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By 2022, the pilot program monitored wastewater for SARS-CoV-2, influenza A and B, and respiratory syncytial virus. To ensure effective communication of wastewater surveillance results to school communities, HHD designed and implemented a text- and email-based alert system using existing City of Houston resources. This alert program informs recipients about the presence of a virus at their schools and actions to protect themselves and others against that virus. To promote alert program sign-ups, a dedicated bilingual community involvement coordinator conducted in-person outreach geared toward school nurses and student caregivers. From September 2023 through February 2024, a combined 5178 alerts for 43 schools were sent following virus detections. As a supplemental initiative, HHD offered vaccination events to pilot program schools with consistent virus detection. As wastewater surveillance becomes more common across the United States, this alert program presents a framework for other public health agencies to scale and adapt according to their resources.<\/jats:p>","DOI":"10.1177\/00333549241275408","type":"journal-article","created":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T00:23:19Z","timestamp":1726273399000},"page":"150-155","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Implementing an Alert System for Communicating Actionable Wastewater Surveillance Results to School Communities, Houston, Texas, 2023-2024"],"prefix":"10.1177","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8435-7426","authenticated-orcid":false,"given":"Rebecca","family":"Schneider","sequence":"first","affiliation":[{"name":"Houston Health Department, City of Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaavya","family":"Domakonda","sequence":"additional","affiliation":[{"name":"Houston Health Department, City of Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharmila","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Houston Health Department, City of Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Stadler","sequence":"additional","affiliation":[{"name":"Department of Civil and Environmental Engineering, Rice University, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine B.","family":"Ensor","sequence":"additional","affiliation":[{"name":"Department of Statistics, Rice University, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Mulenga","sequence":"additional","affiliation":[{"name":"Houston Health Department, City of Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine D.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Houston Health Foundation, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0626-9775","authenticated-orcid":false,"given":"Loren","family":"Hopkins","sequence":"additional","affiliation":[{"name":"Houston Health Department, City of Houston, Houston, TX, USA"},{"name":"Department of Statistics, Rice University, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,13]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Houston Health Department. 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