Evidence map›Paper›PMID 41178551›Full record

ArticlePublic health reports (Washington, D.C. : 1974)2025

Public Health Response to Consecutive Hepatitis A Detections in Wastewater, North Carolina, 2024.

Ariel Christensen, Ty Lautenschlager, Maureen Rimer, Emma Doran, Justin Albertson, Maura Trimble, Susan Sullivan, Neha Shanker, Joshua Swift, Christopher A and 1 more

Abstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Ariel ChristensenDivision of Public Health, North Carolina Department of Health and Human Services, Raleigh, NC, USA.ORCID 0000-0003-3925-1475
Ty LautenschlagerDivision of Public Health, North Carolina Department of Health and Human Services, Raleigh, NC, USA.
Maureen RimerCommunicable Disease Team, Forsyth County Department of Public Health, Winston Salem, NC, USA.
Emma DoranDivision of Public Health, North Carolina Department of Health and Human Services, Raleigh, NC, USA.
Justin AlbertsonDivision of Public Health, North Carolina Department of Health and Human Services, Raleigh, NC, USA.
Maura TrimbleCommunicable Disease Team, Forsyth County Department of Public Health, Winston Salem, NC, USA.
Susan SullivanDivision of Public Health, North Carolina Department of Health and Human Services, Raleigh, NC, USA.
Neha ShankerDivision of Public Health, North Carolina Department of Health and Human Services, Raleigh, NC, USA.
Joshua SwiftCommunicable Disease Team, Forsyth County Department of Public Health, Winston Salem, NC, USA.
Christopher ASection on Infectious Diseases, Wake Forest University School of Medicine, Winston Salem, NC, USA.
Erica WilsonDivision of Public Health, North Carolina Department of Health and Human Services, Raleigh, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Wastewater monitoring is a useful tool to complement case-based surveillance. A hepatitis A virus (HAV) investigation in North Carolina demonstrated that wastewater monitoring detections preceded identification of 2 clinical cases by 12 days. State and local health officials used a preestablished decision tree to respond to wastewater detections of HAV and implement public health actions. The investigation determined that HAV detected in wastewater was likely from 2 people who had not yet developed symptoms or sought testing at the time of detection, providing early information for public health response, including vaccination of family members. Targeted outreach to hospitals as well as medically or socially vulnerable groups at high risk of HAV infection could be recommended in response to consistent HAV detections in wastewater.

Indexed as

hepatitis Apublic healthwastewater monitoring

Identifiers

PMID41178551
PMCPMC12583014

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.