Potential spreading risks and disinfection challenges of medical wastewater by the presence of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) viral RNA in septic tanks of Fangcang Hospital

The outbreak of coronavirus infectious disease-2019 (COVID-19) pneumonia raises the concerns of effective deactivation of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in medical wastewater by disinfectants. In this study, we evaluated the presence of SARS-CoV-2 viral RNA in septi...

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Published inThe Science of the total environment Vol. 741; p. 140445
Main Authors Zhang, Dayi, Ling, Haibo, Huang, Xia, Li, Jing, Li, Weiwei, Yi, Chuan, Zhang, Ting, Jiang, Yongzhong, He, Yuning, Deng, Songqiang, Zhang, Xian, Wang, Xinzi, Liu, Yi, Li, Guanghe, Qu, Jiuhui
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.11.2020
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Abstract The outbreak of coronavirus infectious disease-2019 (COVID-19) pneumonia raises the concerns of effective deactivation of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in medical wastewater by disinfectants. In this study, we evaluated the presence of SARS-CoV-2 viral RNA in septic tanks of Wuchang Cabin Hospital and found a striking high level of (0.5–18.7) × 103 copies/L after disinfection with sodium hypochlorite. Embedded viruses in stool particles might be released in septic tanks, behaving as a secondary source of SARS-CoV-2 and potentially contributing to its spread through drainage pipelines. Current recommended disinfection strategy (free chlorine ≥0.5 mg/L after at least 30 min suggested by World Health Organization; free chlorine above 6.5 mg/L after 1.5-h contact by China Centers for Disease Control and Prevention) needs to be reevaluated to completely remove SARS-CoV-2 viral RNA in non-centralized disinfection system and effectively deactivate SARS-CoV-2. The effluents showed negative results for SARS-CoV-2 viral RNA when overdosed with sodium hypochlorite but had high a level of disinfection by-product residuals, possessing significant ecological risks. [Display omitted] •First report on disinfection performance for SARS-CoV-2 in medical wastewater•Incomplete removal of SARS-CoV-2 RNA under WHO guideline•High level of DBPs when SARS-CoV-2 is completed removed.
AbstractList The outbreak of coronavirus infectious disease-2019 (COVID-19) pneumonia raises the concerns of effective deactivation of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in medical wastewater by disinfectants. In this study, we evaluated the presence of SARS-CoV-2 viral RNA in septic tanks of Wuchang Cabin Hospital and found a striking high level of (0.5-18.7) × 10 copies/L after disinfection with sodium hypochlorite. Embedded viruses in stool particles might be released in septic tanks, behaving as a secondary source of SARS-CoV-2 and potentially contributing to its spread through drainage pipelines. Current recommended disinfection strategy (free chlorine ≥0.5 mg/L after at least 30 min suggested by World Health Organization; free chlorine above 6.5 mg/L after 1.5-h contact by China Centers for Disease Control and Prevention) needs to be reevaluated to completely remove SARS-CoV-2 viral RNA in non-centralized disinfection system and effectively deactivate SARS-CoV-2. The effluents showed negative results for SARS-CoV-2 viral RNA when overdosed with sodium hypochlorite but had high a level of disinfection by-product residuals, possessing significant ecological risks.
