The COVID-19 pandemic sparked widespread implementation of wastewater surveillance in communities across the United States to help track the spread of the disease. In contrast to clinical laboratory testing that tracks individual cases of infection, wastewater surveillance provides a way to measure the amount of DNA from pathogens coming from homes, businesses, and other institutions that share a sewer system. To help coordinate and centralize early efforts, the U.S. Centers for Disease Control and Prevention (CDC) launched the National Wastewater Surveillance System (NWSS) in September 2020, with pilot sites in eight states. As of April 2024, the NWSS is receiving data from more than 1,300 active sampling sites, covering a population of 130 million individuals.
A Phase 1 report released in early 2023 examined the usefulness of the NWSS during the COVID-19 pandemic, described the potential value of a robust national wastewater surveillance system beyond COVID-19, and provided recommendations to increase the public health impact of such a system. This Phase 2 report details the technical constraints and opportunities to improve wastewater surveillance for the prevention and control of infectious diseases in the U.S. It recommends improvements in the consistency and quality of national wastewater sampling, testing, and data analysis, and identifies research and technology development needs for a national wastewater surveillance system that can serve ongoing and changing public health needs in the United States.
National Academies of Sciences, Engineering, and Medicine. 2024. Increasing the Utility of Wastewater-based Disease Surveillance for Public Health Action: A Phase 2 Report. Washington, DC: The National Academies Press.
Sign in to access your saved publications, downloads, and email
preferences.
Former MyNAP users: You'll need to reset your password on your first
login to MyAcademies. Click "Forgot password" below to receive a reset
link via email. Having trouble?
Visit our FAQ page
to contact support.
Members of the National Academy of Sciences, National Academy of
Engineering, or National Academy of Medicine should log in through their
respective Academy portals.
Register
Register
Thank You
Thank You
Thank you for creating a MyAcademies account!
Enjoy free access to thousands of National Academies' publications, a
10% discount off every purchase, and build your personal library.
Forgot Password
Forgot Password
Enter the email address for your MyAcademies (formerly MyNAP) account to
receive password reset instructions.
Reset Requested
Reset Requested
We sent password reset instructions to
your email
. Follow the link in that email to create a new password. Didn't receive
it? Check your spam folder or
contact us
for assistance.
We sent a verification link to your email. Please check your inbox (and
spam folder) and follow the link to verify your email address. If you
did not receive the email, you can request a new verification link below