This research uses wastewater-based epidemiology to monitor antibodies excreted by communities, providing early insights into population vulnerability to infectious diseases. By analyzing antibody trends in wastewater over time, the work helps public health authorities identify at-risk communities, allocate resources more effectively, strengthen vaccination strategies, and improve outbreak preparedness.

This research evaluates electronic case reporting (ECR), an automated disease surveillance system that alerts public health agencies as soon as diagnoses are recorded. By analyzing surveillance data and clinician experiences, the work aims to improve outbreak detection speed, accuracy, and usability—helping public health respond earlier and save lives.