Matthew J. Wade, Ian Ruskey, Elizabeth Perry, Valerie Meehan, Andrew P. Rothstein, Dawn Gratalo, Sarah Rush, Birgitte Simen, Karly‐Rai Rogers‐Broadway, Suam Gonzalez, Catherine Ryan, Christopher Burton, Raju Misra, Darren Chooneea, Elona Hutchins, Toby Lock, Kiera Baker, Amy Hughes, Cindy R. Friedman
Abstract We present findings from the first known pilot study of transatlantic airplane wastewater monitoring, conducted over six months at two connected international airports in the United States and the United Kingdom. This study demonstrates the feasibility of implementing bilateral wastewater-based pathogen surveillance at international travel hubs. We outline the operational and analytical methodologies employed, highlight key challenges encountered in transnational coordination, and provide recommendations for the design and implementation of future surveillance programs at points of entry.