Scientists tracking the novel coronavirus as it spreads through communities are turning to an unsavory yet universal source: the sewer.

Researchers around the globe are studying “wastewater-based-epidemiology,” reported the Los Angeles Times. Research shows that monitoring sewage can help to measure the spread and scale of the a virus, allowing government health officials to determine when to ease social distancing orders.

“With wastewater, you can very quickly get a snapshot of an entire population,” said Mariana Matus, cofounder of start-up Biobot Analytics, according to the Los Angeles Times. “The closest approach to replicating the data from wastewater would be to literally test every single person in a community and then take the average of that. It is very powerful.”

Biobot Analytics — which traces its roots to the Massachusetts Institute of Technology — began by tracking the country’s opioid crisis through its wastewater, but has shifted to COVID-19. The company has completed one coronavirus study in Massachusetts, with a team of other research partners, that is awaiting peer review. Hundreds of wastewater treatment plants across the country have asked for testing.

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Experts believe wastewater can offer an early warning if the coronavirus begins to spike in a certain area. For decades, similar testing has been used to identify norovirus, Hepatitis A, polio and other outbreaks — even before clinical cases could be identified — according to the Los Angeles Times.

A monthlong study of wastewater in Paris — that also needs peer-review— detected a curve in the concentration of the coronavirus that matched the city’s outbreak of COVID-19 cases, according to Science magazine. The researchers said they saw a spike in the virus before it was echoed by confirmed cases in France’s capital.

“This visibility is also going to help us predict a second wave of outbreaks,” Sébastien Wurtzer, a Parisian public water virologist, told Science.

Additional studies will be needed to refine COVID-19 wastewater testing. One expert told the Los Angeles Times that sewage testing is quick and relatively inexpensive.

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