based epidemiology (WBE) is now used as an approach to monitor COVID-19 prevalence in many different places around the world. Reverse transcription-quantitative polymerase chain reaction (RT-qPCR) is the most common SARS-CoV-2 detection method in WBE, but there are other methods for viral biomolecule detection that could work as well. The aim of this study was to evaluate the presence of SARS-CoV-2 proteins in untreated wastewater (WW) influents collected from two wastewater treatment plants (WWTPs), from Durham Region, Ontario, Canada, using a LC-MS/MS-based proteomics approach. Twenty-four-hour composite influent samples from each of the two wastewater treatment plants (WWTP) were obtained over the course of 15 weeks – for a total of 171 samples across all sampling times and locations. A cross-correlation was performed first with all the 160 pairs of data (x: Protein pp1ab 7-day midpoint mean viral signal, y: 7-day midpoint mean in reported new cases of COVID-19 by onset date) and with lags between -15 to 15 as the maximum (cross-correlation in time series). The lag with the highest value of r was selected and was used to perform a Pearson correlation analysis (one-tailed with a confident interval of 95%). For the WWTP1 the lag was 6 and the r of 0.4527 and for the WWTP2 the lag was 5 and the r of 0.4945. We identified many SARS-CoV-2 proteins in these wastewater samples, with peptides from pp1ab (protein related to the COVID-19 infection) being the most consistently detected and with consistent abundance.
Presented by
Linda Lara-Jacobo <Linda.Jacobo@ontariotechu.ca>
Institution
The University of Ontario Institute of Technology
Keywords
SARS-CoV-2, COVID-19, liquid-chromatography mass spectrometry, wastewater, proteomics
Chat with PresenterAvailable June 15th 3-4pm EST Join the Discussion
Poster: Parameters influencing the methods of detection for SARS-CoV-2 wastewater surveillance using RT-PCR

Parameters influencing the methods of detection for SARS-CoV-2 wastewater surveillance using RT-PCR

*Golam Islam, Ashley Gedge, Linda Lara-Jacobo, Denina Simmons, Jean-Paul Desaulniers, Andrea Kirkwood

Abstract
The COVID-19 pandemic presented many challenges to public health units attempting to track infected individuals by performing individual clinical testing of large populations. Due to the lack of trained personnel and shortage of testing materials, many undiagnosed but infected individuals caused substantial viral spread within communities1. Thus, it is crucial that alternative surveillance methods are explored, to allow for real-time allocation of resources, personnel, and restrictive measures to reduce further spread. Wastewater based epidemiology (WBE) has emerged as an approach to track and monitor the presence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in communities. Considering the novelty of the methods used, this study investigated three parameters to determine which methods allow for a representative viral signal when (1) samples are stored in varying conditions, (2) samples are concentrated using PEG under different incubation times, and (3) whether or not pasteurization decreases the viral signal. Six wastewater treatment plants (WWTPs) provided 500mL samples three times a week from different municipalities in the Durham Region, Ontario, Canada. Storage stability was investigated by storing 30mL of raw influent at 4◦C, -20◦C, -80◦C for 7, and 14 days and analyzed using a Three-Way ANOVA (p<0.005). Samples were pasteurized for 60 mins at 60◦C and analyzed using a t-test with a 95% confidence interval. Lastly, viral particles in the samples were concentrated using polyethylene glycol (PEG) with incubation times of either 0 or 12 hours and analyzed using a t-test (p<0.005). Key findings highlighted the notion that (1) distinct target genes and WWTPs differ in the qRT-PCR signal received under varying storage conditions, (2) viral concentration using PEG does not increase with incubation time, and (3) pasteurization degrades SARS-CoV-2 viral signals in wastewater. Combined, this study presents recommendations for developing reliable, accurate, sensitive and reproducible estimation of the evolution of SARS-CoV-2 WBE. Standards and control materials used: Sars-CoV-2 Standard (EDX), pMMoV gBlock (IDT) Email for Corresponding author: a*Islam.Golam@ontariotechu.ca
Presented by
Ashley Gedge
Institution
University of Ontario Institute of Technology
Keywords
COVID-19, SARS-CoV-2, Wastewater Based Epidemiology, RT-qPCR, Storage Stability, Viral Concentration, Pasteurization
Chat with PresenterAvailable June 15, 2021 3:00-4:00pm Join the Discussion
Poster: Targeted NGS for Sensitive Detection of SARS-CoV-2 Genomes

Targeted NGS for Sensitive Detection of SARS-CoV-2 Genomes

Jordan RoseFigura, Evan Hughes, Karl Spork, Laurie Kurihara

Abstract
Discovery and detection of pathogenic genomes is of increasing importance. Next Generation Sequencing (NGS) is a sensitive and thorough way to surveil a wide variety of samples. Sequencing also provides insight into the strains that are circulating in a population, including novel strains. Targeted sequencing enriches for sequences of interest from the sample background, increasing sensitivity and saving on sequencing costs.1 Swift Biosciences (now part of IDT) has developed the Swift Normalase™ Amplicon Panels (SNAP) workflow to enable fast and efficient preparation of targeted libraries for NGS sequencing. The SNAP workflow takes approximately 2.5 hours from cDNA to library and consists of two PCR steps. This one tube workflow is compatible with a wide variety of sample types and capable of sequencing large target regions using overlapping amplicons to achieve continuous coverage. The SNAP SARS-CoV-2 Additional Genome panel covers 99.7% of the SARS-CoV-2 genome using 345 amplicons. The SNAP technology performs well with low levels of target DNA/cDNA and with damaged samples. This panel has been used to determine the lineage of SARS-CoV-2 in wastewater samples.2 Herein, we demonstrate the efficiency of the SARS-CoV-2 assay at low viral titers and show that this kit is capable of discovery of novel mutations while maintaining high genomic coverage. This technology is not limited to SARS-CoV-2, but also able to target any sequence of interest.

1 Spurbeck et al. Science of the Total Environment. 789 (2021) 147829 3 Fontenele el al. https://doi.org/10.1101/2021.01.22.21250320
Presented by
Jordan RoseFigura
Institution
Swift Biosciences
Other Affiliations
IDT
Keywords
Chat with PresenterAvailable June 15, 3-4pm EST Join the Discussion
Poster: A Step-By-Step Approach to Evaluating SARS-CoV-2 Methods: Adaptability for Future Use with Other Microorganisms

A Step-By-Step Approach to Evaluating SARS-CoV-2 Methods: Adaptability for Future Use with Other Microorganisms

