Managing emerging pathogen risks in recycled water

The COVID-19 pandemic raised the public profile of wastewater-based infectious disease monitoring. General media coverage about wastewater detection of SARS-CoV-2 (the COVID-19 coronavirus) increased community awareness of the potential use of wastewater for the detection and surveillance of emerging diseases and also heightened recognition of the potential for wastewater to harbour and convey a variety of pathogens. This has also generated questions about the potential public health impacts of emerging pathogens, such as SARS-CoV-2 and mpox, in sewage and recycled water. To ensure water security in an era of climate change, water recycling is increasingly important in Australia and other water-stressed nations and managing disease risks in integrated water management is thus of critical importance. This paper demonstrates the existing risk management provisions for recycled water and explores potential issues posed by novel and emerging pathogens. First, a synopsis of some key emerging and re-emerging human pathogens is presented and the risks associated with these pathogens in the context of recycled water provision is considered. Then, an overview of the engineered treatment systems and regulatory framework used to manage these emerging risks in Australia is presented, together with a discusion of how emerging pathogen risks can be managed to ensure safe recycled water supply now and into the future.