Evidence map›Paper›PMID 41627796›Full record

ArticleJournal of water and health2026

Healthcare wastewater surveillance: methodological considerations for sampling, feasibility, and implementation.

Angela Coulliette-Salmond, Florence Whitehill, Amanda K Lyons, Bethelhem Abera, Colin Adler, Maroya Spalding Walters, Magdalena Medrzycki, Christine Ganim, Mariya Campbell, Michael Y Lin and 9 more

Abstract read
In one paragraph

Article in Journal of water and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

19 authors.

Angela Coulliette-SalmondCDC, Division of Healthcare Quality Promotion, Atlanta, GA, USA.ORCID https://orcid.org/0000-0003-0435-7595
Florence WhitehillCDC, Division of Healthcare Quality Promotion, Atlanta, GA, USA.ORCID https://orcid.org/0000-0002-1047-2605
Amanda K LyonsCDC, Division of Healthcare Quality Promotion, Atlanta, GA, USA.ORCID https://orcid.org/0000-0003-4312-2481
Bethelhem AberaCDC, Division of Healthcare Quality Promotion, Atlanta, GA, USA.ORCID https://orcid.org/0009-0003-6342-3748
Colin AdlerCDC, Division of Healthcare Quality Promotion, Atlanta, GA, USA.ORCID https://orcid.org/0000-0002-8204-1687
Maroya Spalding WaltersCDC, Division of Healthcare Quality Promotion, Atlanta, GA, USA.ORCID https://orcid.org/0000-0002-1090-7621
Magdalena MedrzyckiCDC, Division of Healthcare Quality Promotion, Atlanta, GA, USA.ORCID https://orcid.org/0000-0001-6800-0283
Christine GanimCDC, Division of Healthcare Quality Promotion, Atlanta, GA, USA.ORCID https://orcid.org/0000-0002-2005-9355
Mariya CampbellCDC, Division of Healthcare Quality Promotion, Atlanta, GA, USA.ORCID https://orcid.org/0000-0001-6235-9404
Michael Y LinRush University Medical Center, Chicago, IL, USA.ORCID https://orcid.org/0000-0003-2992-6221
Rachel S PoretskyUniversity of Illinois-Chicago, Chicago, IL, USA.ORCID https://orcid.org/0000-0001-5401-449X
Adam HortonUniversity of Illinois-Chicago, Chicago, IL, USA.ORCID https://orcid.org/0009-0006-7540-6509
Jennifer WeidhaasUniversity of Utah, Salt Lake City, UT, USA.ORCID https://orcid.org/0000-0002-5431-6794
James VanDersliceUniversity of Utah, Salt Lake City, UT, USA.ORCID https://orcid.org/0000-0003-0008-6353
L Scott BensonUniversity of Utah, Salt Lake City, UT, USA.ORCID https://orcid.org/0000-0002-4252-9434
Erin M DriverThe Biodesign Institute, Arizona State University, Tempe, AZ, USA.ORCID https://orcid.org/0000-0001-9675-9764
Rolf U HaldenThe Biodesign Institute, Arizona State University, Tempe, AZ, USA.
Kerry A HamiltonThe Biodesign Institute, Arizona State University, Tempe, AZ, USA.ORCID https://orcid.org/0000-0003-2991-7325
Margaret WilliamsCDC, Division of Healthcare Quality Promotion, Atlanta, GA, USA.ORCID https://orcid.org/0000-0003-3168-1286

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Wastewater surveillance (WWS) at healthcare facilities is a nascent field with knowledge gaps in the feasibility of conducting such surveillance at this specialized facility type, and for how to best implement and interpret wastewater (WW) data. WWS was piloted at skilled nursing facilities, including conducting tracer studies, optimization of a low-flow strainer for autosampler WW collection, and preliminary testing of a WW access survey. An expanded WW access survey with collaboration from additional partners was distributed to 16 post-acute/long-term care facilities. The lessons learned obtained through the pilot 'use cases' demonstrated minimal clogging and consistent collection of WW using a low-flow strainer (±0.36 L) and tracer studies highlighted the importance to confirm facility effluent source with an average visual dye detection between 1.5 and 2.5 min from the toilet flush. The expanded WW access survey assessed the feasibility of WWS regarding physical onsite manhole access, safety aspects, effluent flow, and other factors, where 75% (12 of 16) of surveyed facilities demonstrated feasibility. Healthcare facility-level WWS includes specialized methodological approaches prior to implementation to achieve the intended public health impact. These considerations support the continued overall goal of detecting emerging biological public health threats at healthcare facilities using WWS.

Indexed as

Environmental MonitoringHealth FacilitiesWastewaterFeasibility StudiesHumansPilot ProjectsWaste Disposal, FluidWastewaterfacility-levelfeasibilityhealthcarewastewater surveillance

Identifiers

PMID41627796
PMCPMC13051650

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.