As COVID-19 testing and other coronavirus tracking efforts peter out in the United States, wastewater surveillance has become the primary method to monitor early community spread of the virus. And there’s some evidence that close investigation of the findings could also help unravel some of the mysteries of long COVID.
, about two dozen researchers set out to understand the origin of these cryptic lineages by closely examining the evolution of one from Wisconsin. The lineage was linked to a single facility that served 30 people and was persistently present for more than a year. Additional data has told similar stories.
“The fact that someone can have this kind of infection and there’s every indication that they are still an active member of society and not just lying in the hospital – it’s just amazing,” he said. Johnson’s research has led him to the conclusion that humans are the primary explanation for the cryptic lineages.
“Best-case scenario is you find the person, they have long COVID but had no idea they had this infection, and you get them with a doctor who can get them on medicines that will actually give their immune system a bit of an upper hand, and they get better,” Johnson said. “Part of the power of wastewater surveillance is that it is inherently anonymous. It’s a community-level surveillance method. And so tracking back through the wastewater system to identify a person is not what the system is intended for,” Kirby said.With most of these cases, there is enough data to focus the search for a cryptic lineage within a specific population, but the decision to pursue an individual must be left to public health officials, he said.
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