Wastewater surveillance is helping public health agencies detect infectious diseases before they appear in clinical case reports, providing an early warning system that can help communities prepare for and respond to emerging threats. Erin Laird, director of Emerging Infections at ASTHO, explains how wastewater monitoring complements traditional disease surveillance, supports more strategic allocation of limited public health resources, and can help identify threats like measles and avian influenza. She also discusses ASTHO's framework for addressing ethical considerations in wastewater surveillance, including privacy, stigma, and data stewardship, and why building public trust will be essential to making wastewater monitoring a sustainable part of public health practice.
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