Brienna L Anderson-Coughlin and Kalmia E. Kniel

Abstract
There is a breadth of research regarding enteric viruses in agricultural waters and using viruses such as pepper mild mottle virus (PMMoV) as fecal contamination indicators. Traditionally used in food safety research, PMMoV is now being employed for wastewater surveillance efforts during the COVID-19 pandemic. The purpose of this study was to determine how existing wastewater surveillance methods for SARS-CoV-2 could be adapted for other microorganisms, using PMMoV as a model. Wastewater was collected across New Castle County, Delaware, incubated, filtered, and concentrated. Viral concentrates were extracted, and detection performed via RT-qPCR for PMMoV and the N1 and N2 SARS-CoV-2 targets. Variability in recovery along with impacts of incubation (none or 60°C for 60 min) and refrigerated storage (0-hour or 24-hour) were evaluated. Delta cycle threshold (dCT), the number of cycles before completion (CT=40) at which the target amplified across the threshold (e.g., CT38=dCT2). PMMoV was detected in all (n=48) replicates for incubated and non-incubated samples with 0- and 24-hour holds. SARS-CoV-2 N1 and N2 were detected in 95.8% (n=46) of incubated samples in each treatment of 0 and 24 hour holds, in 79.2% (n=19) of non-incubated with 0-hour hold, and 50% (n=12) of non-incubated with 24-hour hold. PMMoV detection in samples (n=6) was significantly (p<0.05) greater than N1 and N2. PMMoV increased by 3.16 ± 1.18 dCT in processed (9.25 ± 1.15 dCT) samples compared to unprocessed (6.09 ± 0.98 dCT). N1 and N2 increased by 0.77 ± 1.38 and 0.63 ± 1.32 dCT in processed (0.95 ± 1.37 and 1.04 ± 1.29 dCT) compared to unprocessed (0.18 ± 0.61 and 0.41 ± 0.90 dCT), respectively. The detection and recovery efficacy of the method explored here confirmed the potential for its adaptation for use with additional organisms. These data provide evidence that with appropriate modifications, the methods and infrastructure created during the COVID-19 pandemic and currently used for SARS-CoV-2 surveillance, can be successfully utilized for viral, bacterial, and parasitic organisms of interest.
Presented by
Brienna Anderson-Coughlin
Institution
University of Delaware, Department of Animal and Food Sciences
Other Affiliations
University of Delaware, Center for Environmental and Wastewater-based Epidemiological Research (CEWER)
Keywords
Wastewater surveillance, method adaptation, viruses
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Poster: Importance of Validation for Wastewater Surveillance

Importance of Validation for Wastewater Surveillance

Brian Swalla

Abstract
Wastewater surveillance has delivered actionable public health data over the course of the COVID-19 pandemic. Because of the urgent nature of the pandemic, the extent of validation for currently used methods varies widely. Many methods were deployed before significant data was gathered on performance, and may not have been widely tested with a diversity of wastewater samples.  As wastewater surveillance moves into the mainstream, it is critical that methods be thoroughly validated using real-world wastewater samples, that the validation captures as much natural variation as possible (such as ensuring the validation is performed with samples from many different geographies), and that validation data be made available to laboratories interested in using the method. Such data are critical to evaluate method performance capabilities and limitations, facilitate successful adoption in new laboratories, and ensure consistent and reliable results can be achieved over time.
Presented by
Brain Swalla <brian-swalla@idexx.com>
Institution
IDEXX Laboratories, Inc., Water Division
Keywords
method validation, process controls, matrix controls, reference materials, quantification, wastewater, RT-qPCR
Chat with PresenterAvailable Tuesday 6/15, 3:00pm-4:00pm EST Join the Discussion
Poster: SARS-CoV-2 Wastewater Surveillance in a remote municipality in the Aleutian Islands of Alaska

SARS-CoV-2 Wastewater Surveillance in a remote municipality in the Aleutian Islands of Alaska

Karie Holtermann

Abstract
The City of Unalaska is a municipality located in the Aleutian Island chain approximately 800 miles southwest of Anchorage, Alaska. The City owns and operates a chemically enhanced primary treatment sewage facility which screens and disinfects an average of 0.483 million gallons of domestic wastewater per day. Dutch Harbor is the largest commercial fishing port in the Pacific and is number one in the US for volume of fish. There are approximately 4,768 full time residents on the island and during peak seasons of the year, an additional 5-6,000 people are added to this population. The community's health care services are provided by a local clinic operated by Iliuliuk Family & Health Services, Inc. (IFHS). The clinic obtained two types of "rapid" COVID-19 testing devices at the beginning of the Covid 19 Pandemic, the Abbott IDNow system and the Cepheid GeneXpert IV-2 Molecular system and to date have performed 8,890 local clinical tests. Wastewater-based epidemiology (WBE) began being explored as a new tool to track the spread of COVID-19 from the onset of the pandemic (Medema et al. 2020). Many studies report viral detection in sewage across the world. Detection of SARS-CoV-2 RNA in wastewater has been shown to be a valuable tool in early detection and informing public health decisions (Wu et al. 2020). Weekly samples were collected at the Unalaska WWTP Influent and two lift stations from July 2000 until the present. Two methods were used to quantify SARS-CoV-2 in raw sewage. We developed a sensitive, consistent and reliable method to allow for pooled surveillance of wastewater which now serves as an early warning system.

Betancourt WQ, Schmitz BW, Innes GK, et al. COVID-19 containment on a college campus via wastewater-based epidemiology, targeted clinical testing and an intervention. The Science of the Total Environment. 2021 Jul;779:146408. DOI: 10.1016/j.scitotenv.2021.146408.

Medema G, Heijnen L, Elsinga G, Italiaander R, Brouwer A. Presence of SARS-Coronavirus-2 RNA in Sewage and Correlation with Reported COVID-19 Prevalence in the Early Stage of the Epidemic in The Netherlands. Environ Sci Technol Lett. 2020;acs.estlett.0c00357. Published 2020 May 20. doi:10.1021/acs.estlett.0c00357

Fuqing Wu, Amy Xiao, Jianbo Zhang, Katya Moniz, Noriko Endo, Federica Armas, Richard Bonneau, Megan A Brown, Mary Bushman, Peter R Chai, Claire Duvallet, Timothy B Erickson, Katelyn Foppe, Newsha Ghaeli, Xiaoqiong Gu, William P Hanage, Katherine H Huang, Wei Lin Lee, Mariana Matus, Kyle A McElroy, Jonathan Nagler, Steven F Rhode, Mauricio Santillana, Joshua A Tucker, Stefan Wuertz, Shijie Zhao, Janelle Thompson, and Eric J Alm. 2020. “SARS-CoV-2 titers in wastewater foreshadow dynamics and clinical presentation of new COVID-19 cases.” medRxiv.
Presented by
Karie Holtermann <kholtermann@ci.unalaska.ak.us>
Institution
City of Unalaska Water and Wastewater Laboratory
Keywords
COVID-19 SARS-CoV-2 Wastewater Surveillance, qPCR, Congregate living settings, Remote and rural environments
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Poster: Assessment of qPCR- targets and protocols for quantifying anthropogenic impacts of antibiotic resistance to the water environment

Assessment of qPCR- targets and protocols for quantifying anthropogenic impacts of antibiotic resistance to the water environment

Ishi Keenum, Jeanette Calarco, Benjamin C. Davis, Krista Liguori, Erin Milligan, Valerie J. Harwood, Amy Pruden

Abstract
There is growing recognition of the need for standardizing monitoring of antibiotic resistance in the aquatic environment. Quantitative polymerase chain reaction (qPCR) is attractive as a quantitative and sensitive means of enumerating antibiotic resistance genes (ARGs) that has been applied broadly over the past two decades to various water matrices. qPCR circumvents challenges and biases associated with culture-based methods, providing a reproducible, quantitative, and highly sensitive measure of specific ARGs carried across a bacterial community. qPCR-based measurements can serve to address key goals for monitoring antibiotic resistance in water environments (Berendonk et al., 2015; Huijbers et al., 2019). Measuring the incidence of specific ARGs can help to predict the potential for the accelerated evolution of antibiotic resistance in pathogens through pollution with selective agents (e.g., antibiotics, heavy metals, personal care products) and bacteria of human or animal origin (Karkman et al., 2018; Kohanski et al., 2010). Additionally, qPCR can be used to estimate the risk of ARB infection in humans by directly measuring the carriage of specific ARGs with clinical implications in a given microbial community.

