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Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 1 | P a g e
CORONASTEP Report 44
(Partial - Week 04)
SARS-CoV-2 Sewage Surveillance in Luxembourg
Summary
This report 44 presents the results of SARS-CoV-2 contamination of wastewater at the entrance of 13 wastewater
treatment plants (WWTPs) at the beginning of the fourth week of 2021.
As the previous week, the SARS-CoV-2 RNA fluxes in sewage treatment plants were still important at the
beginning of the week 04, but with a decreasing trend, indicating a medium prevalence of the virus in sewage at
national and regional level. The downward trend corresponds to an average reduction of about 1.2 log compared
to the maximum peak of the current wave.
At the level of the treatment plant, similar dynamic patterns were observed, with a decreasing trend for all the
plants analysed. For some of them, RT-qPCR signal is approaching to the limit of quantification of our assays.
Table 1 – National level of SARS-CoV-2 contamination of wastewaters in Luxembourg.
Dark green: negative samples for SARS-CoV-2 gene E (-), Green to red: positive samples for SARS-
CoV-2 gene E. The intensity of the color is related to the national SARS-CoV-2 flux (RNA copies / day
/ 100 000 equivalent inhabitants).
Week
Week
3
Week
7
Week
9
Week
11
Week
14
Week
15
Week
16
Week
17
Week
18
Week
19
Week
20
Week
21
Week
22
Week
23
Week
24
Week
25
Week
26
Week
27
Week
28
Week
29
Week
30
Week
31
Week
32
Week
33
Week
34
Week
35
Week
36
Week
37
Week
38
Week
39
National
Contamination
Level
Week
Week
40
Week
41
Week
42
Week
43
Week
44-1
Week
44-2
Week
45-1
Week
45-2
Week
45-3
Week
46-1
Week
46-2
Week
46-3
Week
47-1
Week
47-2
Week
48-1
Week
48-2
Week
48-3
Week
49-1
Week
49-2
Week
50-1
Week
50-2
Week
51-1
Week
51-2
Week
51-2
Week
52
Week
53
Week
01-1
Week
01-2
Week
02-1
Week
02-2
Week
03-1
Week
03-2
Week
04-1
National
Contamination
Level
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 2 | P a g e
Figure 1a – RT-qPCR quantification time-course monitoring of SARS-CoV-2 (E gene) in Luxembourgish wastewater samples
from December 2019 to January 2021. Grey squares: daily-confirmed cases for Luxembourgish residents
(https://data.public.lu/fr/datasets/donnees-covid19/), Blue dots: cumulative SARS-CoV-2 flux (RNA copies / day / 100 000
equivalent inhabitants).
Luxembourg
National dynamics of SARS-CoV-2 in wastewater
Date
Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb
Daily
Cases
(Residents)
0
200
400
600
800
1000
SARS-CoV2
RNA
copies
/
day
/
100
000
eq.
inhabitants
1e+10
1e+11
1e+12
1e+13
Figure 1b – Close-up of Figure 1a showing results from September 1st on.
Luxembourg
National dynamics of SARS-CoV-2 in wastewater
Date
September October November December January February
Daily
Cases
(Residents)
0
200
400
600
800
1000
SARS-CoV2
RNA
copies
/
day
/
100
000
eq.
inhabitants
1.0e+10
1.0e+11
1.0e+12
1.0e+13
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 3 | P a g e
Table 2 - Level of SARS-CoV-2 contamination of each analyzed wastewater treatment plant in Luxembourg during the second wave. BEG: Beggen, BET: Bettembourg, SCH:
Schifflange, BLE: Bleesbruck, MER: Mersch, PET: Pétange, HES: Hespèrange, ECG: Echternach, UEB: Uebersyren, GRE: Grevenmacher, TRO: Troisvierges, BOE: Boevange sur
Attert, WIL: Wiltz
Dark green: negative samples for SARS-CoV-2 gene E (-), Green to red: positive samples for SARS-CoV-2 gene E. The intensity of the color is related to
the RT-qPCR signal (Ct values) Grey boxes: no data
2020 2021
First wave Second wave
WWTP
Week
9
Week
11
Week
14
Week
15
Week
16
Week
17
Week
18
Week
19
Week
20
Week
21
Week
22
Week
23
Week
24
Week
25
Week
26
Week
27
Week
28
Week
29
Week
30
Week
31
Week
32
Week
33
Week
34
Week
35
Week
36
Week
37
Week
38
Week
39
Week
40
Week
41
Week
42
Week
43
Week
44-1
Week
44-2
Week
45-1
Week
45-2
Week
45-3
Week
46-1
Week
46-2
Week
46-3
Week
47-1
Week
47-2
Week
48-1
Week
48-2
Week
48-3
Week
49-1
Week
49-2
Week
50-1
Week
50-2
Week
51-1
Week
51-2
Week
51-3
Week
52
Week
53
Week
01-1
Week
01-2
Week
02-1
Week
02-2
Week
03-1
Week
03-2
Week
04-1
BEG
BET
SCH
BLE
MER
PET
HES
ECH
UEB
GRE
TRO
BOE
WIL
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 4 | P a g e
Figure 2a – RT-qPCR quantification time-course monitoring of SARS-CoV-2 (E gene) in the four most impacted wastewater
treatment plants from March 2020 to January 2021. Grey squares: daily-confirmed cases for the contributory area of each
wastewater treatment plant, dots: SARS-CoV-2 flux (RNA copies / day / 10 000 equivalent inhabitants).