The outbreak of coronavirus infectious disease-2019 (COVID-19) pneumonia raises the concerns of effective deactivation of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in medical wastewater by disinfectants. In this study, we evaluated the presence of SARS-CoV-2 viral RNA in septic tanks of Wuchang Cabin Hospital and found a striking high level of (0.5-18.7) × 103 copies/L after disinfection with sodium hypochlorite. Embedded viruses in stool particles might be released in septic tanks, behaving as a secondary source of SARS-CoV-2 and potentially contributing to its spread through drainage pipelines. Current recommended disinfection strategy (free chlorine ≥0.5 mg/L after at least 30 min suggested by World Health Organization; free chlorine above 6.5 mg/L after 1.5-h contact by China Centers for Disease Control and Prevention) needs to be reevaluated to completely remove SARS-CoV-2 viral RNA in non-centralized disinfection system and effectively deactivate SARS-CoV-2. The effluents showed negative results for SARS-CoV-2 viral RNA when overdosed with sodium hypochlorite but had high a level of disinfection by-product residuals, possessing significant ecological risks.The outbreak of coronavirus infectious disease-2019 (COVID-19) pneumonia raises the concerns of effective deactivation of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in medical wastewater by disinfectants. In this study, we evaluated the presence of SARS-CoV-2 viral RNA in septic tanks of Wuchang Cabin Hospital and found a striking high level of (0.5-18.7) × 103 copies/L after disinfection with sodium hypochlorite. Embedded viruses in stool particles might be released in septic tanks, behaving as a secondary source of SARS-CoV-2 and potentially contributing to its spread through drainage pipelines. Current recommended disinfection strategy (free chlorine ≥0.5 mg/L after at least 30 min suggested by World Health Organization; free chlorine above 6.5 mg/L after 1.5-h contact by China Centers for Disease Control and Prevention) needs to be reevaluated to completely remove SARS-CoV-2 viral RNA in non-centralized disinfection system and effectively deactivate SARS-CoV-2. The effluents showed negative results for SARS-CoV-2 viral RNA when overdosed with sodium hypochlorite but had high a level of disinfection by-product residuals, possessing significant ecological risks.
The outbreak of coronavirus infectious disease-2019 (COVID-19) pneumonia raises the concerns of effective deactivation of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in medical wastewater by disinfectants. In this study, we evaluated the presence of SARS-CoV-2 viral RNA in septic tanks of Wuchang Cabin Hospital and found a striking high level of (0.5–18.7) × 10³ copies/L after disinfection with sodium hypochlorite. Embedded viruses in stool particles might be released in septic tanks, behaving as a secondary source of SARS-CoV-2 and potentially contributing to its spread through drainage pipelines. Current recommended disinfection strategy (free chlorine ≥0.5 mg/L after at least 30 min suggested by World Health Organization; free chlorine above 6.5 mg/L after 1.5-h contact by China Centers for Disease Control and Prevention) needs to be reevaluated to completely remove SARS-CoV-2 viral RNA in non-centralized disinfection system and effectively deactivate SARS-CoV-2. The effluents showed negative results for SARS-CoV-2 viral RNA when overdosed with sodium hypochlorite but had high a level of disinfection by-product residuals, possessing significant ecological risks.
The outbreak of coronavirus infectious disease-2019 (COVID-19) pneumonia raises the concerns of effective deactivation of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in medical wastewater by disinfectants. In this study, we evaluated the presence of SARS-CoV-2 viral RNA in septic tanks of Wuchang Cabin Hospital and found a striking high level of (0.5–18.7) × 10 3 copies/L after disinfection with sodium hypochlorite. Embedded viruses in stool particles might be released in septic tanks, behaving as a secondary source of SARS-CoV-2 and potentially contributing to its spread through drainage pipelines. Current recommended disinfection strategy (free chlorine ≥0.5 mg/L after at least 30 min suggested by World Health Organization; free chlorine above 6.5 mg/L after 1.5-h contact by China Centers for Disease Control and Prevention) needs to be reevaluated to completely remove SARS-CoV-2 viral RNA in non-centralized disinfection system and effectively deactivate SARS-CoV-2. The effluents showed negative results for SARS-CoV-2 viral RNA when overdosed with sodium hypochlorite but had high a level of disinfection by-product residuals, possessing significant ecological risks. Unlabelled Image • First report on disinfection performance for SARS-CoV-2 in medical wastewater • Incomplete removal of SARS-CoV-2 RNA under WHO guideline • High level of DBPs when SARS-CoV-2 is completed removed.
