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Volume 32, Supplement –Summer 2026

SUPPLEMENT ISSUE
Supplement

Progress and Expansion of the National Wastewater Surveillance System, United States, 2020–2024

Miguella Mark-Carew1Comments to Author , Megan Bias1, Stacie Reckling, Kaniz Madhobi, Daniel Cornforth, Igor Volkov, Andrew L. Rainey, Benjamin Lorentz, Kaitlin R. Taibl, Lisa P. Oakley, Rachel West, Rory Welsh, Jeffrey W. Mercante, Niketta Womack, Nicole Fehrenbach, and Jonathan Yoder
Author affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (M. Mark-Carew, M. Bias, K. Madhobi, D. Cornforth, A.L. Rainey, K.R. Taibl, L.P. Oakley, R. West, R. Welsh, J.W. Mercante, N. Womack, N. Fehrenbach, J. Yoder); Chenega Corporation, Anchorage, Alaska, USA (S. Reckling, I. Volkov); Goldbelt Professional Services LLC, Chesapeake, Virginia, USA (B. Lorentz)

Main Article

Figure 3

Pathogen targets accepted by the National Wastewater Surveillance System over time, United States, 2020–2024. Stacked bars display pathogen targets for each period, stratified by pathogen target category (viral, fungal, bacterial, and AMR gene targets). Each year’s bar is labeled with the pathogen target(s) added that year. Numbers at tops of bars indicate cumulative number of pathogen targets over time. AMR, antimicrobial resistance; DENV, dengue virus; EV-D68, enterovirus D68; HAdV-F41, human adenovirus type 41 species F; IAV, influenza A virus; IBV, influenza B virus; MPXV, monkeypox virus; NVO, nonvariola orthopoxvirus; OROV, Oropouche virus; pan-DENV, all DENV types; RSV, respiratory syncytial virus.

Figure 3. Pathogen targets accepted by the National Wastewater Surveillance System over time, United States, 2020–2024. Stacked bars display pathogen targets for each period, stratified by pathogen target category (viral, fungal, bacterial, and AMR gene targets). Each year’s bar is labeled with the pathogen target(s) added that year. Numbers at tops of bars indicate cumulative number of pathogen targets over time. AMR, antimicrobial resistance; DENV, dengue virus; EV-D68, enterovirus D68; HAdV-F41, human adenovirus type 41 species F; IAV, influenza A virus; IBV, influenza B virus; MPXV, monkeypox virus; NVO, nonvariola orthopoxvirus; OROV, Oropouche virus; pan-DENV, all DENV types; RSV, respiratory syncytial virus.

Main Article

1These first authors contributed equally to this article.

Page created: September 05, 2026
Page updated: September 15, 2026
Page reviewed: September 15, 2026
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