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Peer-Reviewed Publication
Water Res2025;268(Pt B):122747.January 1, 2025Journal Article

Making Waves: A justice-centred framework for wastewater-based public health surveillance.

Mohammed Rafi Arefin1, Carolyn Prouse2, Josie Wittmer3, Nuhu Amin4, Monique Assunção2, Amber Benezra5, Angela Chaudhuri6, Megan Diamond7, Shirish Harshe6, Kimberly Hill-Tout2, Vanessa Koetz2, David Larsen8, Cresten Mansfeldt9, Lucas Melgaço10, Dhiraj Nainani11, Amrita V Nair12, Colleen C Naughton13, Margaret O'Donnell14, Christopher Reimer14, Pamela Robinson15, Jacob Shelley16, Vishwanath Srikantalah17
1University of British Columbia, Department of Geography, Vancouver, British Columbia, Canada. Electronic address: rafi.arefin@ubc.ca.
2Queen's University, Department of Geography and Planning, Kingston, Ontario, Canada.
3Memorial University of Newfoundland, Grenfell Campus, Environment and Sustainability, Corner Brook, Newfoundland, Canada.
4ICDDR, B, Dhaka, Bangladesh.
5Stevens Institute of Technology, Science and Technology Studies, Hoboken, New Jersey, United States.
6Swasti, The Health Catalyst, Bengaluru, Karnataka, India.
7The Rockefeller Foundation, New York, New York, United States.
8Syracuse University, Department of Public Health, Syracuse, New York, United States.
9University of Colorado Boulder, Department of Civil, Environmental, and Architectural Engineering, Boulder, Colorado, United States.
10Vrije Universiteit Brussel, Department of Criminology, Brussel, Belgium.
11National University of Singapore, Asia Research Institute, Singapore.
12Massachusetts Institute of Technology, Department of Urban Studies and Planning, Cambridge, Massachusetts, United States.
13University of California, Merced, Department of Civil and Environmental Engineering, Merced, California, United States.
14University of British Columbia, Department of Geography, Vancouver, British Columbia, Canada.
15Toronto Metropolitan University, School of Urban & Regional Planning, Toronto, Ontario, Canada.
16Western University, Faculty of Law and the School of Health Studies, London, Ontario, Canada.
17Biome Environmental Trust, Bengaluru, Karnataka, India.

Abstract

Since 2020 wastewater-based surveillance has quickly been established as an effective and cost-efficient tool for monitoring public health. In this Making Waves article, we argue that these programs must be grounded in principles of justice to achieve global water and health equity. Ethics initiatives to date have focused primarily on privacy, legality, and institutionalised research reviews, ofte…

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