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■ INTRODUCTION
Over the last two decades, novel coronaviruses (CoV) have
weeks of their respective outbreaks. It has been suggested that
coronaviruses can replicate in the gastrointestinal tract;15
captured the world’s attention by causing local outbreaks and however, there is limited evidence as to whether infectious
global pandemics.1,2 The severe acute respiratory syndrome virions can be excreted in feces. One study to date has reported
coronavirus (SARS-CoV-1) outbreak of 2003 and Middle observing infectious SARS-CoV-2 virions in feces,16 whereas
Eastern respiratory syndrome coronavirus (MERS-CoV) two others did not find evidence of this, despite detection of
outbreak of 2012, for example, caused thousands of infections high virus RNA concentrations in the stool samples,10,17 and
with mortality rates of 10% and 40%, respectively. The data from Zang et al.17 suggest that SARS-CoV-2 is inactivated
emergence of SARS-CoV-2, the causative agent of COVID-19, in fluids of the gastrointestinal tract.
in December 2019 has caused a global pandemic with While it is not believed that water and wastewater will play
unprecedented and ongoing global health and economic an important role in coronavirus transmission,18 there is still a
impacts. At the time of submission of this article (April 17, need to understand the fate of these viruses outside the human
2020), there have been an estimated 2.2 million clinically host, including their persistence in water and wastewater, and
diagnosed illnesses and 149,000 deaths across the globe,3 more inactivation with exposure to commonly used disinfectants. A
than one-third of the world’s population is under stay-at-home greater knowledge of coronavirus decay rates in wastewater can
orders to reduce transmission rates,4 and the incidence of also inform wastewater epidemiology, which has been
illness is continuing to grow.
While primary transmission of coronaviruses is through
respiratory droplets, viral RNA can be excreted fecally.5−12 The Received: April 17, 2020
RNA of SARS-CoV-1,5,6 SARS-CoV-2,7−10 MERS-CoV,11 and Revised: May 28, 2020
human coronavirus HUK1,12 for example, have been detected Accepted: May 28, 2020
in the stool of some infected patients. Furthermore, researchers Published: May 28, 2020
in Australia13 and The Netherlands14 observed SARS-CoV-2
RNA in raw sewage samples collected during the first few
Number of k extracted is divided into k from persistence studies (i.e., in the absence of a disinfectant) and k with exposure to disinfectants. Sc = Scopus, WOS = Web of Science core collection, and PM
Persistence: 46, UV254: 0,
Number k extracted
Coronaviruses are 120−160 nm diameter, enveloped viruses
Free chlorine: 0,
Free chlorine: 2,
with a single-stranded, nonsegmented RNA genome between
Chloramines: 0
Chloramines: 0
26.4 and 31.7 kilobases long.19 The presence of a lipid-
containing envelope and relatively large ssRNA genome are
attributes that set coronaviruses apart from the nonenveloped
waterborne viruses that are more commonly evaluated for
persistence and disinfection in water and wastewater (e.g.,
Number of
adenoviruses, enteroviruses, coliphage). Properties of the viral
included
papers
genome and envelope can have an outsized influence on virus
5
decay rates in aqueous environments;20,21 therefore, corona-
viruses are hypothesized to have persistence and disinfection
behaviors that differ from smaller, nonenveloped viruses.
Number of papers
subject to full text
The disinfection of nonenveloped waterborne viruses and
review
fecal indicator bacteria has traditionally been used to
15
11
determine required disinfection doses for water and wastewater
unit processes, to monitor disinfection unit process perform-
ance, and to evaluate pathogen persistence in natural
waters.22−27 Therefore, it is of interest to understand the
review
systematic review and meta-analysis of the peer-reviewed
0
literature to collate rates of decay of coronaviruses in aqueous
environmentsincluding water and wastewatersand with
exposure to free chlorine and germicidal ultraviolet light
(UV254).
