Biobanking: Possibilities for Wastewater-Based Epidemiology

The COVID-19 pandemic, spanning from early 2020 to late 2022, posed unprecedented challenges for global public health. However, it also spurred innovative approaches to pandemic management, notably the development of pathogen detection in wastewater. It was successfully demonstrated that wastewater analysis can not only reflect ongoing COVID-19 infections but also serve as an early indicator of disease prevalence within communities. Recognizing the value of longitudinal analyses of various pathogens, we identified the need for wastewater biobanking. This practice allows for the retrospective analysis of samples, offering critical public health insights at the population level. Moreover, the potential to transport and store biobanked samples at ambient temperature or in a dry state could greatly enhance the utility of this technology, especially in resource-limited settings such as low- and middle-income countries. This article also addresses the ethical considerations and public health implications of wastewater-based epidemiology. While this approach holds significant potential beyond pathogen detection, it is essential to evaluate the benefits and potential risks carefully.