Large-scale, hospital-based wastewater surveillance for early detection of infectious disease epidemics in NYC

This project aims to establish hospital-based wastewater surveillance (WWS) in New York City to complement existing community-level WWS (conducted by New York State Department of Health and NYC DOHMH), and to enhance traditional clinical surveillance systems tracking COVID-19, influenza, and RSV. By integrating hospital wastewater data with clinical surveillance and hospital electronic health records, we plan to systematically assess correlations and complementarity of H+H WWS with H+H EHR data, community-based WWS, traditional public health surveillance data sources.

We are also evaluating the use of wastewater—both hospital and community-level—as an early warning system for respiratory illness outbreaks in NYC, and assessing key factors (such as sampling frequency and normalization techniques) that may influence the performance of hospital-based WWS for surveillance of different pathogens

Project Investigators