Given safety challenges in conducting laboratory work with
unique papers
Number of
identified
highly infectious human coronaviruses, many researchers have 69
23
instead evaluated closely related viral surrogates, including
animal coronaviruses [e.g., murine hepatitis virus (MHV),
transmissible gastroenteritis virus (TGEV), feline infectious
peritonitis virus (FIPV)]28−31 and the enveloped bacterio-
Number of papers
coronavir* OR SARS OR MERS OR “mouse hepatitis virus” OR Sc: 33, WOS: 30,
PM: 8
■ METHODS
The systematic review and meta-analysis followed PRISMA
guidelines.36 The goal of the review was to compile
quantitative information from the peer-reviewed literature on
the decay rates of human coronaviruses and their viral
surrogates in water and wastewater, with and without exposure
OR TGEV
545 https://dx.doi.org/10.1021/acs.estlett.0c00313
Environ. Sci. Technol. Lett. 2020, 7, 544−553
Environmental Science & Technology Letters pubs.acs.org/journal/estlcu Review
Table 2. Number of Decay Rate Constants Identified for Persistence of Each Virus in Each Experimental Matrix (i.e., in the
absence of disinfectant exposure) for All Temperatures between 4 and 56 °Ca
Laboratory Cell Culture Fresh Tap Raw Sterilized
Water/Buffer Supernatant Water Water Wastewater Wastewater
Mouse hepatitis virus (MHV) 2 − 2 − 4 2
Feline infectious peritonitis virus (FIPV) − − − 3 2 1
Transmissible gastroenteritis virus 14 − 2 − 2 −
(TGEV)
Human coronavirus (HCoV) 229E 1 1 − 3 2 1
HCoV OC43 1 1 − − − −
SARS-CoV-1 − 2 − − − −
Coronaviruses (total) 18 4 4 6 10 4
Bacteriophage Phi6 10 4 2 1 2 5
a
“−” denotes that no k values were identified.
persistence in water and wastewater and the other targeting formulation, C is the virus concentration at time t, and C0 is the
virus inactivation with exposure to disinfectants. For the concentration at the start of the experiment (i.e., t = 0). k and
persistence search, the search terms were “(X) AND (water its associated error, as well as model fit parameters, were
OR seawater OR stormwater OR groundwater OR waste- recorded.
water) AND (die-off OR persistence OR survival OR In addition to extracting information on the decay of the
inactivat* OR decay)” where X is the target-specific text viral target, a record of each experiment was kept, including
(“search term” in Table 1). For the disinfection search, the (1) properties of the experimental solution (i.e., the type of
search terms were “(X) AND (water OR seawater OR water or wastewater used, whether it was filtered or disinfected,
stormwater OR groundwater OR wastewater) AND (chlorine salinity, pH, concentrations of organic and inorganic
OR chloramine OR UV OR UV254 OR ultraviolet OR constituents), (2) experimental conditions (i.e., temperature,
UVC)”. experimental reactor volume and sample size, disinfectant
Identified articles were assembled, and duplicates were concentration, starting concentration of the target virus,
removed. Details of the review process, which involved two whether experiments were conducted with light exposure or
independent full-text reviews of papers, are provided in Boehm in the dark), (3) virus enumeration method, and (4) the model
et al.24 The inclusion criteria were that the paper: (1) used to calculate virus decay rates.
contained quantitative data on the decay of a target virus in Fifteen percent of the papers from which data were extracted
raw (unaltered), filtered, or pasteurized water or wastewater, or by a single reviewer were randomly chosen for a second round
in laboratory buffer or cell culture supernatant (i.e., not on of data extraction by a different reviewer. Data extracted by the
surfaces or in aerosols), (2) was in English, (3) was not a two reviewers were compared to ensure consistency. A single
review paper, presented primary data, and was peer-reviewed, reviewer conducted detailed review of all data sets to identify
(4) contained data on decay either without exposure to missing data, data outliers, and data entry mistakes.
disinfectants, or with exposure to free chlorine, chloramines, or When necessary, k values were log10-transformed (log10 k) to
UV254, (5) described methods to enumerate the target that are facilitate comparison and visualization of decay rate constants
logical and justifiable, and (6) if the paper presented over multiple orders of magnitude. Data compiled from this
disinfection data, it was included only if adequate information review are available in the Supporting Information.
was provided to allow calculation of the virus inactivation rate
as a function of the disinfection dose applied (e.g., free chlorine
concentration in solution or UV254 irradiance or fluence,
■ RESULTS AND DISCUSSION
Systematic Review. The systematic review identified 46
corrected for light attenuation in the experimental solution). decay rate constants (k) for coronaviruses (from seven
Decay rate constants were extracted from papers by a single publications)28−31,37−39 and 27 decay rate constants (from
reviewer. First-order decay rate constants (k), in units of per five publications)20,31−34 for bacteriophage Phi6, which has
day (d−1), calculated from natural log (ln)-transformed been suggested as a surrogate for coronaviruses (Table 1).
