Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Wastewater Surveillance of SARS-CoV-2 in Zambia: An Early Warning Tool

Version 1 : Received: 25 June 2024 / Approved: 26 June 2024 / Online: 26 June 2024 (06:05:01 CEST)

How to cite: Shempela, D. M.; Muleya, W.; Mudenda, S.; Daka, V.; Sikalima, J.; Kamayani, M.; Sandala, D.; Chipango, C.; Muzala, K.; Musonda, K.; Chizimu, J. Y.; Mulenga, C.; Kapona, O.; Kwenda, G.; Kasanga, M.; Njuguna, M.; Cham, F.; Simwaka, B.; Morrison, L.; Muma, J. B.; Saasa, N.; Sichinga, K.; Simulundu, E.; Chilengi, R. Wastewater Surveillance of SARS-CoV-2 in Zambia: An Early Warning Tool. Preprints 2024, 2024061828. https://doi.org/10.20944/preprints202406.1828.v1 Shempela, D. M.; Muleya, W.; Mudenda, S.; Daka, V.; Sikalima, J.; Kamayani, M.; Sandala, D.; Chipango, C.; Muzala, K.; Musonda, K.; Chizimu, J. Y.; Mulenga, C.; Kapona, O.; Kwenda, G.; Kasanga, M.; Njuguna, M.; Cham, F.; Simwaka, B.; Morrison, L.; Muma, J. B.; Saasa, N.; Sichinga, K.; Simulundu, E.; Chilengi, R. Wastewater Surveillance of SARS-CoV-2 in Zambia: An Early Warning Tool. Preprints 2024, 2024061828. https://doi.org/10.20944/preprints202406.1828.v1

Abstract

Wastewater-based surveillance has emerged as an important method for monitoring SARS-CoV-2. This study investigated the presence of SARS-CoV-2 in wastewater in Zambia. We conducted a longitudinal study in the Copperbelt and Eastern provinces of Zambia from October 2023 to December 2023 during which 155 wastewater samples were collected. The samples were subjected to three different concentration methods, namely bag-mediated filtration, skimmed milk flocculation, and polythene glycol-based concentration assays. Molecular detection of SARS-CoV-2 nucleic acid was conducted using real-time PCR. Whole genome sequencing was conducted using Illumina COVIDSEQ assay. Of the 155 wastewater samples, 62 (40%) tested positive for SARS-CoV-2. Of these, 13 sequences of sufficient length to determine SARS-CoV-2 lineages were obtained and two sequences were phylogenetically analyzed. Various Omicron subvariants were detected in wastewater including BA.5, XBB.1.45, BA.2.86, and JN.1. Some of these subvariants have been detected in clinical cases in Zambia. Interestingly, phylogenetic analysis positioned a sequence from the Copperbelt Province in the B.1.1.529 clade, suggesting that earlier Omicron variants detected in late 2021 could still be circulating and may not have been wholly replaced by newer subvariants. This study stresses the need for integrating wastewater surveillance of SARS-CoV-2 into mainstream strategies for monitoring SARS-CoV-2 circulation in Zambia.

Keywords

Wastewater; Surveillance; Early warning; SARS-CoV-2; COVID-19; Zambia

Subject

Biology and Life Sciences, Biochemistry and Molecular Biology

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