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预防医学  2026, Vol. 38 Issue (10): 1026-1031    DOI: 10.19485/j.cnki.issn2096-5087.2026.10.011
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
郑州市和洛阳市污水严重急性呼吸综合征冠状病毒2型监测结果分析
张欣烨, 赵秋艳, 马小焱, 彭靖, 魏源, 闫晓娜, 杨似玉, 张杰
河南省疾病预防控制中心,河南 郑州 450016
Surveillance results of severe acute respiratory syndrome coronavirus 2 in sewage from Zhengzhou City and Luoyang City
ZHANG Xinye, ZHAO Qiuyan, MA Xiaoyan, PENG Jing, WEI Yuan, YAN Xiaona, YANG Siyu, ZHANG Jie
Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan 450016, China
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摘要 目的 比较2024年河南省郑州市和洛阳市污水中严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)检出率、不同靶基因浓度时间变化及变异株构成差异,为区域污水监测工作提供数据参考。方法 于2024年1—12月,在郑州市、洛阳市主城区分别选取5、4座生活污水处理厂的主要进水渠道开展连续53周污水样本采集。采用全自动污水采样器在24 h内采集流量比例混合样本,经聚乙二醇沉淀法富集浓缩病毒,采用逆转录实时荧光定量PCR检测N基因和ORF1ab基因,计算SARS-CoV-2检出率,并以标准物质制备标准曲线进行定量分析。采用Illumina测序仪对Ct值≤34的阳性样本进行全基因组测序,分析变异株构成。结果 2024年采集并检测郑州市、洛阳市污水样本690份,检出SARS-CoV-2阳性样本477份,检出率为69.13%;N基因和ORF1ab基因浓度M(QR)分别为3.43(7.31)、1.24(5.93)copies/mL。郑州市污水SARS-CoV-2检出率为62.82%,低于洛阳市污水的75.82%(P<0.05);N基因和ORF1ab基因浓度M(QR)分别为5.98(10.32)、5.16(17.33)copies/mL,高于洛阳市的2.01(3.81)、0.73(1.03)copies/mL(均P<0.05)。两市污水SARS-CoV-2检出率呈现前期高位、中期波动和后期回落的时间特征。郑州市SARS-CoV-2浓度于第21、28和32周出现3个高峰,ORF1ab基因浓度最高达242.05 copies/mL;洛阳市污水SARS-CoV-2浓度整体较低,于第10、18和33周出现3个高峰。全基因组测序结果显示,两市污水SARS-CoV-2分型均以奥密克戎变异株及其亚分支为主,其中郑州市检出JN.1、BA.2、LB.1、LA.1、LA.2、XDV、KP.1、KP.4和XDP 9种亚分支,洛阳市检出JN.1、EG.5、XBB、XBN、HK.3和BA.2 6种亚分支;郑州市污水监测后期优势型别由JN.1向XDV、KP.1等更替,洛阳市以JN.1为主。结论 2024年郑州市和洛阳市污水中SARS-CoV-2检出率、病毒浓度及变异株构成存在区域差异,洛阳市病毒检出率较高,郑州市病毒浓度较高、变异株亚分支多样且更替较活跃。
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张欣烨
赵秋艳
马小焱
彭靖
魏源
闫晓娜
杨似玉
张杰
关键词 : 污水,  严重急性呼吸综合征冠状病毒2型,  基因测序,  监测    
Abstract:Objective To compare the detection rate of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the temporal changes in the concentrations of different target genes and the composition of variants in sewage in Zhengzhou City and Luoyang City of Henan Province in 2024, so as to provide data references for regional sewage surveillance. Methods From January to December 2024, the main inlet channels of 5 and 4 domestic wastewater treatment plants were selected in the main urban areas of Zhengzhou City and Luoyang City, respectively, for continuous sewage sample collection for 53 weeks. An automatic sewage sampler was used to collect flow-proportional mixed samples within 24 h, and the virus was enriched and concentrated by the polyethylene glycol precipitation method. The N gene and ORF1ab gene were detected by reverse transcription real-time fluorescence quantitative PCR, and the detection rate of SARS-CoV-2 was calculated. A standard curve was prepared with standard substances for quantitative analysis. The Illumina sequencer was used for whole-genome sequencing of positive samples with Ct values ≤34, and the composition of variants was analyzed. Results A total of 690 sewage samples were collected and