Table 1 Lead time of normalized IAV viral RNA signal to weekly IAV percent positivity.

From: Municipal and neighbourhood level wastewater surveillance and subtyping of an influenza virus outbreak

Outbreak progression

Lead time of wastewater to clinical metric

Details

First detection

17 days

WWS: IAV in population first identified

Clinical: IAV in population first identified

Outbreak detection

21 days

WWS: First 3 consecutive days of increasing IAV viral signal

Clinical: First 2 consecutive weeks of increasing weekly percent positivity

Peak of outbreak

15 days

WWS: Date of highest 7-day midpoint avg. IAV viral signal

Clinical: Date of highest percent positivity

Outbreak resolution

17 days

WWS: 7 consecutive days of decreasing 7-day midpoint avg. IAV viral signal

Clinical: 2 consecutive weeks of decreasing weekly percent positivity