ReviewThe Lancet. Global health2023
A global aircraft-based wastewater genomic surveillance network for early warning of future pandemics.
Review in The Lancet. Global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of Gastrointestinal and Respiratory Pathogen Detection in Wastewater in Africa, with Focus on Rwanda: Implications for Early Warning and Public Health Surveillance.Pathogens (Basel, Switzerland) · 2026Pooled it
- Systematic review on the laboratory methodology for conducting wastewater and environmental surveillance forFrontiers in public health · 2026Pooled it
- Microbiological quality and antimicrobial resistance of Pseudomonas aeruginosa in drinking water systems of the old terminal of Jorge Chávez International Airport: potential role as environmental reservoir.Revista peruana de medicina experimental y salud publica · 2026Article
- Global approaches to infectious disease surveillance and modeling.Nature medicine · 2026Review
- An integrated framework for early detection and transmissibility assessment of emerging variants in wastewater.International journal of hygiene and environmental health · 2026Article
- Good Practices for Managing Acute Respiratory Viral Infections at Aerial Entry Points: A Scoping Review.Journal of epidemiology and global health · 2026Article
- Optimizing global genomic surveillance for early detection of emerging SARS-CoV-2 variants.Nature communications · 2026Article
- Near-source wastewater surveillance as a non-invasive tool for disease detection in prisons.Scientific reports · 2026Article
- Global solidarity in genomic surveillance improves early detection of acute respiratory virus threats.Nature communications · 2026Article
- SARS-CoV-2 wastewater genomic surveillance: approaches, challenges, and opportunities.Genome biology · 2026Review
- Assessing global pandemic risks from emerging infectious diseases and high containment laboratory leaks: A country-level spatial network SIR model analysis.Risk analysis : an official publication of the Society for Risk Analysis · 2025Article
- Wastewater-based epidemiology of influenza A virus in Shenzhen: baseline values and implications for multi-pathogen surveillance.Emerging microbes & infections · 2025Article
- [Pathogen Surveillance in Wastewater from Airport and Port in the Chungcheong Region, Republic of Korea, in 2024].Jugan geon-gang gwa jilbyeong · 2025Article
- Comparative Performance of Wastewater, Clinical, and Digital Surveillance Indicators for COVID-19 Monitoring in Routine Practice: Retrospective Observational Study.Journal of medical Internet research · 2025Observational
- Early detection of SARS-CoV-2 variants using genomic surveillance: insights from aircraft wastewater and nasal swabs at Kigali International Airport, Rwanda.IJID regions · 2025Article
- Swift Realisation of Wastewater-Based SARS-CoV-2 Surveillance for Aircraft and Airports: Challenges from Sampling to Variant Detection.Microorganisms · 2025Article
- Aircraft lavatory wastewater surveillance for movement of antimicrobial resistance genes: a proof-of-concept study.Microbiology spectrum · 2025Article
- Operationalizing SARS-CoV-2 wastewater monitoring to assess traveler health in Las Vegas, Nevada, USA.IJID regions · 2025Article
- Pandemic monitoring with global aircraft-based wastewater surveillance networks.Nature medicine · 2025Article
- Ethical Considerations for Wastewater Surveillance Conducted by the US Department of Defense.JMIR public health and surveillance · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
International airports can have a key role in screening, detecting, and mitigating cross-border transmission of SARS-CoV-2 and potentially other infectious diseases. With aircraft passengers representing a subpopulation of a country or region, aircraft-based wastewater surveillance can be a promising approach to effectively identifying emerging viruses, tracing their evolution, and mapping global spread with international flights. Therefore, we propose the development of a global aircraft-based wastewater genomic surveillance network, with the busiest international airports as central nodes and continuing air travel journeys as vectors. This surveillance programme requires routinely collecting aircraft wastewater samples for microbiological analysis and sequencing and linking the resulting data with associated international air traffic information. With the creation of a strong international alliance between the airline industry and health authorities, this surveillance network will potentially complement public health systems with a true early warning ability to inform decision making for new variants and future global health risks.
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Registered trials
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.