and urine. Sewage surveillance of SARS-CoV-2 has been suggested as a tool to determine
the extent of COVID-19 in cities and serve as an early warning for (re-) emergence of SARS-
CoV-2 circulation in communities. The focus of this review is on the strength of evidence,
opportunities and challenges for the application of sewage surveillance to inform public
health decision making. Considerations for undertaking sampling programs are reviewed …