Pathogens (Jun 2024)

Detection of Human Adenovirus and Rotavirus in Wastewater in Lusaka, Zambia: Demonstrating the Utility of Environmental Surveillance for the Community

  • Ngonda Saasa,
  • Ethel M’kandawire,
  • Joseph Ndebe,
  • Mulenga Mwenda,
  • Fred Chimpukutu,
  • Andrew Nalishuwa Mukubesa,
  • Fred Njobvu,
  • Doreen Mainza Shempela,
  • Jay Sikalima,
  • Carol Chiyesu,
  • Bruce Muvwanga,
  • Sarah M. Nampokolwe,
  • Clement Sulwe,
  • Thokozile Khondiwa,
  • Todd Jennings,
  • Ameck Kamanga,
  • Edgar Simulundu,
  • Conceptor Mulube,
  • Wizaso Mwasinga,
  • Jalaimo Mumeka,
  • John Simwanza,
  • Patrick Sakubita,
  • Otridah Kapona,
  • Chilufya Susan Aneta Mulenga,
  • Musole Chipoya,
  • Kunda Musonda,
  • Nathan Kapata,
  • Nyambe Sinyange,
  • Muzala Kapina,
  • Joyce Siwila,
  • Misheck Shawa,
  • Masahiro Kajihara,
  • Ayato Takada,
  • Hirofumi Sawa,
  • Simulyamana A. Choonga,
  • Roma Chilengi,
  • Earnest Muyunda,
  • King S. Nalubamba,
  • Bernard M. Hang’ombe

DOI
https://doi.org/10.3390/pathogens13060486
Journal volume & issue
Vol. 13, no. 6
p. 486

Abstract

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Enteric infections due to viral pathogens are a major public health concern. Detecting the risk areas requires a strong surveillance system for pathogenic viruses in sources such as wastewater. Towards building an environmental surveillance system in Zambia, we aimed to identify group A rotavirus (RVA) and human adenovirus (HAdV) in wastewater. Convenient sampling was conducted at four study sites every Tuesday for five consecutive weeks. The research team focused on three different methods of viral concentration to determine the suitability in terms of cost and applicability for a regular surveillance system: the bag-mediated filtration system (BMFS), polyethylene glycol-based (PEG) precipitation, and skimmed milk (SM) flocculation. We screened 20 wastewater samples for HAdV and RVA using quantitative polymerase chain reaction (qPCR) and conventional polymerase chain reaction (cPCR). Of the 20 samples tested using qPCR, 18/20 (90%) tested positive for HAdV and 14/20 (70%) tested positive for RVA. For the genetic sequencing, qPCR positives were subjected to cPCR, of which 12 positives were successfully amplified. The human adenovirus was identified with a nucleotide identity range of 98.48% to 99.53% compared with the reference genome from GenBank. The BMFS and SM flocculation were the most consistent viral concentration methods for HAdV and RVA, respectively. A statistical analysis of the positives showed that viral positivity differed by site (p < 0.001). SM and PEG may be the most appropriate options in resource-limited settings such as Zambia due to the lower costs associated with these concentration methods. The demonstration of HAdV and RVA detection in wastewater suggests the presence of the pathogens in the communities under study and the need to establish a routine wastewater surveillance system for the identification of pathogens.

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