The outbreak of coronavirus infectious disease-2019 (COVID-19) pneumonia raises the concerns of effective deactivation of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in medical wastewater by disinfectants. In this study, we evaluated the presence of SARS-CoV-2 viral RNA in septic tanks of Wuchang Cabin Hospital and found a striking high level of (0.5–18.7) × 103 copies/L after disinfection with sodium hypochlorite. Embedded viruses in stool particles might be released in septic tanks, behaving as a secondary source of SARS-CoV-2 and potentially contributing to its spread through drainage pipelines. Current recommended disinfection strategy (free chlorine ≥0.5 mg/L after at least 30 min suggested by World Health Organization; free chlorine above 6.5 mg/L after 1.5-h contact by China Centers for Disease Control and Prevention) needs to be reevaluated to completely remove SARS-CoV-2 viral RNA in non-centralized disinfection system and effectively deactivate SARS-CoV-2. The effluents showed negative results for SARS-CoV-2 viral RNA when overdosed with sodium hypochlorite but had high a level of disinfection by-product residuals, possessing significant ecological risks. [Display omitted] •First report on disinfection performance for SARS-CoV-2 in medical wastewater•Incomplete removal of SARS-CoV-2 RNA under WHO guideline•High level of DBPs when SARS-CoV-2 is completed removed.
ArticleNumber 140445
Author Li, Weiwei
Li, Guanghe
Huang, Xia
Zhang, Ting
Ling, Haibo
Jiang, Yongzhong
He, Yuning
Deng, Songqiang
Li, Jing
Zhang, Dayi
Yi, Chuan
Zhang, Xian
Wang, Xinzi
Liu, Yi
Qu, Jiuhui
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  fullname: Zhang, Dayi
  email: zhangdayi@tsinghua.edu.cn
  organization: School of Environment, Tsinghua University, Beijing 100084, PR China
– sequence: 2
  givenname: Haibo
  surname: Ling
  fullname: Ling, Haibo
  organization: Hubei Academy of Environmental Sciences, Wuhan 430072, PR China
– sequence: 3
  givenname: Xia
  surname: Huang
  fullname: Huang, Xia
  organization: School of Environment, Tsinghua University, Beijing 100084, PR China
– sequence: 4
  givenname: Jing
  surname: Li
  fullname: Li, Jing
  organization: Hubei Center for Disease Control and Prevention, Wuhan 430079, PR China
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  surname: Li
  fullname: Li, Weiwei
  organization: Hubei Academy of Environmental Sciences, Wuhan 430072, PR China
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  fullname: Yi, Chuan
  organization: Hubei Academy of Environmental Sciences, Wuhan 430072, PR China
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  fullname: Zhang, Ting
  organization: Hubei Center for Disease Control and Prevention, Wuhan 430079, PR China
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  fullname: Jiang, Yongzhong
  organization: Hubei Center for Disease Control and Prevention, Wuhan 430079, PR China
– sequence: 9
  givenname: Yuning
  surname: He
  fullname: He, Yuning
  organization: Research Institute for Environmental Innovation (Tsinghua-Suzhou), Suzhou 215163, PR China
– sequence: 10
  givenname: Songqiang
  orcidid: 0000-0003-2999-0119
  surname: Deng
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  organization: School of Environment, Tsinghua University, Beijing 100084, PR China
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  surname: Qu
  fullname: Qu, Jiuhui
  email: jhqu@tsinghua.edu.cn
  organization: School of Environment, Tsinghua University, Beijing 100084, PR China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32599407$$D View this record in MEDLINE/PubMed
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Keywords Disinfection
Disinfection by-products
Cabin hospital
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)
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Snippet The outbreak of coronavirus infectious disease-2019 (COVID-19) pneumonia raises the concerns of effective deactivation of the Severe Acute Respiratory Syndrome...
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SubjectTerms Betacoronavirus
byproducts
Cabin hospital
China
chlorine
Coronavirus Infections
COVID-19
COVID-19 infection
Disinfection
Disinfection by-products
drainage
environment
hospitals
Humans
Motor Vehicles
Pandemics
pneumonia
Pneumonia, Viral
RNA
RNA, Viral - analysis
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)
sodium hypochlorite
Wastewater
World Health Organization
Title Potential spreading risks and disinfection challenges of medical wastewater by the presence of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) viral RNA in septic tanks of Fangcang Hospital
URI https://dx.doi.org/10.1016/j.scitotenv.2020.140445
https://www.ncbi.nlm.nih.gov/pubmed/32599407
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https://pubmed.ncbi.nlm.nih.gov/PMC7308756
Volume 741
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