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title: Measles Is Now Showing Up in Wastewater
description: Tracking measles through wastewater is giving health officials a new window into where the virus is spreading.
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author: Alice Park
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article:published_time: 2025-06-03T15:57:53.000Z
article:modified_time: 2025-06-03T17:19:33.000Z
article:section: Health
og:title: Measles Is Now Showing Up in Wastewater
og:description: Tracking measles through wastewater is giving health officials a new window into where the virus is spreading.
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![](https://static.time.com/v3/assets/bltea6093859af6183b/blt56445ff2a56cbc1f/6998c71925f3ee0546644b0d/measles-virus.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# Measles Is Now Showing Up in Wastewater

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<!-- video src="https://cdn.jwplayer.com/manifests/4tX9TcVw.m3u8" -->
## Video: Human Waste Could Help the Fight Against Future Infectious Disease Outbreaks

[Watch (HLS stream): Human Waste Could Help the Fight Against Future Infectious Disease Outbreaks](https://cdn.jwplayer.com/manifests/4tX9TcVw.m3u8) (9:04)

![Human Waste Could Help the Fight Against Future Infectious Disease Outbreaks](https://cdn.jwplayer.com/v2/media/4tX9TcVw/poster.jpg?width=720)

_Published 2022-09-23. Wastewater surveillance uses local sewer systems to measure the health of the population and can be especially useful to detect infectious diseases that can be asymptomatic. The practice is currently being used to combat COVID-19 and could be a useful tool to fight Monkeypox and the resurgence of polio._


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Updated: Jun 3, 2025 5:19 PM UTCPublished: Jun 3, 2025 3:57 PM UTC

![Measles-virus](https://static.time.com/v3/assets/bltea6093859af6183b/blt56445ff2a56cbc1f/6998c71925f3ee0546644b0d/measles-virus.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

Measles morbillivirus structure - 3d rendered image. Abstract background. Disease X new pathogen cells. Virus, pathogen, bacteria, biotechnology, bacterium, biolaboratory, new X disease, brain illness concept. Microscopic SEM (TEM) hologram view. Medical research technology. X chromosomes objects. Synthetic biology project.

Measles morbillivirus structure - 3d rendered image. Abstract background. Disease X new pathogen cells. Virus, pathogen, bacteria, biotechnology, bacterium, biolaboratory, new X disease, brain illness concept. Microscopic SEM (TEM) hologram view. Medical research technology. X chromosomes objects. Synthetic biology project. Getty Images

![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Updated: Jun 3, 2025 5:19 PM UTCPublished: Jun 3, 2025 3:57 PM UTC

Measles cases in the U.S. have been rare in recent decades, thanks to a strong childhood vaccination program. But a few cases inevitably pop up each year as travelers bring the virus in from other countries and infect unvaccinated people, primarily children.

Those cases are no longer blips. Now that the [measles vaccination rate is dropping](https://time.com/7290450/measles-vaccination-rates-declining-study/) precipitously across the U.S.—due in part to anti-vaccine sentiments—cases are rising. So far in 2025, [14 outbreaks](https://www.cdc.gov/measles/data-research/index.html) have been reported in 33 states, according to the U.S. Centers for Disease Control and Prevention (CDC). (By comparison, in 2024, there were just 16 outbreaks reported during the entire year.) 

Scientists may now have a new way to catch cases. For the first time, researchers have posted [national information](https://data.wastewaterscan.org/tracker/?charts=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%3D&selectedChartId=586f36) on where the measles virus is showing up in wastewater. 

Wastewater surveillance is a useful public-health tool because it provides an objective glimpse into where a given virus is causing infections—often before traditional testing methods. For viruses like measles, which infected people shed in urine, feces, or saliva, it can provide a critical heads-up for health officials. “It gives us a finger-to-the-wind weather map of what is happening with infectious diseases,” says Dr. Marlene Wolfe, assistant professor at Emory and principal investigator and co-program director of [WastewaterSCAN](https://www.wastewaterscan.org/en), an academic and commercial group that includes researchers from Stanford University, Emory University, and Verily (which is Alphabet Inc.'s research organization). 


