UNIVERSITY of NOTRE DAME
COVID-19 Sewage Testing As A Police Surveillance Infrastructure
Elizabeth E. Joh
Introduction
Sewage has become a COVID-19 tool. American colleges and universities have struggled to cope with the COVID-19 epidemic as students returned to campus in 2020. Most colleges are unable to provide widespread testing and contact tracing. Testing all students, faculty, and staff on a campus is prohibitively expensive.1
As a result, many colleges and universities have turned to a different approach. Those infected with COVID-19 shed viral particles in their waste.2 Evidence of these viral particles can be tested by sampling wastewater.3 Testing sewage offers a reliable method for identifying outbreaks and is cheaper and easier to administer than a mass testing and contact tracing program
The reliance on wastewater testing during a pandemic makes sense at a time when no national program on mass testing and contact tracing exists.4 And as COVID-19 is likely to affect the population well into 2021, state and local governments have considered or started sewage testing.5 But emergency measures have a tendency to stick around after the crises that prompted them diminish. COVID-19’s public health crisis will end. But the incentives to monitor wastewater will continue.6
This essay argues that sewage testing will outlive the pandemic and become a part of a general policing surveillance infrastructure. We risk adopting this surveillance method without taking care to assess the legal and policy questions raised by its use. Wastewater can provide early clues not just for COVID-19 outbreaks, but also for the presence (and assumed use) of opioids, methamphetamines, and other illegal drugs.7 Sewage testing at the University of California, San Diego, recently led to an alert that an infected person was “someone who used a restroom [at a specified residence hall] from 6 a.m. and 9:30 a.m. on Sept. 2.”8 Now replace “methamphetamine” for “COVID-19.”
Systematically looking for evidence of criminal activity in sewage “may be a goldmine for law enforcement authorities.”9 COVID-19 is the current object of wastewater surveillance. However, the use of sewage testing now—by public universities, counties, and other government entities—can be readily repurposed from the detection of COVID-19 to other substances of interest to law enforcement agencies.
References
*Professor of Law, UC Davis School of Law
1. There are some exceptions. In June 2020, Colby College announced a plan to test all of its students twice a week, at cost of approximately ten million dollars. Nick Sambides Jr., Colby College plans to test all students for coronavirus twice a week, Bangor Daily News (June 30, 2020), https://bangordailynews.com/2020/06/30/news/mid-maine/colby-college-will-open-its-campus-this-fall-despite-coronavirus-but-with-many-restrictions/.2. Sewage can test for RNA from SARS-CoV-2, the virus that causes COVID-19. See Centers For Disease Control, National Wastewater Surveillance System, (Aug. 17, 2020), https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/wastewater- surveillance.html.
3. Sewage surveillance did not arrive with the advent of COVID-19. Wastewater testing has been used for decades, for example in Brazil and Israel, to detect poliovirus. See I. Michael-Kordatou et al., Sewage analysis as a tool for the COVID-19 pandemic response and management: the urgent need for optimized protocols for SARS- CoV-2 detection and quantification, 8 J.Env’t Chem. Eng’g (Oct. 2020), https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7384408/.
4.See, e.g., Sharon Begley, Wastewater testing gains traction as a COVID-19 early warning system, Stat (May 28, 2020), https://www.statnews.com/2020/05/28/wastewater-testing-gains-support-as- covid19-early-warning/.
5.See, e.g., California Association of Wastewater Agencies, Wastewater as a Surveillance Tool to Identify the Prevalence of COVID-19 in Communities, https://casaweb.org/research/ (noting “many California wastewater agencies have begun testing influent wastewater for the COVID-19 virus”)
6.See Carol Thompson, To stop coronavirus, these Michigan State scientists are turning to the sewers, Lansing State Journal, (Sept. 22, 2020), https://www.lansingstatejournal.com/story/news/2020/09/22/msu-scientists- monitor-wastewater-coronavirus/5819535002/ (“Monitoring wastewater for disease could become a staple in public health… It might be a silver lining to the COVID-19 pandemic.”).
7.See e.g., Ettore Zuccato et. al, Estimating Community Drug Abuse by Wastewater Analysis, 116 Env’t Health Persp. 1027 (2008), https://ehp.niehs.nih.gov/doi/full/10.1289/ehp.11022.
8.Randy Dotinga, A New Kind of College Exam: UCSD Is Testing Sewage for COVID-19, Voice Of San Diego (Sept. 7, 2020), https://www.voiceofsandiego.org/topics/news/ucsd-is-testing-sewage-for-covid-19/.
9.European Commission, Sewage Monitoring System for Tracking Synthetic Drug Laboratories (Results in Brief), (Apr. 14, 2020), https://cordis.europa.eu/article/id/415821-urban-drug-labs-may-soon-have-no- place-to-hide.
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Article by Philip M. Nichols
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