Utility of wastewater surveillance for detecting and monitoring emerging and re-emerging pathogens and endemic infections

Wastewater-based epidemiology (WBE) was successfully used to monitor infectious disease markers at population level, exemplified by SARS-CoV-2, obtaining near real-time population level data. To merit further investment, policy teams need assurance that improved surveillance benefits health protection in Scotland. 

The main objective of Scotland’s Wastewater Monitoring Programme Strategic Plan 2025-2028 is to deliver a quality-assured WBE program that fulfils the following needs: delivers on the One Health agenda; is at the forefront of developments in WBE applied to public health practice; and contributes to Scotland’s future pandemic preparedness.

The aim of this project, managed by CREW on behalf of the Hydro Nation International Centre, was to review the utility of wastewater surveillance for detecting and monitoring emerging and re-emerging pathogens and endemic infections, including blood-borne viruses and enteric viruses.