However, there are thousands of known ARGs that could be targeted, each varying in their relevance to human health and their overall contribution to dissemination of antibiotic resistance. Further, there are various methodological aspects, such as sample concentration, extraction, and PCR inhibition that need to be evaluated to ensure that measurements are representative and comparable across studies. Here we conducted a critical review to identify ARGs and assays that are most commonly measured by qPCR in wastewater, recycled water, and surface water, specifically: sul1, intI1, vanA, blaCTX-M, and tetA. We identified 117 peer-reviewed studies meeting the search criteria and systematically assessed the corresponding workflows reported, including sample collection and concentration, DNA extraction, amplification conditions, amplicon length, and level of validation. Resulting concentrations reported for various water matrices were compared across the studies. Based on this evaluation, recommend assays, a standardized workflow, and reporting guidelines for the five genes of interest. Implications for emerging qPCR approaches, such as droplet digital qPCR and high-throughput qPCR, are also discussed and a path forward for standardization is proposed.
Presented by
Ishi M. Keenum
Institution
Virginia Tech, University of South Florida
Keywords
antibiotic resistance, quantitative polymerase chain reaction, standardization, wastewater, surface water, environment
Chat with PresenterAvailable June 15 3-4PM Join the Discussion
Poster: Comparison of Sampling Frequency and Concentration Methodology for the Detection and Quantification of SARS-CoV-2 in Wastewater

Comparison of Sampling Frequency and Concentration Methodology for the Detection and Quantification of SARS-CoV-2 in Wastewater

Andrea D. George, Devrim Kaya, Blythe A. Layton, Kestrel Bailey, Christine Kelly, Kenneth J. Williamson, Tyler S. Radniecki

Abstract
Wastewater-based epidemiology (WBE) has been implemented across the world to track the COVID-19 disease burden of a community through the quantification of SARS-CoV-2 (the virus responsible for COVID-19) in wastewater samples. Due to the rapid implementation of WBE programs in combination with supply chain issues and varying budget constraints, many different protocols for sampling and analysis have been developed. However, the effects of these various techniques on the interpretation of the reported detection and quantification of SARS-CoV-2 is limited. To that end, studies were conducted to evaluate a variety of sampling and viral concentration techniques. Two of the most common sampling techniques utilized for WBE, grab and composite sampling, were evaluated by comparing the SARS-CoV-2 concentrations in 24 hourly grab samples with their associated 24-h composite sample at four sewershed scales (city, neighborhood, city block and individual building). Additionally, the effects of sampling frequency on reported SARS-CoV-2 composite concentrations were evaluated at a low-flow building site with sampling frequency varying from 5 min to 1 h. The results indicated that composite sampling should be utilized at every sewershed scale. However, at the city scale (e.g. wastewater treatment plant influent), grab samples may be acceptable if only attempting to determine the presence or absence of SARS-CoV-2. At the scale of city block and individual buildings, high-frequency composite sampling (e.g. 15 min sampling) is required to capture the temporal variation in viral signal. Another critical step to optimize is the concentration of SARS-CoV-2 from wastewater. Six common WBE concentration methods were compared by quantifying the SARS-CoV-2 concentration from the same wastewater treatment plant influent sample. The best relative recovery was found in the methods that utilized electronegative membrane filtration. To supplement this knowledge, the different solid and liquid fractions of an influent were separated into the individual components (i.e., liquid, settleable solids and non-settleable solids) to evaluate where SARS-CoV-2 RNA was partitioned in the wastewater. Of the SARS-CoV-2 captured by the electronegative membrane, roughly 90% was found in the non-settleable solid fraction. Thus, future optimization of concentration methods should focus on retaining the SARS-CoV-2 RNA from the non-settleable solids fraction of wastewater.
Presented by
Tyler Radniecki
Institution
Oregon State University
Other Affiliations
Clean Water Services; TRACE (Team-based Rapid Assessment of Community-level coronavirus Epidemics; trace.oregonstate.edu)
Keywords
SARS-CoV-2; Wastewater-based Epidemiology; Composite Sample; Grab Sample; Concentration; Frequency; Filtration; Non-settleable Solids
Chat with PresenterAvailable June 15, 2021 3-4pm EST Join the Discussion
Poster: Nucleic Acid Extraction with Microbubbles from Wastewater Produces Simple and High-Yield Workflows

Nucleic Acid Extraction with Microbubbles from Wastewater Produces Simple and High-Yield Workflows

M Maloney1, C Livi1, J Roussey1, N Petlakh-Co1, V Kelchner1, B Macintyre1, E Grimley1, A Pierri2, C Wegner1

Abstract
The COVID-19 pandemic has highlighted the need for simple but sensitive technologies and simple workflows to enable environmental monitoring for communicable disease agents. Nearly everything about human behavior leaves a signal in urine, stool, or blood – this makes sewage an efficient pooled-sample source to monitor infectious agents in a community. Novel approaches to surveillance will enable sensitive, specific and timely response to infections.   Akadeum’s microbubbles are overcoming barriers to rare target capture from complex matrices such as wastewater utilizing an innovative approach: field-deployable, buoyant, functionalized microbubbles. In this presentation we demonstrate the utility and benefits of floatation-based capture reagents and associated workflows. Here proprietary microbubbles are specifically functionalized to capture nucleic acids. Unlike the inherent limitations of magnetic bead-based separation, microbubbles do not have the same volume and equipment restrictions. Using microbubbles for nucleic acid extraction employs a positive selection protocol in which the microbubbles bind to the desired target – in this case, total RNA including SARS-CoV-2 if present – isolating and enriching the analyte for downstream genomic analysis.   First demonstrated in saliva samples, the microbubbles interrogated large fluidic volumes, which enables a pooled sample approach desirable in community surveillance of viral infection. In fact, microbubble extraction delivered 25x higher sensitivity in detecting SARS-CoV-2 RNA based on qPCR detection compared to a magnetic isolation kit. Translating this workflow to wastewater samples, the microbubble nucleic acid extraction can directly interrogate large fluidic volumes of unfiltered sewage samples to increase RNA capture for downstream processing. A sensitivity of at least 100 copies per mL was observed with a protocol that avoids preprocessing steps such as the removal of nucleic acid-rich solids
Presented by
Michael Maloney
Institution
1. Akadeum Life Sciences, Inc. Ann Arbor, Michigan 2. Weck Laboratories, Inc. City of Industry, California
Keywords
RNA extraction, genomics analysis
Chat with PresenterAvailable 6/15, 3-4 PM EST Join the Discussion
Poster: Sources Of Variability In Methods For Processing, Storing, And Concentrating SARS-CoV-2 In Influent From Urban Wastewater Treatment Plants

Sources Of Variability In Methods For Processing, Storing, And Concentrating SARS-CoV-2 In Influent From Urban Wastewater Treatment Plants