concentration data as used in Chick’s law, were sought. If a Each k is from a different “experiment”, where experiment is
study presented k values, then they were extracted from the defined as one viral target exposed to a unique set of
paper along with any reported errors and model fit values [R2 conditions (e.g., type of experimental matrix, temperature,
and/or root-mean-square error (RMSE)], and unit conversions disinfectant exposure). All inactivation data from the identified
were applied where appropriate. If a study only reported t90 or experiments were determined using culture-based assays [i.e.,
t99, (i.e., time to 90% or 99% reduction in concentration, cell culture (TCID 50 , MPN, and plaque assays) for
respectively), or other times for a specific amount of coronaviruses and double agar layer plaque assays for Phi6],
inactivation, then those times were converted to first-order thereby indicating loss of virus viability.
decay rate constants assuming Chick’s law applied. If no first- Seventy of the identified experiments were conducted
order decay rate constant was reported by the study authors, without exposing the viruses to disinfectants; these experi-
but data were available in graphs, then Plot Digitizer (http:// ments are designated as persistence experiments. One study was
plotdigitizer.sourceforge.net) was used to digitize the concen- identified that evaluated chlorine disinfection of SARS-CoV-1
tration time series appearing in graphs within the publication, in wastewater,40 and one evaluated UV254 disinfection of
and k was calculated as the regression slope of ln(C/C0) versus SARS-CoV-1 in cell culture supernatant.39 However, neither
time (in days) using linear least-squares regression in R. In this study provided enough information on the disinfectant dose
546 https://dx.doi.org/10.1021/acs.estlett.0c00313
Environ. Sci. Technol. Lett. 2020, 7, 544−553
Environmental Science & Technology Letters pubs.acs.org/journal/estlcu Review
Figure 2. Log10-transformed first-order decay rate constants (log10 k) of viruses for persistence experiments (without exposure to disinfectants) at
(a) 22−25 °C, (b) 9−12 °C, and (c) 4−6 °C. Each coronavirus (orange circles) and Phi6 (blue circles) marker represents one log10 k value
extracted from the literature; the horizontal bar represents the median value. Coronavirus markers with a cross (n = 2) designate experiments with
minimal virus decay that were assigned k = 0.01 d−1. The log10 k values for the nonenveloped viruses (i.e., enteroviruses, rotaviruses, noroviruses,
hepatitis A virus, adenoviruses, astrovirus, and F+ and somatic coliphages; green circles) were collected from the systematic review by Boehm et
al.24 and are decay rate constants determined in unaltered environmental surface waters (i.e., fresh, estuarine, and marine waters) in the dark and
quantified using culture-based methods (n for each is presented in Table 4). t99 is the time (d) required for 99% inactivation.
Table 3. Mean Log10-Transformed First-Order Decay Rate Constants (log10 k) for Coronaviruses and Bacteriophage Phi6 in
Each Experimental Matrix and Each Temperaturea
Coronaviruses [mean log10k ± stdev (n)] Bacteriophage Phi6 [mean log10k ± stdev (n)]
4 °C 10 °C 22−25 °C 4 °C 10 °C 22−25 °C
Laboratory Water/Buffer −1.84 ± 0.23 (2) − −0.74 ± 0.14 (4) −1.46 (1) − 0.16 (1)
Cell Culture Supernatant − − −0.24 ± 0.19 (3) −1.60 ± 0.15 (2) − −0.46 ± 0.14 (2)
Fresh Water −1.39 ± 0.86 (2) − −0.70 ± 0.08 (2) − − −0.31 ± 0.25 (2)
Tap Water −1.60 ± 0.46 (2) − −0.21 ± 0.05 (4) − − −0.13 (1)
Raw Wastewater −1.10 ± 0.12 (2) 0.15 (1) 0.25 ± 0.30 (7) − 0.34 (1) 0.88 (1)
Sterilized Wastewater − −0.30 (1) 0.46 ± 0.01 (3) − −0.39 (1) 0.06 ± 0.11 (3)
a
Units on k before transformation are day−1. “−” denotes that no k values were identified. n is the number of experiments identified. k values
determined outside of the designated temperature ranges were not included in this analysis.
the solar spectrum to damage genomic DNA and RNA.41−43 It presents more targets for direct sunlight-induced RNA damage,
is therefore expected that coronavirus and Phi6 k would be which could result in faster rates of inactivation. This would
greater than those presented herein if measured in sunlit not necessarily be the case for Phi6, given that dsRNA
waters. While not proven, there is a possibility that sunlight genomes have been found to be more resistant to UV
exposure would have a larger impact on increasing coronavirus damage.44 A further discussion of this is provided in the UV254
k than it would on k of the waterborne viruses, given that disinfection section below.
