“Wastewater-based epidemiology has revolutionized how we track disease patterns and community health indicators,” explains Dr. Melissa Perreault, co-lead author from the Department of Biomedical Sciences at the University of Guelph. “However, the technology’s ability to capture detailed genetic information creates unique risks for Indigenous communities, who have historically faced exploitation in genetic research.”
READ MORE: Effective wastewater surveillance methods for monitoring COVID-19 infection trends
The research highlights how wastewater samples can reveal sensitive information about community health, including genetic predispositions, disease prevalence, and medication use patterns. For Indigenous communities occupying distinct geographical areas, this detailed biological data collection presents particular privacy challenges.
Long-term stability
Professor Lawrence Goodridge, who also led the study, emphasizes that DNA can persist in wastewater samples indefinitely when properly stored. “What many don’t realize is that genetic material in purified wastewater extracts stored at -80°C shows minimal degradation even after two years. This long-term stability of genetic information raises important questions about data sovereignty.”
The paper draws critical parallels between current wastewater surveillance challenges and historical cases where Indigenous genetic information was misused. These examples include unauthorized genetic ancestry research on the Nuu-chah-nulth First Nations’ blood samples and the controversial Havasupai diabetes study that led to unauthorized mental health research.
Key recommendations from the study include:
• Development of specialized ethical guidelines for wastewater surveillance in Indigenous communities
• Implementation of robust consent processes that respect Indigenous governance structures
• Creation of clear protocols for sample storage, sharing, and destruction
• Establishment of Indigenous data sovereignty frameworks
• Integration of traditional ecological knowledge into surveillance practices
Privacy protection
The researchers emphasize that these frameworks must balance public health benefits with stringent privacy protections through authentic community engagement. “Indigenous communities must have full control over how their wastewater data is collected, used, and shared,” Professor Perreault states.
The publication coincides with growing global interest in wastewater-based epidemiology, particularly following its successful use during the COVID-19 pandemic. The researchers argue that establishing ethical guidelines now is crucial as the technology’s applications continue to expand.
The full peer-reviewed Perspective (review) article, titled “Indigenous data protection in wastewater surveillance: balancing public health monitoring with privacy rights,” is available on 25 February 2025 in Genomic Psychiatry, offering readers a comprehensive examination of how wastewater-based epidemiology raises critical privacy and ethical concerns for Indigenous communities while suggesting frameworks for responsible implementation. The article is freely available online at https://doi.org/10.61373/gp025p.0008.
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