Publications by authors named "Kiran Nannaware"

SARS-CoV-2 transmission and detection on academic campuses in low- to middle-income countries has not been explored. The present study explored wastewater surveillance of SARS-CoV-2 in a campus setting in Pune, Maharashtra, India, offering insights into variant-specific trends and their correlation with clinical cases over a 2.5 year period from November 2021 to April 2024.

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The growing threat of antimicrobial resistance (AMR) poses a significant global challenge, undermining advancements in healthcare, agriculture, and life expectancy. Despite its critical importance, data on population-level AMR trends, including seasonal and temporal variations, remain scarce. In this study, we conducted metagenomic analysis on 190 wastewater samples collected monthly from December 2022 to December 2023 in Pune, India, to assess the diversity, dynamics, and co-occurrence of AMR determinants.

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The bourgeoning field of wastewater-based epidemiology (WBE) for the surveillance of several respiratory viruses which includes Influenza A, H1N1pdm09, H3N2, respiratory syncytial viruses (RSV), and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is of interest for public health concerns. However, there are few long-term monitoring studies globally. In this study, respiratory viruses were detected and quantified from 11 sewer sheds by utilizing reverse transcription-quantitative polymerase chain reaction analysis in Pune city, India, from Jan 2022 to Dec 2023.

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Article Synopsis
  • Tracking and monitoring SARS-CoV-2 variants has become complex due to reduced clinical testing, prompting a study of wastewater-based epidemiology (WBE) in Pune, India, to enhance variant surveillance.
  • Over 1,100 wastewater samples were analyzed, revealing "silent waves" of high viral load that occurred before clinical cases, indicating possible hidden transmission and allowing early detection of variants like XBB up to 253 days before they appeared in clinical data.
  • The study demonstrated that WBE captures a wider variety of circulating variants, providing valuable insights for public health officials to better manage and respond to potential future COVID-19 waves amidst decreasing clinical testing.
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