Here's what wastewater is revealing about measles in the U.S.

## **Adding measles to the menu of wastewater tests**

WastewaterSCAN began testing sewage in the U.S. for the COVID-19 virus in 2020 and has since added other disease-causing microbes including influenza, RSV, human metapneumovirus (HMPV), norovirus, enterovirus, mpox, Candida auris, and hepatitis A.

This spring, the scientists began developing a test for picking up signs of the active or "wild type" measles virus that is causing outbreaks in the U.S. The test uses samples from nearly 150 sewage sites across the country and can pick up signs of measles within 48 hours.

**Read More**: [_What to Know About the New COVID-19 Variant NB.1.8.1_](https://time.com/7289133/new-covid-variant-nb-181/)

So far, they have detected it in three sites: one day in Hollywood, Md.; four days toward the end of May in Sacramento; and twice in mid-May in Stamford, Conn. WastewaterSCAN is only one such wastewater surveillance network in the country, though it's the first to test for measles on a national level. The CDC launched its [National Wastewater Surveillance System](https://www.cdc.gov/nwss/index.html) in 2020 and includes more than 1,400 sites that cover 150 million Americans. Some state health departments—including in Texas, where the current measles outbreaks began—also test wastewater samples. WastewaterSCAN collaborates with the CDC, but the CDC does not yet test for measles in wastewater. 


## **Why wastewater** monitoring may be especially useful for measles

Doctors who see patients with measles must report the case to the CDC so the agency can track it and respond to any outbreaks. But it takes time for people to develop symptoms, seek medical care, get tested, and then have their case reported if the test is positive. In addition, the first symptoms of measles are common ones like fever, runny nose, and cough—before the telltale rash appears. Plus, not everyone may get sick enough to know they have measles, so their cases may go unreported. Still others may get sick but not have access to health care and therefore never seek medical help. 

**Read More**: [_Measles Vaccination Rates Are Plummeting Across the U.S._](https://time.com/7290450/measles-vaccination-rates-declining-study/)

Wastewater monitoring bypasses those hurdles and can theoretically catch evidence of the virus much earlier. That could be especially helpful with a highly contagious disease like measles, in which one infected person can quickly spread the virus to as many as 18 others. “This is anonymous testing that combines everyone in a community,” says Wolfe. “And for measles, it’s likely that shedding \[of the virus\] into wastewater is happening before people necessarily recognize what they have.”


## **How wastewater data can help health officials**

This type of tracking for measles is too new to know yet whether it can detect cases in a region before people start testing positive, Wolfe says. But wastewater surveillance was able to pick up signs of the COVID-19 virus [days or sometimes even weeks](https://time.com/6194539/wastewater-covid-19-variants/) before cases began appearing in hospitals and testing labs.

Over time, as more data are collected on measles, health experts can begin to look for trends and patterns, such as increases in the number of positive samples. That could help public-health departments focus resources like vaccines in areas where infections are spreading. If the number of positive samples start to decline, that information could also give them a heads up when infections are under control.

## **What to do if cases are detected** near you

Getting vaccinated is the best way to protect yourself against measles infection, and the immunization provides close to lifelong immunity. Making sure that anyone who is eligible is up to date on their measles vaccines can help them avoid infection.


## Transcript

I've been covering covid-19 for two and a half years now. And one of the things that's really surprised me is how Wastewater surveillance is one of the more powerful tools that is emerge for tracking disease Wastewater surveillance, it's like spying on Wastewater which is exactly what it is. Which water is of course, what you get when you flush the toilet, it's equal parts, icky and cutting-edge science. But if you think about it, the waste that we flush the saliva, we spit out, when we brush our teeth and the water that drains for my shower is a rich source of information about our Collective health.

First reaction is gross, disgusting, ecology at Queens College in New York. His lap collect Wastewater from around the city. It's really not that bad. It doesn't really smell very bad. We bring it back to the laboratory and we pasteurize it before we even open the bottle of comes in. Sheriff. It's not a dangerous river. Dirty or smell your people think about keeping their genetic material intact black. The toilet that goes into the system where wind up at is she would treatment plant. Facilities, collect Wastewater from entire communities. They are a good barometer of what viruses or bacteria might be circulating in those populations.

