RT Journal Article T1 Making waves: Wastewater-based epidemiology for COVID-19 –approaches and challenges for surveillance and prediction A1 Polo Montero, David A1 Quintela-Baluja, Marcos A1 Corbishley, Alexander A1 Jones, Davey L. A1 Singer, Andrew C. A1 Graham, David W. A1 López Romalde, Jesús K1 Wastewater-based epidemiology K1 Environmental monitoring K1 Coronavirus K1 SARS-CoV-2 K1 COVID-19 K1 Sewage AB The presence of SARS-CoV-2 in the feces of infected patients and wastewater has drawn attention, not only to the possibility of fecal-oral transmission but also to the use of wastewater as an epidemiological tool. The COVID-19 pandemic has highlighted problems in evaluating the epidemiological scope of the disease using classical surveillance approaches, due to a lack of diagnostic capacity, and their application to only a small proportion of the population. As in previous pandemics, statistics, particularly the propor- tion of the population infected, are believed to be widely underestimated. Furthermore, analysis of only clinical samples cannot predict outbreaks in a timely manner or easily capture asymptomatic carriers. Threfore, community-scale surveillance, including wastewater-based epidemiology, can bridge the broader community and the clinic, becoming a valuable indirect epidemiological prediction tool for SARS-CoV-2 and other pandemic viruses. This article summarizes current knowledge and discusses the critical factors for implementing wastewater-based epidemiology of COVID-19. PB Elsevier SN 0043-1354 YR 2020 FD 2020-11-01 LK https://hdl.handle.net/10347/38882 UL https://hdl.handle.net/10347/38882 LA eng NO David Polo, Marcos Quintela-Baluja, Alexander Corbishley, Davey L. Jones, Andrew C. Singer, David W. Graham, Jesús L. Romalde, Making waves: Wastewater-based epidemiology for COVID-19 – approaches and challenges for surveillance and prediction, Water Research, Volume 186, 2020, 116404, ISSN 0043-1354, https://doi.org/10.1016/j.watres.2020.116404. NO Grant 2014-PG110 from the Xunta de Galicia DS Minerva RD 28 abr 2026