Joshua A. Steele, Amy G. Zimmer-Faust, John F. Griffith, Steven B. Weisberg

Abstract
During the COVID-19 pandemic, wastewater surveillance of SARS-CoV-2 RNA has emerged as a way to track the virus in a broad population without the drawbacks of testing individuals. Understandably the emphasis has been on rapidly increasing the rate and extent of measuring SARS-CoV-2 RNA in wastewater to gain insight into outbreaks in communities globally. This has resulted in many different methods being used for sample collection, storage, virus capture, and quantification with few studies investigating the variability caused by these methodological differences and the impact of this variability on comparisons of wastewater surveillance data. In this study, controlled experiments were performed to test methods used to store wastewater samples, to inactivate virus in wastewater, to capture and concentrate virus in wastewater, and to extract and measure the viral RNA. We found the highest variability was caused by heat inactivation of the viruses (a 1-3 log decrease) and freezing of influent prior to concentration (1-4 log decrease), with impacts dependent on sample processing method. Concentration vs direct extraction and PCR platform were also minor sources of variability. In contrast, the nucleocapsid gene target had nearly no effects. We found viral capture by membrane adsorption to be robust to changes in SARS-CoV-2 concentration and freeze-thaw variability. Pepper mild-mottle virus was much less sensitive to these methodological differences than was SARS-CoV-2, which challenges its use as a population-level control among studies using different methods. We applied the membrane adsorption method to monitor wastewater from a large wastewater treatment plant in Los Angeles County, California from April 2020-April 2021 and found a high correlation (r=0.78) to SARS-CoV-2 case counts. Wastewater based surveillance holds promise to efficiently measure the prevalence of SARS-CoV-2 in a larger, pooled population sample and has potential to serve as an early warning of future outbreaks. However, the diversity of methods, high variability reported among methods, and a lack of standardization make it difficult for municipalities and public health agencies to be able to interpret the SARS-CoV-2 concentrations from wastewater. Better characterizing the variability associated with methodological choices, in particular the limits of sensitivity of the methods, will aid decision makers in following the effects of vaccination campaigns, early detection of future outbreaks, and, potentially, monitoring the appearance of SARS-CoV-2 variants in the population.
Presented by
Joshua Steele
Institution
Southern California Coastal Water Research Project
Keywords
droplet digital PCR, HA electronegative virus capture, magnetic bead extraction, bovine coronavirus
Chat with PresenterAvailable June 15th; 3-4pm EDT Join the Discussion
Poster: Rapid Capture of SARS-CoV-2 Using Nanotrap® Magnetic Virus Particles

Rapid Capture of SARS-CoV-2 Using Nanotrap® Magnetic Virus Particles

Alex Barclay,1 Smruthi Karthikeyan,2 Robbie Barbero,1 Patrick Andersen,1 Daniel Goldfarb,1 Kevin Kolb,1 Joshna Seelam,1 Tara Jones-Roe,1 Rob Knight,2 Ben Lepene1

Abstract
SARS-CoV-2 is the causative agent of COVID-19, a disease that has caused a worldwide pandemic and claimed over 3 million lives. SARS-CoV-2 is shed in feces, enabling wastewater-based surveillance of the disease, which can allow for monitoring of infection rates in communities as well as to help identify SARS-CoV-2 variants of concern that may occur in an area. Methods currently employed to isolate SARS-CoV-2 from wastewater are long, arduous, and are not suitable for high throughput testing. Here, we offer an alternative method for viral isolation, use of Ceres Nanosciences’ Nanotrap® Magnetic Virus Particles, which capture and concentrate whole virus from wastewater. This new method gives comparable results to PEG/ultracentrifugation and HA filtration across a range of viral titers despite using 80% less initial volume than either while also reducing processing time by several hours. Here we demonstrate that this method is compatible with multiple viral RNA extraction kits and that it can readily be automated, allowing for high-throughput testing. Overall, the Nanotrap® Magnetic Virus Particles offer a shorter, more user-friendly workflow than competing virus isolation methods while maintaining comparable sensitivity.
Presented by
Alex Barclay
Institution
1. Ceres Nanosciences, Inc.
Other Affiliations
2. University of California San Diego
Keywords
viral enrichment, viral concentration, wastewater processing
Chat with PresenterAvailable June 15, 3-4PM Join the Discussion
Poster: Review of culture methods for monitoring antibiotic resistant Acinetobacter, Aeromonas, and Pseudomonas in wastewater, recycled and receiving water

Review of culture methods for monitoring antibiotic resistant Acinetobacter, Aeromonas, and Pseudomonas in wastewater, recycled and receiving water

Erin Milligan, Jeanette Calarco, Ben Davis, Ishi Keenum, Krista Liguori, Amy Pruden, Valerie J. Harwood

Abstract
The continued and growing health threat posed by antibiotic-resistant bacterial pathogens has led to increased interest in antibiotic resistance outside of hospital settings, e.g., in wastewater and wastewater-influenced aquatic environments. Environmental dimensions to the antibiotic resistance problem are increasingly being recognized and there has correspondingly been an increase in calls for comparable means to assess antibiotic resistance in environmental samples (Larsson et al., 2018; Smalla et al., 2018; JPIAMR, 2019). Recently, substantial progress has been made in the standardization of methodologies for monitoring antibiotic resistant fecal indicator bacteria in the environment, e.g., extended-spectrum beta lactamase (ESBL)-producing Escherichia coli (World Health Organization, 2021) and ESBL-producing Enterobacteriaceae (Marano et al., 2020). However, non-fecal bacteria with environmental niches, especially those that are adept at persisting and growing in aquatic environments, may be a more meaningful target for assessing potential for evolution and dissemination of antibiotic resistance in environmental matrices. For example, the presence of such bacteria in wastewater treatment plants and their versatile ability to survive and grow in receiving environments presents an opportunity to interact with bacteria in multiple niches, where they could potentially acquire and transfer antibiotic resistance genes along the way. Further, such organisms have greater potential than fecal bacteria to regrow in recycled water distribution systems. Human opportunistic pathogens that proliferate in aquatic environments are particularly key targets to consider for monitoring purposes, especially those that have developed a reputation for multi-drug resistance in clinical infections. Studying these organisms in culture provides the advantage of being able to confirm their viability while also being able to further characterize multi-drug resistance, both phenotypically and genotypically. We conducted a systematic literature review and extracted data from studies that quantified antibiotic-resistant Acinetobacter, Aeromonas, and Pseudomonas by culture methods. The search criteria yielded 50 peer-reviewed articles across 25 countries over the past 20 years. Based on a systematic comparison of the isolation, confirmation, and antibiotic resistance assaying methods reported in these articles, we suggest a path forward for standardizing methodologies for monitoring antibiotic resistant strains of these bacteria in the water environment.
Presented by
Erin Milligan
Institution
Virginia Tech, Via Department of Civil and Environmental Engineering
Other Affiliations
Center for Emerging, Zoonotic, and Arthropod-Borne Pathogens
Keywords
antibiotic resistance, wastewater, recycled water, surface water, culture, opportunistic pathogens
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Poster: Single Particle ICP-MS: A Powerful Tool for Characterization of Nanomaterials in Wastewater Surveillance

Single Particle ICP-MS: A Powerful Tool for Characterization of Nanomaterials in Wastewater Surveillance

Monique E. Johnson, Karen E. Murphy, Antonio R. Montoro Bustos, Michael Winchester

Abstract
Nanomaterials, defined as having at least one dimension falling in the range from 1 nm to 100 nm, have been identified as contaminants of emerging concern by the Environmental Protection Agency [1]. Similar to traditional chemical contaminants, some synthetic nanomaterials have been shown to be toxic to microbes, plants, and animals. The ever-increasing incorporation of nanomaterials into consumer products results in many routes of environmental exposure, including wastewater.

Analytical methods, critical for the detection and characterization of nanomaterials in wastewater, can address current gaps in knowledge. In particular, single particle inductively coupled plasma mass spectrometry (spICP-MS) is an emerging technique that enables measurements of size distributions and number concentrations of nanoparticles suspended in liquids. Special characteristics of spICP-MS that make it attractive for wastewater surveillance include extremely good nanoparticle detection capability down to truly environmentally relevant levels and extremely rapid analysis. The use of spICP-MS for wastewater surveillance has been outlined in recent reviews [2,3] and demonstrated in publications describing the detection and sizing of TiO2 nanoparticles in municipal sewage treatment plants [4] and the size characterization of silver nanoparticles in wastewater [5,6]. However, the technique presents challenges and limitations that researchers have highlighted and are striving to overcome, particularly with respect to the lack of reference materials and standardization of spICP-MS methodologies. Provision of suitable reference materials and standard methods would enable widespread effective and efficient application of spICP-MS for wastewater surveillance to ensure that human health is not affected detrimentally by nanomaterials.

