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...
Image
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/
Image
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…
Image
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
Image
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…
Image
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…
Image
11. USA 🇺🇸

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

biobot.io/data/
Image
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…
Image
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…
Image
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.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Cat in the Hat 🐈‍⬛ 🎩 🇬🇧

Cat in the Hat 🐈‍⬛ 🎩 🇬🇧 Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @_CatintheHat

Dec 17
“When it comes to flu, the focus is often on droplet transmission, but there’s also evidence of aerosol transmission. That means that ventilation & air filtration are HUGELY important.

“Are the Govt looking to improve that to help deal with all the respiratory infections?”

/1
It’s absolutely brilliant to hear Baroness Bennett raising this crucial question in the House of Lords this week.

Thank you, @natalieben 🙏🏻

You can read a transcript of the full question and response received below ⬇️



/2 hansard.parliament.uk/Lords/2025-12-…Image
Given the shocking state of ventilation in UK hospitals ⬇️…

3/
Read 4 tweets
Dec 11
This feels like an important breakthrough moment…

On the BBC News this evening, Medical Editor @BBCFergusWalsh clearly stated:

“As for facemasks, simple surgical masks are *not* good at stopping viruses. You really need a properly fitted tight respirator mask for that”…

/1
…which begs the question, why does the NHS infection control guidance STILL only recommend surgical masks for treating patients with airborne viruses like flu & Covid… and not proper FFP3 masks?

Even Baroness Hallett was rather perplexed by this during the Covid Inquiry.

/2
The IPC experts (Dr Warne & Dr Shin) who provided independent specialist advice to the Covid Inquiry both stated that IPC guidelines should be updated to recommend routine use of FFP3 masks when caring for patients with ANY respiratory virus.

So why has this not been done?

/3
Read 7 tweets
Dec 10
CEO, NHS Providers, @danielelkeles:

“It’s a v nasty variant of flu that we have this year.”

“We need to get back into the habit that, if you’re coughing & sneezing […] then you must wear a mask when you’re in public spaces.”

I’m so pleased to hear Daniel promoting masks BUT…
…I have 3 questions for @danielelkeles:

1️⃣ He only mentions that people who are sick “must wear a mask in public spaces”…

…but why did he not also suggest that people who are *not* sick should wear a mask to prevent themselves getting sick in the first place?!

Like this ⬇️ Image
2️⃣ Why didn’t @danielelkeles mention FFP masks?

Surgical masks DON’T protect against airborne transmission of flu.

“Live viruses could be detected in the air behind ALL surgical masks tested. By contrast, properly fitted respirators could provide at least a 100-fold reduction.” Image
Read 5 tweets
Dec 8
UK ‘SUPERFLU’ OUTBREAK

Schools in England & Wales have been forced to close amid escalating flu outbreaks with hundreds of pupils off sick at a time.

Simon Kidwell, headteacher of Hartford Manor Primary told BBC Breakfast: “The winter bugs spread really easily in schools”…

/1
Headteacher Simon Kidwell is not wrong.

Children are crammed into poorly ventilated classrooms, shoulder-to-shoulder with up to 29 other kids, for around 6 hours a day, 5 days a week.

It’s the perfect environment for airborne diseases to spread…

/2 Image
We had a big wave of Covid in Sept/Oct, followed in very quick succession by the current wave of flu and RSV.

It’s been one perpetual cycle of illness hammering schools.

I often hear people say: “oh, but it’s always been like this”.

But it *hasn’t* always been like this.

/3 Image
Read 18 tweets
Dec 4
NHS England: “It will not be possible to halt the spread of a new pandemic virus, and it would be a waste of public health resources and capacity to attempt to do so.”

This has got to be one of the most 🤯 things I’ve ever seen written down in an official document. Image
And this is an important point from @mdc_martinus ⬇️

The NHS constitution states that they’re meant to PREVENT health problems…

…so how can their pandemic response strategy say it’d be a WASTE of public health resources to attempt to halt the spread of a new pandemic virus?!
@mdc_martinus Here is the full letter from CATA (an alliance of medical organisations, royal colleges & trade unions) raising the alarm about the NHS pandemic response strategy to the Chair of the Covid Inquiry.

For more details, please read the excellent thread from @cv_cev linked below ⬇️ Image
Read 5 tweets
Nov 22
Two countries.

Two charts.

A very similar (and concerning) trend.

…………..

Can you think of anything that happened in 2020 which is still affecting huge swathes of people on an ongoing basis and which may help explain this worrying trend?

/1 Image
If you haven’t figured it out yet, here’s a little clue… 🔎

/2 Image
Still not worked it out?

Here’s another clue from Jim Reed, the BBC’s health reporter… 

/3
Read 10 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(