ArticleJournal of water and health2026
Community-level wastewater influenza concentrations and school attendance in Jefferson County, Kentucky (2022-2025).
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. Not yet cited in PubMed.
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Authors and funding
6 authors.
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Abstract
Community-transmitted seasonal infectious diseases pose a significant challenge to school systems across the nation. School attendance is central to student learning progress and is a key public health indicator. We aimed to evaluate the incremental explanatory value of community-level seasonal influenza wastewater concentrations for estimating school absenteeism within the corresponding geographic sewershed in Louisville, Kentucky (USA). We used community wastewater seasonal influenza concentrations from a catchment area that geographically encompassed 51 public elementary, middle, and high schools. These data were compared with daily school-level attendance records provided by Jefferson County Public Schools for three academic years (2022-2025). Two random forest models were developed that incorporated community influenza A wastewater concentrations, environmental variables (e.g., rainfall and maximum temperature), school-level attendance, and total enrollment to predict attendance outcomes. Across the sewershed, the all-schools model (
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