coronaviruses have a ssRNA genome that is much larger than Disinfection with UV254. Only one experiment was
the genomes of the nonenveloped ssRNA viruses (e.g., identified for Phi6 disinfection with UV254 (conducted in
enteroviruses ∼7−8.5 kb).21 The large coronavirus genome laboratory buffer at 23 °C; k = 0.067 cm2/mJ; log10 k = −1.17;
548 https://dx.doi.org/10.1021/acs.estlett.0c00313
Environ. Sci. Technol. Lett. 2020, 7, 544−553
Environmental Science & Technology Letters pubs.acs.org/journal/estlcu Review
Table 4. Mean Log10-Transformed First-Order Decay Rate Constants (log10 k) for Nonenveloped Waterborne Virusesa
Mean log10k ± stdev (n)
4−6 °C 9−12 °C 22−25 °C
Enteroviruses −0.51 ± 0.41 (35) −0.23 ± 0.37 (7) −0.05 ± 0.33 (95)
Rotaviruses −1.05 ± 0.45 (5) − −0.32 ± 0.10 (2)
Noroviruses −1.70 (1) − −0.75 ± 0.44 (2)
Hepatitis A virus −1.26 ± 0.14 (2) − −0.63 ± 0.41 (5)
Adenoviruses −1.29 ± 0.13 (3) −0.77 (1) −0.69 ± 0.81 (2)
Astrovirus −1.19 (1) − −0.74 ± 0.30 (2)
F+ coliphages −1.15 ± 1.01 (21) −0.26 ± 0.16 (5) 0.19 ± 0.32 (31)
Somatic coliphages −1.87 ± 1.47 (7) −0.43 ± 0.20 (4) −0.25 ± 0.47 (13)
a
Units on k before transformation are day−1. Data were originally collected in the systematic review by Boehm et al.24 and are decay rate constants
determined in unaltered environmental surface waters (i.e., fresh, estuarine, and marine waters) in the dark and quantified using culture-based
methods. “−” denotes that no k values were identified. n is the number of experiments identified.
1 SnS
= D37 =
k GS (1)
Figure 4. Log10-transformed first-order decay rate constants (log10 k) with exposure to free chlorine. No coronavirus free chlorine disinfection
experiments with quantifiable k were identified. The Phi6 log10 k values (blue markers) are from Ye et al.20 and Adcock et al.32 Laboratory-strain
bacteria log10 k are represented by gray markers;51−54 nonenveloped viruses are represented by green markers.55−59 All experiments were conducted
between pH 7 and 8. Circles represent experiments conducted at a temperature of 5 °C. Squares represent experiments between 20 and 23 °C.
Diamonds represent experiments where the temperature was not indicated. The secondary y-axis represents the free chlorine dose (i.e., free
chlorine concentration × time) required for 99.99% microorganism inactivation. The gray horizontal band represents the USEPA recommended
chlorine dose for 99.99% virus removal at pH between 6 and 9 and temperatures between 20 and 25 °C.23
cm2/mJ (identified in the review by its former name, careful measurement of the UV254 fluence applied.49 Addition-
Streptococcus faecalis; n = 2), hepatitis A virus = 0.42 ± ally, given different nucleic acid types and genome length, it is
0.065 cm2/mJ (n = 3), poliovirus type 1 = 0.31 ± 0.016 cm2/ unclear whether Phi6 is a good surrogate for coronaviruses
mJ (n = 6), coxsackievirus B5 = 0.27 ± 0.014 cm2/mJ (n = 2), when evaluating or monitoring UV254 disinfection.