Schifflange
Date
Mar AprMay Jun Jul AugSepOct NovDec Jan Feb
Weekly
cases
0
200
400
600
800
1000
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Pétange
Date
Mar AprMay Jun Jul AugSepOct NovDec Jan Feb
We
ekly
cases
0
200
400
600
800
1000
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
1.0e+13
Beggen
Date
Mar AprMay Jun Jul AugSepOct NovDec Jan Feb
Wee
kly
cases
0
200
400
600
800
1000
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Bettembourg
Date
Mar AprMay Jun Jul AugSepOct NovDec Jan Feb
We
ekly
cases
0
200
400
600
800
1000
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 5 | P a g e
Figure 2b – Close-up of Figure 2a showing results from September 1st on.
Schifflange
Date
Sep
Oct
Nov
Dec
Jan
Feb
Weekly
cases
0
200
400
600
800
1000
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Pétange
Sep
Oct
Nov
Dec
Jan
Feb
Weekly
cases
0
200
400
600
800
1000
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
1.0e+13
Beggen
S
e
p
O
c
t
N
o
v
D
e
c
J
a
n
F
e
b
We
ekly
cases
0
200
400
600
800
1000
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Bettembourg
Sep
Oct
Nov
Dec
Jan
Feb
Weekly
cases
0
200
400
600
800
1000
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 6 | P a g e
Figure 3a – RT-qPCR quantification time-course monitoring of SARS-CoV-2 (E gene) in Hespérange, Mersch and Boevange-
sur-Attert wastewater treatment plants from March 2020 to January 2021. Grey squares: daily-confirmed cases for the
contributory area of each wastewater treatment plant, dots: SARS-CoV-2 flux (RNA copies / day / 10 000 equivalent
inhabitants).
Hespérange
Date
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb
Weekly
cases
0
50
100
150
200
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Mersch
Date
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb
Weekly
cases
0
50
100
150
200
250
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Boevange-sur-Attert
Date
Aug Sep Oct Nov Dec Jan Feb
Weekly
cases
0
20
40
60
80
100
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 7 | P a g e
Figure 3b – Close-up of Figure 3a showing results from September 1st on.
Hespérange
Sep
Oct
Nov
Dec Jan
Feb
Weekly
cases
0
50
100
150
200
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Mersch
Sep
Oct
Nov
Dec Jan
Feb
Weekly
cases
0
50
100
150
200
250
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Boevange-sur-Attert
Sep
Oct
Nov
Dec Jan
Feb
Weekly
cases
0
20
40
60
80
100
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 8 | P a g e
Figure 4a – RT-qPCR quantification time-course monitoring of SARS-CoV-2 (E gene) in SIDEST wastewater treatment plants
from March 2020 to January 2021. Grey squares: daily-confirmed cases for the contributory area of each wastewater
treatment plant, dots: SARS-CoV-2 flux (RNA copies / day / 10 000 equivalent inhabitants).
Grevenmacher
Date
May Jun Jul Aug Sep Oct Nov Dec Jan Feb
Weekly
cases
0
20
40
60
80
100
120
140
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Uebersyren
Date
May Jun Jul Aug Sep Oct Nov Dec Jan Feb
Weekly
cases
0
20
40
60
80
100
120
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Echternach
Date
May Jun Jul Aug Sep Oct Nov Dec Jan Feb
Weekly
cases
0
20
40
60
80
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 9 | P a g e
Figure 4b – Close-up of Figure 4a showing results from September 1st on.
Grevenmacher
Sep
Oct
Nov
Dec Jan
Feb
Weekly
cases
0
20
40
60
80
100
120
140
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Uebersyren
Sep
Oct
Nov
Dec
Jan
Feb
Weekly
cases
0
20
40
60
80
100
120
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Echternach
Sep
Oct
Nov
Dec Jan
Feb
Weekly
cases
0
20
40
60
80
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 10 | P a g e
Figure 5a – RT-qPCR quantification time-course monitoring of SARS-CoV-2 (E gene) in SIDEN wastewater treatment plants
from March 2020 to January 2021. Grey squares: daily-confirmed cases for the contributory area of each wastewater
treatment plant, dots: SARS-CoV-2 flux (RNA copies / day / 10 000 equivalent inhabitants).
