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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)

Main Article

Table 1

Wastewater treatment plant/sewershed characteristics in study of mpox surveillance in wastewater, North Carolina, USA, October 2023–May 2025*

Sewershed Population served Days measured Positive days Negative days Clinical cases
Cary 1 84,189 7 2 5 0
Cary 2 74,331 7 0 7 1
Cary 3
75,886
7
1
6
1
Chapel Hill
78,141
2
0
2
0
Charlotte 1 68,685 82 4 78 0
Charlotte 2 182,501 84 6 78 6
Charlotte 3 120,000 78 3 75 11
Charlotte 4
82,158
80
9
71
10
Greensboro
135,821
70
3
67
0
Greenville
89,616
73
2
71
0
MSD Buncombe (Asheville)
173,000
61
2
59
5
North Durham
142,000
7
1
6
0
Raleigh 550,000 83 5 78 11
Raleigh 2 30,655 75 4 71 0
Raleigh 3
7,776
78
3
75
0
South Durham
108,105
7
2
5
0
Total 2,002,864 801 47 754 45

*MSD, Metropolitan Sewerage District.

Main Article

Page created: July 14, 2026
Page updated: August 27, 2026
Page reviewed: August 27, 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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