Measles wastewater surveillance data

For additional general and measles-specific information, visit the Frequently asked questions tab on the left.
For detailed information on how our samples are collected and analyzed, visit the Info and methods tab on the left.

Measles detections by local health department

Map reset

To reset the map view and zoom to default status, click the reset button on the left side of the map pane.

Measles detection table

Measles detection heatmap

SARS-CoV-2 wastewater surveillance data

We made a major change to our SARS-CoV-2 assay in November 2024 which affects all data. Visit the 'Info and methods' tab at the left for details.

Visit the 'Info and methods' tab on the left to see more detailed information on how our samples are collected, analyzed, and interpreted.

Click on a sampling site to populate the graphs below

Data notes

Concentration and trend

Concentration is categorized into a 6-tier system and indicated by the color of the map icon. Statistically significant trends are indicated by map icon shape. Both are detailed in the map legend to the left.

Legacy sites

These are sites where samples are no longer being collected, although you can still see the data. Click the 'Show legacy sites' button in the bottom left corner of the map to show them.

County and LHD borders

To view the boundaries and names of counties or local health departments (LHDs), click on the corresponding button in the bottom left corner of the map.

Map reset

To reset the map view and zoom to default status, click the reset button on the left side of the map pane.

Search

Click on the magnifying glass icon on the map to search by site name. Note that some wastewater facility names do not necessarily correspond to the communities they serve.

Click on the + at the right to expand the summary table.

Summary table

Minimum date: 04/01/2020
Changing the dates in the above inputs only alters the data displayed in the graphs. The map, summary table, and info boxes will always show data from the latest samples. By default, the past two years of data are displayed.

Note: date inputs are disabled for legacy sites.

Minimum date: 04/01/2020
Changing the dates in the above inputs only alters the data displayed in the graphs below. The map, summary table, and info boxes will always show data from the latest samples. By default, the past two years of data are displayed.

Statewide concentration category heatmap

Sequencing data: statewide variants

General information, data analysis, and interpretation


Important notes:

  • On 2024-11-14, we moved our SARS-CoV-2 assay to a new, single gene target. Before that date, all SARS-CoV-2 data were based on the combined results from 2 different gene targets. Parallel testing of both methods showed that concentrations based on the previous 2 combined gene targets was almost exactly 1/2 the value of concentrations based on the new, single gene target. To aid data comparability across lab methods, all historical data has been divided in half. Data trends, patterns, and interpretations remain unchanged.

  • On 2024-2-28, we moved all quantification of wastewater surveillance samples from a qPCR process to a ddPCR (droplet digital PCR) process. While parallel testing of both methods indicated that the results are often very similar, we recommend using caution when interpreting or combining data from before and after that date.

  • On 2021-08-01 all laboratory analyses moved to the Utah Public Health Laboratory from academic partner labs. While data for many sites remained quite similar, some sites did display a noticeable shift. We recommend using caution when you interpret or combine data from before and after that date.


Dashboard updates

The data displayed in this dashboard updates daily overnight. Note that new wastewater data will usually be added twice per week, typically on Tuesdays (for samples collected the previous Thursday) and Fridays (for samples collected the previous Tuesday). Sampling may be cancelled for state and federal holidays due to a lack of available staff at our partner utilities.

Sampling

Current sites: 35 sites are sampled on Tuesdays and Thursdays. The majority of our partner utilities collect either flow- or time-weighted composite samples of roughly 24 hours duration (meaning sampling begins on Mondays or Wednesdays and ends on Tuesdays or Thursdays). Two sites (Snyderville Basin East Canyon and Snyderville Basin Silver Creek) collect 6-hour manual composite samples, and Roosevelt collects grab samples.

Missing data: As routine sampling occurs twice per week, there are typically 5 days each week with no new data. Some graphs fill in data for those days with data from the previous sample. For example, Wednesdays use data from the previous Tuesday, and Fridays through Mondays use data from the previous Thursday. This process applies to the following:

  • The 'Historical concentration categories' graph on the 'Site-specific data' tab.
  • The 'Sequencing data' graph on the 'Site-specific data' tab.
  • The 'Statewide concentration category heatmap' on the 'Statewide data' tab.
  • The 'Sequencing data: statewide variants' graph on the 'Statewide data' tab.

New sites: When we begin sampling at a new site, it takes some time before we can be confident when we categorize concentrations due to the method's reliance on site-specific historical data.

We currently have no new sites.