Troisvierges
Date
May Jun Jul Aug Sep Oct Nov Dec Jan Feb
Weekly
cases
0
5
10
15
20
25
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Bleesbruck
Date
May Jun Jul Aug Sep Oct Nov Dec Jan Feb
Weekly
cases
0
50
100
150
200
250
300
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Wiltz
Date
Aug Sep Oct Nov Dec Jan Feb
Weekly
cases
0
20
40
60
80
100
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 11 | P a g e
Figure 5b – Close-up of Figure 5a showing results from September 1st on.
Troisvierges
Sep
Oct
Nov
Dec Jan
Feb
Weekly
cases
0
5
10
15
20
25
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Bleesbruck
Sep
Oct
Nov
Dec Jan
Feb
Weekly
cases
0
50
100
150
200
250
300
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Wiltz
Sep
Oct
Nov
Dec Jan
Feb
Weekly
cases
0
20
40
60
80
100
SARS-CoV-2
flux
(copies/day/10000
inhab.)
1.0e+9
1.0e+10
1.0e+11
1.0e+12
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 12 | P a g e
Table 3- Timing of sewage sampling since the beginning of the CORONASTEP study
WWTP
Max
capacity
(eq.
inhabitants)
Inhabitants
connected
Week
41
Week
43
Week
46
Week
51
Week
3
Week
7
Week
9
Week
11
Week
14
Week
15
Week
16
Week
17
Week
18
Week
19
Week
20
Week
21
Week
22
Week
23
Week
24
Week
25
Week
26
Week
27
Week
28
Week
29
Week
30
Week
31
Week
32
Week
33
Week
34
Week
35
Week
36
Week
37
Week
38
Week
39
Week
40
Week
41
Week
42
Week
43
Week
44
Week
45
Week
46
Week
47
Week
48
Week
49
Week
50
Week
51
Week
52
Week
53
Week
01
Week
02
Week
03
Week
04
Total
samples
Beggen 210000 139731 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 3 2 3 2 2 3 1 1 2 1 2 1 58
Bettembourg 95000 53606 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 3 2 3 2 2 3 1 1 2 2 2 1 52
Schifflange 90000 68143 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 3 2 3 2 2 3 1 1 2 2 2 1 67
Bleesbrück 80000 30930 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 3 2 3 2 2 3 1 1 2 2 2 1 51
Mersch 70000 30473 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 3 2 3 2 2 3 1 1 2 2 2 1 54
Pétange 50000 59481 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 3 2 3 2 2 3 1 1 2 2 2 1 62
Hesperange 36000 15479 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 0 1 1 1 1 40
Echternach 36000 7499 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 3 2 2 3 1 0 1 2 2 1 42
Uebersyren 35000 18600 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 3 2 2 3 1 0 2 2 2 1 45
Grevenmacher 47000 9835 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 3 2 2 3 1 0 2 2 2 1 45
Troisvierges 5000 3411 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 3 2 2 3 1 1 2 2 2 1 45
Boevange sur Attert 15000 1170 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 25
Wiltz 16500 6944 1 1 1 1 1 1 1 1 1 2 3 2 3 2 2 3 1 1 2 2 2 1 35
Total 785500 445302 2 2 2 2 2 2 2 2 2 2 2 2 5 5 6 8 10 8 11 8 9 7 11 9 11 11 11 10 12 12 12 13 13 13 13 13 12 13 19 28 35 24 37 24 24 35 13 9 23 23 24 13 621
Pop Lux (2019) 613901
2019 2020 2021
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 13 | P a g e
Materials and Methods
Sewage samples
From March 2020 to January 2021, up to thirteen WWTPs were sampled at the inlet of the plant according to the
planning presented in Table 3. The operators of the WWTPs sampled a 24-h composite sample of 96 samples
according to your own sampling procedure. Composite sample was stored at 4°C until sample processing.
Sample processing
The samples were transported to the laboratory at 4°C and viral RNA was isolated on the day of sampling. Larger
particles (debris, bacteria) were removed from the samples by pelleting using centrifugation at 2,400 x g for 20
min at 4°C. A volume of 120 mL of supernatant was filtered through Amicon® Plus-15 centrifugal ultrafilter with
a cut-off of 10 kDa (Millipore) by centrifugation at 3,220 x g for 25 min at 4°C. The resulting concentrate was
collected and 140 µL of each concentrate was then processed to extract viral RNA using the QIAamp Viral RNA
mini kit (Qiagen) according to the manufacturer’s protocol. Elution of RNA was done in 60 μL of elution buffer.
Real-time One-Step RT-PCR
Samples are screened for the presence of Sarbecovirus (Coronaviridae, Betacoronaviruses) and/or SARS-CoV-
2 virus RNA by two distinct real-time one-step RT-PCR, one on the E gene (Envelope small membrane protein)
and the second on the N gene (nucleoprotein). The E gene real-time RT-PCR can detect Sarbecoviruses, i.e.
