Introduction (Context)
The Indian Council of Medical Research (ICMR) has launched a major initiative to expand wastewater surveillance across 50 Indian cities, covering 10 viruses over the next six months. Currently, five cities are under monitoring.
This move aims to build an early-warning system for outbreaks of infectious diseases like COVID-19, polio, influenza, and other viral threats.
What is Wastewater?
- Wastewater is used water that has been affected by domestic, industrial and commercial use.
- The composition of wastewater is 99.9% water and the remaining 0.1% contains organic matter, microorganisms and inorganic compounds.
- Wastewater effluents are released to a variety of environments, such as lakes, ponds, streams, rivers, estuaries and oceans.
- Wastewater also includes storm runoff, as harmful substances wash off roads, parking lots and rooftops.
Types of waste water
- Blackwater: Wastewater from toilets containing faeces and urine; highly contaminated with pathogens.
- Greywater: Wastewater from showers, sinks, laundry, and kitchens; less polluted than blackwater.
- Yellow Water: Source-separated urine; nutrient-rich and useful as fertilizer after treatment.
- Brown Water: Faeces mixed with flush water but without urine; organic and pathogen-heavy.
Why Wastewater Treatment Matters?
Untreated wastewater is one of the biggest threats to both public health and the natural environment. Proper treatment is therefore crucial to prevent widespread harm and ensure safe water management.
Environmental Consequences
- Water Pollution: Harmful contaminants degrade water quality, making it unsafe for drinking, bathing, irrigation, and fishing.
- Ecosystem Damage: Excess nutrients can cause algal blooms that deplete oxygen, killing fish and other aquatic life. Toxic substances can also build up in the food chain, endangering animals and humans alike.
- Groundwater Risks: Wastewater that seeps into the soil may reach underground aquifers, polluting vital drinking water sources and requiring expensive clean-up measures.
Public Health Risks
- Waterborne Infections: Diseases like cholera, typhoid, hepatitis, and dysentery are linked to contaminated drinking water.
- Recreational Exposure: People coming into contact with polluted water through swimming or wading risk skin problems, stomach infections, and other illnesses.
Hence, the Indian Council of Medical Research (ICMR) will initiate wastewater surveillance to identifying any increase in virus growth trend at the earliest,
What is Wastewater Surveillance?
- It involves collecting and testing sewage samples to detect viruses, bacteria, and other pathogens.
- Wastewater-Based Epidemiology (WBE) helps track disease spread in a community by analyzing biological traces (like viral RNA) in human waste.
- It is a non-invasive, cost-effective, and population-wide monitoring tool that provides insights even from asymptomatic carriers.
How ICMR will conduct surveillance?
- The initiative will track 10 different viruses, including:
- COVID-19 – still a public health concern due to mutations.
- Polio virus – essential for India’s polio-free status monitoring.
- Avian Influenza Virus (AIV) – linked with seasonal outbreaks and zoonotic transmission.
- Other pathogens causing fever, diarrhoea, acute encephalitis, and respiratory distress.
- The focus is on establishing a nationwide early-warning system by monitoring both wastewater and surface water in outbreak-prone areas.
- Process:
- Wastewater operators collect samples before treatment.
- Samples are sent to labs for testing viral/bacterial load.
- Results available within 5–7 days.
- Public health officials use wastewater data to better understand disease trends in communities and make decisions, such as providing guidance on how to prevent infections or increasing testing or vaccination options.
Other surveillance systems
India has robust surveillance for other illness also:
- Influenza-Like Illness (ILI) monitoring helps track seasonal flu patterns, detect unusual outbreaks, and monitor viral mutations.
- Severe Acute Respiratory Illness (SARI) surveillance helps identify severe respiratory disease outbreaks, including COVID-19 and influenza.
- The Integrated Disease Surveillance Programme (IDSP), which collect, analyze, and respond to disease outbreak data. Covers both communicable and some non-communicable diseases for timely interventions.
- Wastewater and Environmental Surveillance (WES) involves testing sewage and water bodies affected by human waste for pathogens.
Advantages of Wastewater Surveillance
- Unlike individual medical testing, which requires time and resources, wastewater testing provides a population-wide snapshot of infections in one go.
- Many infected individuals may not show symptoms or may avoid testing, but they still shed pathogens in urine or faeces. Wastewater-Based Epidemiology (WBE) captures this “hidden data,” allowing early detection of disease spread that might otherwise remain unnoticed.
- By testing samples from specific locations or neighborhoods, authorities can pinpoint areas with higher infection loads.
- Wastewater data provides actionable insights to policymakers. This makes public health interventions proactive rather than reactive.
- Collecting and testing wastewater is far cheaper than conducting mass individual testing. It reduces the burden on health systems and allows continuous surveillance without large-scale disruptions.
- It also provides useful data to maintain ecosystem services and protect freshwater and marine ecosystems.
Way Forward
- Expand coverage to rural and peri-urban areas.
- Integrate wastewater data with digital health platforms for real-time tracking.
- Build laboratory and human resource capacity at district levels.
- Encourage global data-sharing mechanisms for early warning of cross-border health threats.
- Link with climate change and pollution monitoring frameworks for holistic action.
Conclusion
Wastewater surveillance represents a transformative approach in public health management. By turning sewage into a source of information, India can detect hidden infections, anticipate outbreaks, and safeguard both health and environment.
The scaling up of this programme by ICMR is a timely step towards pandemic preparedness and sustainable disease surveillance.
Mains Practice Question
Q Wastewater-Based Epidemiology (WBE) has emerged as a powerful tool for public health and environmental management. Discuss its significance for India, while highlighting the challenges and way forward. (250 words, 15 marks)