Neglected Genetic Coefficients for Bacterial Diversity as a Supporting Tool for Public Health and Wastewater-Based Epidemiology

In the review, the collection of population genetics papers from 1973 to 2025 comprises 400 publications, 81 of which were significant and consulted with representatives from water and sewage companies. Reviewed Proteobacteria (mean HS = 0.42), Firmicutes (mean HS = 0.43), Actinobacteria (mean HS = 0.33), and Spirochaetes (mean HS = 0.54) represent the 60 species under investigation through the lens of “h” coefficients related to gene diversity and expected heterozygosity. The research also included ESKAPE, emerging pathogens, bacterial indicators of wastewater treatment efficiency, environmental sanitary surveillance and public health. The restoration of the expected heterozygosity for haploids “h” was proposed in wastewater-based epidemiology as an innovative tool for public health. The unique “h” coefficient allows for the comparison of genetic variability in various organisms, regardless of their ploidy, using multiple markers and traits. The parameter represents a noble character for both the variability of phenotypes (proteins) and genotypes (nucleic acids). Leveraging the genetic diversity highlighted by the “h” coefficient can support wastewater-based epidemiology, offering the ability to predict the stages and trajectories of disease outbreaks.