The goal of our presentation is to highlight a few examples of the work that has been done within the NIST Inorganic Chemical Metrology Group (646.01) toward the advancement of spICP-MS as a mature technique. This work has provided a foundation for developing the standards and reference materials that are necessary to enable routine wastewater surveillance for nanoparticles. In the past five years, our group has engaged in several activities to build a robust nanomaterial spICP-MS measurement infrastructure, including: • validation of spICP-MS for routine characterization of gold nanoparticles of different sizes, coatings, and surface charge at environmentally relevant concentrations in water; • analysis of silver and titanium dioxide nanoparticles in water; • characterization of silicon dioxide food additive materials in aqueous media; • the characterization of the uptake of gold nanoparticles in Caenorhabditis elegans; and • the potential application of spICP-MS for the characterization of nanoplastics suspended in water.
Presented by
Monique Johnson <monique.johnson@nist.gov>
Institution
NIST/DOC
Keywords
Nanomaterials, single particle ICP-MS, environmentally relevant concentration, reference materials, standards
Chat with PresenterAvailable June 15, 2021 from 3 pm to 4 pm (ET) Join the Discussion
Poster: Minimizing uncertainties of COVID-19 prevalence by establishing standards for wastewater surveillance

Minimizing uncertainties of COVID-19 prevalence by establishing standards for wastewater surveillance

Guangming Jiang, Xuan Li, Shuxin Zhang, Jiahua Shi, Stephen P. Luby

Abstract
Wastewater-based epidemiology (WBE) is a promising approach for monitoring population-wide COVID-19 prevalence through detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA in wastewater. However, various methodological challenges associated with WBE would affect the accuracy of prevalence estimation. Our previous study investigated the overall uncertainty of WBE and the impact of each step on the prevalence estimation. The uncertainties associated with the different steps in the WBE approach (i.e., virus shedding; in-sewer transportation; sampling and storage; analysis of SARS-CoV-2 RNA concentration in wastewater; back calculation) were quantified through systematically review. The uncertainties of virus shedding and in-sewer transportation are largely uncontrollable, but fortunately not the major contributor to the overall uncertainty in estimated COVID-19 prevalence. The uncertainty for the shedding of SARS-CoV-2 RNA becomes limited when there are more than 10 infected persons in the catchment area. Also, the relative stability of SARS-CoV-2 in wastewater and moderate hydraulic residence time in the sewer system (normally within 12 hr) indicates a mild uncertainty due to in-sewer transportation. Based on the analysis of different uncertainties, the overall WBE uncertainty is mainly due to sampling and storage; analysis of SARS-CoV-2 RNA concentration in wastewater; back calculation. It is critical to minimize uncertainties of estimated COVID-19 prevalence through establishing and adopting standards for wastewater surveillance. The uncertainty can be reduced mostly by using a high-frequency flow-proportional or time-proportional sampling and estimating the prevalence through actual water usage data. And under such a scenario, the overall uncertainty can be further reduced by improving SARS-CoV-2 RNA detection in wastewater. It is critical to determine the virus recovery efficiency for the various concentration methods being used in different labs. A best-practice RT-qPCR protocol, including choice of primer-probe sets, should be encouraged.
Presented by
Guangming Jiang
Institution
University of Wollongong (Australia)
Other Affiliations
Stanford University
Keywords
COVID-19; SARS-CoV-2; Wastewater-based epidemiology; Uncertainty; Prevalence estimation; Standards
Chat with PresenterAvailable Tuesday, June 15th 3-4pm EDT Join the Discussion
Poster: The Development of a Sensitive and Reliable qRT-PCR-Based SARS-CoV-2 Wastewater Analysis Protocol

The Development of a Sensitive and Reliable qRT-PCR-Based SARS-CoV-2 Wastewater Analysis Protocol

Agustin Pierri and Douglas Sieglaff

Abstract
Wastewater testing can offer valuable insight on community-level occurrence of infectious disease-causing microorganisms, including enveloped ssRNA+ viruses such as SARS-CoV-2. Quantitative reverse transcriptase PCR (qRT-PCR) is well suited for wastewater microbial surveillance due to its sensitivity, specificity, scalability, rapid implementation and cost-effectiveness. Weck Laboratories developed a qRT-PCR-based SARS-CoV-2 wastewater testing procedure that includes sample concentration by ultrafiltration, and nucleic-acid extraction and analysis using Agilent Technologies reagents with the AriaDx Real-Time PCR System. The CDC EUA N1 and N2 primer probes were used to analyze wastewater samples. Each qRT-PCR run batch included wastewater samples analyzed in duplicate, a 5-log dilution standard line, a matrix spike-in process control, a negative template control, no template control, and PCR-inhibition assessment of each wastewater sample tested. The validated procedure reliably interpreted SARS-CoV-2 viral RNA levels within a variety of raw wastewater samples, along with delivering high sensitivity (as low as 8,000 viral genome copies per liter of wastewater). The procedure developed and employed by Weck laboratories is an easily implemented, robust methodology for community-level SARS-CoV-2 surveillance.
Presented by
Douglas Sieglaff
Institution
Weck Laboratories
Other Affiliations
Agilent Technologies
Keywords
ultrafiltration, qRT-PCR
Chat with PresenterAvailable June 15th 3:00-4:00 EDT Join the Discussion
Poster: SARS-CoV-2 improved primers and probes and RT-qPCR detection assay for variants of concern B.1.1.7, B.1.351, P.1 and B.1.617

SARS-CoV-2 improved primers and probes and RT-qPCR detection assay for variants of concern B.1.1.7, B.1.351, P.1 and B.1.617

Karin Yaniv, Eden Ozer, Marilou Shagan, Satish Lakkakula, Noam Plotkin, Nikhil Suresh Bhandarkar and Ariel Kushmaro

Abstract
Less than a year following the SARS-CoV-2 outbreak, variants of concern have emerged in the form of British variant (B.1.1.7), South Africa variant (B.1.351), Brazilian variant (P.1) and Indian variant (B.1.617). Due to their high infectivity and morbidity, it became clear that it is crucial to quickly and effectively detect these and other variants. Here, we report improved primers-probe set for RT-qPCR for SARS-CoV-2 detection including a rapid, cost-effective, and direct RT-qPCR method for detection of the four variants of concern (B.1.1.7, B.1.351, P.1 and B.1.617). All the developed primers-probe sets were fully characterized, demonstrating sensitive and specific detection. These primer-probe sets were also successfully employed on wastewater samples aimed at detecting new variants in a geographical area, even prior to the reports by the medical testing. The novel primers-probe sets presented here will promote proper responses for pandemic containment particularly considering the emergence of variants of concern.
Presented by
Karin Yaniv
Institution
Ben Gurion University of the Negev
Keywords
Real-Time Polymerase Chain Reaction; Wastewater-Based Epidemiological Monitoring; SARS-CoV-2; Molecular Probes; Variants of concern
Chat with PresenterAvailable Tuesday, June 15th 3-4pm EDT Join the Discussion
Poster: A Direct Nucleic Acid Capture Method for Purification and Detection of SARS-CoV-2 Genetic Material from Wastewater

A Direct Nucleic Acid Capture Method for Purification and Detection of SARS-CoV-2 Genetic Material from Wastewater

Nathan Feirer and Subhanjan Mondal

Abstract
Early in the COVID-19 pandemic, scientific studies demonstrated that the genetic material of SARS-CoV-2, an enveloped RNA virus, could be detected in wastewater. This finding mobilized investigation of whether wastewater-based epidemiology (WBE) monitoring the genetic signal of SARS-CoV-2 could be used to track the appearance and spread of COVID-19 in communities. The SARS-CoV-2 genetic signal is present at low concentrations in wastewater, making sample concentration a prerequisite for sensitive detection and utility in WBE. We hypothesized that a direct capture method that renders total nucleic acid conducive to binding to affinity resin may be able to overcome cumbersome, non-standardized, and variable viral concentration steps. This led to development of a simple, rapid, and modular alternative to existing purification methods from wastewater. In this approach, chaotropic agents are added to raw sewage allowing nucleic acid binding to a silica matrix. The captured nucleic acid is then washed to remove co-purifying PCR inhibitors, and then eluted with water. The eluted nucleic acid can then be further processed in a second step with either a spin column or using an automated nucleic acid purification system, like the Maxwell RSC®.

