Publications by authors named "John Scott Meschke"

The United States Centers for Disease Control and Prevention reported a rise in resistant infections after the coronavirus disease 2019 (COVID-19) pandemic started. How and if the pandemic contributed to antibiotic resistance in the larger population is not well understood. Wastewater treatment plants are good locations for environmental surveillance because they can sample entire populations.

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  • Salmonella enterica serovar Typhi (S. Typhi) causes Typhoid fever, and while blood cultures are the best way to diagnose it, they're hard to use in resource-limited areas.* -
  • Researchers developed a novel process control organism (PCO) as a biosafe surrogate to test various environmental surveillance methods for detecting S. Typhi in water.* -
  • The PCO successfully mimicked S. Typhi in lab tests and was consistently detected in wastewater samples from India and Malawi, making it a reliable tool for validating environmental detection methods for this pathogen.*
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  • * Environmental surveillance is crucial for tracking the presence of S. Typhi in wastewater, but factors like pathogen decay and laboratory methods create uncertainty in results.
  • * This study introduces a computational model that combines dynamic and probabilistic methods to improve the estimation and monitoring of S. Typhi in wastewater, aiding in effective environmental surveillance in endemic areas.
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Background: Wastewater-based surveillance is used to track the temporal patterns of the SARS-CoV-2 virus in communities. Viral RNA particle detection in wastewater samples can indicate an outbreak within a catchment area. We describe the feasibility of using a sewage network to monitor SARS-CoV-2 trend and use of genomic sequencing to describe the viral variant abundance in an urban district in Karachi, Pakistan.

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The COVID-19 pandemic has profoundly impacted health systems globally and robust surveillance has been critical for pandemic control, however not all countries can currently sustain community pathogen surveillance programs. Wastewater surveillance has proven valuable in high-income settings, but less is known about the utility of water surveillance of pathogens in low-income countries. Here we show how wastewater surveillance of SAR-CoV-2 can be used to identify temporal changes and help determine circulating variants quickly.

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  • Environmental surveillance (ES) for Salmonella Typhi is a cost-effective way to identify communities at risk for typhoid fever by utilizing standardized protocols for sample collection and analysis.
  • A study conducted in Vellore, India and Blantyre, Malawi showed significantly higher S. Typhi presence in Vellore samples, despite low reported clinical cases of typhoid during the study period.
  • The findings suggest that ES can effectively indicate the prevalence of S. Typhi even without clinical cases, which may help guide future public health actions, such as vaccine distribution.
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  • - The typhoid conjugate vaccine is deemed safe and effective for preventing typhoid fever, but many countries struggle with clinical surveillance systems to determine its implementation due to ongoing transmission of the disease.
  • - This study estimated the costs of setting up an environmental surveillance program to track typhoid transmission across thirteen protocols, using Monte Carlo simulations to assess financial uncertainties related to the costs of equipment and operational expenses.
  • - Total costs per sample can range significantly based on the number of sites involved, with potential to be affordable at larger scales; however, careful consideration of operational costs, sensitivity evaluations, and leveraging existing resources is essential for effective implementation.
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  • Salmonella Typhi is the bacteria that causes typhoid fever, and monitoring its presence in wastewater is crucial for public health.
  • The study assessed eight different methods for collecting and concentrating Salmonella Typhi from wastewater, using two specific strains of the bacteria to evaluate method performance.
  • Results indicated that all tested methods can successfully detect Salmonella Typhi, but each has unique advantages and limitations depending on the concentration of the bacteria present and the specific surveillance objectives.
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The emergence of COVID-19 and its corresponding public health burden has prompted industries to rapidly implement traditional and novel control strategies to mitigate the likelihood of SARS-CoV-2 transmission, generating a surge of interest and application of ultraviolet germicidal irradiation (UVGI) sources as disinfection systems. With this increased attention the need to evaluate the efficacy and safety of these types of devices is paramount. A field study of the early implementation of UVGI devices was conducted at the Space Needle located in Seattle, Washington.

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Wastewater based epidemiology (WBE) has emerged as a tool to track the spread of SARS-CoV-2. However, sampling at wastewater treatment plants (WWTPs) cannot identify transmission hotspots within a city. Here, we sought to understand the diurnal variations (24 h) in SARS-CoV-2 RNA titers at the neighborhood level, using pump stations that serve vulnerable communities (e.

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Wastewater surveillance for SARS-CoV-2 may serve as a useful source of data for public health departments as the virus is shed in the stool of infected individuals. However, for wastewater data to be actionable, wastewater must be collected, concentrated, and analyzed in a timely manner. This manuscript presents modifications on a skimmed milk concentration protocol to reduce processing time, increase the number of samples that can be processed at once, and enable use in resource-limited settings.

