Association of SARS-CoV-2 presence in sewage with public adherence to precautionary measures and reported COVID-19 prevalence in Tehran.

The spearman correlation, however, did not reach statistical significance ( p > 0.05).

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Again, measurements of the viral load in wastewater kept an increasing trend until peaked on 6 April 2021 in studied sewage plants (about 110,000 gene copies/L), which were also in line with climbing SARS-CoV-2 diagnosed cases.

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As can be seen, there was a clear trend of separation between either new cases of infection or the number of deaths from CODID-19 over this month and those reported for the preceding two months, which could not only be assigned to facing new and more transmissible variants of the virus but also lack of public adherence with and support for precautionary measures and preventive guidelines to reduce transmission of SARS-CoV-2.

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