Hastings Wastewater Infectious Disease Surveillance Reports
Influenza A & Influenza B, Respiratory Syncytial Virus (RSV), SARS CoV-2 (Novel Corona Virus)
April 23, 2025
What is Wastewater Surveillance?
Wastewater surveillance is a public health tool to monitor the prevalence of infectious disease pathogens in a community. By testing wastewater from wastewater treatment plants (WWTP), we can measure the amount of viruses or other pathogens in community-wide sample while ensuring individual privacy and anonymity.
What the Public Should Know
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Why wastewater? Virus fragments shed in stool aggregate everyone’s signal—catching silent or un‑tested infections and variant shifts up to a week earlier than clinical data. Source: CDC
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Current snapshot (Week 16, April 19, 2025) – Hastings data: SARS‑CoV‑2 LOW ↘︎, Flu A MODERATE ↗︎, RSV HIGH ↗︎, Flu B ⤫not detected. Sources: southheartlandhealth.ne.gov
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State context – CDC’s NWSS dashboard rates Nebraska’s median viral activity “LOW” for COVID‑19, “HIGH” for RSV, and “MODERATE” for Flu A. Sources: COVID-19 trends CDC, RSV trends CDC, Flu trends CDC
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Variants & emerging bugs – JN.1 lineage dominates COVID‑19 signals; CDC now tracks avian‑influenza H5 RNA at some sites (none yet detected here). Sources: CDC, CDC
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Evidence base – Recent studies show wastewater trends anticipate hospital peaks by 6–14 days and can flag novel pathogens months early. Sources: ScienceDirect, The Guardian
At the Hastings Wastewater Facility, levels of SARS-CoV-2, Influenza A & B, and Respiratory Syncytial Virus (RSV) are monitored regularly. To see details from the latest report, click the link below:
Week 16 - Ending April 19, 2025
What You Can Do with This Information
When the local trend is… | Recommended Action |
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1. Low or decreasing |
1. Keep regular hand‑washing and stay current on routine vaccines. |
2. Rising or high |
2. Stock home tests and masks; consider postponing large indoor gatherings if you or your household are high‑risk. |
3. Very high (red alert) |
3. Wear a high‑quality mask in crowded indoor spaces, ensure good ventilation, and seek antivirals (e.g., Paxlovid) rapidly if you test positive. |
Tip: Wastewater spikes often precede clinical surges—use alerts as your “heads‑up” to refresh prevention supplies a week early.
How to Stay Updated
Tool | Update Frequency | Link / Action |
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1. SHDHD Wastewater Dashboard | 1. Every Tuesday | 1. Scroll to graphs or sign up for email push alerts - Coming soon! |
2. Nebraska DHHS Respiratory Dashboard | 2. Weekly (Fri) | 2. Combines wastewater + hospital metrics for state context. Sources: Nebraska DHHS |
3. CDC NWSS Maps (COVID, Flu A, RSV) | 3. Fridays | 3. Check national/state heat‑maps for travel or event planning. Sources: CDC, CDC ,CDC |
4. WastewaterSCAN national tracker | 4. Daily | 4. Quick glance at concentration trends across 190+ sites. Sources: data.wastewaterscan.org |
SHDHD Resources
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Weekly PDF report with 4‑virus trend graphs and interpretation notes (posted under “Public Info → Wastewater Reports”).
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SMS/Email “Wastewater Watch” – Coming soon!
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Community presentations – request a 15‑minute talk for schools, councils, or workplaces. Email for more info. devi.dwarabandam@shdhd.ne.gov
References
- CDC NWSS State‑Trend page CDC;
- CDC COVID‑19 current levels map CDC;
- CDC RSV wastewater map CDC;
- CDC Influenza A wastewater map CDC;
- CDC AMD success story on wastewater CDC;
- CDC H5 wastewater table CDC;
- ScienceDirect WBE review 2025 ScienceDirect;
- The Guardian early‑warning feature 2025 The Guardian;
- Nebraska DHHS Respiratory Dashboard overview Nebraska DHHS;
- SHDHD Hastings Week 15 report southheartlandhealth.ne.gov;
- WastewaterSCAN tracker summary data.wastewaterscan.org.
- National Wastewater Surveillance System (NWSS), CDC https://www.cdc.gov/nwss/index.html