Structured Ethical Review for Wastewater-Based Testing in Support of Public Health
Publication Date
8-2023
Description
Wastewater-based testing (WBT) for SARS-CoV-2 has rapidly expanded over the past three years due to its ability to provide a comprehensive measurement of disease prevalence independent of clinical testing. The development and simultaneous application of WBT measured biomarkers for research activities and for the pursuit of public health goals, both areas with well-established ethical frameworks. Currently, WBT practitioners do not employ a standardized ethical review process, introducing the potential for adverse outcomes for WBT professionals and community members. To address this deficiency, an interdisciplinary workshop developed a framework for a structured ethical review of WBT. The workshop employed a consensus approach to create this framework as a set of 11 questions derived from primarily public health guidance. This study retrospectively applied these questions to SARS-CoV-2 monitoring programs covering the emergent phase of the pandemic (3/2020–2/2022 (n = 53)). Of note, 43% of answers highlight a lack of reported information to assess. Therefore, a systematic framework would at a minimum structure the communication of ethical considerations for applications of WBT. Consistent application of an ethical review will also assist in developing a practice of updating approaches and techniques to reflect the concerns held by both those practicing and those being monitored by WBT supported programs.
Journal
Environmental Science & Technology
Volume
57
Issue
35
First Page
12969
Last Page
12980
Department
Civil and Environmental Engineering
Link to Published Version
https://doi.org/10.1021/acs.est.3c04529
DOI
https://doi.org/10.1021/acs.est.3c04529
Recommended Citation
Bowes, Devin A.; Darling, Amanda; Driver, Erin M.; Kaya, Devrim; Maal-Bared, Rasha; Lee, Lisa M.; Goodman, Kenneth; Adhikari, Sangeet; Aggarwal, Srijan; Bivins, Aaron; Bohrerova, Zuzana; Cohen, Alasdair; Duvallet, Claire; Elnimeiry, Rasha A.; Hutchinson, Justin M.; Kapoor, Vikram; Keenum, Ishi; Ling, Fangquiong; Sills, Deborah; Tiwari, Ananda; Vikesland, Peter; Ziels, Ryan; and Mansfeldt, Cresten. "Structured Ethical Review for Wastewater-Based Testing in Support of Public Health." (2023) : 12969-12980.