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Owusu, D., Pomeroy, M.A., Lewis, N.M., Wadhwa, A., Yousaf, A.R., Whitaker, B., Dietrich, E., Hall, A.J., Chu, V., Thornburg, N., Christensen, K., Kiphibane, T., Willardson, S., Westergaard, R., Dasu, T., Pray, I.W., Bhattacharyya, S., Dunn, A., Tate, J.E., Buono, S., et al. (2021) Persistent SARS-CoV-2 RNA Shedding without Evidence of Infectiousness: A Cohort Study of Individuals with COVID-19. Journal of Infectious Diseases, 224, 1362-1371.
https://doi.org/10.1093/infdis/jiab107

has been cited by the following article:

• TITLE: A Retrospective Analysis of Wastewater Confirms Dominant Circulation of SARS-CoV-2 Delta Variant in Nairobi, Kenya, between April 2021 and August 2021

  AUTHORS: Patson Sichamba, Fred Wamunyokoli, Peter Borus, Rosemary Nzunza, Opanda Silvanos, Samwel Symekher, Samoel Ashimosi Khamadi, Janet Majanja, Meshack Wadegu, Esther Chitechi, Benlick Mwangi, Evans Komen, Stephen Ombija, Wallace Dimbuson Bulimo

  KEYWORDS: Wastewater Surveillance, SARS-CoV-2, Delta Variants, Spike Gene, COVID-19, Kenya

  JOURNAL NAME: American Journal of Molecular Biology, Vol.12 No.3, June 29, 2022

  ABSTRACT: Wastewater surveillance has been applied in various parts of the world to monitor the introduction and transmissions of SARS-CoV-2 variants in a population. The knowledge of SARS-CoV-2 variants circulating in a population is critical to COVID-19 management and timing of the application of public health countermeasures. Contrary to the routine clinical surveillance of SARS-CoV-2 where cases from asymptomatic patients are often underreported, wastewater surveillance offers an unbiased tool for monitoring the extent of SARS-CoV-2 transmissions in a community. The present study aimed to characterize SARS-CoV-2 variants that circulated in Nairobi County, Kenya, between April 2021 and August 2021 utilizing wastewater samples. Viral RNA was extracted from wastewater samples, followed by SARS-CoV-2 screening by real-time RT-qPCR before targeted sequencing of the Spike gene. Forty samples were analyzed, of which 50% (n = 20) tested positive for SARS-CoV-2 by real-time RT-qPCR. Of these, 45% (n = 9) were successfully amplified by RT-PCR and sequenced. The majority (78%, 7/9) of the viruses belonged to the Delta (B.1.617.2) lineage of SARS-CoV-2, while a minority (22%) belonged to the Alpha (B.1.1.7) and Alpha-Delta lineages. Phylogenetic analysis of the SARS-COV-2 delta lineage strains revealed scattered clustering of the Kenyan viruses among the global strains included in the analysis, suggesting different introductory routes into the country. On the whole, our results confirm previous clinical findings that SARS-CoV-2 variants belonging to the Alpha (B.1.1.7) and Delta (B.1.617.2) lineages circulated in Nairobi County, Kenya during the study period, with the latter predominating. This is the first study to describe the diversity of SARS-CoV-2 variants circulating in Kenya, through wastewater analysis.