@misc{84665, type = "Article", year = "2021", title = "L’épidémiologie basée sur les eaux usées, un outil innovant pour le suivi sanitaire des populations : l’exemple du réseau Obépine, sentinelle de l’épidémie de Covid-19, Wastewater-based epidemiology, an innovative tool for population health monitoring: example of the Obépine network, sentinel of the Covid-19 outbreak", journal = "Techniques Sciences Méthodes", editor = "Association scientifique et technique pour l'eau et l'environnement", volume = "Spécial", number = "COVID-19", pages = "21-30", author = "Moulin L., Boni M., Cluzel N., Garry Pascal, Le Guyader Soizick, Levert M., Maday Y., Marechal V., Mouchel J.-M., Wang S., Wurtzer S.", url = "https://archimer.ifremer.fr/doc/00735/84665/", organization = "", address = "FRANCE", doi = "https://doi.org/10.36904/tsm/2021C1921", abstract = "
Epidemics require the monitoring of reliable and relevant indicators to inform health care decision making. During the SARS-CoV-2 pandemic, the monitoring of viral dynamics in the population by individual-centered approaches proved to be complex and strongly influenced by asymptomatic carriers and changes in screening policy. In this context, other indicators for global epidemiological monitoring were proposed. Quantification of the virus load in wastewater, using molecular biology tools, quickly emerged as an innovative and objective indicator for monitoring the Covid-19 epidemic. This "wastewater-based epidemiology" (WWBE), whose relevance had been demonstrated a few years earlier, is now a complementary tool for epidemiological monitoring. This indicator is recommended by the European Union since March 2021. The Obépine consortium, which brings together interdisciplinary research teams, has been working on this topic since the beginning of the epidemic in order to develop and master this tool. This research consortium is also the basis of the French national surveillance network of the epidemic via wastewater. The measurement methods, still being optimized in research laboratories, nevertheless require great precautions in their implementation and interpretation for routine use. Through the example of the research program and the network built by Obépine, we will discuss the different steps necessary to set up this epidemiological monitoring via wastewater. The different steps necessary for its mastery are presented here as well as the first lessons to be learned.
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