In parallel, we formulated RT-qPCR enzyme mixes that demonstrate resistance to PCR inhibitors commonly found in wastewater. RT-qPCR assays were developed to detect N1, N2 (nucleocapsid) and E (envelope) gene fragments of SARS-CoV-2 as part of multiplexed assays. Pepper Mild Mottle Virus (PMMoV), a fecal indicator RNA virus present in wastewater, and an exogenous inhibition control were included in all PCR reactions for quality control. The workflow has a limit of detection of 1.6 GC/ ml with 40 ml of raw wastewater sample. Using this workflow, we monitored wastewater samples from three WWTP in Dane County, Wisconsin, serving a combined population of over 300,000 people, for four months covering the peak of community prevalence. Our analysis was compared to the COVID-19 cases declared by the municipalities, demonstrating strong correlation between the SARS-CoV-2 viral load present in wastewater and clinical cases.
Presented by
Nathan Feirer <nathan.feirer@promega.com>
Institution
Promega Corporation
Keywords
SARS-CoV-2, Wastewater, RT-qPCR, COVID-19, Direct Capture
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Poster: Challenges with Standardizing the Measurement of SARS-CoV-2 Recovery Efficiency in Wastewater

Challenges with Standardizing the Measurement of SARS-CoV-2 Recovery Efficiency in Wastewater

Kara L. Nelson, Rose S. Kantor, Hannah D. Greenwald, Lauren C. Kennedy

Abstract
A wide range of methods are currently used to quantify SARS-CoV-2 in wastewater and sludge, involving different concentration and extraction methods and variations on PCR. Quantifying the recovery efficiency of SARS-CoV-2 by different methods would be useful for comparing results, and would ideally offer the ability to correct for different recovery efficiencies. The most common approach to quantify recovery efficiency is to use a proxy virus that is spiked into the sample prior to processing, and is intended to model the behavior of SARS-CoV-2. Proxy viruses that have been used to date include bovine coronavirus, bovine respiratory syncytial virus, murine hepatitis virus, and human coronavirus OC43. However, there are a number of factors that affect the recovery efficiency and may manifest differently depending on sample characteristics, concentration method, and the method used to quantify the initial stock solution. These factors can lead to comparison of “apples and oranges”. For example, if the proxy virus and SARS-CoV-2 have different association with solids, the proxy virus will not adequately quantify the differences between methods that capture signal from wastewater solids and those that do. Similarly, if the proxy virus is added as intact virus, and SARS-CoV-2 RNA is present in intact viruses and as free RNA (Wurtzer et al. 2021), the proxy virus will not adequately quantify differences between methods that capture signal from intact viruses and free RNA, and the biases will vary from sample to sample. An early study compared 36 methods used in different laboratories and reported recovery efficiencies varying over seven orders of magnitude (Pecson et al. 2020). A strength of this study is that samples were prepared by a single laboratory and spiked with a proxy virus (betacoronavirus OC43), such that the recovery efficiency could be calculated relative to the same initial concentration and spike-in method. However, in current practice, every laboratory is preparing their own proxy virus and quantifying it differently so that recovery efficiencies cannot be directly compared across methods and labs.
Presented by
Kara L. Nelson
Institution
Civil and Environmental Engineering, University of California, Berkeley
Keywords
recovery efficiency, virus proxy
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Poster: Equity in standardized collection of pooled community stool for pathogen detection: Moving from pit latrines to sewered systems globally

Equity in standardized collection of pooled community stool for pathogen detection: Moving from pit latrines to sewered systems globally

Rochelle H. Holm, and Ted Smith

Abstract
Sustainable Development Goal (SDG) 3 covers health and 6 covers sanitation, and the COVID-19 pandemic has brought the research community interest in health monitoring using pooled community stool to the forefront. While 41% of the world’s population uses a sewered connection, an equal 41% uses a non-sewered sanitation system such as septic tanks, pit latrines and other improved on-site systems (UNICEF and WHO, 2019). Both sewered and non-sewered systems can track pathogens (Capone et al., 2021; Yeager et al., 2021). Sample collection standards for both sewered and non-sewered systems use similar equipment and human capacity; though existing pit latrine sampling utilizing fecal sludge management approaches for pathogen detection are more similar than wastewater sampling approaches for environmental compliance for SARS-CoV-2. The pandemic has brought more equitable sharing of sample collection methods globally through avenues such as the National Science Foundation Research Coordination Network webinar series, a wastewater focused Slack channel, and journals waiving publication fees for COVID-19 research. The pandemic has also brought attention to value new professionals entering the sanitation field, where researchers from the global south with experience looking at pathogen detection in pit latrines have unique experience to share with researchers pivoting other research interests (including graduate students, post-docs and early career professionals) in the global north. A specific example is Mzuzu University (Malawi, Africa), which since 2015 has offered a Masters and PhD in Sanitation, developing human capacity with practical experience for the standards needed for sampling complex sanitation system processes; unique practical experience that is often not offered in a global north academic program. Post-pandemic, instead of a ‘brain drain’ of sanitation professionals leaving the global south there could be greater incentives to continue health monitoring using pooled community stool more widely through their institutions. The equity in pooled community stool for pathogen detection has uniquely brought about collaboration and cooperation during the pandemic for standardized sample collection that can only help global sanitation capacity building with practical skills across the global south and north to meet the SDGs and support a better post-pandemic world.
Presented by
Rochelle Holm <rochelle.holm@louisville.edu>
Institution
1Centre of Excellence in Water and Sanitation, Mzuzu University, Mzuzu, Malawi; 2Christina Lee Brown Envirome Institute, University of Louisville, Louisville, Kentucky, United States of America
Keywords
Sample collection, sewered sanitation systems, on-site sanitaiton, capacity building
Chat with PresenterAvailable Thursday, June 17 from 1:00 to 2:00 ET Join the Discussion
Poster: Optimizing Sampling Strategies for Large Rural Regions

Optimizing Sampling Strategies for Large Rural Regions

Anuj Tiwari, Aaron Packman, Charles Williams, Wilnise Jasmin, Rachel Poretsky, Wayne Duffus, Sarah Patrick, James Wendt, Leslie Wise, Charlie Catlett

Abstract
Wastewater Based Epidemiology (WBE) typically focuses on wastewater treatment plants (WWTPs) and the corresponding community. However, many public health questions require insight across many communities such as at the county or state level. What is the optimal sampling strategy in regions such as rural counties with dozens of treatment plants and private septic systems, or in entire states with many such counties?

The State of Illinois is a primarily rural region comprising 58k square miles with a population of roughly 16M, over half of whom live within 50 miles of Chicago. Outside of the Chicago area, Illinois has roughly 140 cities with populations greater than 10k and nearly 1,000 with populations under 10k. To understand and track infectious disease such as COVID-19 across these communities, a comprehensive WBE sampling plan would involve over 1,000 WWTPs and countless private septic systems.

