“…Furthermore, the lack of clinical viral shedding data from vaccinated (single or multiple doses) and unvaccinated individuals, patients with varied severity of symptoms, as well as across SARS-CoV-2 variants also hampers a wide range of WBE endeavours, including calculating the incidence of infection in sewersheds, estimating the effective reproduction number of SARS-CoV-2 in a population ( Huisman et al, 2021 ) and inferring transmission fitness of VOCs from wastewater data ( Caduff et al, 2021 ). On the other hand, viral concentrations in wastewater are impacted by the transient flow rates, water pH, viral degradation and detention in wastewater lines ( Amoah et al, 2022 ; Khan et al, 2021 ; Simpson et al, 2021 ), further undermining WBS data applications.…”