Tracking SARS-CoV-2 RNA through the Wastewater Treatment ProcessClick to copy article linkArticle link copied!
- Hala Abu AliHala Abu AliBlaustein Institutes for Desert Research, Zuckerberg Institute for Water Research, Ben-Gurion University of the Negev, Sede Boqer Campus, Beer Sheva 8499000, IsraelMore by Hala Abu Ali
- Karin YanivKarin YanivAvram and Stella Goldstein-Goren Department of Biotechnology Engineering and The Ilse Katz Center for Meso and Nanoscale Science and Technology, Ben-Gurion University of the Negev, Beer Sheva 84105, IsraelMore by Karin Yaniv
- Edo Bar-ZeevEdo Bar-ZeevBlaustein Institutes for Desert Research, Zuckerberg Institute for Water Research, Ben-Gurion University of the Negev, Sede Boqer Campus, Beer Sheva 8499000, IsraelMore by Edo Bar-Zeev
- Sanhita ChaudhurySanhita ChaudhuryBlaustein Institutes for Desert Research, Zuckerberg Institute for Water Research, Ben-Gurion University of the Negev, Sede Boqer Campus, Beer Sheva 8499000, IsraelMore by Sanhita Chaudhury
- Marilou ShaganMarilou ShaganAvram and Stella Goldstein-Goren Department of Biotechnology Engineering and The Ilse Katz Center for Meso and Nanoscale Science and Technology, Ben-Gurion University of the Negev, Beer Sheva 84105, IsraelMore by Marilou Shagan
- Satish LakkakulaSatish LakkakulaAvram and Stella Goldstein-Goren Department of Biotechnology Engineering and The Ilse Katz Center for Meso and Nanoscale Science and Technology, Ben-Gurion University of the Negev, Beer Sheva 84105, IsraelMore by Satish Lakkakula
- Zeev RonenZeev RonenBlaustein Institutes for Desert Research, Zuckerberg Institute for Water Research, Ben-Gurion University of the Negev, Sede Boqer Campus, Beer Sheva 8499000, IsraelMore by Zeev Ronen
- Ariel Kushmaro*Ariel Kushmaro*Email: [email protected]Avram and Stella Goldstein-Goren Department of Biotechnology Engineering and The Ilse Katz Center for Meso and Nanoscale Science and Technology, Ben-Gurion University of the Negev, Beer Sheva 84105, IsraelMore by Ariel Kushmaro
- Oded Nir*Oded Nir*Email: [email protected]Blaustein Institutes for Desert Research, Zuckerberg Institute for Water Research, Ben-Gurion University of the Negev, Sede Boqer Campus, Beer Sheva 8499000, IsraelMore by Oded Nir
Abstract

Municipal sewage carries degraded and intact viral particles and RNA (ribonucleic acid) of SARS-CoV-2 (severe acute respiratory coronavirus 2), shed by COVID-19 (coronavirus disease 2019) patients, to sewage and eventually to wastewater treatment plants. Proper wastewater treatment can prevent uncontrolled discharges of the virus into the environment. However, the role of different wastewater treatment stages in reducing viral RNA concentrations is, thus far, unknown. Here, we quantified SARS-CoV-2 RNA in raw sewage and during the main stages of the activated sludge process from two wastewater treatment plants in Israel, on three different days during the 2020 COVID-19 outbreak. To reduce the detection limit, samples were concentrated prior to quantification by real-time polymerase chain reaction by a factor of 2–43 using ultrafiltration. On average, ∼1 log RNA removal was attained by each of the primary and secondary treatment steps; however, >100 copies of SARS-CoV-2 RNA/mL remained in the secondary effluents. Following chlorination, SARS-CoV-2 RNA was detected only once, likely due to an insufficient chlorine dose. Our results emphasize the capabilities and limitations of the conventional wastewater treatment process in reducing the SARS-CoV-2 RNA concentration and present preliminary evidence for the importance of tertiary treatment and chlorination in reducing dissemination of the virus to the environment.
