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Nationwide public perceptions regarding the acceptance of using wastewater for community health monitoring in the United States.
LaJoie, A Scott; Holm, Rochelle H; Anderson, Lauren B; Ness, Heather D; Smith, Ted.
  • LaJoie AS; Department of Health Promotion and Behavioral Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, Kentucky, United States of America.
  • Holm RH; Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, Kentucky, United States of America.
  • Anderson LB; Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, Kentucky, United States of America.
  • Ness HD; Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, Kentucky, United States of America.
  • Smith T; Department of Health Promotion and Behavioral Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, Kentucky, United States of America.
PLoS One ; 17(10): e0275075, 2022.
Article in English | MEDLINE | ID: covidwho-2065130
ABSTRACT
To assess the levels of infection across communities during the coronavirus disease 2019 pandemic, researchers have measured severe acute respiratory syndrome coronavirus 2 RNA in feces dissolved in sewer water. This activity is colloquially known as sewer monitoring and is referred to as wastewater-based epidemiology in academic settings. Although global ethical principles have been described, sewer monitoring is unregulated for health privacy protection when used for public health surveillance in the United States. This study used Qualtrics XM, a national research panel provider, to recruit participants to answer an online survey. Respondents (N = 3,083) answered questions about their knowledge, perceptions of what is to be monitored, where monitoring should occur, and privacy concerns related to sewer monitoring as a public health surveillance tool. Furthermore, a privacy attitude questionnaire was used to assess the general privacy boundaries of respondents. Participants were more likely to support monitoring for diseases (92%), environmental toxins (92%), and terrorist threats (88%; e.g., anthrax). Two-third of the respondents endorsed no prohibition on location sampling scale (e.g., monitoring single residence to entire community was acceptable); the most common location category respondents wanted to prohibit sampling was at personal residences. Sewer monitoring is an emerging technology, and our study sheds light on perceptions that could benefit from educational programs in areas where public acceptance is comparatively lower. Respondents clearly communicated guard rails for sewer monitoring, and public opinion should inform future policy, application, and regulation measures.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Wastewater / COVID-19 Type of study: Observational study / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0275075

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Wastewater / COVID-19 Type of study: Observational study / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0275075