2023 No https://doi.org/10.1177/15248399231196857 Johnson, Gwendolyn North America Observational Opinion Students Staff Teachers Elementary (K-5) Middle/Jr High (6-8) High School (9-12) Viruses COVID rates Wastewater Wastewater-based surveillance COVID-19 SARS-CoV-2 Schools School nursing This study examined wastewater surveillance at 52 Houston schools, evaluating SARS-CoV-2 data use, communication gaps, and stakeholder needs. Findings highlight ways to improve data sharing to increase the public health impact of wastewater monitoring.