COVID WASTEWATER IN EUROPE, a thread 🧵

Covid prevalence is rising fast in England.

Our Covid wave is only just beginning, but other European countries are further along the curve.

In this thread, I take you on a whistlestop tour through Europe to see what’s been happening...
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It’s important to note that Covid waves impact different countries in different ways, depending on many factors, including:

📍length of time since last big wave
📍% of population recently vaccinated
📍mitigation measures taken by government
📍population density

…and many more.
So, with that in mind, let’s take a little tour around Europe:

1. THE NETHERLANDS 🇳🇱

In the Netherlands, they’re currently seeing the highest EVER Covid wastewater signal.

And it’s not just a bit higher than the previous max - it’s a LOT higher!

coronadashboard.government.nl/landelijk/rioo…
Image
2. AUSTRIA 🇦🇹

In Austria, it’s a similar story. They’ve just seen the Covid wastewater signal rocketing to a new record high.

It’s possible that the Austrian wave has just peaked but it’s still too early to be sure - it may just be a little blip.

abwassermonitoring.at/dashboard/
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3. GERMANY 🇩🇪

Likewise, in Germany, they’re seeing the viral load of SARS-CoV-2 in wastewater across the country soaring to new record highs with each passing week.

corona-pandemieradar.de/en/sewage
Image
4. BELGIUM 🇧🇪

Belgium are also seeing another big spike according to their Covid wastewater surveillance, albeit not as extreme (yet) as the waves being experienced in the Netherlands, Austria and Germany.

wastewater.sciensano.be/dashboard/covi…
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5. FRANCE 🇫🇷

In France, they are also experiencing a steep & sustained rise in the Covid wastewater signal, soaring to the highest level in well over a year.

H/t @nicolasberrod
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6. SWITZERLAND 🇨🇭

I think perhaps you’re starting to see the trend by now.

Another huge spike in the viral load of SARS-CoV-2 in the wastewater signal (purple line) which, in some areas, is the highest it’s EVER been since the start of the pandemic.

sensors-eawag.ch/sars/overview.…
Image
7. LUXEMBOURG 🇱🇺

Since September, there has been a steady and sustained rise in the SARS-CoV-2 viral load in their wastewater surveillance, once again reaching levels that are as high, if not higher, than the previous record high.

list.lu/fileadmin/file…
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8. DENMARK 🇩🇰

The concentration of SARS-CoV-2 in Denmark’s wastewater is again at the highest levels they’ve seen in over a year…

en.ssi.dk/covid-19/natio…
Image
9. FINLAND 🇫🇮

Another similar story. Another massive spike in the Covid wastewater signal.

koronatilastot.fi/fi/jatevesi/
Image
10. CANADA 🇨🇦

I know I said this thread was all about Europe, but this trend is not unique to Europe.

Let’s look further afield and see what’s been happening in Ontario, Canada… 👀

Their Covid wastewater signal has been rising & rising too.

publichealthontario.ca/en/Data-and-An…
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11. USA 🇺🇸

The USA are also seeing signs of a big incoming wave.

biobot.io/data/
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11. USA 🇺🇸 (continued)

@michael_hoerger has been keeping a close eye on the data and predicts that this has the potential to be the 2nd largest COVID surge of all-time in the U.S.

His thread 🧵 below is well worth a read.
Image
12. ENGLAND 🏴󠁧󠁢󠁥󠁮󠁧󠁿

Now you might be wondering what the England wastewater surveillance data looks like…

Well, I’d love to be able to tell you, but sadly England’s wastewater surveillance was axed nearly two years ago, back in March 2022. Image
13. SCOTLAND 🏴󠁧󠁢󠁳󠁣󠁴󠁿

Meanwhile, Scotland have continued to monitor their Covid wastewater signal since 2020.

There was a fairly big double spike towards the end of the summer in August/September. The signal then dropped but has just started to rise again.

scotland.shinyapps.io/phs-respirator…
Image
14. WALES 🏴󠁧󠁢󠁷󠁬󠁳󠁿

Wales recently restarted their wastewater surveillance after a 4 month hiatus when their budget was suddenly axed back in August.

The first report since surveillance restarted has just been published. Image
15. IRELAND 🇮🇪

Ireland also keep close tabs on the Covid viral load in their wastewater.

There’s not any sign of an uplift in their signal just yet.

hpsc.ie/a-z/nationalwa…
Image
So that concludes our whistlestop tour of the Covid wastewater surveillance in Europe (& beyond).

Two key questions arise from my research:

1️⃣ Given that practically every developed nation in the world is conducting Covid wastewater surveillance, why did England stop theirs? Image
As explained in this briefing note for SAGE back in Nov 2020, “wastewater surveillance is a reliable, timely & cost-effective method” of keeping track of Covid prevalence in the community.

So why was the budget for wastewater monitoring axed in England?

assets.publishing.service.gov.uk/media/5fc8d6a2…
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A recent Freedom of Information request revealed that the cost for Wales to resume their wastewater programme was just £621k.

This is a tiny cost in the greater scheme of things, especially when compared to the £billions written off in the PPE scandal.

llyw.cymru/sites/default/…
Image
2️⃣ My second question is, given the huge surges in Covid prevalence across Europe, when are our government going to take action to reduce transmission here?

The WHO, BMA & RCN have called for improved infection control in health facilities - this would be a good place to start.
Millions of Covid vaccine doses have been stockpiled for a potential “surge” campaign this Winter.

Perhaps now would be a good time to release those vaccine doses to protect people in the coming weeks, rather than just leaving them until they expire & need to be destroyed?
Image
Perhaps the gov could also consider bringing back free Covid tests.

