Evidence map›Paper›PMID 40469614›Full record

ArticleFrontiers in public health2025

Turning analysis into action: opportunities and challenges in implementing wastewater science for public health decision-making.

Anna Gitter, Valeria Ruvalcaba, Katelyn Clark, Theresa Tran Carapucci, Fuqing Wu, Blake M Hanson, Jennifer Deegan, John Balliew, Eric Boerwinkle, Anthony W Maresso and 1 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

11 authors.

Anna GitterDepartment of Environmental and Occupational Health Sciences, UTHealth Houston School of Public Health, Houston, TX, United States.
Valeria RuvalcabaDepartment of Environmental and Occupational Health Sciences, UTHealth Houston School of Public Health, Houston, TX, United States.
Katelyn ClarkTexas Epidemic Public Health Institute (TEPHI), UTHealth Houston, Houston, TX, United States.
Theresa Tran CarapucciDepartment of Management, Policy and Community Health, UTHealth Houston School of Public Health, Houston, TX, United States.
Fuqing WuDepartment of Environmental and Occupational Health Sciences, UTHealth Houston School of Public Health, Houston, TX, United States.
Blake M HansonTexas Epidemic Public Health Institute (TEPHI), UTHealth Houston, Houston, TX, United States.
Jennifer DeeganTexas Epidemic Public Health Institute (TEPHI), UTHealth Houston, Houston, TX, United States.
John BalliewEl Paso Water Utility, El Paso, TX, United States.
Eric BoerwinkleTexas Epidemic Public Health Institute (TEPHI), UTHealth Houston, Houston, TX, United States.
Anthony W MaressoTexas Epidemic Public Health Institute (TEPHI), UTHealth Houston, Houston, TX, United States.
Kristina D MenaDepartment of Environmental and Occupational Health Sciences, UTHealth Houston School of Public Health, Houston, TX, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the 5 years since the emergence of the COVID-19 pandemic, the field of wastewater-based epidemiology (WBE) has dramatically expanded with programs implemented across the globe to monitor for SARS-CoV-2 and other viruses of public health concern. However, the best way to use wastewater surveillance data and inform local communities of the utility of wastewater science remains limited and sporadically discussed. Specifically, there is vague guidance regarding interpreting varying levels of viral loads in wastewater for public health significance. While collaborative efforts are key to implementing these community-specific wastewater surveillance programs, effectively using the data for public health decision-making still needs significant refinement. Aligned with recent calls for advancing the science of wastewater surveillance, the experiences described in this article examine the critical need to advance other aspects of WBE programs, including communication, ethics, and decision-making.

Indexed as

COVID-19Decision MakingPublic HealthWastewaterWastewater-Based Epidemiological MonitoringHumansPandemicsSARS-CoV-2Wastewaterepidemiologyhuman healthpandemic preparednessquantitative microbial risk assessmentviruses

Identifiers

PMID40469614
PMCPMC12133736

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.