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Table 1 Estimated patterns of SARS-CoV-2 fecal viral shedding in wastewater. Note in this study, SARS-CoV-2 RNA concentration was measured using quantitative reverse transcription polymerase chain reaction (RT-qPCR) assays during August 31, 2020, through April 11, 2023, and reverse transcription digital PCR (RT-dPCR) assays from November 1, 2022, through August 29, 2023. Based on samples tested using both assays, the RT-qPCR and RT-dPCR measures differed by a factor of 16.7. We used this conversion factor to convert measures from the two methods and provide estimates for RT-qPCR and RT-dPCR assays, separately

From: The use of wastewater surveillance to estimate SARS-CoV-2 fecal viral shedding pattern and identify time periods with intensified transmission

Model

Wave

Shedding rate (billion copies per day per infectious person, mean and 95% Confidence interval)

Lag (days)

Number of samples

Adjusted R2

Include all variant waves

2nd wave (08/31/20-06/26/21)

1.44 (1.35, 1.53) per qPCR;

24.0 (22.49, 25.51) per dPCRa

0

3

0.84

Delta wave (06/27/21-12/04/21)

1.13 (0.86, 1.4) per qPCR;

18.9 (14.45, 23.35) per dPCRa

0

3

0.84

Omicron period (12/05/21-08/29/23)

0.6 (0.59, 0.61) per qPCR;

9.96 (9.76, 10.16) per dPCRb

0

3

0.84

Stratified by wave/ period

2nd wave (08/31/20-06/26/21)

1.44 (1.37, 1.52) per qPCR;

24.07 (22.85, 25.28) per dPCRa

0

4

0.74

Delta wave (06/27/21-12/04/21)

1.09 (0.91, 1.27) per qPCR;

18.14 (15.21, 21.08) per dPCRa

−5

4

0.37

Omicron period (12/05/21-08/29/23)

0.6 (0.59, 0.61) per qPCR;

9.98 (9.76, 10.2) per dPCRb

0

3

0.86

Omicron BA.1 (12/05/21-03/05/22)

0.59 (0.56, 0.61) per qPCR

9.78 (9.32, 10.23) per dPCRa

0

3

0.91

After BA.1 (03/06/22-08/29/23)

0.72 (0.7, 0.75) per qPCR;

12.11 (11.72, 12.5) per dPCRb

−5

4

0.78

  1. aRT-qPCR assays were used to measure SARS-CoV-2 RNA concentration during this period; the dPCR estimates were made by conversion (see Methods)
  2. bRT-qPCR assays were used to measure SARS-CoV-2 RNA concentration through April 11, 2023 and RT-dPCR assays were used afterwards; conversion was used to obtain estimates for the entire period (see Methods)