2020
DOI: 10.1016/j.scitotenv.2020.138919
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COVID-19 faecal-oral transmission: Are we asking the right questions?

Abstract: Presence of SARS-CoV-2 in stools and wastewater has recently been reported. • A possible faecal-oral transmission of SARS-CoV-2 has been raised. • Different routes from faeces to the mouth of a susceptible person exist. • Water, surfaces and places with vectors can be transmission routes. • A framework is proposed to help shaping a research agenda.

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Cited by 218 publications
(220 citation statements)
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References 12 publications
(13 reference statements)
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“…2 However, emerging evidence highlights the presence of detectable virus particles in wastewater, and feces of infected cases COVID-19. [3][4][5] This led to calls to evaluate the possibility of fecal-oral transmission in countries without safely managed sanitation [6][7][8] and initiatives to assess wastewater for environmental surveillance to detect ongoing transmission. 9 In India's context, where more than 74 million are homeless or live in slums, controlling this infectious disease requires targeted policies to provide access to sanitation facilities, soap, and water in addition to social distancing.…”
Section: Introductionmentioning
confidence: 99%
“…2 However, emerging evidence highlights the presence of detectable virus particles in wastewater, and feces of infected cases COVID-19. [3][4][5] This led to calls to evaluate the possibility of fecal-oral transmission in countries without safely managed sanitation [6][7][8] and initiatives to assess wastewater for environmental surveillance to detect ongoing transmission. 9 In India's context, where more than 74 million are homeless or live in slums, controlling this infectious disease requires targeted policies to provide access to sanitation facilities, soap, and water in addition to social distancing.…”
Section: Introductionmentioning
confidence: 99%
“…Water/wastewater surfaces and places with vectors can be possible transmission routes. (Adapted from Ref ( Heller et al 2020 ). reproduced with permission of Copyright © 2020 from Elsevier).…”
Section: Covid-19 and Watermentioning
confidence: 99%
“…Although this disease has not been proven to be able to spread through other means besides droplets, the possibility of spread through other body parts still needs to be watched out for. In an article that illustrates the possibility of transmission through fecal oral (40). The most possible path in fecal-oral transmission is when feces enter water sources directly such as rivers.…”
Section: Waste Managementmentioning
confidence: 99%