Isolation of Vaccine-Like Poliovirus Strains in Sewage Samples From the United Kingdom.
Majumdar, Manasi;
Klapsa, Dimitra;
Wilton, Thomas;
Akello, Joyce;
Anscombe, Catherine;
Allen, David;
Mee, Edward T;
Minor, Philip D;
Martin, Javier;
(2018)
Isolation of Vaccine-Like Poliovirus Strains in Sewage Samples From the United Kingdom.
The Journal of Infectious Diseases, 217 (8).
pp. 1222-1230.
ISSN 0022-1899
DOI: https://doi.org/10.1093/infdis/jix667
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BACKGROUND: Environmental surveillance (ES) is a sensitive method for detecting human enterovirus (HEV) circulation, and it is used worldwide to support global polio eradication. We describe a novel ES approach using next-generation sequencing (NGS) to identify HEVs in sewage samples collected in London, United Kingdom, from June 2016 to May 2017. METHODS: Two different methods were used to process raw sewage specimens: a 2-phase aqueous separation system and size exclusion by filtration and centrifugation. HEVs were isolated using cell cultures and analyzed using NGS. RESULTS: Type 1 and 3 vaccine-like poliovirus (PV) strains were detected in samples collected from September 2016 through January 2017. NGS analysis allowed us to rapidly obtain whole-genome sequences of PV and non-PV HEV strains. As many as 6 virus strains from different HEV serotypes were identified in a single cell culture flask. PV isolates contained only a small number of mutations from vaccine strains commonly seen in early isolates from vaccinees. CONCLUSIONS: Our ES setup has high sensitivity for polio and non-PV HEV detection, generating nearly whole-genome sequence information. Such ES systems provide critical information to assist the polio eradication endgame and contribute to the improvement of our understanding of HEV circulation patterns in humans.