And researchers can detect these pathogens even if people are not going to get tested at doctors offices or hospitals. But for example, there are eight million people in New York city. So it's useful to have a more precise way to measure who is sick and where we the pill with a device or the way to the bottom, this device has space for 24 hours and then tomorrow we will bring it out emissions. The health of the population that is using this sewer system Monica, Trujillo works in the same lab with John Dennehy, but she's collecting Wastewater on a more local level from the sewers in neighborhoods rather than in treatment plants.

You have to say that. First of all, you are looking at the contribution of a complete different number, right? If you look at the wastewater treatment plant, you have everybody who lives that day on the southern part of Brooklyn. If you are looking at the hospital, like, Coney Island, right? You will be looking at the people that use the toilet in the Hat solution that you get the ability to cover a huge number of people for the creases, if you are looking at, you know, a smaller Gathering Using Wastewater to monitor for infectious diseases isn't actually knew it goes back to the 1940s. When epidemiologist, use the method to track and contain polio outbreaks in the United States, when officials saw polio spiking and waste water, they were able to boost vaccination responses in those areas.

There is hope that the supply will be sufficient to vaccinate 61 million children by the end of the year Brave, Little Pioneers each, and everyone who took the shots Wastewater surveillance has also been utilized to track drug use which shows up in urine. That can help to mitigate the effects of something like the opioid epidemic, but it didn't really seem like Wastewater was getting the attention. It deserves until covid-19 making decisions about where to set up vaccination clinics how to keep schools open, When to require masking, all of that relied on knowing where outbreaks were happening, it's a nice truck 2020 Chevy have automatic sampler set up at multiple buildings and Solis Angeles and basically just sitting there collecting samples over the course of 24 hours, early adopters of expanded surveillance and as a pandemic dragged on and people turn to at home, swapping there was no way for public health officials to document spikes or even new variants Wastewater became an even more important early warning system.

There have been instances where the same response to an important cases and declining concentrations of the virus and the Wastewater masking policies have been modified individuals testing A small study published in Jama Network, open shows that more than half of people. Infected with the Omicron Burien are not aware of their infection. The Wastewater surveillance could become an increasingly important way for communities to stay on top of cases. There are now sewage treatment plant surveillance programs in several States including in New York, California, Florida, Texas, and Illinois a bonus to this kind of data is that researchers can look for specific genetic sequences of viruses bacteria and other pathogens.

That means they can also track any mutations or variance in the virus as well. Information, that helps determine whether existing vaccines and treatments will still work for the City of Houston in Texas. Use Wastewater to deploy their resources so they will look up Wastewater. They would see in this neighborhood. It seems like the numbers are going up. So what did they do say to everybody? Like the people who do vaccines, the people who are the, people who have connect to see the community and they try to emphasize that uses the masks people who were not vaccinated, try to convince them to be vaccinated.

So it is a useful tool to try to meet gate. The effect of something that you know, it's going to happen. That is that the numbers are going up and of course, covid-19 is not the only disease. We have to worry about recently polio is discovered Again by a Wastewater in New York state. Last had a case of paralytic polio diagnosed in 1990. How about in June of this year? If a young adult was diagnosed with polio in Rockland County. Time, we look back at our Wastewater samples and we've identified a related virus in Santa Beginning in March, right up through July, monkeypox is also increasingly being tracked.

This way I New York state city and also confirmed us three 679 cases. 639 of which are in New York City. Research has a Wastewater surveillance be beneficial and helping them to understand antibiotic-resistant. Pathogens that reduce the ability of the human body to fight disease. It could also be used to detect new strains of the flu before it affects the majority of the population and help in the development of effective vaccine. The list just goes on and on money and effort and time has been spent developing Wastewater as a source of Public Health. Information continues to be financially supported Republic.

Private Foundation. It would be a shame if we were to lose these capabilities and then back to write about it, I think that it is going to other initiatives, and I think it is, if you think about the ability of sequencing, the human genome was absolutely can do it Wastewater. Surveillance is another tool to try to help to get better health.

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