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Detection of SARS-CoV-2 variants in hospital wastewater in Peru, 2022

Author(s)
Pool Marcos-Carbajal  
José Yareta-Yareta  
Miguel Otiniano-Trujillo
Marco Galarza
Abraham Espinoza-Culupú
Jorge L. Ramírez
Mario Chambi-Quispe
Néstor Luque
Rosmery Gutiérrez Ajalcriña
V. Cruz
Nicolás López Chegne
Diana Santillán-Ruiz
Luis Felipe Segura-Chavez
Cinthia Esther Sias Garay
Alberto Salazar‐Granara
Pablo Tsukayama
Silvana Tapia‐Paniagua
Carmen María González-Domenech
Date Issued
21 de junio de 2024
Type
Article
Volume
41
Issue
2
Start Page
140
End Page
5
DOI
10.17843/rpmesp.2024.412.13484
Abstract
OBJECTIVE.: To identify the presence of the SARS-CoV-2 virus in wastewater from hospitals in Peru. MATERIALS AND METHODS.: Water samples were collected from the effluents of nine hospitals in Peru during March and September 2022. SARS-CoV-2 was identified by using Illumina sequencing. Variant, lineage and clade assignments were carried out using the Illumina and Nextclado tools. We verified whether the SARS-CoV-2 variants obtained from wastewater were similar to those reported by the National Institute of Health of Peru from patients during the same period and region. RESULTS.: Eighteen of the 20 hospital wastewater samples (90%) provided sequences of sufficient quality to be classified as the Omicron variant according to the WHO classification. Among them, six (30%) were assigned by Nextclade to clades 21K lineage BA.1.1 (n=1), 21L lineage BA.2 (n=2), and 22B lineages BA.5.1 (n=2) and BA .5.5 (n=1). CONCLUSIONS.: SARS-CoV-2 variants were found in hospital wastewater samples and were similar to those reported by the surveillance system in patients during the same weeks and geographic areas. Wastewater monitoring could provide information on the environmental and temporal variation of viruses such as SARS-CoV-2. Motivation for the study. To contribute to the surveillance of environmental samples from hospital effluents in order to achieve early warning of possible infectious disease outbreaks. Main findings. The Omicron variant of the COVID-19 virus was detected in wastewater from hospitals in Puno, Cuzco and Cajamarca; these results are similar to the reports by the Peruvian National Institute of Health based on nasopharyngeal swab samples. Implications. The presence of the Omicron variant in hospital wastewater during the third wave of the pandemic should raise awareness of the treatment system before wastewater is discharged into the public sewer system.
Keywords

Severe acute respirat...

Coronavirus disease 2...

Medicine

Infectious disease (m...

Pathology

Disease

Severe acute respirat...

Coronavirus disease 2...

Medicine

COVID-19 epidemiology...

COVID-19 epidemiology...

COVID-19 epidemiology...

COVID-19 epidemiology...

COVID-19 virology

COVID-19 virology

COVID-19 virology

COVID-19 virology

SARS-CoV-2 genetics

SARS-CoV-2 genetics

SARS-CoV-2 genetics

SARS-CoV-2 genetics

Hospitals

Hospitals

Hospitals

Hospitals

Humans

Humans

Humans

Humans

Peru epidemiology

Peru epidemiology

Peru epidemiology

Peru epidemiology

Wastewater virology

Wastewater virology

Wastewater virology

Wastewater virology

Health Sciences Medic...

Physical Sciences Env...

Health Sciences Medic...

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