Cited By
Smart citations by scite.ai include citation statements extracted from the full text of the citing article. The number of the statements may be higher than the number of citations provided by ACS Publications if one paper cites another multiple times or lower if scite has not yet processed some of the citing articles.
This article is cited by 37 publications.
- Yasuaki Inoue, Kaede Miyata, Masayuki Yamane, Hiroshi Honda. Environmental Nucleic Acid Pollution: Characterization of Wastewater Generating False Positives in Molecular Ecological Surveys. ACS ES&T Water 2023, 3
(3)
, 756-764. https://doi.org/10.1021/acsestwater.2c00542
- Arturo A. Keller, Yiming Su, David Jassby. Direct Potable Reuse: Are We Ready? A Review of Technological, Economic, and Environmental Considerations. ACS ES&T Engineering 2022, 2
(3)
, 273-291. https://doi.org/10.1021/acsestengg.1c00258
- Nusaibah Alqasawah, Vassie Ware, Kristen Jellison. Wastewater-Based Epidemiology of SARS-CoV-2 RNA in Bethlehem, PA and Lehigh University. Environments 2024, 11
(10)
, 212. https://doi.org/10.3390/environments11100212
- K Phlaengsattra, V Kanokkantapong, J Sangsanont. Trihalomethane formation potentials from the effluent of different wastewater treatment sources. IOP Conference Series: Earth and Environmental Science 2024, 1372
(1)
, 012031. https://doi.org/10.1088/1755-1315/1372/1/012031
- Coralia Bleotu, Lilia Matei, Laura Denisa Dragu, Laura Georgiana Necula, Ioana Madalina Pitica, Mihaela Chivu-Economescu, Carmen Cristina Diaconu. Viruses in Wastewater—A Concern for Public Health and the Environment. Microorganisms 2024, 12
(7)
, 1430. https://doi.org/10.3390/microorganisms12071430
- Mahdi Hadi, Roohollah Kheiri, Mahtab Baghban, Ahmad Sayahi, Simin Nasseri, Mahmood Alimohammadi, Hamidreza Khastoo, Mehri Solaimany Aminabad, Kooshiar Azam Vaghefi, Behnam Vakili, Hamidreza Tashauoei, Saeedeh Hemmati Borji, Elnaz Iravani. The occurrence of SARS-CoV-2 in Tehran’s municipal wastewater: performance of treatment systems and feasibility of wastewater-based epidemiology. Journal of Environmental Health Science and Engineering 2024, 22
(1)
, 281-293. https://doi.org/10.1007/s40201-024-00897-y
- Jinlong Liu, Xiaoli Luan, Fei Liu. Full Wavelength Selection and Deep Spectra Feature Extraction Network for Near-Infrared Spectroscopy Quantitative Analysis. 2024, 1350-1355. https://doi.org/10.1109/DDCLS61622.2024.10606701
- Madeline R. Carine, Krishna R. Pagilla. A mass balance approach for quantifying the role of natural decay and fate mechanisms on SARS‐CoV‐2 genetic marker removal during water reclamation. Water Environment Research 2024, 96
(4)
https://doi.org/10.1002/wer.11015
- Velisa Vuyolwethu Qongwe, Kingsley Ehi Ebomah, Luyanda Msolo, Nolonwabo Nontongana, Anthony Ifeanyi Okoh. Using Quantitative Microbial Risk Assessment (QMRA) of SARS-CoV-2 to understand possible exposure to health risks in selected wastewater treatment plants located in the Eastern region of South Africa. Microbial Risk Analysis 2024, 26 , 100293. https://doi.org/10.1016/j.mran.2024.100293
- Tooraj Massahi, Abdulfattah A. Amin, Ronak Abdulazeez Meshabaz, Meghdad Pirsaheb, Leigh Terry, Pouran Makhdoumi, Sara Kianpour, Fatemeh Zamani, Hooshyar Hossini. Microplastic occurrence and its potential role as a carrier for SARS-CoV-2 in health center wastewater treatment plant and surface water. Journal of Sea Research 2024, 198 , 102477. https://doi.org/10.1016/j.seares.2024.102477
