Notes from the Field: The National Wastewater Surveillance System's Centers of Excellence Contributions to Public Health Action During the Respiratory Virus Season - Four U.S. Jurisdictions, 2022-23.

jurisdictions, 2022–23 Local level Colorado (Denver metro) Biweekly sampling for EV-D68 in the Denver metro area to guide and collaborate with health system and pediatric providers during 2022–23 respiratory season Biweekly sampling of three sewersheds in Denver, covering 1.2 million residents Three statewide alerts to guide hospitals and providers about increases in cases to plan surge staffing and resource allocation as a result of the EV-D68 syndromic surveillance alarm Wastewater testing performed retrospectively and showed an increasing trend 1 month before the syndromic surveillance alarm; wastewater testing is now part of the EV-D68 multimodal surveillance model Houston Weekly wastewater monitoring for SARS-CoV-2, influenza, and RSV in K–12 schools to detect outbreaks during 2022–23 school year Weekly sampling of 122 sampling site

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