Topic 2 What can be standard operating procedures for community outreach based on evidence of Covid-19 in wastewater

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  • kurian
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Re: Topic 2 What can be standard operating procedures for community outreach based on evidence of Covid-19 in wastewater

Dear Nitya,
Please see some broad quick thoughts  on the questions.
  1. What communication challenges can the potential COVID-wastewater connection create/aggravate? The real challenge to communication is the issues of data integrity and weak corroborative / statistical evidence the analysis provides. However even the positive relationship provides opportunities for designing early warning signals and responses. The results in conjunction with other evidence could be effectively communicated to local governments, communities and health systems.
  2. What are the SOPs for establishing a robust communication infrastructure that delivers coordinated and consistent  communication across multiple channels? The SoPs may inter alia include: (i) data integrity and analytical rigour (ii) impartial scientific unbiased observations with qualifying remarks; (iii) evidence based communication not to  create panic  (iv) identify target audience for structured communication (vi) use results as awareness tools for behaviour change and nudging and (vi) make research methodology transparent devoid of judgements and follow research ethics.
  3. What are some best practice communication engagement models for communication that we can learn from? Awareness creation tools; EWS and Nudging models to prime self-regulatory strength at individual and societal levels, devoid of coercion and threat.   https://www.ircwash.org/blog/power-‘’self-assembly’’-critical-tool-behaviour-change-toilet-use
  4. What special measures are required for communication with “at risk” populations/ communities?: Communication be backed by effective interventions and supportive  measures like STPs and scientific containment and treatment systems at Municipal level and short and long term measures like spatial planning of urban spaces. Secondly the communication strategy and channels need to consider the specificities including the  behavioural and habitation /migration patterns of the 'at risk ' group. One need to recognise the value of decentralised and empowered local governments and communities as the most effective strategy.  
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  • nityajacob
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Re: Topic 2 What can be standard operating procedures for community outreach based on evidence of Covid-19 in wastewater

Dear Graham,

Thank you for the offer.

Can UN HABITAT help with developing the collection and testing, or local government + community outreach sections of the protocol? We would be very interested in picking a city in India to work with the local administration.

The local situation is that city governments, other than one, have not proceeded with a protocol around testing as a means of surveillance. You have expertise in working with them as well, and that would be a major piece of work.

Look forward to hearing from you.

Regards,
Nitya
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  • Malini
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Re: Topic 2 What can be standard operating procedures for community outreach based on evidence of Covid-19 in wastewater

Hi Graham.

Very few city and state Governments are willing to undertake these studies. This is due to two reasons: (1) No directive from central government or other regulatory bodies (2) lack of trust on scientific community and media regarding how the results are communicated such that citizens do not panic.

State Government of Telangana has taken the bold step to institute a study. We are their partners and we would greatly appreciate any collaborative effort that comes our way. 

best
Malini   
Malini
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  • Meenakshi0609
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Re: Topic 2 What can be standard operating procedures for community outreach based on evidence of Covid-19 in wastewater

Hi Malini,

Thereare several scientific reports in the literature which talk about SARS-CoV-2 genetic material being detected in untreated wastewater. But there are no reports of the detection or persistence of viable, infectious SARS-CoV-2 virus itself in wastewater.

Here I may like to state the obvious, i.e. the difference between SARS-CoV-2 the full virus molecule that causes the disease called COVID-19 and the genetic material of this virus (RNA), which has been reported present in the sewage. Sewage surveillance for SARS-CoV-2 virus’s genetic material has the potential to become a valuable surveillance tool particularly in areas where individual testing for COVID-19 infections is a big constraint. On the other hand, there are evidences that similar viruses (but no evidence to suggest that SARS-coV-2 too can) can remain infectious for days to weeks in the untreated wastewater. Conventional wastewater treatment processes should therefore reduce risk, if at all any, posed by the SARS-CoV-2 virus in wastewater. Further,there have been no reported cases of COVID-19 due to contact with the faeces of an infected individual.