In Sep 2020, we introduced a machine learning based COVID-19 Vulnerability Index (C19VI) using CDC’s six themes: (a) socioeconomic status, (b) household composition & disability, (c) minority status & language, (d) housing type & transportation, (e) epidemiological factors, and (e) healthcare system factors . This model uses an ensemble learning approach with recursive partitioning to optimally compute non-linear relationships between input themes. We refined the model in early 2021 with additional demographic and sequencing information to evaluate WBE sampling strategies across Illinois counties to support an expansion of WBE from currently several dozen to over 150 WWTPs. The vulnerability index supported the evaluation of various sampling strategies, such as selecting the largest population centers within each of the eleven COVID-19 “Restore Illinois” regions , and eventually the current strategy of sampling from the largest population center in each of Illinois’ 102 counties. In this poster we outline the models and methods used, including various sampling strategies explored, the current strategy, and experiments planned to evaluate the sampling strategy as we expand to 150 WWTPs in 2021.
Presented by
Anuj Tiwari
Institution
Discovery Partners Institute
Other Affiliations
University of Illinois
Keywords
COVID-19, Wastewater Based Epidemiology (WBE), Wastewater Sampling Strategy, COVID-19 Vulnerability Modeling, Machine Learning (ML)
Chat with PresenterAvailable Jun 15, 2021 03:00 PM Eastern Time (US and Canada) Join the Discussion Watch Presentation
Poster: CEDAR-MC: Clinical and Environmental Dynamics of Antibiotic Resistance within Microbial Communities

CEDAR-MC: Clinical and Environmental Dynamics of Antibiotic Resistance within Microbial Communities

George Hanna1,2, Bashir Hamidi1, Scott Curry1, Cheryl Carmack2, Alexander V. Alekseyenko1

Abstract
Introduction: Escape into the environment and the persistence of antibiotic resistance is an imminent threat to the healthcare advances attained in the 20th century. Microbial communities that co-exist with resistant bacteria may help uncover novel strategies for global antimicrobial control and curb emergence and maintenance of resistance. However, availability of clinically relevant specimens with complementary samples from the built and natural environment is a major obstacle to effective studies of the dynamics of resistance in the affected human populations and in their surroundings.

Methods: We bring together environmental and clinical measurements of the microbial communities with evidence for emerging resistance by linking existing local clinical and environmental surveillance programs. The clinical specimens are sourced from the Medical University of South Carolina (MUSC) infection surveillance culture program that routinely samples the MUSC patient population for clinically relevant pathogens. The environmental specimens are the result of partnership with a local non-profit, Charleston Waterkeeper, that performs water quality monitoring at popular recreational spots in the area.

Results: The surplus infection surveillance specimens are made available for research via a Living µBiome Bank system that enables nuanced electronic phenotyping of patient populations for just-in-time capture of clinical microbiology specimens. We show the feasibility of sequencing these clinical specimens for microbiota composition, which in combination with resistance status is invaluable in characterizing the broader structure of resistant microbial communities. The environmental specimens collected from May 2018 through October 2020 have been banked to be assessed for evidence of antibiotic resistance of their constituent microbiota.

Discussion: We continue to expand the resources and the biobanks associated with the clinical and environmental surveillance programs with an overarching goal to control infections by understanding the dynamics of emergence and maintenance of resistance. This project demonstrates the value of collaboration between academic healthcare and community-funded environmental monitoring programs.
Presented by
Alexander V. Alekseyenko
Institution
1Medical University of South Carolina
Other Affiliations
2Charleston Waterkeeper
Keywords
antibiotic resistance, living biobank, water quality
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Poster: Whole Cell Reference Materials to Assess Microbial Detection in Wastewater

Whole Cell Reference Materials to Assess Microbial Detection in Wastewater

Sandra Da Silva1, Joy P. Dunkers1, Kirsten H. Parratt1, Guilherme Pinheiro1,2, Samuel T. Hailemichael1,3, and Nancy J. Lin1

Abstract
Wastewater surveillance (WWS) holds great promise for monitoring public health concerns such as emerging pathogens (e.g., SARS-CoV-2), microbes (e.g., enteric bacterial pathogens), or antimicrobial resistance (AMR) genes. For example, a global effort is underway to monitor wastewater for AMR genes to assess the extent of AMR in communities. When detecting microbes or their genes in wastewater, it is challenging to compare protocols and assess overall process efficiency due to high variability in samples and workflows across the country. Highly characterized whole cell reference materials (RMs) can normalize analytical workflows, enable method comparison, and challenge the entire process from sample collection to data analysis, ultimately increasing confidence in results. NIST is developing two viable whole cell RMs as surrogates for microbial (bacterial or fungal) targets of interest to assess workflow parameters, such as sampling efficiency, DNA extraction efficiency, limit of detection, and bioinformatics pipelines. The first consists of Escherichia coli NIST0056 cells characterized for total and viable cell number and genome copies/cell using flow cytometry and optical microscopy. The second, NIST RM 8230–Saccharomyces cerevisiae NE095 (target date Jan 2022), is characterized for total cell number and colony forming units and engineered to contain a noncoding chromosomal DNA target. This target eliminates false positives from near neighbors and can serve as a surrogate for AMR genes in molecular detection methods. These existing RMs could be applied directly to WWS or our capabilities could be translated to develop RMs using other relevant microorganisms. One could envision a whole cell RM based on non-replicating bacteria or fungi to safely spike into any point of the WWS workflow at a known concentration. RMs such as this could serve as internal references to assess the overall process, including operators, technologies, and protocols, or as tools for training, method comparison, or risk management exercises. These current and potential future whole cell microbial RMs could support WWS capabilities and ultimately improve assurance in the results provided to public health decision makers.

1Hendriksen, R.S., Munk, P., Njage, P. et al. Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage. Nat Commun 10, 1124 (2019). https://doi.org/10.1038/s41467-019-08853-3
Presented by
Sandra Da Silva, Joy Dunkers, Kirsten Parratt
Institution
Biosystems and Biomaterials Division, National Institute of Standards and Technology
Other Affiliations
1Biosystems and Biomaterials Division, Material Measurement Laboratory, National Institute of Standards and Technology, Gaithersburg, MD; 2 Metrology Institute (INMETRO), Rio de Janeiro, Brazil; 3Montgomery College, Germantown, MD
Keywords
antimicrobial resistance, Escherichia coli, flow cytometry, genome copy number, microbial detection, reference material, Saccharomyces cerevisiae, viable
Chat with PresenterAvailable April 15, 3-4 pm Join the Discussion
Poster: NIST SRM 2917: A Plasmid DNA Standard for Molecular Recreational Water Quality Testing

NIST SRM 2917: A Plasmid DNA Standard for Molecular Recreational Water Quality Testing

Scott A. Jackson, Jason G. Kralj, Blaza Toman, Stephanie S. Servetas, Monique E. Hunter, Jessica R. Willis, and Orin C. Shanks

