<?xml version="1.0" encoding="utf-8"?>
<journal>
<title>Journal of Environmental Health and Sustainable Development</title>
<title_fa>مجله بهداشت محیط و توسعه پایدار</title_fa>
<short_title>J Environ Health Sustain Dev</short_title>
<subject>Medical Sciences</subject>
<web_url>http://jehsd.ssu.ac.ir</web_url>
<journal_hbi_system_id>1</journal_hbi_system_id>
<journal_hbi_system_user>admin</journal_hbi_system_user>
<journal_id_issn>2476-6267</journal_id_issn>
<journal_id_issn_online>2476-7433</journal_id_issn_online>
<journal_id_pii></journal_id_pii>
<journal_id_doi></journal_id_doi>
<journal_id_iranmedex></journal_id_iranmedex>
<journal_id_magiran></journal_id_magiran>
<journal_id_sid></journal_id_sid>
<journal_id_nlai></journal_id_nlai>
<journal_id_science></journal_id_science>
<language>en</language>
<pubdate>
	<type>jalali</type>
	<year>1404</year>
	<month>6</month>
	<day>1</day>
</pubdate>
<pubdate>
	<type>gregorian</type>
	<year>2025</year>
	<month>9</month>
	<day>1</day>
</pubdate>
<volume>10</volume>
<number>3</number>
<publish_type>online</publish_type>
<publish_edition>1</publish_edition>
<article_type>fulltext</article_type>
<articleset>
	<article>


	<language>en</language>
	<article_id_doi></article_id_doi>
	<title_fa></title_fa>
	<title>Hospital Wastewater Surveillance of SARS-CoV-2 RNA: Association With COVID-19 Cases and Insights into Environmental Persistence</title>
	<subject_fa></subject_fa>
	<subject>Environmental microbiology</subject>
	<content_type_fa></content_type_fa>
	<content_type>Original articles</content_type>
	<abstract_fa></abstract_fa>
	<abstract>&lt;div style=&quot;text-align: justify;&quot;&gt;&lt;span style=&quot;font-size:11pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Calibri&amp;quot;,&amp;quot;sans-serif&amp;quot;&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-size:10.0pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;,&amp;quot;serif&amp;quot;&quot;&gt;&lt;span style=&quot;color:black&quot;&gt;Introduction:&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-size:10.0pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;,&amp;quot;serif&amp;quot;&quot;&gt;&lt;span style=&quot;color:black&quot;&gt; Analyzing municipal wastewater for the presence of SARS-CoV-2 RNA serves as a cost-effective and timely tool for epidemiological surveillance to mitigate virus-related health risks. Therefore, this study assessed the presence of SARS-CoV-2 RNA in untreated hospital wastewater and its correlation with COVID-19 case numbers over six months at Shahidzadeh Hospital in southwest Iran. &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;br&gt;
&lt;span style=&quot;font-size:11pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Calibri&amp;quot;,&amp;quot;sans-serif&amp;quot;&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-size:10.0pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;,&amp;quot;serif&amp;quot;&quot;&gt;&lt;span style=&quot;color:black&quot;&gt;Materials and Methods:&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-size:10.0pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;,&amp;quot;serif&amp;quot;&quot;&gt;&lt;span style=&quot;color:black&quot;&gt; In this analytical investigation, a total of 24 grab samples of untreated hospital wastewater were systematically collected over six months, spanning from September 2020 to February 2021. Each sample was subsequently processed and analyzed using a reverse transcription quantitative polymerase chain reaction (RT-qPCR) approach, with specific amplification targeting both the RNA-dependent RNA polymerase (RdRp) gene and the nucleocapsid (N) gene of SARS-CoV-2.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;br&gt;
&lt;span style=&quot;font-size:11pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Calibri&amp;quot;,&amp;quot;sans-serif&amp;quot;&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-size:10.0pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;,&amp;quot;serif&amp;quot;&quot;&gt;&lt;span style=&quot;color:black&quot;&gt;Results:&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-size:10.0pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;,&amp;quot;serif&amp;quot;&quot;&gt;&lt;span style=&quot;color:black&quot;&gt; All 24 wastewater samples tested positive for SARS-CoV-2 RNA. Concentrations ranged between 130 to 490 gene copies/100 mL, with mean values increasing from 247 (September) to 425 (February). RNA levels were strongly correlated with hospitalized COVID-19 cases (Spearman&amp;rsquo;s p &lt; 0.05, R&amp;sup2; = 0.87). &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;br&gt;
&lt;span style=&quot;font-size:11pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Calibri&amp;quot;,&amp;quot;sans-serif&amp;quot;&quot;&gt;&lt;b&gt;&lt;i&gt;&lt;span style=&quot;font-size:10.0pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;,&amp;quot;serif&amp;quot;&quot;&gt;&lt;span style=&quot;color:black&quot;&gt;Conclusion:&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/i&gt;&lt;/b&gt;&lt;span style=&quot;font-size:10.0pt&quot;&gt;&lt;span style=&quot;line-height:115%&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Times New Roman&amp;quot;,&amp;quot;serif&amp;quot;&quot;&gt;&lt;span style=&quot;color:black&quot;&gt;&amp;nbsp; These findings highlight the value of hospital wastewater surveillance as a cost-effective epidemiological tool, particularly in settings with limited diagnostic capacity. Future research should investigate viral viability and optimize disinfection strategies to reduce potential environmental risk.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;br&gt;
&amp;nbsp;&lt;/div&gt;</abstract>
	<keyword_fa></keyword_fa>
	<keyword>Covid 19, SARS-CoV-2, Hospital, Wastewater, Health Monitoring</keyword>
	<start_page>2734</start_page>
	<end_page>2745</end_page>
	<web_url>http://jehsd.ssu.ac.ir/browse.php?a_code=A-10-1051-1&amp;slc_lang=en&amp;sid=1</web_url>


