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September 12, 2026npj VirusesOpen Access

Pandemic and post-pandemic dynamics of respiratory viruses in a Spanish middle-size city using a long-term wastewater surveillance

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Authors

LCLorena Casado-MartínMHMarta HernándezDPDaniel Pérez-Alonso

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Overview

Longitudinal surveillance reveals continuous SARS-CoV-2 and seasonal influenza and RSV circulation in urban wastewater, highlighting wastewater monitoring for early respiratory outbreak detection.

Key Points

  • Assess the multi-year prevalence, seasonal dynamics, and predictive capacity of SARS-CoV-2, influenza A/B, and RSV A/B through urban wastewater surveillance across pandemic and post-pandemic periods.
  • Monitored 12 urban sewage locations over a three-year period (November 2021–November 2024) in Burgos, Spain (n = 600).
  • Concentrated viral particles using an aluminum-based adsorption-precipitation method (mean recovery rate: 28.73% ± 1.40%) followed by nucleic acid extraction and RT-qPCR quantification.
  • Detected SARS-CoV-2 continuously across all sites with an average concentration of 6.07 ± 0.04 log genomic copies per liter per 100,000 inhabitants.
  • Identified a significant correlation between wastewater SARS-CoV-2 loads and reported clinical cases, with predictive accuracy improving when incorporating a seven-day lead time.
  • Observed intermittent detection and lower viral loads for influenza and RSV, alongside altered seasonal patterns and unexpected outbreaks across all three viral groups.

Cite This Study

Casado-Martín et al. (2026) studied this question.

synapsesocial.com/papers/6aa51f60327956e4761f9abfhttps://doi.org/10.1038/s44298-026-00232-2
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