- Aaron Long, Katie Loethen, Asal Behzadnezhad, Wen Zhang. A snapshot of SARS‐CoV‐2 viral RNA throughout wastewater treatment plants in Arkansas. Water Environment Research 2024, 96
(2)
https://doi.org/10.1002/wer.10992
- Yanmei Zhao, Fang Huang, Wenxiu Wang, Rui Gao, Lu Fan, Aijie Wang, Shu-Hong Gao. Application of high-throughput sequencing technologies and analytical tools for pathogen detection in urban water systems: Progress and future perspectives. Science of The Total Environment 2023, 900 , 165867. https://doi.org/10.1016/j.scitotenv.2023.165867
- M. Shamskilani, S. Najafi Chaleshtori, S. Navid, A. Babaei, J. Shayegan, S. Farsirad. Application of membrane bioreactor integrated with ultraviolet disinfection for simultaneous greywater treatment and SARS-CoV-2 removal. International Journal of Environmental Science and Technology 2023, 20
(10)
, 11041-11048. https://doi.org/10.1007/s13762-023-05119-w
- Md. Alamin, Hiroe Hara-Yamamura, Akihiko Hata, Bo Zhao, Masaru Ihara, Hiroaki Tanaka, Toru Watanabe, Ryo Honda. Reduction of SARS-CoV-2 by biological nutrient removal and disinfection processes in full-scale wastewater treatment plants. Science of The Total Environment 2023, 895 , 165097. https://doi.org/10.1016/j.scitotenv.2023.165097
- Liang Zhao, Qiudi Geng, Ryland Corchis-Scott, Robert Michael McKay, John Norton, Irene Xagoraraki. Targeting a free viral fraction enhances the early alert potential of wastewater surveillance for SARS-CoV-2: a methods comparison spanning the transition between delta and omicron variants in a large urban center. Frontiers in Public Health 2023, 11 https://doi.org/10.3389/fpubh.2023.1140441
- Rinka Pramanik, Narendra Bodawar, Aashay Brahme, Sanjay Kamble, Mahesh Dharne. Comparative evaluation of advanced oxidation processes (AOPs) for reducing SARS-CoV-2 viral load from campus sewage water. Journal of Environmental Chemical Engineering 2023, 11
(3)
, 109673. https://doi.org/10.1016/j.jece.2023.109673
- Haya Al-Duroobi, Kiran Kumar Vadde, Duc C. Phan, Sina V. Moghadam, Arash Jafarzadeh, Akanksha Matta, Marcio Giacomoni, Vikram Kapoor. Wastewater-based surveillance of COVID-19 and removal of SARS-CoV-2 RNA across a major wastewater treatment plant in San Antonio, Texas. Environmental Science: Advances 2023, 2
(5)
, 709-720. https://doi.org/10.1039/D3VA00015J
- Mina Aghababaei, Fabrizio Colosimo, James P. Malley, Paula J. Mouser. The fate of SARS-CoV-2 viral RNA in coastal New England wastewater treatment plants. Frontiers in Water 2023, 5 https://doi.org/10.3389/frwa.2023.1130114
- Elahe Mobarak Qamsari, Parisa Mohammadi. Evaluation of SARS-CoV-2 RNA Presence in Treated and Untreated Hospital Sewage. Water, Air, & Soil Pollution 2023, 234
(4)
https://doi.org/10.1007/s11270-023-06273-0
- Julio A. Polanco, Bradley Schmitz, Samuel Choi, Jana Safarik, Sarah Prasek, Megan H. Plumlee. SARS-CoV-2 genetic material is removed during municipal wastewater treatment and is undetectable after advanced treatment. Science of The Total Environment 2023, 859 , 159575. https://doi.org/10.1016/j.scitotenv.2022.159575
- Md Eman Talukder, Fariya Alam, Md. Nahid Pervez, Wang Jiangming, Fahim Hassan, George K. Stylios, Vincenzo Naddeo, Hongchen Song. New generation washable PES membrane face mask for virus filtration. Nanocomposites 2022, 8