Legacy sites: There are currently 12 wastewater facilities where samples are no longer being collected: Blanding City WWD, Daggett County WRF, Dutch John WRF, Fillmore City SD, Gunnison City SD, Magna WWTP, Mona SD, Moroni WWTP, Monticello WWTP, Oakley WWTP, Richfield City SD, and Springdale SD. To see old data from these sites, click on the 'Show legacy sites' button on the map. Note the x-axis dates for these old data!

Wastewater data analysis and interpretation

We recommend you use trends and categorized concentrations (as described below) to compare data between sites. Given the large number of differences between sites in infrastructure, climate, population characteristics, etc., we discourage direct comparisons or averaging of raw data between sites.

Dates: Our analyses use the date sampling ended in our analyses. Thus, a sample whose collection began 10/02/23 and ended 10/03/23 would use a date of 10/03/23. Note that the CDC uses the date sampling began, so that same sample would use a date of 10/02/23 in their analyses.

Reporting limits: The smallest concentration that can be reported by the laboratory is called the reporting limit. It is a function of the sensitivity of the lab instrument, aspects of the specific methods being used, and other factors. In essence, we are confident in the accuracy of values above the reporting limit, even though we don't know the true concentration for values below the reporting limit.

Our most common reporting limit for SARS-CoV-2 is 12 copies/milliliter of wastewater, although this has varied somewhat with minor shifts in our methods. For analytical and display purposes, concentrations below the reporting limit are set to 1/2 of the reporting limit. Note that values below the reporting limit do not necessarily indicate a complete lack of cases in that sewershed.

Normalization and units: Quantitative PCR results are normalized by the wastewater flow during the sampling period and the estimated sewershed population. The resulting units are millions of gene copies per person per day, or MGC/person/day.

Concentration: Concentrations are categorized into a 6-tier system, from 'very low' to 'extremely elevated'. These categorizations are site-specific and a relative measure of concentration, meaning that it is valid to compare categories between sites. To determine the categorizations, quantile thresholds (20%, 40%, 60%, 80%, and 95%) are calculated using historical data from each site. Each data point is compared against these site-specific thresholds and placed into the appropriate 'bin' (0-20%, 60-80%, etc.). The concentration categories are:

  • Very low: 0-20%. Data in this category is quite low compared to historical data from the site.
  • Low: 20-40%. Data in this category is fairly low compared to historical data from the site.
  • Watch: 40-60%. This is a middle category for data that, while not necessarily considered high, also can't be considered low.
  • Elevated: 60-80%. Data in this category is considered somewhat high compared to historical data from the site.
  • Very elevated: 80-95%. Data in this category is quite high compared to historical data from the site.
  • Extremely elevated: 95+%. Data in this category is much higher than nearly all historical data from the site. It is intended to highlight the most extreme concentrations.
Previously, we categorized concentrations into a 3-tier system, where the both low categories (0-40%) were condensed together, and the 3 elevated categories (60-95+%) were condensed together.

Trend: Trend identification is based on a linear regression of the log transformed results normalized for flow and population (i.e., our normal results transformed onto a log scale). Regressions are calculated over a 13-day period from the most recent sample, which normally includes 4 samples. The chosen significance level is 0.30; sites with regression p-values above 0.30 are categorized with a trend of 'plateau/indeterminate'. Note that at least 3 samples in this 13-day period are required to derive a p-value. Sites with fewer than 3 samples in that 13-day period are flagged 'Insufficient recent data.'

The 13-day percent change is based on the slopes from these regressions. Percent change is not calculated when the slope is 'plateau/indeterminate' (i.e., when the slope is not significant).

Plateau/indeterminate means that there was not a significant recent trend based on the above criteria. Note that this does not indicate concentrations in the sewer system. The concentration in wastewater may be high, low, or in between relative to previous samples from that site.

Sequencing data: Samples are sent for sequencing once or twice per week and may lag behind concentration data. Until new data are received, sequencing visualizations will fill in days with data from the most recent previous sample.

Site-specific variants: For each sampling day, we calculated the percentage each variant contributed to the total from that facility's sample. This provides a localized view of disease trends.

Statewide variants: To calculate the statewide variant graph, we combined the data from all sites across the state for each sampling day. Then, we calculated the percentage each variant contributed to the total from all samples from that day. This allows us to monitor trends and visualize how variants spread over time at the state level.

Case data

Geocoding: All COVID-19 cases in our database are assigned to a sewershed based on residential address at diagnosis. If a case cannot be geocoded due to missing or bad address information but has at least a ZIP code, it is randomly allocated to an appropriate sewershed with a probability based on the distribution of residential ZIP code addresses within various sewersheds.

