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A Review of Wastewater-Based Epidemiology for the SARS-CoV-2 Virus in Rural, Remote, and Resource-Constrained Settings Internationally: Insights for Implementation, Research, and Policy for First Nations in Canada

Author

Listed:
  • Jessica Annan

    (Department of Family Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, Canada)

  • Rita Henderson

    (Department of Family Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, Canada)

  • Mandi Gray

    (Department of Sociology, Trent University, Oshawa, NG11 8NS, Canada
    Current address: Department of Sociology, Trent University, 1600 West Bank Drive, Peterborough, ON K9L 0G2, Canada.)

  • Rhonda Gail Clark

    (Department of Biological Sciences, Geomicrobiology Group, University of Calgary, Calgary, AB T2N 1N5, Canada)

  • Chris Sarin

    (Indigenous Services Canada, First Nations and Inuit Health Branch, Alberta Region, Canada Place, Suite 730 9700, Jasper Avenue, Edmonton, AB T5J 4C3, Canada)

  • Kerry Black

    (Department of Civil Engineering, Schulich School of Engineering, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada)

Abstract

Wastewater-based epidemiology (WBE) is regarded as a support tool for detecting and assessing the prevalence of infectious diseases at a population level. For rural, remote, and resource-constrained communities with little access to other public health monitoring tools, WBE can be a low-cost approach to filling gaps in population health knowledge to inform public health risk assessment and decision-making. This rapid review explores and discusses unique considerations of WBE in key settings, with a focus on the detection of the SARS-CoV-2 virus, which has rapidly expanded WBE infrastructure globally. To frame our understanding of possibilities for WBE with First Nations in Alberta, we address the following questions: What are the unique considerations and challenges for WBE under similar contexts in rural, remote, or resource-constrained settings? What are the resources and expertise required to support WBE? This review identifies several unique considerations for WBE in rural, remote, and resource-constrained communities, including costs, accessibility, operator capacity, wastewater infrastructure, and data mobilization—highlighting the need for equity in WBE. In summary, most resource-constrained communities require additional support from external research and/or governmental bodies to undertake WBE.

Suggested Citation

  • Jessica Annan & Rita Henderson & Mandi Gray & Rhonda Gail Clark & Chris Sarin & Kerry Black, 2024. "A Review of Wastewater-Based Epidemiology for the SARS-CoV-2 Virus in Rural, Remote, and Resource-Constrained Settings Internationally: Insights for Implementation, Research, and Policy for First Nati," IJERPH, MDPI, vol. 21(11), pages 1-19, October.
  • Handle: RePEc:gam:jijerp:v:21:y:2024:i:11:p:1429-:d:1508353
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    References listed on IDEAS

    as
    1. Maria Catherine B. Otero & Lyre Anni E. Murao & Mary Antoinette G. Limen & Daniel Rev A. Caalim & Paul Lorenzo A. Gaite & Michael G. Bacus & Joan T. Acaso & Refeim M. Miguel & Kahlil Corazo & Ineke E., 2022. "Multifaceted Assessment of Wastewater-Based Epidemiology for SARS-CoV-2 in Selected Urban Communities in Davao City, Philippines: A Pilot Study," IJERPH, MDPI, vol. 19(14), pages 1-24, July.
    2. Solomon Ali & Esayas Kebede Gudina & Addisu Gize & Abde Aliy & Birhanemeskel Tegene Adankie & Wondwossen Tsegaye & Gadissa Bedada Hundie & Mahteme Bekele Muleta & Tesfaye Rufael Chibssa & Rediet Belai, 2022. "Community Wastewater-Based Surveillance Can Be a Cost-Effective Approach to Track COVID-19 Outbreak in Low-Resource Settings: Feasibility Assessment for Ethiopia Context," IJERPH, MDPI, vol. 19(14), pages 1-14, July.
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