(1)
, 13-23. https://doi.org/10.1080/20550324.2021.2008209
- Bashir Adelodun, Pankaj Kumar, Golden Odey, Fidelis Odedishemi Ajibade, Rahmat Gbemisola Ibrahim, Saad A.M. Alamri, Sulaiman A. Alrumman, Ebrahem M. Eid, Vinod Kumar, Khalid Adeola Adeyemi, Ashish Kumar Arya, Archana Bachheti, Marcos L.S. Oliveira, Kyung Sook Choi. A safe haven of SARS-CoV-2 in the environment: Prevalence and potential transmission risks in the effluent, sludge, and biosolids. Geoscience Frontiers 2022, 13
(6)
, 101373. https://doi.org/10.1016/j.gsf.2022.101373
- Mirza Isanovic, Karlen E. Correa Velez, R. Sean Norman. Dispersion of SARS‐CoV‐2 RNA across a wastewater treatment plant and its workers. Water and Environment Journal 2022, 36
(4)
, 713-722. https://doi.org/10.1111/wej.12812
- Gleyson B. Castro, Aline C. Bernegossi, Bruno José de O. Sousa, Mara R. De Lima E Silva, Fernando R. Da Silva, Bárbara Luíza S. Freitas, Allan P. Ogura, Juliano J. Corbi. Global occurrence of SARS-CoV-2 in environmental aquatic matrices and its implications for sanitation and vulnerabilities in Brazil and developing countries. International Journal of Environmental Health Research 2022, 32
(10)
, 2160-2199. https://doi.org/10.1080/09603123.2021.1949437
- Sasan Zahmatkesh, Mika Sillanpää. Review of Method and a New Tool for Decline and Inactive SARS-CoV-2 in Wastewater Treatment. Cleaner Chemical Engineering 2022, 3 , 100037. https://doi.org/10.1016/j.clce.2022.100037
- Biswaranjan Paital, Kajari Das, Fatemeh Malekdar, Miguel A. Sandoval, Elnaz Karamati Niaragh, Zacharias Frontistis, Tapas Ranjan Behera, Gabriella Balacco, Sarawut Sangkham, Akshaya Kumar Hati, Milad Mousazadeh. A State-of-the-Art Review on SARS-CoV-2 Virus Removal Using Different Wastewater Treatment Strategies. Environments 2022, 9
(9)
, 110. https://doi.org/10.3390/environments9090110
- Marius-Daniel Roman, Cornel Sava, Dana-Adriana Iluțiu-Varvara, Roxana Mare, Lavinia-Lorena Pruteanu, Elena Maria Pică, Lorentz Jäntschi. Biological Activated Sludge from Wastewater Treatment Plant before and during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health 2022, 19
(18)
, 11323. https://doi.org/10.3390/ijerph191811323
- Sasan Zahmatkesh, Mika Sillanpaa, Yousof Rezakhani, Chongqing Wang. Review of concerned SARS-CoV-2 variants like Alpha (B.1.1.7), Beta (B.1.351), Gamma (P.1), Delta (B.1.617.2), and Omicron (B.1.1.529), as well as novel methods for reducing and inactivating SARS-CoV-2 mutants in wastewater treatment facilities. Journal of Hazardous Materials Advances 2022, 7 , 100140. https://doi.org/10.1016/j.hazadv.2022.100140
- Opeyemi U. Lawal, Linkang Zhang, Valeria R. Parreira, R. Stephen Brown, Charles Chettleburgh, Nora Dannah, Robert Delatolla, Kimberly A. Gilbride, Tyson E. Graber, Golam Islam, James Knockleby, Sean Ma, Hanlan McDougall, R. Michael McKay, Aleksandra Mloszewska, Claire Oswald, Mark Servos, Megan Swinwood-Sky, Gustavo Ybazeta, Marc Habash, Lawrence Goodridge, . Metagenomics of Wastewater Influent from Wastewater Treatment Facilities across Ontario in the Era of Emerging SARS-CoV-2 Variants of Concern. Microbiology Resource Announcements 2022, 11
(7)
https://doi.org/10.1128/mra.00362-22
