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/
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…
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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

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
May 15
LONG COVID IN UNIVERSITY STUDENTS

🚨40% of the undergrad students reported brain fog due to COVID-19.

🚨37 % of the undergraduates exhibited impaired cognition up to 17 months post-infection.

🚨Brain fog appeared to affect the distinct prefrontal haemodynamic patterns. Image
This study was conducted by scientists at the University of Otago (NZ) who were looking to investigate the cognitive effects of COVID infection in a population highly representative of young adults: undergraduate university students.

Link to full study:
sciencedirect.com/science/articl…Image
A summary article about this worrying study can also be found here:

“New neuroscience research shows COVID-19 leaves mark on young adult brains” (Feb 2025)

psypost.org/new-neuroscien…Image
Read 4 tweets
Mar 15
Today, in honour of #LongCovidAwarenessDay, I’m sharing a series of short videos from Dr Rae Duncan (@Sunny_Rae1) about the ongoing impact of Long Covid.

1. WHAT IS LONG COVID?

Long Covid is a multi-systemic inflammatory condition that can affect almost every organ of the body.
2. WHAT ARE THE PRINCIPAL MECHANISMS & MANIFESTATIONS OF LONG COVID?

Dr Rae Duncan explains some of the key manifestations of Long Covid, including:

▪️immune-mediated issues

▪️abnormalities of the autonomic nervous system (the nerves which control things like our heart rate).
3. WHAT ARE THE MAIN SYMPTOMS OF LONG COVID?

Dr Rae Duncan discusses some of the most prevalent symptoms of Long Covid, such as fatigue and post-exertional malaise.

There are over 200 recognised symptoms of Long Covid though, so each patient may experience different symptoms.
Read 11 tweets
Feb 18
⚠️ IPC GUIDANCE

Newly-appointed Health Minister @AshleyDalton_MP has just responded to a question from MP @_Chris_Coghlan.

Chris asks when the NHS IPC manual will be updated to reflect the latest science on AIRBORNE transmission.

Let’s take a closer look at Ashley’s reply… Image
The key bit is highlighted in yellow here:

“Should new evidence emerge that warrants updates, the guidance will be reviewed & revised accordingly by NHS England & UKHSA to ensure the highest standards of infection prevention & control are maintained across healthcare settings.” Image
Well @AshleyDalton_MP, new evidence HAS emerged.

It’s not even new news as we’ve known about it since 2020!

There’s not a single credible scientist who still denies that Covid is transmitted via the AIRBORNE route.

Please listen to independent expert witness Prof Beggs here ⬇️
Read 27 tweets
Feb 15
I wonder why so many people who’ve had Covid might be suffering with ‘anxiety’ 🤔

Hmmmm, let me think…

Could it be because Covid infections cause brain inflammation which triggers a plethora of neurological symptoms, including depression, anxiety & cognitive dysfunction?
The symptom may be ‘anxiety’ but this can often be the first sign of underlying neurological damage caused by COVID infections.

Patients affected may also be struggling with cognitive dysfunction, memory problems, difficulty concentrating etc.

This video helps explain why ⬇️
Here’s a fascinating post from neuroscientist @DaniBeckman which explains a little more about the damage that COVID can cause within the brain, disrupting neuronal circuits and contributing to neuronal loss. Image
Read 6 tweets
Feb 13
“WHY ARE YOU STILL MASKING?”

The folks at the @TheWHN have put together a really excellent set of science-based answers to various questions about why you’re still wearing a mask.

(Even if you’re not still masking, you might be interested in the answers).

Let’s take a look…🧵 Image
1. “Isn’t the pandemic over?”

Short Answer: The World Health Organization (WHO) declared the emergency phase over, but that doesn’t mean the pandemic itself has ended.

(h/t @TheWHN) Image
2. “But you’re not high-risk, so why bother wearing a mask?”

Short Answer: Because preventing transmission matters for everyone, not just people in vulnerable groups.

(h/t @TheWHN) Image
Read 12 tweets

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