Oct 5 – 7, 2026
Hotel Berlin, Berlin
Europe/Berlin timezone
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RBM-targeted amplicon sequencing coupled with the WasteCov pipeline for rapid surveillance of SARS-CoV-2 lineage groups in municipal wastewater

Oct 6, 2026, 3:15 PM
15m
Hall "Berlin"

Hall "Berlin"

Oral presentation Public Health Session 8: Public Health II

Speaker

Mr Achilleas P. Galanopoulos (Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222, Larisa, Greece)

Description

Wastewater-based epidemiology is a tool for population-level surveillance when clinical testing capacity is limited. We developed a rapid amplicon sequencing workflow targeting the spike RBM, together with WasteCov, our custom bioinformatic pipeline for SARS-CoV-2 lineage surveillance in wastewater. This method combines one-step RT-PCR amplification with targeted sequencing. Candidate assignments are constrained using contemporaneous epidemiological priors derived from clinical reports of globally circulating variants. WasteCov performs mapping, variant calling and lineage estimation using an updated UShER matrix operating through two modes: a Freyja-adapted mutation-centric approach and “sign_mol”, a haplotype-aware mode that detects RBM molecular signatures, estimates their frequencies and assigns them to lineage groups. We applied the framework to 76 weekly composite wastewater samples from Thessaloniki, Greece, covering the Delta-to-Omicron transition (W47-2021 to W18-2022) and subsequent Omicron diversification (W48-2022 to W48-2023). Our approach captured major replacements, including the BA.1-to-BA.2 shift, the transition from BA.5/BA.2.75 to XBB descendants, and the rise of BA.2.86, while remaining informative at low prevalence. Wastewater-derived profiles were concordant with 28803 genomes from clinical surveillance and, in some cases, detected variant emergence earlier. This approach supports timely, cost-efficient variant surveillance, extendable to other viruses.

Keywords

SARS-CoV-2, Wastewater-based epidemiology, Receptor-binding motif targeted NGS, Variant quantification, Lineage dynamics, Public health surveillance

Registration ID OHS26-154
Professional Status of the Speaker PhD Student
Junior Scientist Status Yes, I am a Junior Scientist.

Authors

Mr Achilleas P. Galanopoulos (Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222, Larisa, Greece) Ms Evangelia Moutou (Diagnostic Laboratory, Department of Clinical Sciences, School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54627, Thessaloniki, Greece) Dr Taxiarchis Chassalevris (Diagnostic Laboratory, Department of Clinical Sciences, School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54627, Thessaloniki, Greece) Prof. Serafeim C. Chaintoutis (Diagnostic Laboratory, Department of Clinical Sciences, School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54627, Thessaloniki, Greece) Prof. Michalis Koureas (Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222, Larisa, Greece) Dr Georgios K. Georgakilas (Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222, Larisa, Greece) Dr Maria A. Kyritsi (Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222, Larisa, Greece) Dr Ioanna Voulgaridi (Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222, Larisa, Greece) Prof. Maria Petala (Laboratory of Environmental Engineering and Planning, Department of Civil Engineering, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece) Dr Zafeiris Tsinaris (Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222, Larisa, Greece) Prof. Margaritis Kostoglou (Laboratory of Chemical and Environmental Technology, Department of Chemistry, Aristotle University of Thessaloniki, Thessaloniki, 54124, Greece) Prof. Thodoris Karapantsios (Laboratory of Chemical and Environmental Technology, Department of Chemistry, Aristotle University of Thessaloniki, Thessaloniki, 54124, Greece) Dr Anastasia Koutsolioutsou-Benaki (National Public Health Organization, 15123, Athens, Greece | Health Emergencies Preparedness and Response Authority (DG HERA), European Commission, 1040, Brussels, Belgium) Prof. Varvara A. Mouchtouri (Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222, Larisa, Greece) Prof. Christos Hadjichristodoulou (Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222, Larisa, Greece) Prof. Chrysostomos I. Dovas (Diagnostic Laboratory, Department of Clinical Sciences, School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54627, Thessaloniki, Greece)

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