Why the study?
The relative value of different polio and enterovirus surveillance approaches is widely debated.
Population
5450 sewage samples from four sewage treatment plants in Moscow, Russia
Design
Environmental surveillance study
Follow-up
14 years
Authors
Loading...
Environmental surveillance detects enteroviruses; leaves open its comparative value versus AFP or sentinel systems.
Sewage monitoring is an important component of enterovirus surveillance that yields significantly more poliovirus isolates than AFP surveillance, though it cannot substitute other approaches.
Ivanova et al. (2019) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: