Volta

Beyond Technical Feasibility: A Scoping Review of Operational and Strategic Dimensions of Aviation Wastewater Surveillance

<title>Abstract</title> Background Surveillance of wastewater from airplanes and airports has emerged as a promising tool to monitor the importation of pathogens from international travelers. Despite the rapid expansion of these strategies during the COVID-19 pandemic, most reported efforts focused on proofs-of-concept of analytical feasibility, and few initiatives have transitioned toward institutionalized systems. Airport and airplane wastewater sampling involve distinct operational constraints, partnership networks, and surveillance roles, and a clearer understanding of these differences is needed to inform sustainable system design. Methods We conducted a scoping review following PRISMA-ScR guidelines. 41 studies from 22 countries were retrieved from PubMed, Scopus and manual searches. They described first-hand efforts to detect pathogens in wastewater from airplanes, intermediate collection points, airport terminals, or airport-adjacent …

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