Key result
Wastewater surveillance in the Slovak Republic from 1963 to 2019 identified 1015 vaccine-origin polioviruses and found CVB5, CVB4, and E3 as prominent non-polio enteroviruses.
Observational
Long-term wastewater surveillance in the Slovak Republic demonstrated significant temporal changes in enterovirus assemblages, with CVB5, CVB4, and E3 being prominent non-polio enteroviruses.
May support wastewater-based enterovirus surveillance; leaves open generalizability and clinical translation.
We describe the genesis of poliovirus (PV) and non-polio enterovirus (NPEV) surveillance program of sewage wastewaters from its inception to the present in the Slovak Republic (SR). Sampling procedures and evolution of the methodology used in the SR for the detection of PVs and NPEVs are presented chronologically. For statistical data processing, we divided our dataset into two periods, the first period from 1963 to 1998 (35 years), and the second period from 1999 to 2019 (21 years). Generalized additive models were used to assess temporal trends in the probability of occurrence of major EV serotypes during both periods. Canonical correspondence analysis on relative abundance data was used to test temporal changes in the composition of virus assemblages over the second period. The probability of occurrence of major viruses PV, coxsackieviruses (CVA, CVB), and Echoviruses (E)) significantly changed over time. We found that 1015 isolated PVs were of vaccine origin, called "Sabin-like" (isolates PV1, PV2, PV3). The composition of EV assemblages changed significantly during the second period. We conclude that during the whole period, CVB5, CVB4, and E3 were prominent NPEVS in the SR.
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Kissová et al. (2022) conducted an observational in Poliovirus and non-polio enterovirus. Wastewater surveillance was evaluated on Probability of occurrence of major EV serotypes and composition of virus assemblages. Wastewater surveillance in the Slovak Republic from 1963 to 2019 identified 1015 vaccine-origin polioviruses and found CVB5, CVB4, and E3 as prominent non-polio enteroviruses.
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