Wastewater Treatment and Public Health Surveillance: Advances and Challenges in the One-Health Era

June 1, 2026WaterOpen Access

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Key Points

To explore how wastewater systems can serve as a tool for public health surveillance and monitor antimicrobial use.
Analyzed wastewater samples for antimicrobial residues and pathogens.
Assessed the relationship between clinical care practices and wastewater quality.
Examined environmental impacts of wastewater discharge on community health.
Detected significant levels of antimicrobial compounds in 75% of sampled wastewater (p<0.05).
Identified a strong correlation between clinical care pressures and antimicrobial presence (r=0.85, p<0.01).
Found evidence of downstream exposure affecting local agricultural practices.

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Uncovers wastewater's role in public health, highlighting its potential for monitoring exposure.

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Gonçalves et al. (2026) studied this question.

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