Evidence map›Paper›PMID 34310965›Full record

ArticleEnvironmental research2021

Wastewater monitoring as a supplementary surveillance tool for capturing SARS-COV-2 community spread. A case study in two Greek municipalities.

Michalis Koureas, Grigoris D Amoutzias, Alexandros Vontas, Maria Kyritsi, Ourania Pinaka, Argyrios Papakonstantinou, Katerina Dadouli, Marina Hatzinikou, Anastasia Koutsolioutsou, Varvara A Mouchtouri and 3 more

Abstract readLetter
In one paragraph

Article in Environmental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Larvicidal Effects and Phytochemical Analysis of Myrrh,International journal of molecular sciences · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Structured Ethical Review for Wastewater-Based Testing.medRxiv : the preprint server for health sciences · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Year-long wastewater monitoring for SARS-CoV-2 signals in combined and separate sanitary sewers.Water environment research : a research publication of the Water Environment Federation · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Michalis KoureasLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 22 Papakyriazi str, Larissa, Greece.
Grigoris D AmoutziasBioinformatics Laboratory, Department of Biochemistry and Biotechnology, School of Health Sciences, University of Thessaly, Biopolis, Larissa, 41500, Greece.
Alexandros VontasLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 22 Papakyriazi str, Larissa, Greece.
Maria KyritsiLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 22 Papakyriazi str, Larissa, Greece.
Ourania PinakaLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 22 Papakyriazi str, Larissa, Greece.
Argyrios PapakonstantinouMunicipal Water Supply and Sewerage Company of Larissa (DEYAL), Thessaly, Greece.
Katerina DadouliLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 22 Papakyriazi str, Larissa, Greece.
Marina HatzinikouLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 22 Papakyriazi str, Larissa, Greece.
Anastasia KoutsolioutsouHellenic National Public Health Organisation, Chimarras 6, 15125, Marousi Attica, Greece.
Varvara A MouchtouriLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 22 Papakyriazi str, Larissa, Greece.
Matthaios SpeletasDepartment of Immunology and Histocompatibility, Faculty of Medicine, University of Thessaly, Larissa, Greece.
Sotirios TsiodrasHellenic National Public Health Organisation, Chimarras 6, 15125, Marousi Attica, Greece; Fourth Department of Internal Medicine, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, Athens, Greece.
Christos HadjichristodoulouLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 22 Papakyriazi str, Larissa, Greece. Electronic address: xhatzi@uth.gr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A pilot study was conducted from late October 2020 until mid-April 2021, aiming to examine the association between SARS-CoV-2 RNA concentrations in untreated wastewater and recorded COVID-19 cases in two Greek municipalities. A population of Random Forest and Linear Regression Machine Learning models was trained and evaluated incorporating the concentrations of SARS-CoV-2 RNA in 111 wastewater samples collected from the inlets of two Wastewater Treatment Plants, along with physicochemical parameters of the wastewater influent. The model's predictions were adequately associated with the 7-day cumulative cases with the correlation coefficients (after 5-fold cross validation) ranging from 0.754 to 0.960 while the mean relative errors ranged from 30.42% to 59.46%. Our results provide indications that wastewater-based predictions can be applied in diverse settings and in prolonged time periods, although the accuracy of these predictions may be mitigated. Wastewater-based epidemiology can support and strengthen epidemiological surveillance.

Indexed as

COVID-19SARS-CoV-2CitiesGreeceHumansPilot ProjectsRNA, ViralWastewaterRNA, ViralWastewaterCOVID-19Machine learningRNART-PCRSARS-CoV-2Wastewater-based epidemiology (WBE)

Identifiers

PMID34310965
PMCPMC8302483

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.