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Volume 32, Supplement –Summer 2026

SUPPLEMENT ISSUE
Supplement

Temporal Alignment of Wastewater Signals with Clinical Indicators of Respiratory Illness Postpandemic, Texas, USA

Kaiming BiComments to Author , Micaela Sandoval, Thuy Nguyen, Isrrael Perez, Lopita Ghosh, Trudy Krause, Cecilia Ganduglia Cazaban, Remy Pasco, Lauren Meyers, Fuqing Wu, Janelle Rios, Michael Tisza, Justin Clark, Anthony Maresso, Eric Boerwinkle, and Cici Bauer
Author affiliation: University of Texas Health Science Center at Houston, Houston, Texas, USA (K. Bi, M. Sandoval, T. Nguyen, I. Perez, L. Ghosh, T. Krause, C. Ganduglia Cazaban, F. Wu, J. Rios, E. Boerwinkle, C. Bauer); Texas Epidemiologic Public Health Institute, Houston (K. Bi, M. Sandoval, T. Nguyen, F. Wu, J. Rios, E. Boerwinkle, C. Bauer); University of Colorado Boulder, Boulder, Colorado, USA (R. Pasco); The University of Texas at Austin, Austin (L. Meyers); Baylor College of Medicine, Houston, Texas, USA (M. Tisza, J. Clark, A. Maresso)

Main Article

Figure 4

Cross-correlation between weekly wastewater signals (RPMF) and Texas All-Payer Claims Database ED claims for SARS-CoV-2, influenza, and RSV in Harris and El Paso Counties, Texas, from July 2022–June 2024. A) Harris County, SARS-CoV-2. B) El Paso County, SARS-CoV-2. C) Harris County, influenza. D) El Paso County, influenza. E) Harris County, RSV. F) El Paso County, RSV. Wastewater RPMF time series were shifted from −3 to +3 weeks relative to Texas All-Payer Claims Database claims, with Pearson correlation coefficients calculated at each weekly lag. ED, emergency department; RPMF, reads per million filtered.

Figure 4. Cross-correlation between weekly wastewater signals (RPMF) and Texas All-Payer Claims Database ED claims for SARS-CoV-2, influenza, and RSV in Harris and El Paso Counties, Texas, from July 2022–June 2024. A) Harris County, SARS-CoV-2. B) El Paso County, SARS-CoV-2. C) Harris County, influenza. D) El Paso County, influenza. E) Harris County, RSV. F) El Paso County, RSV. Wastewater RPMF time series were shifted from −3 to +3 weeks relative to Texas All-Payer Claims Database claims, with Pearson correlation coefficients calculated at each weekly lag. ED, emergency department; RPMF, reads per million filtered.

Main Article

Page created: July 17, 2026
Page updated: September 15, 2026
Page reviewed: September 15, 2026
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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