Abstract
Contamination of waterways with fecal material can lead to the spread of pathogens that can have serious impacts on human and environmental health. The U.S. Environmental Protection Agency (EPA) is responsible for protecting human and environmental health through the safeguard of recreational waters. Traditional monitoring practices involve time consuming cultivation procedures which can delay decision making. To accelerate this process molecular techniques, specifically quantitative polymerase chain reaction (qPCR) methods, for identifying host-associated genetic markers of fecal pollution and quantifying fecal indicator bacteria have been developed at EPA and by other researchers. National implementation of these methods requires rigorous proficiency testing by state and local public health agencies, as well as commercial entities that hope to adopt these methods. In a collaborative effort to support the adoption of these molecular methods, the EPA and NIST developed a plasmid DNA Standard Reference Material (SRM 2917) for the purpose of implementing select qPCR assays for recreational water quality monitoring applications. The material consists of six dilution levels of a linearized plasmid DNA containing 13 single-copy PCR targets selected by the EPA. The vector consists of a standard pUC plasmid with an ampicillin resistance gene, an origin of replication, and M13 universal priming sites flanking the target genetic marker construct. Dilution levels span approximately 5 to 500,000 plasmid copies per µL. Each tube of material contains approximately 200 µL of plasmid DNA in TE buffer (pH 8.0) with 10 ng/µL of RNA stabilizer  (yeast tRNA) in a 1.5 mL low retention centrifuge vial. The material is stored at 4°C and should not be frozen. Approximately 1,000 units were generated. The material was characterized by NIST using droplet digital PCR (ddPCR) to establish homogeneity and stability of the material as well as assign an absolute copy number to each dilution level.
Presented by
Scott Jackson
Institution
NIST, EPA
Keywords
fecal indicators, EPA methods, DNA referenced materials, ddPCR
Chat with PresenterAvailable June 15th 3-4pm Join the Discussion
Poster: A DNA-based reference material for pathogen detection via metagenomic next-generation sequencing (mNGS)

A DNA-based reference material for pathogen detection via metagenomic next-generation sequencing (mNGS)

Jason G. Kralj, Monique Hunter, Blaza Toman, Scott A. Jackson

Abstract
NIST has developed a 20-component bacterial DNA-based reference material (RM 8376) to assess the analytical performance of mNGS analyses. Because mNGS includes many steps, each of which contributes bias to the results, it is critical that those biases are identified for optimizing performance. This RM was designed to assess sequencing and informatics. The components include many wastewater-based pathogens (see Table), providing relevant controls for evaluating analytical performance. Further, because these materials are DNA, they may be employed in other diagnostics such as qPCR. The RM includes a wide range of known pathogens, including Gram positive/negative, high/low G+C content, genome size, and near neighbors. Each chromosome was assembled into a circular contig and is available for use. To quantify the chromosomal copy number concentration, droplet digital PCR assays were developed for each component. The homogeneity and stability of each component assessed over several months, with each genome at approximately 50 ng/uL, or 10^7 copy/uL.
Presented by
Jason Kralj
Institution
NIST
Keywords
bacterial DNA standards, metagenomics, pathogen detection
Chat with PresenterAvailable 6/15 3-5pm Join the Discussion
Poster: Antimicrobial Resistance (AMR) in Water Environments: Standardizing Monitoring

Antimicrobial Resistance (AMR) in Water Environments: Standardizing Monitoring

Krista Liguori, Ben Davis, Ishi Keenum, Erin Milligan, Jeanette Calarco, Valerie (Jody) Harwood, Amy Pruden

Abstract
Monitoring sewage for antibiotic resistant bacteria and antibiotic resistance genes has the potential to inform the status of antimicrobial resistance (AMR) in human populations, while evaluation of treated effluent and recycled water can provide insight into the efficacy of treatment processes for reducing risk of spread in receiving environments (Hendrikson et al., 2019) and monitoring of surface water can reveal concerns for exposure via ingestion or recreation (Nappier et al., 2020). However, standardized methods for monitoring AMR in wastewater, recycled water, and surface water are needed in order to ensure that the data collected are meaningful and comparable across studies and surveillance efforts. While there have been numerous calls for standardization of methods for environmental AMR monitoring (Berendonk et al., 2015; Pruden et al., 2018; Hujibers et al., 2019), a key step towards achieving this goal will be agreement upon the purpose of such monitoring and prioritization of specific monitoring targets for achieving this purpose. To this end, we conducted a survey of 105 experts spanning the fields of academia and research, state and federal government, consulting, and water/wastewater utilities to obtain their recommendations regarding potential AMR targets. Following the online survey, we conducted a 4-day workshop attended by experts to discuss the state of the science, assess existing levels of standardization and feasibility, and obtain a final ranking of priorities for AMR monitoring in the U.S. water industry and regulatory community. Specifically, culture-based, quantitative polymerase chain reaction (qPCR)-based, and metagenomic-based methods were evaluated. Of special consideration was the prioritization of variables that consider overall potential to achieve monitoring objectives and address key research questions, for a wide-variety of stakeholders. A decision-tree framework was developed to assess which methods and targets are most appropriate based on specific monitoring objectives. Without such an effort, AMR research and surveillance will continue in silos and there will be a loss of opportunity to compare spatial and temporal trends, which will be critical to assessing the local and global rates of evolution and spread of AMR, assuring comparability of data and assessing the efficacy of mitigation measures. This perspectives study takes an important step towards identifying suitable targets for AMR monitoring standardization within water and wastewater systems in the U.S. and beyond.
Presented by
Krista Liguori
Institution
Virginia Tech
Other Affiliations
University of South Florida
Keywords
Antibiotic Resistance; Wastewater Surveillance; Standardized Methods
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Poster: Development of RNA Standards for Quantification of SARS-CoV-2 and PMMoV by RT-qPCR for Wastewater Surveillance

Development of RNA Standards for Quantification of SARS-CoV-2 and PMMoV by RT-qPCR for Wastewater Surveillance

Subhanjan Mondal, Nathan Feirer, and Dongping Ma

Abstract
Over the course of the COVID-19 pandemic, wastewater surveillance has emerged as a promising tool to monitor spread of the virus in a community. Wastewater is a complex matrix, so analytical methods like RT-qPCR needs to be designed with appropriate controls to quantitate and normalize viral levels for trend analysis. In this work we describe methods for designing and manufacture of quantification standards for SARS-CoV-2 and Pepper Mild Mottle Virus (PMMoV) RNA. PMMoV is a plant virus with a ssRNA genome and is a well-documented human fecal indicator. PMMoV RNA also serves as a useful process control and normalization tool for wastewater surveillance. To generate quantitative standards, we first cloned the Envelope and Nucleocapsid (E/N) genes of SARS-CoV2 in pGEM3z vector. Likewise, a 362bp fragment of the PMMoV genome consisting the RT-qPCR target is also cloned in a pGEM3z vector. The two plasmids are then linearized by XbaI and in-vitro transcribed to generate RNA transcripts. Any remaining DNA in the reaction is eliminated by DNase treatment. RNA was then quantified with a fluorescent RNA dye (QuantiFluor RNA System) and by droplet digital PCR (ddPCR). The relationship of quantity of RNA (in pg) corresponding to copy number as determined by ddPCR is established. The RNA was then diluted at 4 million copies/ul corresponding to 20pg/ul and 7.5pg/ul for the SARS-CoV-2 (E/N) and PMMoV RNA respectively. Both the RNA was then tested with the primes/probe set prescribed by the US Centers for Disease Control (CDC) that target the nucleocapsid (N1 and N2) gene, or the envelope (E) gene of the SARS-CoV2 RNA and primers/probes for PMMoV for the PMMoV RNA. The quantitation standards were stored at -20°C and subjected to ten freeze-thaw cycles. No decrease in Ct values was observed implying that the quantification standards were stable. The standards were used to quantify SARS-CoV-2 and PMMoV RNA from three wastewater treatment plants in Dane county, WI. Normalization of SARS-CoV-2 RNA with PMMoV RNA resulted in better correlation with 7-moving average of new clinical cases a municipality served by a treatment plant.
Presented by
Subhanjan Mondal
Institution
Promega Corporation
Keywords
RT-qPCR, quantitation standards, in-vitro transcribed RNA
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