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Open access Aug 2026

Wastewater Treatment Plants as Representative Sentinel Sites in Infectious Disease Surveillance

Wastewater-based epidemiology (WBE) has emerged as a powerful population-level surveillance tool, but its coverage is structurally concentrated in in-network urban areas, potentially leaving rural populations underrepresented. Routine human movement between sewered (in-network) and unsewered (off-network) areas may, ho...

E. Fiatsonu, D. Hill, D. Christopher et al. · 0 citations
Open access Jul 2026

Noise is the signal: variability in surveillance data provide early indication of epidemic phase

Predicting epidemic surges is challenging and often relies on prior seasons, outbreaks in other regions, and advanced modeling of surveillance data. Using foundational principles of disease growth and spread, including trend analysis and overdispersion, we developed a surge detection algorithm for emerging pathogens th...

E. Moran, D. Hill, M. Alazawi et al. · 0 citations

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