calicivirus = 0.24 ± cm2/mJ (feline, canine; n = 3), rotavirus Disinfection with Free Chlorine. No experiments of
SA-11 = 0.24 ± cm2/mJ (n = 5), bacteriophage MS2 = 0.13 ± coronavirus k with exposure to free chlorine were identified
0.005 cm2/mJ (n = 5), and adenovirus = 0.055 ± 0.002 cm2/ that met the systematic review inclusion criteria. Two
mJ (types 2, 15, 40 and 41; n = 5).48 For comparison, k experiments were identified that evaluated Phi6 disinfection
predicted by LS21 for the human viruses are also presented in with exposure to chlorine.20,32 Both experiments were
Figure 3. conducted in laboratory buffers: one was conducted at pH 7
The predicted range of coronavirus UV254 k is greater than and 5 °C and the other at pH 7.4 and 23 °C. A greater free
the k of Phi6, the nonenveloped viruses, and the fecal indicator chlorine k value was observed for Phi6 at 23 °C than at 5 °C,
bacteria E. coli and Enterococcus faecalis. The main target of which is expected, given that increased temperatures typically
UV254 damage to viruses is their nucleic acids, and the large result in greater observed chlorine disinfection rates.50
ssRNA genome of coronaviruses likely makes them particularly Free chlorine decay rate constants for indicator bacteria51−54
susceptible. The UV 254 degradation rates of free and and nonenveloped viruses55−59 (all quantified using culture-
encapsidated ssRNA have been found to be greater than based viability assays) were identified from the literature to
those of dsDNA and dsRNA, when normalized by the number place Phi6 free chlorine k in perspective. While the review of
of bases.44 Additionally, larger genomes have more targets of
the literature describing free chlorine disinfection of these
damage, leading to greater decay rate constants,21,44 and
additional microorganisms was not systematic, they at least
coronaviruses have larger genomes than most other ssRNA and
give an indication of relative free chlorine susceptibility. The
ssDNA viruses. The single measured UV254 k of Phi6 was
smaller than those of the other included bacteria and viruses, Phi6 free chlorine k at 5 °C was within the range of k measured
with the exception of adenoviruses, suggesting that it is for the nonenveloped viruses at the same temperature: Phi6 k
particularly resistant to UV254. This is likely due to the dsRNA was lower than those of the adenoviruses but greater than
nature of the Phi6 genome; dsRNA has been found to be more those of MS2 and the picornaviruses (i.e., echoviruses,
resistant to UV254 than the other nucleic acid types.44 coxsackieviruses). Interestingly, Phi6 free chlorine k at 23 °C
One paper 39 was identified that described a UV 254 was greater than those of E. coli and Enterococcus faecalis
inactivation experiment conducted with SARS-CoV-1 in cell measured around the same temperature, suggesting greater free
culture supernatant. This experiment was not included in the chlorine susceptibility of the enveloped bacteriophage
analysis because there was no description of how the reported compared to the indicator bacteria.
UV254 irradiance used in experiments was measured or if it was One paper evaluated free chlorine disinfection of SARS-
corrected for light attenuation in the experimental solution. CoV-1 in wastewater.40 While the data provided in the paper
Nonetheless, the study39 suggested a lower coronavirus UV254 were not presented in a manner that allowed for extraction of a
k than the range predicted by LS.21 This discrepancy, disinfection rate constant that could be compared to other
combined with limited UV254 disinfection data available for values, the study did find that when exposed to free chlorine,
coronaviruses, highlight a critical need for more research to SARS-CoV-1 was inactivated at a rate faster than those of E.
generate additional data on UV254 inactivation of actual coli and bacteriophage f2 (a nonenveloped, ssRNA phage that
coronaviruses. Future experiments should be conducted with is similar to MS2).
550 https://dx.doi.org/10.1021/acs.estlett.0c00313
Environ. Sci. Technol. Lett. 2020, 7, 544−553
Environmental Science & Technology Letters pubs.acs.org/journal/estlcu Review
Ye et al.20 evaluated the targets of oxidative damage for States; orcid.org/0000-0001-8199-5860; Phone: 646-997-
bacteriophage Phi6 exposed to free chlorine. While some 3018; Email: andrea.silverman@nyu.edu
oxidation of the genome and membrane-bound lipids and
proteins was observed, the main driver of free chlorine Author
inactivation of Phi6 was found to be oxidation of proteins in Alexandria B. Boehm − Department of Civil and
the capsid (which is located within the lipid envelope). It is Environmental Engineering, Stanford University, Stanford,
unclear whether this disinfection mechanism, and subsequent California 94305, United States; orcid.org/0000-0002-
decay rate constants, can be extrapolated to coronaviruses. 8162-5090
Implications. The United States Environmental Protection Complete contact information is available at:
Agency (USEPA) provides tables outlining the disinfectant https://pubs.acs.org/10.1021/acs.estlett.0c00313
doses [i.e., UV254 irradiance × time (mJ/cm2) or chlorine
concentration × time (mg-min/L)] required for 4-log (i.e., Notes
99.99%) inactivation of viruses with exposure to UV25422 and The authors declare no competing financial interest.
free chlorine.23 We converted k reported above to disinfectant
doses for 4-log inactivation using the following equation
ln(0.0001)
■ ACKNOWLEDGMENTS
This work was partially supported by the National Science
disinfectant dose99.99% = − Foundation (CBET-2022877 awarded to A.B.B.).
■
k (2)
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