Since 2020 wastewater-based surveillance has quickly been established as an effective and cost-efficient tool for monitoring public health. In this Making Waves article, we argue that these programs must be grounded in principles of justice to achieve global water and health equity. Ethics initiatives to date have focused primarily on privacy, legality, and institutionalised research reviews, often, if not exclusively, in North America and Western Europe. We draw from our interdisciplinary, multisectoral, and international expertise and experience to develop a justice-centred framework for wastewater-based surveillance. First, we identify common concerns across diverse surveillance programs including: defining community, transparency and accountability, and uneven geographies. Second, we draw on political theorist Nancy Fraser's framework of justice to evaluate site-specific practices identifying maldistribution, misrecognition, and exclusion. We suggest that Fraser's framework offers a common approach for evaluating just outcomes rather than specific regulations for governing wastewater surveillance across different and unequal contexts.

中文翻译：

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掀起波澜：以正义为中心的基于废水的公共卫生监测框架


自 2020 年以来，基于废水的监测已迅速成为监测公共卫生的有效且具有成本效益的工具。在这篇 Making Waves 文章中，我们认为这些计划必须以正义原则为基础，以实现全球水和健康公平。迄今为止，道德倡议主要集中在隐私、合法性和制度化的研究审查上，通常（如果不是完全的话）在北美和西欧。我们利用跨学科、多部门和国际的专业知识和经验，为基于废水的监测开发一个以正义为中心的框架。首先，我们确定了不同监控项目中的共同问题，包括：定义社区、透明度和问责制以及不均衡的地理区域。其次，我们借鉴政治理论家南希·弗雷泽 （Nancy Fraser） 的正义框架来评估识别分配不均、错误识别和排斥的特定地点做法。我们建议 Fraser 的框架提供了一种评估公正结果的通用方法，而不是在不同和不平等的环境中管理废水监测的具体法规。