SARS-CoV, SARS-CoV-2 and closely related bat viruses. In the context of the COVID19 pandemic, it can be
assumed that only SARS-CoV-2 strains will be detected by this assay given that SARS-CoV virus has been
eradicated and other bat viruses do not commonly circulate in the human population. The E gene assay is
adapted from Corman et al. [17]. The N gene real-time RT-PCR assay (N1 assay) specifically detects SARS-
CoV-2 virus. It is adapted from the CDC protocol1. The two primers/probe sets are presented in Table 3. The RT-
qPCR protocols and reagents were all provided by the LIH.
Table 4 – RT-qPCR primer-probe sets
Target Primer name Primer sequence (5’ to 3’) References
E gene E_Sarbeco_F1 5-ACAGGTACGTTAATAGTTAATAGCGT-3 Corman et al.,
2020
E_Sarbeco_R2 5-ATATTGCAGCAGTACGCACACA-3
E_Sarbeco_P1 5’-FAM-ACACTAGCCATCCTTACTGCGCTTCG-BHQ1
N gene 2019-nCoV_N1_Fw 5’-GAC CCC AAA ATC AGC GAA AT-3’ CDC
2019-nCoV_N1_Rv 5’-TCT GGT TAC TGC CAG TTG AAT CTG-3’
2019-nCoV_N1 Probe 5’-FAM-ACC CCG CAT TAC GTT TGG TGG ACC-BHQ1-3’
Each reaction contained 5 μL of RNA template, 5 μL of TaqPath 1-step RT-qPCR MasterMix (A15299, Life
Technologies), 0.5 µL of each primer (20 µM) and probe (5 µM) and the reaction volume was adjusted to a final
volume of 20 μL with molecular biology grade water. Thermal cycling reactions were carried out at 50 °C for 15
min, followed by 95 °C for 2 min and 45 cycles of 95 °C for 3 sec and 58°C (E gene) or 55°C (N gene) for 30 sec
using a Viia7 Real-Time PCR Detection System (Life Technologies). Reactions were considered positive (limit of
detection – LOD) if the cycle threshold (Ct value) was below 40 cycles.
1
https://www.cdc.gov/coronavirus/2019-ncov/downloads/rt-pcr-panel-primer-probes.pdf
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 14 | P a g e
Controls
A non-target RNA fragment commercially available (VetMAX™ Xeno™ IPC and VetMAX™ Xeno™ IPC Assay,
ThermoFischer Scientific) was added to the viral RNA extract from sewage concentrates as an internal positive
control (IPC). This IPC-RNA is used to control the performance of the RT-qPCR (E gene) and to detect the
presence of RT-qPCR inhibitors.
Viral RNA copies quantification of both targeting genes in wastewater samples was performed using RT-qPCR
standard curves generated using EDX SARS-CoV-2 Standard (Biorad). This standard is manufactured with
synthetic RNA transcripts containing 5 targets (E, N, S, ORF1a, and RdRP genes of SARS-CoV-2, 200,000
copies/mL each). Using such a standard, the limits of quantification (LOQ) of both RT-qPCR assays were
estimated to 1 RNA copy per reaction (Figure 6).
Figure 6 – RT-qPCR standard curves established for both targeting genes (E gene and N gene) of SARS-CoV-2 using a
commercially available standard (Biorad).
Data interpretation
A sample is declared positive for the presence of SARS-CoV-2 if both targets (E and N gene) are detected with
Ct values less than or equal to the LOQ. If only one target is detected or if target genes are detected with Ct
values between the LOD and the LOQ, samples are reported as presumptive positive (+/-). A sample is declared
negative when no target genes are detected (Ct values superior to the LOD).
In case of presumptive positive, sample is tested again using another RT-qPCR detection assay (Allplex 2019-
nCoV Assay, Seegene). This commercially available detection kit is a multiplex real-time RT-PCR assay for
simultaneous detection of three target genes of SARS-CoV-2 in a single tube. The assay is designed to detect
RdRP and N genes specific for SARS-CoV-2, and E gene specific for all Sarbecovirus including SARS-CoV-2.
As shown in Figure 7, a highly significant correlation (Pearson Correlation, R2=0.964, p = 5.979.10-24) was
obtained between the SARS-CoV-2 RNA concentrations estimated using the E gene and the N gene,
respectively. Therefore, only the E gene results were presented in this report.
Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 15 | P a g e
Figure 7 - Relationship between the SARS-CoV-2 RNA concentration (RNA copies / L of wastewater) estimated by the both
distinct RT-qPCR systems targeting the E and N gene, respectively (n=415),
E Gene (gc/L)
0 1e+5 2e+5 3e+
N
Gene
(gc/L)
0
5e+4
1e+5
2e+5
2e+5
3e+5
3e+5
E gene (c/L) vs N gene (c/L)
Plot 1 Regr
E Gene (gc/L)
1e+2 1e+3 1e+4 1e+5 1e+6
N
Gene
(gc/L)
1e+2
1e+3
1e+4
1e+5
1e+6
E gene (c/L) vs N gene (c/L)
Plot 1 Regr

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SARS-CoV-2 Sewage Surveillance Report Shows Decreasing Trend

  • 1. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 1 | P a g e CORONASTEP Report 44 (Partial - Week 04) SARS-CoV-2 Sewage Surveillance in Luxembourg Summary This report 44 presents the results of SARS-CoV-2 contamination of wastewater at the entrance of 13 wastewater treatment plants (WWTPs) at the beginning of the fourth week of 2021. As the previous week, the SARS-CoV-2 RNA fluxes in sewage treatment plants were still important at the beginning of the week 04, but with a decreasing trend, indicating a medium prevalence of the virus in sewage at national and regional level. The downward trend corresponds to an average reduction of about 1.2 log compared to the maximum peak of the current wave. At the level of the treatment plant, similar dynamic patterns were observed, with a decreasing trend for all the plants analysed. For some of them, RT-qPCR signal is approaching to the limit of quantification of our assays. Table 1 – National level of SARS-CoV-2 contamination of wastewaters in Luxembourg. Dark green: negative samples for SARS-CoV-2 gene E (-), Green to red: positive samples for SARS- CoV-2 gene E. The intensity of the color is related to the national SARS-CoV-2 flux (RNA copies / day / 100 000 equivalent inhabitants). Week Week 3 Week 7 Week 9 Week 11 Week 14 Week 15 Week 16 Week 17 Week 18 Week 19 Week 20 Week 21 Week 22 Week 23 Week 24 Week 25 Week 26 Week 27 Week 28 Week 29 Week 30 Week 31 Week 32 Week 33 Week 34 Week 35 Week 36 Week 37 Week 38 Week 39 National Contamination Level Week Week 40 Week 41 Week 42 Week 43 Week 44-1 Week 44-2 Week 45-1 Week 45-2 Week 45-3 Week 46-1 Week 46-2 Week 46-3 Week 47-1 Week 47-2 Week 48-1 Week 48-2 Week 48-3 Week 49-1 Week 49-2 Week 50-1 Week 50-2 Week 51-1 Week 51-2 Week 51-2 Week 52 Week 53 Week 01-1 Week 01-2 Week 02-1 Week 02-2 Week 03-1 Week 03-2 Week 04-1 National Contamination Level
  • 2. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 2 | P a g e Figure 1a – RT-qPCR quantification time-course monitoring of SARS-CoV-2 (E gene) in Luxembourgish wastewater samples from December 2019 to January 2021. Grey squares: daily-confirmed cases for Luxembourgish residents (https://data.public.lu/fr/datasets/donnees-covid19/), Blue dots: cumulative SARS-CoV-2 flux (RNA copies / day / 100 000 equivalent inhabitants). Luxembourg National dynamics of SARS-CoV-2 in wastewater Date Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Daily Cases (Residents) 0 200 400 600 800 1000 SARS-CoV2 RNA copies / day / 100 000 eq. inhabitants 1e+10 1e+11 1e+12 1e+13 Figure 1b – Close-up of Figure 1a showing results from September 1st on. Luxembourg National dynamics of SARS-CoV-2 in wastewater Date September October November December January February Daily Cases (Residents) 0 200 400 600 800 1000 SARS-CoV2 RNA copies / day / 100 000 eq. inhabitants 1.0e+10 1.0e+11 1.0e+12 1.0e+13
  • 3. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 3 | P a g e Table 2 - Level of SARS-CoV-2 contamination of each analyzed wastewater treatment plant in Luxembourg during the second wave. BEG: Beggen, BET: Bettembourg, SCH: Schifflange, BLE: Bleesbruck, MER: Mersch, PET: Pétange, HES: Hespèrange, ECG: Echternach, UEB: Uebersyren, GRE: Grevenmacher, TRO: Troisvierges, BOE: Boevange sur Attert, WIL: Wiltz Dark green: negative samples for SARS-CoV-2 gene E (-), Green to red: positive samples for SARS-CoV-2 gene E. The intensity of the color is related to the RT-qPCR signal (Ct values) Grey boxes: no data 2020 2021 First wave Second wave WWTP Week 9 Week 11 Week 14 Week 15 Week 16 Week 17 Week 18 Week 19 Week 20 Week 21 Week 22 Week 23 Week 24 Week 25 Week 26 Week 27 Week 28 Week 29 Week 30 Week 31 Week 32 Week 33 Week 34 Week 35 Week 36 Week 37 Week 38 Week 39 Week 40 Week 41 Week 42 Week 43 Week 44-1 Week 44-2 Week 45-1 Week 45-2 Week 45-3 Week 46-1 Week 46-2 Week 46-3 Week 47-1 Week 47-2 Week 48-1 Week 48-2 Week 48-3 Week 49-1 Week 49-2 Week 50-1 Week 50-2 Week 51-1 Week 51-2 Week 51-3 Week 52 Week 53 Week 01-1 Week 01-2 Week 02-1 Week 02-2 Week 03-1 Week 03-2 Week 04-1 BEG BET SCH BLE MER PET HES ECH UEB GRE TRO BOE WIL
