This opinion piece discusses the results of a survey on the effectiveness of wastewater surveillance. It includes recommendations to strengthen and sustain wastewater surveillance as a pandemic management tool which includes improving the use of wastewater data and increasing funding and other support for wastewater programs for many levels of agencies.
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Disease Tracking and Surveillance
Disease surveillance helps us detect disease cases, understand burden of disease and risk factors, provide the basis for timely and informed decision-making, guide control measures, and monitor impacts. Since the onset of COVID-19, surveillance efforts have worked to provide real-time tracking and forecast data, despite challenges with diagnostic capacity, case reporting, insufficient contact tracing, and fragmented data systems. COVID-19 has highlighted the need to invest in modern data systems, expand and skill up the workforce, and ensure data reporting and interpretation retain high ethical and epidemiological standards.