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.
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.
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.
@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.
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?
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?
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?
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…
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.
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.
In the latest weekly figures, there were 188 people Covid deaths across the UK.
“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.
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):
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.
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.