Communicating wastewater-based surveillance data to drive action

Abstract

As exemplified during the COVID-19 pandemic, wastewater-based surveillance (WBS) can deliver near real-time, population-level pathogen data to guide public health action. Its impact, however, hinges on timely, transparent, and context-specific communication to stakeholders, including health authorities, policymakers, scientists, clinicians, and the public. This review examines current WBS communication practices, identifies persistent challenges, and proposes strategies to enhance relevance. Key challenges include data complexity, lack of standardised communication frameworks, ethical and privacy concerns, and variable stakeholder capabilities. The strategic use of digital platforms, such as dashboards, reports, press releases, and social media, alongside traditional media, can broaden reach and aid interpretation. Rapid, accurate, and empathetic communication is essential during health crises to maintain trust and counter misinformation. Standardised messaging, simplified data visualisations, and integration with clinical surveillance systems enhance credibility and usability. Strengthening cross-sector collaboration, improving data interpretation, and translating findings into actionable insights are essential to maximising the public health benefits of WBS. Immediate efforts should prioritise building globally coordinated, adaptive communication networks that can evolve alongside surveillance technologies and emerging health threats. Overall, the review underscores the key role of strategic communication in advancing WBS for global health preparedness and optimising public health actions.