science & techanalysisThe Conversation (UK)

Sewers could hold the key to detecting deadly fungal infections

the gist

Fungal infections kill around 2.5 million people worldwide each year, more than tuberculosis and malaria combined, yet few health systems track them. Most fungi are harmless, but a few cause serious disease in people with weakened immune systems, for example after cancer treatment, an organ transplant or intensive care. The World Health Organization has published a list of priority fungal pathogens needing better surveillance, as a warming climate and more vulnerable people raise the risk. Researchers argue the sewer is a good place to start: testing wastewater could show where drug-resistant fungi are spreading, as it already does for viruses.

so what

Surveillance of sewage can give an early warning of drug-resistant fungi across a whole community without testing each person.

fun fact

Candida auris, a drug-resistant yeast, was first identified in 2009 in Japan.

The Conversation

Illustrative photo · AH-LOD, CC BY-SA 4.0, via Wikimedia Commons