<author_list>
	<author>
	<first_name>Rozhan </first_name>
	<middle_name></middle_name>
	<last_name>Feizi </last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email>rozhanfeizi@gmail.com</email>
	<code></code>
	<orcid>0000-0002-9281-0451</orcid>
	<coreauthor>No</coreauthor>
	<affiliation>Department of Environmental Health, Behbahan Faculty of Medical Sciences, Behbahan, Iran</affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


	<author>
	<first_name>Neematollah  </first_name>
	<middle_name></middle_name>
	<last_name>Jaafarzadeh</last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email>n.Jaafarzade@gmail.com</email>
	<code></code>
	<orcid>0000-0003-2516-2340</orcid>
	<coreauthor>No</coreauthor>
	<affiliation>Environmental Technologies Research Center, Medical Basic Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran</affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


	<author>
	<first_name>Masoud </first_name>
	<middle_name></middle_name>
	<last_name>Panahi Fard </last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email>masoudpanahifard@gmail.com</email>
	<code></code>
	<orcid>0000-0002-1854-0297</orcid>
	<coreauthor>Yes
</coreauthor>
	<affiliation>Student Research Committee, Department of Environmental Health Engineering, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran</affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


	<author>
	<first_name>Niloofar  </first_name>
	<middle_name></middle_name>
	<last_name>Neisi</last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email>niloofarneisi@yahoo.com</email>
	<code></code>
	<orcid>0000-0001-8224-4890</orcid>
	<coreauthor>No</coreauthor>
	<affiliation>Department of Virology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran</affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


	<author>
	<first_name>Abdollah  </first_name>
	<middle_name></middle_name>
	<last_name>Dargahi</last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email>a.dargahi29@yahoo.com</email>
	<code></code>
	<orcid>0000-0003-2929-2556</orcid>
	<coreauthor>No</coreauthor>
	<affiliation>Department of Environmental Health, Khalkhal University of Medical Sciences, Khalkhal, Iran</affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


	<author>
	<first_name>Maryam </first_name>
	<middle_name></middle_name>
	<last_name>Mehrbakhsh </last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email>mar.mehr63@gmail.com</email>
	<code></code>
	<orcid>000-0003-1247-6252</orcid>
	<coreauthor>No</coreauthor>
	<affiliation>Department of Environmental Health, Behbahan Faculty of Medical Sciences, Behbahan, Iran</affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


</author_list>


	</article>
</articleset>
</journal>