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  • Eradicating poliovirus is crucial for global public health, and as cases drop, understanding its persistence in the environment becomes increasingly important.
  • This study focused on how poliovirus types 2 and 3 persist in wastewater and sediment under different temperatures, exploring factors that influence their decay over time.
  • Findings revealed that temperature and the presence of sediment significantly affect how long the viruses remain viable, highlighting the need for ongoing environmental surveillance as poliovirus eradication efforts continue.
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Enteric viruses, such as poliovirus, are a leading cause of gastroenteritis, which causes 2-3 million deaths annually. Environmental surveillance of wastewater supplements clinical surveillance for monitoring enteric virus circulation. However, while many environmental surveillance methods require liquid samples, some at-risk locations utilize pit latrines with waste characterized by high solids content.

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  • Environmental surveillance through wastewater-based epidemiology (WBE) offers an early and cost-effective way to monitor COVID-19 spread in communities by analyzing wastewater for SARS-CoV-2 indicators.
  • A survey assessed current practices in SARS-CoV-2 detection in wastewater, revealing a focus on large urban treatment plants, with techniques primarily involving small sample sizes and effective concentration methods like polyethylene glycol precipitation.
  • Ongoing method optimization and comparison studies will enhance the role of WBE as an additional resource for informing public health decisions regarding COVID-19 response strategies.
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  • - The bag-mediated filtration system (BMFS) was created to improve the environmental surveillance of poliovirus (PV) and complements traditional methods focused on acute flaccid paralysis to help with PV eradication efforts in Nairobi, Kenya, from April to September 2015.
  • - During the study, environmental samples were collected and processed using two methods: BMFS (which filtered over 3 liters) and a grab sample method (collecting 1 liter). The samples were then analyzed for poliovirus presence using various techniques, including rRT-PCR.
  • - Results showed that BMFS detected Sabin polioviruses more frequently than the other method, especially Sabin-like PV type 3, indicating its effectiveness for environmental monitoring, while no
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To enhance our ability to monitor poliovirus circulation and certify eradication, we evaluated the performance of the bag-mediated filtration system (BMFS) against the two-phase separation (TPS) method for concentrating wastewater samples for poliovirus detection. Sequential samples were collected at two sites in Mexico; one L was collected by grab and ~ 5 L were collected and filtered in situ with the BMFS. In the laboratory, 500 mL collected by grab were concentrated using TPS and the sample contained in the filter of the BMFS was eluted without secondary concentration.

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Ultraviolet disinfection (UVD) units enhance onsite sewage systems (OSSs) in areas where conventional treatment is limited by site characteristics. Although UVD units are efficacious under testing conditions, few studies have considered their effectiveness when installed. This study used a mixed-methods approach to examine UVD unit effluent quality and determine the association between UV bulb status and fecal coliform levels.

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Effective surveillance of human enteric viruses is critical to estimate disease prevalence within a community and can be a vital supplement to clinical surveillance. This study sought to evaluate simple, effective, and inexpensive secondary concentration methods for use with ViroCap™ filter eluate for environmental surveillance of poliovirus. Wastewater was primary concentrated using cartridge ViroCap filters, seeded with poliovirus type 1 (PV1), and then concentrated using five secondary concentration methods (beef extract-Celite, ViroCap flat disc filter, InnovaPrep® Concentrating Pipette, polyethylene glycol [PEG]/sodium chloride [NaCl] precipitation, and skimmed-milk flocculation).

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We performed a review of the environmental surveillance methods commonly used to collect and concentrate poliovirus (PV) from water samples. We compared the sampling approaches (trap vs grab), the process methods (precipitation vs filtration), and the various tools and chemical reagents used to separate PV from other viruses and pathogens in water samples (microporous glass, pads, polyethylene glycol [PEG]/dextran, PEG/sodium chloride, NanoCeram/ViroCap, and ester membranes). The advantages and disadvantages of each method are considered, and the geographical areas where they are currently used are discussed.

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  • Poliovirus environmental surveillance (ES) is essential for tracking silent circulation of the virus, especially as clinical cases decline, and this study compares the effectiveness of a new bag-mediated filtration system (BMFS) to the traditional two-phase separation method.
  • In a study conducted in Pakistan from February to November 2016 with 117 samples, BMFS showed significantly better detection rates for both vaccine-related and wild poliovirus types compared to the two-phase method.
  • The enhanced detection in BMFS is attributed to a larger volume of water being tested (1620 mL vs. 150 mL), establishing it as a more effective technique for monitoring poliovirus in endemic regions.
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Bioaerosol sampling and identification are vital for the assessment and control of airborne pathogens, allergens, and toxins. In-situ analysis of chemical and biological particulate matter can significantly reduce the costs associated with sample preservation, transport, and analysis. The analysis of conventional filters is challenging, due to dilute samples in large collection regions.

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  • Environmental surveillance of waterborne pathogens is essential for disease monitoring, and electropositive filters are commonly used for sampling affected water sources.
  • Traditional elution of viruses from these filters involves expensive electric pumps, posing challenges for low-resource labs due to costs and biosafety risks.
  • This study presents a manually powered, low-cost elution device using a bilge pump that maintains biosafety, reduces cross-contamination, and achieves efficient virus recovery, making it accessible for environmental pathogen monitoring.
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