The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes the coronavirus disease (COVID-19), is shed in feces and the viral
ribonucleic acid (
RNA) is detectable in
wastewater. A nine-week
wastewater epidemiology study of ten
wastewater facilities, serving 39% of the state of Utah or 1.26 M individuals was conducted in April and May of 2020.
COVID-19 cases were tabulated from within each sewershed boundary.
RNA from SARS-CoV-2 was detectable in 61% of 126
wastewater samples. Urban sewersheds serving >100,000 individuals and tourist communities had higher detection frequencies. An outbreak of
COVID-19 across two communities positively correlated with an increase in
wastewater SARS-CoV-2
RNA, while a decline in
COVID-19 cases preceded a decline in
RNA. SARS-CoV-2
RNA followed a first order decay rate in
wastewater, while 90% of the
RNA was present in the liquid phase of the influent. Infiltration and inflow, virus decay and sewershed characteristics should be considered during correlation analysis of SAR-CoV-2 with
COVID-19 cases. These results provide evidence of the utility of
wastewater epidemiology to assist in public health responses to
COVID-19.