[Articles] Enterovirus D68 in United States wastewater: a longitudinal surveillance study integrating climatic, demographic, and clinical data

Wastewater surveillance can generate epidemiological metrics for EV-D68 without clinical surveillance data, identify where and when activity increases, and reveal the environmental and demographic factors driving these patterns. Wastewater surveillance offers high-resolution data for pathogens with diagnostic testing constraints and provides information that can strengthen epidemiological modeling and support preparedness for future disease waves.