According to WHO , the risk of faecal-oral transmission of COVID-19 is low. Preventionof transmission from respiratory droplets from person to person and via surfaces remain the priority as of now. Nonetheless, human waste is hazardous contains numerous pathogens (disease causing organisms) so should be safely managed in all settings. Maybe,it is a little too early to seek standard operating procedures for community outreach based on evidence of Covid-19 in wastewater. Let there be enough studies first to quantify the scale of infection in a
population from wastewater samples. Researchers say that they will need to find out how much viral RNA is excreted in faeces
and extrapolate the number of infected people in a population from concentrations  of viral RNA in wastewater samples. Researchers will also need to ensure a representative sample of what is being excreted by the population and not just one snapshot in time, and that their tests can detect the virus at low levels according to the scientists representing the Queensland Alliance for Environmental Health Sciences in Australia. I have taken the liberty of amply quoting from the study reports available through open access. 
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  • nityajacob
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Re: Topic 2 What can be standard operating procedures for community outreach based on evidence of Covid-19 in wastewater

Dear all,

Thank you for the exhaustive comments, insights and information. We are closing the thematic discussion and working on the synthesis document that we will share with you in a few days.

In the meantime, if you have any additional comments or information to share, please continue adding here.

Warm regards,

Nitya
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  • arraghuw
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Re: Topic 2 What can be standard operating procedures for community outreach based on evidence of Covid-19 in wastewater

Malini

Following four points which you intended to address the community for risk factor 

What communication challenges can the potential COVID-wastewater connection create/aggravate?
This would create a large scale fear in the community- considering in almost all cities the wastewater is disposed of into local rivers (Now call them Nallah). The same water is used for farming and even the cows / buffaloes swim in it.  Considering the level of fake and instigating posts in social media - irrespective of any platform - This would create more of panic and then solving a problem. 

Refer the case of Panchganga River- Kolhapur- This created panic and everyone and each person started for testing of Hepatitis in Kolhapur.  

What are the SOPs for establishing a robust communication infrastructure that delivers coordinated and consistent  communication across multiple channels? 
SoP's it be difficult to control the flow of false and unverified information to spread on these platform, further the approach of govt or departments need to be changed - They should start accepting there mistakes instead of justifying there actions on and on. 
The SoP's would be a issues where we cannot control the flow of information - Like if you use the facebook or WhatsAPP - some of post are going in around for years and years. 
The major concern is how to control and how to report properly in this situation. The govt control would end up issuing information which suits and fits in there electorol benefits. Departments are largely controlled by Govt. 
Like i am getting some info that some states are not doing covid testing and just randomly posting number which ever number suits them. 
Defining the exactness of the information and relevance of information is key. 
Take example of Demonetisation - every day we have a new circular which is created more ambiguity than solving the actual problem
  While i am posting this - someone posted with some fake ICMR information.

       What are some best practice communication engagement models for communication that we can learn from? 
Best way to communicate would be radios, SHG's , Anganwadi staff ( which have major outreach, ASHA Works, Post mans / Teachers   and handholding at level of SHG's, as u itself defined the Ward support staff. The social media use shall be done but it has to be checked and monitored not only by the Govt but by independent users / Activists else it would more of circular issuing dept with its interpretations are open to all. Considering present cases - Centre Govt issues something, state have some other guidelines, then district / municipals and villages have there own rules.  

What special measures are required for communication with “at risk” populations/ communities? 
Some points which i defined in earlier questions - control, timely delivery of information, whom it is addressed, how it is addressed and the language shall be clear what it means- should not be let open to interpretation to authorities at all.  
Regards
Arvind S Raghuwanshi
Water and Wastewater Engineer
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  • satyagrahi
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Re: Topic 2 What can be standard operating procedures for community outreach based on evidence of Covid-19 in wastewater

Have we compiled our efforts in addressing all the other diseases that are transmitted thru fecal channels? The ones that are known have not, in my opinion, been studied well enough to warrant new/additional ways of addressing. So trying to look at a new one with not much evidence seems unwarranted.

Rajesh
Executive Director
Peer Water Exchange
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  • alabasterg
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Re: Topic 2 What can be standard operating procedures for community outreach based on evidence of Covid-19 in wastewater

Dear Nitya, yes most definitely we would be keen to move this forward. I understand you have agreed to join the GWOPA seminar next week lets table this idea then and get some further support. Maybe other colleagues can join the webinar? We can very much take care of what you suggest.
regards
Graham
Dr Graham Alabaster
Chief Waste Management & Sanitation
Urban Basic Services Branch
United Nations Human Settlements Programme
Geneva Office

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  • nityajacob
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Re: Topic 2 What can be standard operating procedures for community outreach based on evidence of Covid-19 in wastewater

Dear Graham,

I will be in touch with specifics. We have two locations in mind at the moment - Jaipur and Bangalore.

Regards,
Nitya
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