  • 4. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 4 | P a g e Figure 2a – RT-qPCR quantification time-course monitoring of SARS-CoV-2 (E gene) in the four most impacted wastewater treatment plants from March 2020 to January 2021. Grey squares: daily-confirmed cases for the contributory area of each wastewater treatment plant, dots: SARS-CoV-2 flux (RNA copies / day / 10 000 equivalent inhabitants). Schifflange Date Mar AprMay Jun Jul AugSepOct NovDec Jan Feb Weekly cases 0 200 400 600 800 1000 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Pétange Date Mar AprMay Jun Jul AugSepOct NovDec Jan Feb We ekly cases 0 200 400 600 800 1000 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 1.0e+13 Beggen Date Mar AprMay Jun Jul AugSepOct NovDec Jan Feb Wee kly cases 0 200 400 600 800 1000 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Bettembourg Date Mar AprMay Jun Jul AugSepOct NovDec Jan Feb We ekly cases 0 200 400 600 800 1000 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12
  • 5. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 5 | P a g e Figure 2b – Close-up of Figure 2a showing results from September 1st on. Schifflange Date Sep Oct Nov Dec Jan Feb Weekly cases 0 200 400 600 800 1000 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Pétange Sep Oct Nov Dec Jan Feb Weekly cases 0 200 400 600 800 1000 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 1.0e+13 Beggen S e p O c t N o v D e c J a n F e b We ekly cases 0 200 400 600 800 1000 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Bettembourg Sep Oct Nov Dec Jan Feb Weekly cases 0 200 400 600 800 1000 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12
  • 6. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 6 | P a g e Figure 3a – RT-qPCR quantification time-course monitoring of SARS-CoV-2 (E gene) in Hespérange, Mersch and Boevange- sur-Attert wastewater treatment plants from March 2020 to January 2021. Grey squares: daily-confirmed cases for the contributory area of each wastewater treatment plant, dots: SARS-CoV-2 flux (RNA copies / day / 10 000 equivalent inhabitants). Hespérange Date Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Weekly cases 0 50 100 150 200 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Mersch Date Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Weekly cases 0 50 100 150 200 250 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Boevange-sur-Attert Date Aug Sep Oct Nov Dec Jan Feb Weekly cases 0 20 40 60 80 100 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12
  • 7. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 7 | P a g e Figure 3b – Close-up of Figure 3a showing results from September 1st on. Hespérange Sep Oct Nov Dec Jan Feb Weekly cases 0 50 100 150 200 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Mersch Sep Oct Nov Dec Jan Feb Weekly cases 0 50 100 150 200 250 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Boevange-sur-Attert Sep Oct Nov Dec Jan Feb Weekly cases 0 20 40 60 80 100 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12
  • 8. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 8 | P a g e Figure 4a – RT-qPCR quantification time-course monitoring of SARS-CoV-2 (E gene) in SIDEST wastewater treatment plants from March 2020 to January 2021. Grey squares: daily-confirmed cases for the contributory area of each wastewater treatment plant, dots: SARS-CoV-2 flux (RNA copies / day / 10 000 equivalent inhabitants). Grevenmacher Date May Jun Jul Aug Sep Oct Nov Dec Jan Feb Weekly cases 0 20 40 60 80 100 120 140 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Uebersyren Date May Jun Jul Aug Sep Oct Nov Dec Jan Feb Weekly cases 0 20 40 60 80 100 120 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Echternach Date May Jun Jul Aug Sep Oct Nov Dec Jan Feb Weekly cases 0 20 40 60 80 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12
  • 9. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 9 | P a g e Figure 4b – Close-up of Figure 4a showing results from September 1st on. Grevenmacher Sep Oct Nov Dec Jan Feb Weekly cases 0 20 40 60 80 100 120 140 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Uebersyren Sep Oct Nov Dec Jan Feb Weekly cases 0 20 40 60 80 100 120 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Echternach Sep Oct Nov Dec Jan Feb Weekly cases 0 20 40 60 80 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12
