Harry Spoelstra

Harry Spoelstra

@harryspoelstra · Twitter ·

Tracking pathogens through aircraft wastewater 🚨You fly, you mask ! 🚨Your plane’s toilet just became the world’s best pandemic early-warning system. ➡️Revealing study describes how South African epidemiologist Fiona Els and colleagues at the National Institute for Communicable Diseases (NICD) analyse wastewater from aircraft lavatories, terminal buildings, and nearby sewers at Johannesburg’s OR Tambo International Airport (≈21 million passengers/year) as an early-warning possibility! ➡️Their key findings: - Wastewater environmental surveillance (WES) is inexpensive, anonymous, and population-level: one litre sample can reveal viruses, bacteria, and other pathogens from large groups, including asymptomatic carriers (e.g, ≈95% of polio infections are silent yet detectable in sewage). - National network already covers nearly 30 sentinel + 22 community sites (treatment plants, sewers, hospitals). Aircraft sampling was added post-COVID to catch incoming threats before local circulation. - Samples are screened for SARS-CoV-2, influenza A & B, measles, and mpox, with genomic sequencing of positives. - Results: ≈22% of aircraft samples positive for SARSCoV2; ≈7% for influenza A; similar rates for measles virus; other pathogens of interest also detected. - Critical success: the XFG SARSCoV2 variant appeared in aircraft wastewater 12 weeks before clinical surveillance identified any case, and 24 weeks before it showed up in community wastewater. https://pmc.ncbi.nlm.nih.gov/articles/PMC12827822/ ➡️Authors stress that these data strengthen risk assessments and elimination programmes by revealing global pathogen traffic at Africa’s busiest gateway long before routine systems react. ‼️So, aircraft toilets are already a faster, more sensitive sentinel than hospitals or clinics for detecting silent pandemic invaders weeks or months earlier . Scale this surveillance up to every major international airport now, or the next global outbreak will again catch humanity completely blind. #PandemicAwareness #FlyAndMask #AvoidSars2 #AvoidReinfections Cc: @SolidEvidence https://www.nature.com/articles/d44148-026-00229-2

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