- Jianju Li, Jing Liu, Hang Yu, Weixin Zhao, Xinhui Xia, Shijie You, Jun Zhang, Hailong Tong, Liangliang Wei. Sources, fates and treatment strategies of typical viruses in urban sewage collection/treatment systems: A review. Desalination 2022, 534 , 115798. https://doi.org/10.1016/j.desal.2022.115798
- Mayerlin Sandoval Herazo, Graciela Nani, Florentina Zurita, Carlos Nakase, Sergio Zamora, Luis Carlos Sandoval Herazo, Erick Arturo Betanzo-Torres. A Review of the Presence of SARS-CoV-2 in Wastewater: Transmission Risks in Mexico. International Journal of Environmental Research and Public Health 2022, 19
(14)
, 8354. https://doi.org/10.3390/ijerph19148354
- Xin Zhao, Peiling Yuan, Ziyan Yang, Wei Peng, Xiang Meng, Jiang Cheng. Integration of Micro-Nano-Engineered Hydroxyapatite/Biochars with Optimized Sorption for Heavy Metals and Pharmaceuticals. Nanomaterials 2022, 12
(12)
, 1988. https://doi.org/10.3390/nano12121988
- Fatemeh Amereh, Mahsa Jahangiri-rad, Anoushiravan Mohseni-Bandpei, Seyed Reza Mohebbi, Hamid Asadzadeh-Aghdaei, Hossein Dabiri, Akbar Eslami, Kasra Roostaei, Rahim Aali, Parisa Hamian, Mohammad Rafiee. Association of SARS-CoV-2 presence in sewage with public adherence to precautionary measures and reported COVID-19 prevalence in Tehran. Science of The Total Environment 2022, 812 , 152597. https://doi.org/10.1016/j.scitotenv.2021.152597
- Athmakuri Tharak, Harishankar Kopperi, Manupati Hemalatha, Uday Kiran, Gokulan C. G., Shivranjani Moharir, Rakesh K. Mishra, S. Venkata Mohan. Longitudinal and Long-Term Wastewater Surveillance for COVID-19: Infection Dynamics and Zoning of Urban Community. International Journal of Environmental Research and Public Health 2022, 19
(5)
, 2697. https://doi.org/10.3390/ijerph19052697
- Zhenyu Wang, Wenyu Yang, Pei Hua, Jin Zhang, Peter Krebs. Transmission risk of SARS-CoV-2 in the watershed triggered by domestic wastewater discharge. Science of The Total Environment 2022, 806 , 150888. https://doi.org/10.1016/j.scitotenv.2021.150888
- Sarawut Sangkham. A review on detection of SARS-CoV-2 RNA in wastewater in light of the current knowledge of treatment process for removal of viral fragments. Journal of Environmental Management 2021, 299 , 113563. https://doi.org/10.1016/j.jenvman.2021.113563
- Banafsheh Haji Ali, Mohammad Sajjad Shahin, Mohammad Mahdi Masoumi Sangani, Mohsen Faghihinezhad, Majid Baghdadi. Wastewater aerosols produced during flushing toilets, WWTPs, and irrigation with reclaimed municipal wastewater as indirect exposure to SARS-CoV-2. Journal of Environmental Chemical Engineering 2021, 9
(5)
, 106201. https://doi.org/10.1016/j.jece.2021.106201
Article Views are the COUNTER-compliant sum of full text article downloads since November 2008 (both PDF and HTML) across all institutions and individuals. These metrics are regularly updated to reflect usage leading up to the last few days.
Citations are the number of other articles citing this article, calculated by Crossref and updated daily. Find more information about Crossref citation counts.
The Altmetric Attention Score is a quantitative measure of the attention that a research article has received online. Clicking on the donut icon will load a page at altmetric.com with additional details about the score and the social media presence for the given article. Find more information on the Altmetric Attention Score and how the score is calculated.