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Volume 32, Supplement –Summer 2026

SUPPLEMENT ISSUE
Other

Monkeypox Virus Surveillance in Wastewater, North Carolina, USA, October 2023–May 2025

Nicole L. SnyderComments to Author , Thomas Clerkin, Sarah H. Koenigsberg, Mara B. Tate, Ty L. Lautenschlager, Justin Albertson, Emma L. Doran, Erica F. Wilson, Rachel T. Noble, Virginia T. Guidry, and Ariel R. Christensen
Author affiliation: Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, North Carolina, USA (N.L. Snyder, S.H. Koenigsberg, M.B. Tate, T.L. Lautenschlager, J. Albertson, E.L. Doran, E.F. Wilson, V.T. Guidry, A.R. Christensen); Institute of Marine Sciences, University of North Carolina at Chapel Hill, Morehead City, North Carolina, USA (T. Clerkin, R.T. Noble); Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA (R.T. Noble)

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Figure

Public Health Action Decision Tree for monkeypox virus surveillance in wastewater, North Carolina, USA, October 2023–May 2025. Period of 28 days is based on typical lesion healing duration (16). EDSS, Electronic Disease Surveillance System; LHD, local health department; PEP, postexposure prophylaxis; PHE, public health epidemiologist; SLPH, State Laboratory of Public Health; WWTP, wastewater treatment plant.

Figure. Public Health Action Decision Tree for monkeypox virus surveillance in wastewater, North Carolina, USA, October 2023–May 2025. Period of 28 days is based on typical lesion healing duration (16). EDSS, Electronic Disease Surveillance System; LHD, local health department; PEP, postexposure prophylaxis; PHE, public health epidemiologist; SLPH, State Laboratory of Public Health; WWTP, wastewater treatment plant.

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