  • 10. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 10 | P a g e Figure 5a – RT-qPCR quantification time-course monitoring of SARS-CoV-2 (E gene) in SIDEN wastewater treatment plants from March 2020 to January 2021. Grey squares: daily-confirmed cases for the contributory area of each wastewater treatment plant, dots: SARS-CoV-2 flux (RNA copies / day / 10 000 equivalent inhabitants). Troisvierges Date May Jun Jul Aug Sep Oct Nov Dec Jan Feb Weekly cases 0 5 10 15 20 25 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Bleesbruck Date May Jun Jul Aug Sep Oct Nov Dec Jan Feb Weekly cases 0 50 100 150 200 250 300 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Wiltz Date Aug Sep Oct Nov Dec Jan Feb Weekly cases 0 20 40 60 80 100 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12
  • 11. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 11 | P a g e Figure 5b – Close-up of Figure 5a showing results from September 1st on. Troisvierges Sep Oct Nov Dec Jan Feb Weekly cases 0 5 10 15 20 25 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Bleesbruck Sep Oct Nov Dec Jan Feb Weekly cases 0 50 100 150 200 250 300 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12 Wiltz Sep Oct Nov Dec Jan Feb Weekly cases 0 20 40 60 80 100 SARS-CoV-2 flux (copies/day/10000 inhab.) 1.0e+9 1.0e+10 1.0e+11 1.0e+12
  • 12. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 12 | P a g e Table 3- Timing of sewage sampling since the beginning of the CORONASTEP study WWTP Max capacity (eq. inhabitants) Inhabitants connected Week 41 Week 43 Week 46 Week 51 Week 3 Week 7 Week 9 Week 11 Week 14 Week 15 Week 16 Week 17 Week 18 Week 19 Week 20 Week 21 Week 22 Week 23 Week 24 Week 25 Week 26 Week 27 Week 28 Week 29 Week 30 Week 31 Week 32 Week 33 Week 34 Week 35 Week 36 Week 37 Week 38 Week 39 Week 40 Week 41 Week 42 Week 43 Week 44 Week 45 Week 46 Week 47 Week 48 Week 49 Week 50 Week 51 Week 52 Week 53 Week 01 Week 02 Week 03 Week 04 Total samples Beggen 210000 139731 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 3 2 3 2 2 3 1 1 2 1 2 1 58 Bettembourg 95000 53606 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 3 2 3 2 2 3 1 1 2 2 2 1 52 Schifflange 90000 68143 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 3 2 3 2 2 3 1 1 2 2 2 1 67 Bleesbrück 80000 30930 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 3 2 3 2 2 3 1 1 2 2 2 1 51 Mersch 70000 30473 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 3 2 3 2 2 3 1 1 2 2 2 1 54 Pétange 50000 59481 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 3 2 3 2 2 3 1 1 2 2 2 1 62 Hesperange 36000 15479 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 0 1 1 1 1 40 Echternach 36000 7499 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 3 2 2 3 1 0 1 2 2 1 42 Uebersyren 35000 18600 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 3 2 2 3 1 0 2 2 2 1 45 Grevenmacher 47000 9835 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 3 2 2 3 1 0 2 2 2 1 45 Troisvierges 5000 3411 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 3 2 3 2 2 3 1 1 2 2 2 1 45 Boevange sur Attert 15000 1170 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 25 Wiltz 16500 6944 1 1 1 1 1 1 1 1 1 2 3 2 3 2 2 3 1 1 2 2 2 1 35 Total 785500 445302 2 2 2 2 2 2 2 2 2 2 2 2 5 5 6 8 10 8 11 8 9 7 11 9 11 11 11 10 12 12 12 13 13 13 13 13 12 13 19 28 35 24 37 24 24 35 13 9 23 23 24 13 621 Pop Lux (2019) 613901 2019 2020 2021
  • 13. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 13 | P a g e Materials and Methods Sewage samples From March 2020 to January 2021, up to thirteen WWTPs were sampled at the inlet of the plant according to the planning presented in Table 3. The operators of the WWTPs sampled a 24-h composite sample of 96 samples according to your own sampling procedure. Composite sample was stored at 4°C until sample processing. Sample processing The samples were transported to the laboratory at 4°C and viral RNA was isolated on the day of sampling. Larger particles (debris, bacteria) were removed from the samples by pelleting using centrifugation at 2,400 x g for 20 min at 4°C. A volume of 120 mL of supernatant was filtered through Amicon® Plus-15 centrifugal ultrafilter with a cut-off of 10 kDa (Millipore) by centrifugation at 3,220 x g for 25 min at 4°C. The resulting concentrate was collected and 140 µL of each concentrate was then processed to extract viral RNA using the QIAamp Viral RNA mini kit (Qiagen) according to the manufacturer’s protocol. Elution of RNA was done in 60 μL of elution buffer. Real-time One-Step RT-PCR Samples are screened for the presence of Sarbecovirus (Coronaviridae, Betacoronaviruses) and/or SARS-CoV- 2 virus RNA