Sewage as an indicator of public health

Sewage research is now being used to detect the coronavirus (SARS severe acute respiratory syndrome (severe acute respiratory syndrome)-CoV coronavirus (coronavirus)-2). This type of monitoring has been used for some time to detect poliovirus and antibiotic-resistant bacteria. RIVM is investigating options for expanding sewage research to include other data that could provide information about public health.

  • Use of muscle-building supplements Anabolic steroids, sequestering agents*, weight-loss supplements*
  • Drug use Heroin, cocaine, new party drugs
  • Forensic research Drug production
  • Smoking and drinking Nicotine, alcohol consumption
  • Dangerous substances PFAS Per- en polyfluoralkylstoffen (Per- en polyfluoralkylstoffen), substances of very high concern (SVHC substances of very high concern (substances of very high concern) / ZZS Zeer Zorgwekkende Stoffen (Zeer Zorgwekkende Stoffen)), pesticides, ame retardants*, new substances*
  • Pathogens SARS-CoV-2, poliovirus, norovirus, antibiotic-resistant bacteria
  • Non-communicable diseases Diabetes*, cancer*, allergies*
  • Medication use Regimen compliance*, insight into over-the-counter medicines*
  • Nutrition Mycotoxins, vitamins*, isoflavones*
  • Obesity Biomarkers correlated to BMI Body Mass Index (Body Mass Index)
  • Personal hygiene and care products Microplastics, parabens*, UV ultraviolet (ultraviolet) filters*
  • A healthy lifestyle Oxidative stress*

*These parameters are not yet used in sewage research. Further research is needed to determine whether this is possible.