Evidence map›Paper›PMID 37829087›Full record

ArticleFrontiers in public health2023

Wastewater-based surveillance identifies start to the pediatric respiratory syncytial virus season in two cities in Ontario, Canada.

Elisabeth Mercier, Lakshmi Pisharody, Fiona Guy, Shen Wan, Nada Hegazy, Patrick M D'Aoust, Md Pervez Kabir, Tram Bich Nguyen, Walaa Eid, Bart Harvey and 8 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.4field-weighted citation impact, top 3% of its field
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

14 citing papers in PubMed, 25 citations in OpenAlex.

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  2. Economic evaluation of wastewater surveillance in Ontario, Canada, using COVID-19 as a case study.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 1 country.

Elisabeth MercierDepartment of Civil Engineering, University of Ottawa, Ottawa, ON, Canada.
Lakshmi PisharodyDepartment of Civil Engineering, University of Ottawa, Ottawa, ON, Canada.
Fiona GuyHamilton Health Sciences, McMaster Children's Hospital, Hamilton, ON, Canada.
Shen WanDepartment of Civil Engineering, University of Ottawa, Ottawa, ON, Canada.
Nada HegazyDepartment of Civil Engineering, University of Ottawa, Ottawa, ON, Canada.
Patrick M D'AoustDepartment of Civil Engineering, University of Ottawa, Ottawa, ON, Canada.
Md Pervez KabirDepartment of Civil Engineering, University of Ottawa, Ottawa, ON, Canada.
Tram Bich NguyenDepartment of Civil Engineering, University of Ottawa, Ottawa, ON, Canada.
Walaa EidResearch Institute, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Bart HarveyHamilton Public Health Services, Hamilton, ON, Canada.
Erin RodenburgHamilton Public Health Services, Hamilton, ON, Canada.
Candy RutherfordHamilton Regional Virology Laboratory, Hamilton, ON, Canada.
Alex E MackenzieDepartment of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Jacqueline WillmoreOttawa Public Health, Ottawa, ON, Canada.
Charles HuiDepartment of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Bosco PaesDepartment of Pediatrics (Neonatal Division), McMaster University, Hamilton, ON, Canada.
Robert DelatollaDepartment of Civil Engineering, University of Ottawa, Ottawa, ON, Canada.
Nisha ThampiDepartment of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
University of Ottawa · CAChildren's Hospital of Eastern Ontario · CAHamilton Health Sciences · CAHamilton Regional Laboratory Medicine Program · CAMcMaster University · CAOttawa Public Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Detection of community respiratory syncytial virus (RSV) infections informs the timing of immunoprophylaxis programs and hospital preparedness for surging pediatric volumes. In many jurisdictions, this relies upon RSV clinical test positivity and hospitalization (RSVH) trends, which are lagging indicators. Wastewater-based surveillance (WBS) may be a novel strategy to accurately identify the start of the RSV season and guide immunoprophylaxis administration and hospital preparedness. Methods: We compared citywide wastewater samples and pediatric RSVH in Ottawa and Hamilton between August 1, 2022, and March 5, 2023. 24-h composite wastewater samples were collected daily and 5 days a week at the wastewater treatment facilities in Ottawa and Hamilton, Ontario, Canada, respectively. RSV WBS samples were analyzed in real-time for RSV by RT-qPCR. Results: RSV WBS measurements in both Ottawa and Hamilton showed a lead time of 12 days when comparing the WBS data set to pediatric RSVH data set (Spearman's ρ = 0.90). WBS identify early RSV community transmission and declared the start of the RSV season 36 and 12 days in advance of the provincial RSV season start (October 31) for the city of Ottawa and Hamilton, respectively. The differing RSV start dates in the two cities is likely associated with geographical and regional variation in the incidence of RSV between the cities. Discussion: Quantifying RSV in municipal wastewater forecasted a 12-day lead time of the pediatric RSVH surge and an earlier season start date compared to the provincial start date. These findings suggest an important role for RSV WBS to inform regional health system preparedness, reduce RSV burden, and understand variations in community-related illness as novel RSV vaccines and monoclonal antibodies become available.

Indexed as

Respiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsAntiviral AgentsChildCitiesHumansOntarioPalivizumabSeasonsWastewaterWastewater-Based Epidemiological MonitoringAntiviral AgentsPalivizumabWastewateractive immunizationcommunity incidencehospital-level preparednesspalivizumabpediatric hospitalizationrespiratory syncytial virusseason start datewastewater-based surveillance

Identifiers

PMID37829087
PMCPMC10566629
OpenAlexW4387099452

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.