For example, take hypothetical ZIP code X that is partially covered by sewersheds A and B. If 31% of the residential ZIP code addresses are within sewershed A and 23% are within sewershed B, then such a case would be randomly allocated to sewershed A 31% of the time and to sewershed B 23% of the time.

Data suppression: Following department protocol on data privacy and security, daily case counts between 1 and 10 (and metrics based on such counts, like case rates) are suppressed. This means that we do not display the actual count or rate. Instead, we replace the actual case count with a value of 2, which is the nearest whole number to the median of all suppressed counts. Note that case data suppression tends to occur more frequently in sewersheds with smaller populations, as they typically have fewer cases on a given day.

National Wastewater Surveillance System (NWSS)

In response to the COVID-19 pandemic, CDC launched the National Wastewater Surveillance System (NWSS) in September 2020. CDC developed NWSS to coordinate and build the nation’s capacity to track the presence of SARS-CoV-2, the virus that causes COVID-19, in wastewater samples collected across the country. Utah was one of the initial 8 states to join this effort. Now, only a few short years later, nearly all states and several cities participate.

Visit the NWSS website: www.cdc.gov/nwss

View national wastewater surveillance data: covid.cdc.gov/covid-data-tracker/#wastewater-surveillance

Frequently asked questions


General questions

Questions about measles

Questions about genomic sequencing

Other

General Questions

What is wastewater surveillance?

Wastewater, also called sewage, can come from both residential use (toilets, showers, and sinks) as well as non-household sources like industrial use and rain. People who are infected with a pathogen shed genetic material (RNA and/or DNA) in their feces, urine, etc. This material can be detected and measured in samples of community wastewater. The process can be summarized as follows:

  • Wastewater from a sewershed (the community area served by a wastewater treatment utility) is collected as it flows into a treatment plant before treatment occurs (an influent sample).
  • The sample is transported to the Utah Public Health Laboratory (UPHL) for sample processing and testing.
  • UPHL transmits the raw laboratory data to the UWSS epidemiology team, who clean and analyze it.
  • The data is made available to federal, state, and local public health partners via internal mechanisms, and the public via this dashboard.

What are some advantages of wastewater surveillance?

  • Wastewater surveillance can capture the presence of a pathogen shed by people who have that pathogen, even if they don't have symptoms.
  • Wastewater surveillance data is often an early indicator that the number of people who have a pathogen in a community is increasing or decreasing.
  • Unlike most other types of public health surveillance, wastewater monitoring does not depend on the availability of individual testing, people having access to healthcare, or people seeking healthcare when sick (healthcare-seeking behavior).
  • Wastewater surveillance is a very efficient and cost-effective way to gather valuable public health data about communities.

What are some disadvantages of wastewater surveillance?

  • Wastewater surveillance will not capture data from homes that use a septic system or from facilities served by decentralized treatment systems, like some prisons, universities, or hospitals, that treat their own wastewater.
  • Very low levels of infection in communities may not be captured by wastewater surveillance. The lower limits of detection (the smallest number of people shedding the virus that can still be detected by current methods) for wastewater surveillance are not yet known.
  • At this time, it is not possible to accurately and reliably predict the number of infected individuals in a community based solely on wastewater surveillance data.
  • We don't yet know enough about the many differences between sewersheds in infrastructure, population characteristics, industrial input, etc. to successfully account for them, meaning that direct comparison of data between sites is generally discouraged.

What is UWSS monitoring in wastewater?

Currently, UWSS is monitoring SARS-CoV-2, influenza A, influenaza B, RSV A&B, and measles. In the future, we plan to expand testing to additional pathogens, including subtypes of influenza A and the yeast Candida auris.

Questions about measles

Why are we testing wastewater for measles?

When people get sick with measles, they can shed the virus in their poop (feces) and urine which then goes into our wastewater or sewer systems. This shedding can last for days to weeks. While we are just starting to understand how well wastewater testing can detect measles, we know this can be useful to understand trends in our communities. Wastewater testing helps us identify communities where people may be infected with measles, sometimes even before we know that anyone is sick.

Wastewater sampling is a new and useful tool for public health. Information from wastewater is most useful when it is detected in areas where no one has been identified with measles through clinical testing. When this happens, we can alert communities in these local health districts to make sure they are aware people with measles may be in their area.

What does it mean when measles is detected in wastewater in a local health district?

