6533b7dcfe1ef96bd12721d0

RESEARCH PRODUCT

The rapid spread of SARS-COV-2 Omicron variant in Italy reflected early through wastewater surveillance

G. La RosaM. IaconelliC. VeneriP. ManciniG. Bonanno FerraroD. BrandtnerL. LucentiniL. BonadonnaM. RossiM. GrigioniE. SuffrediniBucciarelli GiuseppeTorlontano Paolo Giuseppe Michele La Bianca Rosa Anna CifarelliPalma Achille Giovanna La VecchiaLauria GiuseppeBrienza RosannaMontenegro PatriziaD'argenzio AngeloCossentino LuigiOlivares RenatoPizzolante AntonioFusco GiovannaTosco AlessandraPorta AmaliaPennino FrancescaMaria TriassiAngelini Paola Laura De LellisNasci DanieleAlborali GiovanniFormenti NicolettaGuarneri FlaviaFontani NadiaNani GiuliaPalumbo FrancaBorlone GianlucaGuercio MarcoGentili LisaMariuz MarikaTrani GabriellaPariani AnnaAncona Carla Doriana Antonella GiorgiFerrante IreneMonfrinotti MonicaRiosa SilviaCapparuccini Valeria Maria Teresa Scicluna AntonellaArizzi MariaconcettaCecchini GiancarloOttaviano ClaudioNicosia ElenaFontani NadiaNani GiuliaPalumbo FrancaBorlone GianlucaGuercio MarcoGrasselli ElenaAllaria GiorgiaIzzotti AlbertoNicosia ElenaRosatto StefanoAmmoni EmanuelaCereda Danilo Marina Nadia LosioBertasi BarbaraAliscioni AndreaOliva DesdemonaCastiglioni SaraSchiarea SilviaZuccato EttoreAntonelli ManuelaAzzellino AriannaMalpei FrancescaTurolla AndreaBinda SandroLaura PellegrinelliPrimache ValeriaCocuzza ClementinaFranzetti AndreaBertanza Giorgio Maria Luisa CallegariBolognini LuigiFilippetti FabioPaniccia MartaCiuti FrancescaBriscolini SaraMagi SilviaColitti MicheleMontanaro CarmenAprea Giuseppe Maria Grazia CerroniGriglio BartolomeoBerruti RenzaCravero MauroCosta AngelaBianchi ManilaDecastelli LuciaRomano AngeloZuccon FabioCarraro ElisabettaPignata CristinaBonetta Silvia Giuseppe Di VittorioMongelli Onofrio Osvalda De GiglioApollonio FrancescaTriggiano Francesco Maria Teresa MontagnaUngaro NicolaPalermo Mario Carmelo Massimo MaidaMazzucco Walter Simona De GraziaGiammanco GiovanniPurpari GiuseppaFerrante MargheritaAgodi AntonellaBarchitta MartinaCala’ PiergiuseppeAnnalaura CarducciMarco VeraniIleana FederigiLauretani GiuliaMuzio SaraRamazzotti MatteoAntonelli AlbertoRicci EnricaSantoro GiovanniFederici ErmannoPetricciuolo MayaBarigelli SofiaRuffier MauroBorney FrancescaGrange EricDamasco FloridaRusso FrancescaPitter GisellaGroppi VanessaRigoli FrancoZampini MarcoBaldovin TatjanaAmoruso IreneMengon ElenaCadonna MariaPostinghel MattiaPizzo FrancescoSchiavuzzi AlessandraCutrupi FrancescaFoladori PaolaManara SerenaZago LorellaStenico AlbertaPrast. Anna-maria

subject

Omicron; RT-qPCR; SARS-CoV-2; Sewage; Variant; Wastewater-based epidemiologyWastewater-Based Epidemiological MonitoringEnvironmental EngineeringSewageSARS-CoV-2OmicronRT-qPCRCOVID-19Wastewater-based epidemiologyWastewaterPollutionOmicron; RT-qPCR; SARS-CoV-2; Sewage; Variant; Wastewater-based epidemiology; Humans; RNA Viral; Sewage; Waste Water; Wastewater-Based Epidemiological Monitoring; COVID-19; SARS-CoV-2SARS-Cov2RNA ViralEnvironmental ChemistryRNAHumansWaste WaterViralwastewater based epidemiologyVariantWaste Management and DisposalHumanOmicron RT-qPCR SARS-CoV-2 Sewage Variant Wastewater-based epidemiology

description

The SARS-CoV-2 Omicron variant emerged in South Africa in November 2021, and has later been identified worldwide, raising serious concerns. A real-time RT-PCR assay was designed for the rapid screening of the Omicron variant, targeting characteristic mutations of the spike gene. The assay was used to test 737 sewage samples collected throughout Italy (19/21 Regions) between 11 November and 25 December 2021, with the aim of assessing the spread of the Omicron variant in the country. Positive samples were also tested with a real-time RT-PCR developed by the European Commission, Joint Research Centre (JRC), and through nested RT-PCR followed by Sanger sequencing. Overall, 115 samples tested positive for Omicron SARS-CoV-2 variant. The first occurrence was detected on 7 December, in Veneto, North Italy. Later on, the variant spread extremely fast in three weeks, with prevalence of positive wastewater samples rising from 1.0% (1/104 samples) in the week 5-11 December, to 17.5% (25/143 samples) in the week 12-18, to 65.9% (89/135 samples) in the week 19-25, in line with the increase in cases of infection with the Omicron variant observed during December in Italy. Similarly, the number of Regions/Autonomous Provinces in which the variant was detected increased from one in the first week, to 11 in the second, and to 17 in the last one. The presence of the Omicron variant was confirmed by the JRC real-time RT-PCR in 79.1% (91/115) of the positive samples, and by Sanger sequencing in 66% (64/97) of PCR amplicons. In conclusion, we designed an RT-qPCR assay capable to detect the Omicron variant, which can be successfully used for the purpose of wastewater-based epidemiology. We also described the history of the introduction and diffusion of the Omicron variant in the Italian population and territory, confirming the effectiveness of sewage monitoring as a powerful surveillance tool.

10.1016/j.scitotenv.2022.155767https://hdl.handle.net/11568/1157322