In the US 🇺🇸, free Covid tests can be ordered by all households and are sent out by mail:



Here in England 🏴󠁧󠁢󠁥󠁮󠁧󠁿, tests are no longer free for most people. A pack of 6 tests costs ~£10. axios.com/2023/09/20/cov…
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Another thing on my wishlist would be for some decent public health messaging, advising people in England to wear high quality masks (FFP2/3) in public indoor spaces and crowded places…

…like this recent public health campaign from New York. 👇🏻
There will be a huge amount of inter-generational mixing taking place over the next few days, so a public health message reminding people of the importance of VENTILATION could also make a huge difference right now.

Perhaps they could even re-release this video from 2 years ago?
Schools have broken up for the Christmas holidays now - but, by the time they return in a few weeks, Covid prevalence will be almost certainly be far higher.

We desperately need mitigation measures to reduce transmission - especially via improved ventilation & air filtration.

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More from @_CatintheHat

Oct 26
“We're not just running out of cubicles; we're running out of corridors.”

“It feels like [Winter] is going to be armageddon, to be honest. We’re already full.”

This entire article is frankly horrifying. And yet, nothing is being done to mitigate it.

independent.co.uk/news/health/nh…Image
Analysis of NHS data by the RCEM, shows that from Jun-Sep 2025, over HALF A MILLION patients had an A&E stay of over 12 hours from their time of arrival in England.

This is MORE than the entire winter of 2021-22, during which the UK experienced one of the worst Covid waves. Image
In the latest weekly figures, there were 188 people Covid deaths across the UK.

188 Covid deaths. In just one week.

3,866 Covid deaths so far this year.

(H/t @gwladwr) Image
Read 7 tweets
Oct 20
COVID INQUIRY

Prof Whitty on VENTILATION in schools:

“It's an uncontroversial statement from an epidemiological point of view to say that improving ventilation in schools would be a good thing […] The advantages of ventilation are very substantial.”

So why aren’t we doing it?
Data from the national schools air quality monitoring project (SAMHE) shows that ventilation rates in schools drop to just 3.8 litres per sec per person in colder weather.

This is far BELOW the minimum UK guidance of 5-8 litres per sec per person.

When will the govt fix this? Image
For more clips from Prof Chris Whitty’s appearance at the Covid Inquiry today, please take a look at this excellent thread from Clinically Vulnerable Families (@cv_cev):
Read 4 tweets
Oct 17
LONDON MAYOR INVESTS £2.7M IN AIR QUALITY FILTERS FOR SCHOOLS

I’m SO excited about this! I hope there’s lots of press coverage about it over the coming weeks.

It’s not just an issue in London though.

ALL children have the right to breathe clean air.

london.gov.uk/mayor-invests-… x.com/_catinthehat/s…Image
Here are some more details about the project:

▪️At least 200 schools across London will receive HEPA air filters

▪️Filters used for this initiative will be Blast & Blast Mini devices from @SmartairUk

▪️Participating schools will receive one filter per classroom where possible
@SmartairUk I’m particularly pleased to see that the @MayorofLondon has chosen SmartAir air filters for this initiative.

I’ve done a lot of research on air filters & the Blast & BlastMini are two of the very best air filters for schools.

High CADR & low noise make them the perfect choice! x.com/_catinthehat/s…Image
Read 21 tweets
Oct 13
Why do schools need to tackle poor VENTILATION in classrooms?

Because nationwide monitoring of UK classrooms shows that ventilation drops to appallingly low levels when outdoor temperatures drop & windows are closed.

Poor ventilation means airborne viruses spread like wildfire. Image
And when those airborne viruses spread like wildfire, guess what happens to pupil & teacher absence rates?

Unsurprisingly, they sky rocket! 🚀

Here’s what happened to absence rates in the 2023/24 & 2024/25 autumn terms (vs the pre-pandemic average shown by the dotted line) ⬇️ Image
Now look what’s happening to illness in 15-24 year olds right now… 👀

Covid rates have been steadily rising and are now at the highest point in over a year for this age-group.

Meanwhile, flu has seen a dramatic rise about a month earlier than usual.

(Chart from @1goodtern) Image
Read 6 tweets
Oct 13
The DfE have published guidance on reducing the spread of illness this Winter.

Much of it focusses on things like handwashing & catching sneezes which WON’T stop airborne illnesses spreading.

BUT I’m pleased to see a whole section on VENTILATION, CO2 MONITORING & AIR FILTERS. Image
Link to this newly published guidance can be found here:

educationhub.blog.gov.uk/2025/10/reduci…
The joint unions have also just released newly updated guidance:

“GOOD VENTILATION IN SCHOOLS & COLLEGES AND HOW TO ACHIEVE IT!”

This excellent guide sets out 5 simple steps which schools should be taking to monitor & improve ventilation in classrooms.

neu.org.uk/sites/default/… x.com/neunion/status…Image
Read 6 tweets
May 22
“LONG COVID IS FUELLING A MENTAL HEALTH CRISIS IN CHILDREN”

🚨Nearly 40% of children with Long COVID reported anxiety or depression; half had no prior diagnosis.

🚨Mental health impact was comparable to that of serious chronic illnesses like cancer.

neurosciencenews.com/long-covid-chi…Image
Meanwhile, more than 500 children a day in England are being referred to NHS mental health services for anxiety, more than DOUBLE the pre-pandemic rate…

…and yet, the impact of repeated COVID infections on children is never even considered as a contributing factor. Image
There are so many studies about the detrimental impact that Covid has on the brain…

…how the brain inflammation can trigger neurological symptoms such as depression & anxiety.

I don’t understand why this is just being ignored by the mainstream media.

health.harvard.edu/mind-and-mood/…Image
Read 4 tweets

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