Evidence map›Paper›PMID 39533190›Full record

ArticleBMC infectious diseases2024

An epidemiologic surveillance study based on wastewater and respiratory specimens reveals influenza a virus prevalence and mutations in Taiyuan, China during 2023-2024.

Lifeng Zhao, Jihong Xu, Jiane Guo, Ping Zhang, Xiaofang Guo, Zhihong Zuo, Li Gao, Zhao Jia, Puna Xue, Jitao Wang

Abstract read
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Immunoproteomics for wastewater-based health surveillance: A review.Environmental science and ecotechnology · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
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

10 authors.

Lifeng Zhao *Department of Microbiology Test, Taiyuan Center for Disease Control and Prevention, No. 22 Huazhang West Street, Taiyuan, Shanxi Province, 030032, China.
Jihong Xu *Department of Microbiology Test, Taiyuan Center for Disease Control and Prevention, No. 22 Huazhang West Street, Taiyuan, Shanxi Province, 030032, China.
Jiane GuoDepartment of Microbiology Test, Taiyuan Center for Disease Control and Prevention, No. 22 Huazhang West Street, Taiyuan, Shanxi Province, 030032, China.
Ping ZhangDepartment of Microbiology Test, Taiyuan Center for Disease Control and Prevention, No. 22 Huazhang West Street, Taiyuan, Shanxi Province, 030032, China.
Xiaofang GuoDepartment of Microbiology Test, Taiyuan Center for Disease Control and Prevention, No. 22 Huazhang West Street, Taiyuan, Shanxi Province, 030032, China.
Zhihong ZuoDepartment of Microbiology Test, Taiyuan Center for Disease Control and Prevention, No. 22 Huazhang West Street, Taiyuan, Shanxi Province, 030032, China.
Li GaoDepartment of Microbiology Test, Taiyuan Center for Disease Control and Prevention, No. 22 Huazhang West Street, Taiyuan, Shanxi Province, 030032, China.
Zhao JiaDepartment of Microbiology Test, Taiyuan Center for Disease Control and Prevention, No. 22 Huazhang West Street, Taiyuan, Shanxi Province, 030032, China.
Puna XueDepartment of Microbiology Test, Taiyuan Center for Disease Control and Prevention, No. 22 Huazhang West Street, Taiyuan, Shanxi Province, 030032, China.
Jitao WangDepartment of Microbiology Test, Taiyuan Center for Disease Control and Prevention, No. 22 Huazhang West Street, Taiyuan, Shanxi Province, 030032, China. wangjitao99@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfluenza is a major cause of morbidity and mortality. Influenza A virus (IAV) is one of the most important pathogens causing influenza and often causes global pandemics due to its tendency to mutate. We aim to use epidemiology based on wastewater and respiratory specimens to understand the occurrence of influenza A virus infections in Taiyuan City.

methodsA retrospective epidemiology surveillance was carried out at the First Hospital of Shanxi Medical University (FHSMU) and five wastewater treatment plants (WTPs) in Taiyuan city from 2023 to 2024. Reverse transcription real-time fluorescence quantitative polymerase chain reaction (RT-qPCR) was used to detect influenza A viruses in wastewater and respiratory specimens. High-throughput whole genome sequencing was performed on 17 strains obtained in this study, and subsequent analyses included characterization, phylogenetic construction, amino acid mutation analysis, and antigenic structural variability assessment.

results520 wastewater samples and 1,203 throat swab samples were collected. We detected RNA concentration from pH1N1 and H3N2 viruses in wastewater and got 17 genome sequences (5 of pH1N1 and 12 of H3N2) in respiratory specimens. Whole-genome sequencing showed co-prevalence of pH1N1 viruses in the branches of 6B.1 A.5a.2a.1 and H3N2 viruses in the branches of 3 C.2a1b.2a.2a.3a.a in Taiyuan from 2023 to 2024. Moreover, a HA mutation (N138D), predicted to be of high phenotypic consequence, was found in 8 Taiyuan H3N2 sequences.

conclusionThis study highlights the predominant presence of pH1N1 and H3N2 strains in Taiyuan. The analysis also identified amino acid site variations in the HA antigenic epitopes in H3N2 strains, which may contribute to immune escape.

Indexed as

Influenza, HumanMutationPhylogenyWastewaterAdultChinaEpidemiological MonitoringFemaleHumansInfluenza A virusInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeMaleMiddle AgedPrevalenceRetrospective StudiesWastewaterGenome characterizationInfluenza a virusMutationWastewaterWhole-genome sequencing

Identifiers

PMID39533190
PMCPMC11556188

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.