Title
Monitoring SARS-CoV-2 circulation and diversity through community wastewater sequencing, the netherlands and belgium
Date Issued
01 May 2021
Access level
open access
Resource Type
research article
Author(s)
Izquierdo-Lara R.
Elsinga G.
Heijnen L.
Oude Munnink B.B.
Schapendonk C.M.E.
Nieuwenhuijse D.
Kon M.
Lu L.
Aarestrup F.M.
Lycett S.
Medema G.
Koopmans M.P.G.
De Graaf M.
Erasmus MC
KWR Water Research Institute
KWR Water Research Institute
Erasmus MC
Erasmus MC
Erasmus MC
Erasmus MC
The University of Edinburgh
Technical University of Denmark
The University of Edinburgh
KWR Water Research Institute
Erasmus MC
Erasmus MC
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARSCoV- 2) has rapidly become a major global health problem, and public health surveillance is crucial to monitor and prevent virus spread. Wastewater-based epidemiology has been proposed as an addition to disease-based surveillance because virus is shed in the feces of ≈40% of infected persons. We used next-generation sequencing of sewage samples to evaluate the diversity of SARS-CoV-2 at the community level in the Netherlands and Belgium. Phylogenetic analysis revealed the presence of the most prevalent clades (19A, 20A, and 20B) and clustering of sewage samples with clinical samples from the same region. We distinguished multiple clades within a single sewage sample by using low-frequency variant analysis. In addition, several novel mutations in the SARS-CoV-2 genome were detected. Our results illustrate how wastewater can be used to investigate the diversity of SARS-CoV-2 viruses circulating in a community and identify new outbreaks.
Start page
1405
End page
1415
Volume
27
Issue
5
Scopus EID
2-s2.0-85105283848
PubMed ID
Source
Emerging Infectious Diseases
ISSN of the container
10806059
Sources of information:
Scopus
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