tested in Zhengzhou City and Luoyang City in 2024, and 477 SARS-CoV-2-positive samples were detected, with a detection rate of 69.13%. The median concentrations of N gene and ORF1ab gene were 3.43 (interquartile range, 7.31) copies/mL and 1.24 (interquartile range, 5.93) copies/mL, respectively. The SARS-CoV-2 detection rate in Zhengzhou City was lower than in Luoyang City (62.82% vs. 75.82%, P<0.05). The median concentrations of N gene and ORF1ab gene in Zhengzhou City were 5.98 (interquartile range, 10.32) copies/mL and 5.16 (interquartile range, 17.33) copies/mL, respectively, which were higher than 2.01 (interquartile range, 3.81) copies/mL and 0.73 (interquartile range, 1.03) copies/mL in Luoyang City (both P<0.05). The SARS-CoV-2 detection rate in both cities showed a temporal trend of a high level in the early stage, fluctuation in the middle stage, and decline in the late stage. The SARS-CoV-2 concentration in Zhengzhou City peaked at weeks 21, 28 and 32, with the maximum ORF1ab gene concentration reaching 242.05 copies/mL. The overall SARS-CoV-2 concentration in Luoyang City was relatively low, with three peaks appearing at weeks 10, 18 and 33. Whole-genome sequencing results showed that Omicron variants and their sublineages were dominant in SARS-CoV-2 lineages from sewage in both cities. Nine sublineages were detected in Zhengzhou City, including JN.1, BA.2, LB.1, LA.1, LA.2, XDV, KP.1, KP.4 and XDP; six sublineages were detected in Luoyang City, including JN.1, EG.5, XBB, XBN, HK.3 and BA.2. The dominant lineage in Zhengzhou City shifted from JN.1 to XDV, KP.1 and other sublineages in the late surveillance period, while JN.1 remained the dominant lineage in Luoyang City. Conclusions There were regional differences in SARS-CoV-2 detection rate, viral concentration and variant composition in sewage between Zhengzhou City and Luoyang City in 2024. Luoyang City had a higher viral detection rate, while Zhengzhou City had higher viral concentration and more active variant turnover.
Key words: sewage    severe acute respiratory syndrome coronavirus 2    gene sequencing    surveillance
收稿日期: 2026-06-02      修回日期: 2026-09-19      出版日期: 2026-10-10
中图分类号:  R12  
  R511  
基金资助:河南疾控科技攻关专项计划项目(HNCDCYC202513,HNCDCYC202561); 河南省医学科技攻关计划联合共建项目(LHGJ20260166)
作者简介: 张欣烨,硕士,副主任技师,主要从事环境健康危害因素监测和理化检验等工作
通信作者: 张杰,E-mail:zhangjie_2081@163.com   
引用本文:   
张欣烨, 赵秋艳, 马小焱, 彭靖, 魏源, 闫晓娜, 杨似玉, 张杰. 郑州市和洛阳市污水严重急性呼吸综合征冠状病毒2型监测结果分析[J]. 预防医学, 2026, 38(10): 1026-1031.
ZHANG Xinye, ZHAO Qiuyan, MA Xiaoyan, PENG Jing, WEI Yuan, YAN Xiaona, YANG Siyu, ZHANG Jie. Surveillance results of severe acute respiratory syndrome coronavirus 2 in sewage from Zhengzhou City and Luoyang City. Preventive Medicine, 2026, 38(10): 1026-1031.
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https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2026.10.011      或      https://www.zjyfyxzz.com/CN/Y2026/V38/I10/1026
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