Volta

The lavatory lens: Tracking the global movement of pathogens via aircraft wastewater

Modern commercial air travel connects disparate human populations. The global airline industry transported as many as 4.5 billion passengers annually in the years leading up to the COVID-19 pandemic. While such connections are convenient for commerce and tourism, air travel networks can also be efficient distributors of infectious diseases. During the COVID-19 pandemic, public health agencies used multi-layered control strategies to manage the risk of COVID-19 transmission associated with air travel. Simultaneously, the surveillance of aircraft wastewater was further developed as a promising new method to screen for COVID-19, including newly emerging lineages, among international travelers. Herein, we review the potential of aircraft wastewater for public health surveillance. The known itinerary and defined passenger population along with the highly concentrated …

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