Timing and Trends for Municipal Wastewater, Lab-Confirmed Case, and Syndromic Case Surveillance of COVID-19 in Raleigh, North Carolina

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Timing and Trends for Municipal Wastewater, Lab-Confirmed Case, and Syndromic Case Surveillance of COVID-19 in Raleigh, North Carolina
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Wastewater, syndromic COVID-19 surveillance are important pieces of COVID-monitoring toolkit ncstate

We analyzed severe acute respiratory syndrome coronavirus 2 RNA in wastewater influent and primary solids in Raleigh, North Carolina, from April 10 through December 13, 2020.

Trends in lab-confirmed cases and wastewater influent were observed earlier, followed by CLI and, lastly, wastewater primary solids. All 4 metrics showed sustained increases in COVID-19 in June, July, and November 2020 and sustained decreases in August and September 2020.In a major metropolitan area in 2020, the timing of and trends in municipal wastewater, lab-confirmed case, and syndromic case surveillance of COVID-19 were in general agreement.

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