by two distinct real-time one-step RT-PCR, one on the E gene (Envelope small membrane protein) and the second on the N gene (nucleoprotein). The E gene real-time RT-PCR can detect Sarbecoviruses, i.e. SARS-CoV, SARS-CoV-2 and closely related bat viruses. In the context of the COVID19 pandemic, it can be assumed that only SARS-CoV-2 strains will be detected by this assay given that SARS-CoV virus has been eradicated and other bat viruses do not commonly circulate in the human population. The E gene assay is adapted from Corman et al. [17]. The N gene real-time RT-PCR assay (N1 assay) specifically detects SARS- CoV-2 virus. It is adapted from the CDC protocol1. The two primers/probe sets are presented in Table 3. The RT- qPCR protocols and reagents were all provided by the LIH. Table 4 – RT-qPCR primer-probe sets Target Primer name Primer sequence (5’ to 3’) References E gene E_Sarbeco_F1 5-ACAGGTACGTTAATAGTTAATAGCGT-3 Corman et al., 2020 E_Sarbeco_R2 5-ATATTGCAGCAGTACGCACACA-3 E_Sarbeco_P1 5’-FAM-ACACTAGCCATCCTTACTGCGCTTCG-BHQ1 N gene 2019-nCoV_N1_Fw 5’-GAC CCC AAA ATC AGC GAA AT-3’ CDC 2019-nCoV_N1_Rv 5’-TCT GGT TAC TGC CAG TTG AAT CTG-3’ 2019-nCoV_N1 Probe 5’-FAM-ACC CCG CAT TAC GTT TGG TGG ACC-BHQ1-3’ Each reaction contained 5 μL of RNA template, 5 μL of TaqPath 1-step RT-qPCR MasterMix (A15299, Life Technologies), 0.5 µL of each primer (20 µM) and probe (5 µM) and the reaction volume was adjusted to a final volume of 20 μL with molecular biology grade water. Thermal cycling reactions were carried out at 50 °C for 15 min, followed by 95 °C for 2 min and 45 cycles of 95 °C for 3 sec and 58°C (E gene) or 55°C (N gene) for 30 sec using a Viia7 Real-Time PCR Detection System (Life Technologies). Reactions were considered positive (limit of detection – LOD) if the cycle threshold (Ct value) was below 40 cycles. 1 https://www.cdc.gov/coronavirus/2019-ncov/downloads/rt-pcr-panel-primer-probes.pdf
  • 14. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 14 | P a g e Controls A non-target RNA fragment commercially available (VetMAX™ Xeno™ IPC and VetMAX™ Xeno™ IPC Assay, ThermoFischer Scientific) was added to the viral RNA extract from sewage concentrates as an internal positive control (IPC). This IPC-RNA is used to control the performance of the RT-qPCR (E gene) and to detect the presence of RT-qPCR inhibitors. Viral RNA copies quantification of both targeting genes in wastewater samples was performed using RT-qPCR standard curves generated using EDX SARS-CoV-2 Standard (Biorad). This standard is manufactured with synthetic RNA transcripts containing 5 targets (E, N, S, ORF1a, and RdRP genes of SARS-CoV-2, 200,000 copies/mL each). Using such a standard, the limits of quantification (LOQ) of both RT-qPCR assays were estimated to 1 RNA copy per reaction (Figure 6). Figure 6 – RT-qPCR standard curves established for both targeting genes (E gene and N gene) of SARS-CoV-2 using a commercially available standard (Biorad). Data interpretation A sample is declared positive for the presence of SARS-CoV-2 if both targets (E and N gene) are detected with Ct values less than or equal to the LOQ. If only one target is detected or if target genes are detected with Ct values between the LOD and the LOQ, samples are reported as presumptive positive (+/-). A sample is declared negative when no target genes are detected (Ct values superior to the LOD). In case of presumptive positive, sample is tested again using another RT-qPCR detection assay (Allplex 2019- nCoV Assay, Seegene). This commercially available detection kit is a multiplex real-time RT-PCR assay for simultaneous detection of three target genes of SARS-CoV-2 in a single tube. The assay is designed to detect RdRP and N genes specific for SARS-CoV-2, and E gene specific for all Sarbecovirus including SARS-CoV-2. As shown in Figure 7, a highly significant correlation (Pearson Correlation, R2=0.964, p = 5.979.10-24) was obtained between the SARS-CoV-2 RNA concentrations estimated using the E gene and the N gene, respectively. Therefore, only the E gene results were presented in this report.
  • 15. Leslie OGORZALY & Henry-Michel CAUCHIE 27th January 2021 15 | P a g e Figure 7 - Relationship between the SARS-CoV-2 RNA concentration (RNA copies / L of wastewater) estimated by the both distinct RT-qPCR systems targeting the E and N gene, respectively (n=415), E Gene (gc/L) 0 1e+5 2e+5 3e+ N Gene (gc/L) 0 5e+4 1e+5 2e+5 2e+5 3e+5 3e+5 E gene (c/L) vs N gene (c/L) Plot 1 Regr E Gene (gc/L) 1e+2 1e+3 1e+4 1e+5 1e+6 N Gene (gc/L) 1e+2 1e+3 1e+4 1e+5 1e+6 E gene (c/L) vs N gene (c/L) Plot 1 Regr