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Peer reviewedOpen accessCOVID-19InfluenzaSARS

Wastewater-based epidemiology of influenza A virus in Shenzhen: baseline values and implications for multi-pathogen surveillance

Emerging Microbes & Infections·

Xiuyuan Shi, Shisong Fang, Chen Du, Guixian Luo, Yanpeng Cheng, Zhen Zhang, Qiuying Lv, Xin Wang, Zhigao Chen, Bincai Wei, Ziqi Wu, Bingchan Guo, Panpan Yang, Miaomiao Luo, Weihua Wu, Liping Zhou, Ting Huang, Xuan Zou, Xiaolu Shi, Songzhe Fu, Zhanwei Du, Xinxin Han, Yinghui Li, Qinghua Hu

DOI
10.1080/22221751.2025.2552724
PMID
40855516
PMCID
PMC12444953
OpenAlex
W4413612985
Study type
Journal article
Publisher
Informa UK Limited
Article type
journal-article
Integrity
current

Why this research matters now

The abstract presents wastewater IAV baselines and modeled estimates as potential inputs for timing seasonal vaccination and nonpharmaceutical interventions. It also reports that the median baseline detected abnormal increases in respiratory syncytial virus, although the supplied abstract does not provide further details about that analysis.

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Structured evidence summary

Research question

The study examined whether wastewater IAV measurements and related wastewater characteristics could establish baseline patterns, estimate infections, and identify potential early warning periods for seasonal IAV activity in Shenzhen.

Study design

The study used weekly real-time PCR measurements from wastewater samples and applied a random forest model to estimate IAV infections from viral concentrations and physico-chemical parameters. Samples were collected over one year from 38 treatment plants.

Population and setting

The setting was 38 wastewater treatment plants in Shenzhen, China. The analysis included 2,764 wastewater samples collected from March 2023 through March 2024.

Main findings

The study reported seasonal IAV concentration patterns with peaks in winter 2023 and spring 2024. A median-based wastewater baseline was reported to provide 2–4 weeks of warning before the defined influenza-season threshold, and the optimized random forest model reported a mean absolute error of 2,307 and an R² of 0.988.

Public-health relevance

The abstract presents wastewater IAV baselines and modeled estimates as potential inputs for timing seasonal vaccination and nonpharmaceutical interventions. It also reports that the median baseline detected abnormal increases in respiratory syncytial virus, although the supplied abstract does not provide further details about that analysis.

Important limitations

The supplied material does not state explicit study limitations or provide enough methodological detail to assess issues such as external validation, generalizability beyond Shenzhen, or the basis for the reported intervention-timing implications. This summary is therefore limited to the supplied single-article abstract and metadata; the original paper is required for decision-grade interpretation.

GIDS interpretation

The article is discoverable in the supplied metadata under surveillance, climate and environment, vaccination, treatment, influenza, and China. It provides contextual evidence about wastewater-based IAV monitoring in Shenzhen, but does not establish or confirm a live surveillance signal.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 15 auditable classifier relationships to diseases, places, topics, and study design.

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