When measles is detected in wastewater it means one or more people in that local health district has been infected with measles and is shedding the virus. Wastewater test results can tell us when measles virus is in the wastewater, but the results do not tell us how many people in the area are shedding the virus. It could be one person, or it could be multiple people. These measles-positive excretions can be from one or more people who live in the local health district, or from one or more people who were just passing through and used a toilet, sink, or shower in the area.

It is also important to note that just because measles was not detected in wastewater from a local health district, it does not necessarily mean that no one in the district is infected with measles. A very small number of infected people may not shed enough virus for us to detect it. Additionally, some Utah residents have their own septic systems that do not contribute to city sewer systems.

Can you identify a specific person who has measles when you test wastewater?

No. Information from testing samples of wastewater can’t be used to identify a specific person or traced back to households or individuals. Samples are collected at the water treatment plant where wastewater from the entire community goes to be treated.

Does measles wastewater testing detect the vaccine strain?

No. We only test for the type of measles virus (known as wild-type measles virus) that causes disease and can spread from one person to another. The test we use to detect measles in wastewater does not detect the weakened strain of the virus that is included in the measles vaccine.

The measles vaccine contains an attenuated (weakened) version of the measles virus. This weakened virus has been found to shed in the excretions of people who have been vaccinated for up to 4 weeks after vaccination. This weakened version of the measles virus cannot spread or infect other people or make them sick, so it is not a public health concern if someone is shedding the vaccine strain.

Can people get infected with measles from contact with wastewater that has the measles virus in it?

The risk of getting measles from wastewater is extremely low. Measles virus spreads through the air and close contact with an infected person. While small amounts of measles RNA may be found in urine and poop, there is no evidence that it spreads this way.

No published studies have specifically examined wastewater utility workers being exposed to measles virus in wastewater. Workers who handle human waste or sewage may be at increased risk of becoming ill from waterborne diseases; to reduce this risk, workers can protect themselves through basic hygiene, use of personal protective equipment, training, and vaccination.

Why is Utah DHHS reporting measles results by local health district instead of specific wastewater collection sites?

Because there are so few people with measles in Utah, we want to protect their privacy. The Utah Department of Health and Human Services is dedicated to protecting the privacy of all Utahns. We have limited the data we share to the local health district to make sure no data is presented that may identify any individuals.

Why does Utah DHHS report whether measles was detected in the last 3 weeks?

It’s important to know when there is someone with measles in a local health district because that person could infect others who do not have immunity. However, it may take up to 3 weeks for symptoms to show up in exposed people after they are infected. That's why it is important for everyone in the area to pay extra attention for measles symptoms until it has been 3 weeks since the last time measles was detected in the area.

Note that measles can still spread even in areas where it has not been detected in wastewater. This means people who are not protected from measles should watch for measles symptoms even if it has not been detected in their area.

Where can you find more information about wastewater testing in Utah?

For more information on wastewater testing in Utah, visit the “Info and methods” tab on the Utah wastewater surveillance system dashboard. You can also send an email to uwss@utah.gov with questions about wastewater testing.

Questions about genomic sequencing

How does genomic sequencing work?

Genomic sequencing is a method used to analyze the genetic material of an organism and can be used on viruses such as SARS-CoV-2. After sample collection and RNA extraction, the sample is loaded on to the sequencer which can identify the sequence of base pairs in the organism’s genome. This is then compared to known sequences to detect mutations and identify specific variants.

What is a variant?

A variant is a version of a virus with a specific set of changes or mutations in its genetic material. While viruses constantly evolve, most of these changes do not have a major impact. However, some mutations can affect the severity of the illness or how well vaccines work. We can monitor these variants to understand how the virus spreads in the community and identify variants that may require different public health actions. Variants are named using letters and numbers, as seen on the genomic data visualizations on our dashboard.

Can SARS-CoV-2 variants of concern be detected in wastewater?

Yes, with the appropriate additional testing. UWSS has been performing whole genome sequencing of wastewater samples since October 2021.

What is a recombinant lineage?

A recombinant lineage occurs when 2 different variants combine their genetic material to create a new variant. This can happen when an individual is infected with multiple lineages of the virus at the same time. As the virus replicates, it may recombine genetic material between the variants which can then result in a new “recombinant” virus. This virus can carry traits from both parent variants and can result in very rapid evolutionary change.

Other questions

I have a question that isn't answered here.

If your question is related to sampling or data analysis, it may be answered in the 'Info and methods' tab. If not, don't hesitate to contact us at uwss@utah.gov!



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For questions, comments, and concerns, email us at:

uwss@utah.gov

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