Senators introduce bipartisan PREDICT Act for wastewater surveillance

Senators Tim Scott and Cory Booker have introduced bipartisan legislation to expand the nation's wastewater surveillance network. The PREDICT Act aims to detect infectious disease outbreaks earlier through sewage monitoring. It would enhance CDC grants and create a national dashboard for public health officials.

Last week, Senators Tim Scott (R-SC) and Cory Booker (D-NJ) introduced the Public Health Response and Emergency Detection through Integrated Wastewater Community Testing Act, known as the PREDICT Act. Joining them are Senators Maggie Hassan (D-NH), Ted Budd (R-NC), Roger Wicker (R-MS), and Angus King (I-ME). The bill seeks to bolster monitoring systems that analyze sewage for traces of viruses and bacteria shed by infected individuals in communities. This method detects pathogens before symptoms appear or in asymptomatic cases, serving as an early warning for public health officials. Officials report it has identified measles, respiratory syncytial virus (RSV), influenza A, and COVID-19, with potential net benefits of $1,500 per person in a future pandemic. A recent measles outbreak in South Carolina's Upstate region highlights the need for such tools. “Wastewater monitoring provides communities with an early warning when infectious diseases are spreading,” Scott said in a statement. “As South Carolina continues responding to the measles outbreak, it’s clear that early detection tools are critical to protecting families and helping public health officials respond quickly to emerging threats.” Tara Sabo-Attwood, dean of the Arnold School of Public Health at the University of South Carolina, stated: “Wastewater-based epidemiology is a powerful tool that allows us to detect public health threats in real time — often before clinical cases or other health outcomes emerge.” Researchers there collaborate with Clemson University, Medical University of South Carolina, and Claflin University on early warning systems. The PREDICT Act directs the Centers for Disease Control and Prevention to award grants to state, tribal, and local health departments, universities, nonprofits, and public-private partnerships for wastewater programs. It also funds advanced labs to detect new pathogens and track multiple diseases, improves data transparency via a national dashboard, and requires a CDC strategic plan for a nationwide bio-surveillance network.

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RFK Jr. testifies on PREDICT Act for expanded wastewater disease surveillance at Senate Finance Committee hearing.
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RFK Jr. says he will work with senators on PREDICT Act to expand wastewater disease surveillance

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Health and Human Services Secretary Robert F. Kennedy Jr. told the Senate Finance Committee on Wednesday that he would work with lawmakers on the bipartisan PREDICT Act, which would strengthen and expand U.S. wastewater monitoring as an early-warning tool for infectious diseases. He also said the administration’s budget includes $325 million for a “bio threat radar system” intended to integrate with microbial surveillance at wastewater treatment plants.

Residents in Strand, near Cape Town, are facing ongoing sewage leaks that cause foul odours and health concerns. A petition by the group Bays of Sewage — Helderberg highlights risks to public health, recreation, and the local economy. The City of Cape Town maintains that water quality monitoring shows acceptable levels, while critics argue for better real-time alerts.

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The 2025 Green Drop Report shows a rise in critically failing wastewater systems across South Africa to 396, with Johannesburg's rivers contaminated by extremely high E. coli levels. Local officials and experts warn of health risks to people and animals.

A coalition of 15 governors launched the Governors Public Health Alliance in mid-October 2025, saying it will help states and a U.S. territory coordinate on public health guidance, data-sharing and emergency preparedness as federal health policy shifts and regional state alliances expand.

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The Addis Ababa Water and Sewerage Authority has launched a pilot project to collect tenants' information. It is collaborating with Addis Ababa University to implement the project. The system will enable tenants to access fast online services.

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