key: cord-1038354-ayg405jp authors: Godoy, Marcos G.; Kibenge, Molly J.T.; Kibenge, Frederick S.B. title: SARS-CoV-2 transmission via aquatic food animal species or their products: A review date: 2021-02-04 journal: Aquaculture DOI: 10.1016/j.aquaculture.2021.736460 sha: d209586b408792bab3665ab778feba52a474c9aa doc_id: 1038354 cord_uid: ayg405jp Outbreaks of COVID-19 (coronavirus disease 2019) have been reported in workers in fish farms and fish processing plants arising from person-to-person transmission, raising concerns about aquatic animal food products' safety. A better understanding of such incidents is important for the aquaculture industry's sustainability, particularly with the global trade in fresh and frozen aquatic animal food products where contaminating virus could survive for some time. Despite a plethora of COVID-19-related scientific publications, there is a lack of reports on the risk of contact with aquatic food animal species or their products. This review aimed to examine the potential for Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) contamination and the potential transmission via aquatic food animals or their products and wastewater effluents. The extracellular viability of SARS-CoV-2 and how the virus is spread are reviewed, supporting the understanding that contaminated cold-chain food sources may introduce SAR-CoV-2 via food imports although the virus is unlikely to infect humans through consumption of aquatic food animals or their products or drinking water; i.e., SARS-CoV-2 is not a foodborne virus and should not be managed as such but instead through strong, multifaceted public health interventions including physical distancing, rapid contact tracing, and testing, enhanced hand and respiratory hygiene, frequent disinfection of high-touch surfaces, isolation of infected workers and their contacts, as well as enhanced screening protocols for international seafood trade. proteins of birds, fishes, reptiles, and amphibians are not likely to bind SARS-CoV-2 S protein, indicating that vertebrate classes other than mammals are not likely to be an intermediate host or reservoir for SARS- CoV-2 (Damas et al., 2020) . Chen et al. (2020b) screened 11 representative animal species among pet animals, livestock, poultry, and wildlife for SARS-CoV-2 target cells (i.e., cells coexpressing ACE2 and TMPRSS2). The study found the cat to have the highest number of target cells among the animal species investigated; these cells were widely distributed in gastrointestinal, respiratory, and urinary systems, suggesting that cats can be infected via multiple routes and maybe intermediate hosts in the current pandemic . Target cells for SARS-CoV-2 were also found in pig kidney and lung, suggesting pigs could become intermediate hosts in future coronavirus outbreaks . However, current evidence shows that pigs are not susceptible (Schlottau et al., 2020) . Chen et al. (2020c) analyzed the structure of the ACE2 receptor in different animals, and while ACE2 was found to be widely expressed and the structure highly conserved in the animal kingdom, those of snake, frog, and fish had only 61%, 60%, and 59% sequence identity, respectively, to that of the human ACE2 receptor . Such low sequence similarity in these animals suggests that SARS-CoV-2 is unlikely to successfully infect them (Bondad-Reantaso et al., 2020) . Ji et al. (2020) compared the relative synonymous codon usage bias between SARS-CoV-2 and different animal species. They found that SARS-CoV-2 and snakes from China have similar synonymous codon usage bias (Ji et al., 2020) , suggesting snakes as a possible intermediate host. However, this is unlikely as animal reservoirs for human viruses are mainly mammals and birds (de Jesus, 2020) . Guo et al. (2020) , using a deep learning algorithm to predict potential virus hosts, indicated that mink might be an intermediate host of SARS-CoV-2. The recent human-to-minkto-mink-to-human cycles of SARS-CoV-2 transmission (Zhou and Shi, 2021) further implicate J o u r n a l P r e -p r o o f mink as a potential intermediate host. Interestingly, the binding score for the mink ACE2 to the SARS-CoV-2 S protein was ranked very low in the study by Damas et al. (2020) . Moreover, the analysis by Boni et al. (2020) showed that SARS-CoV-2-related viruses have been circulating in Rhinolophus spp. bats for a long time, with abundant recombination events (Banerjee et al., 2019) . Coronaviruses circulate in mammals and birds (Cui et al., 2019; Li et al., 2020b) and aquatic animals (Mordecai and Hewson, 2020) . SARS-CoV-2 is a zoonotic virus that likely has a wide mammalian host-range Chen et al., 2020b; Tiwari et al., 2020; Mahdy et al., 2020) . The OIE considers SAV-CoV-2 an emerging pathogen, and therefore member countries must report confirmed infections in animals in their countries to the OIE (OIE, 2019, 2020a). As listed in Table 3 , some of these animals may serve as reservoirs once the COVID-19 pandemic is over (Santini and Edwards, 2020) , and therefore pause veterinary public health concerns (Mahdy et al., 2020) . SARS-CoV-2 has been reported to cross the species barrier and exhibit reverse zoonosis in farmed minks, domestic cats, dogs, and captive tigers, puma, and lions (Sharun et al., 2020; Mahdy et al., 2020) . Minks are of particular concern as they are farmed on a large scale in many countries (Wikipedia, 2021) . It is now well established that minks are highly susceptible to the SARS-CoV-2 virus and are readily infected through the transmission of the virus from infected humans coming in contact with mink (ProMed, 2020c; Oreshkova et al., 2020; Santini and Edwards, 2020; OIE, 2020b) , and mink-to-mink transmission is very efficient (Sharun et al., 2020; Shuai et al., 2020) . Moreover, a mink-unique variant of SARS-CoV-2 has been reported in Denmark and the Netherlands, providing evidence of mink-to-human transmission of SARS-CoV-2 within mink farms (i.e., reverse anthroponosis) (Sharun et al., 2020; Oude Munnink et J o u r n a l P r e -p r o o f al., 2021), although the risk of spread from animals to humans is generally considered to be low (CanCOVID, 2020) . To date, SARS-CoV-2 infection in farmed minks has been documented in the USA, the Netherlands, Sweden, Italy, Denmark, France, Canada, Greece, Lithuania, and Spain (Sharun et al., 2020) , with humans as the only source of introduction of the virus to minks. Fearing the possibility that minks may serve as a reservoir during and once the COVID-19 pandemic is over (Santini and Edwards, 2020) , the affected mink farms were depopulated (ProMed, 2020c; Oreshkova et al., 2020; Maestro and Spary, 2020; Enserink, 2020) to eliminate the risk of SARS-CoV-2 becoming enzootic in the mink population or worse changing the SARS-CoV-2 pandemic into a panzootic . Most recently, a wild mink who had contracted the virus, apparently from contact with farmed mink, was identified in Utah, USA -the first free-ranging, native wild animal confirmed with SARS-CoV-2 (https://www.koin.com/news/wild-mink-in-utah-tests-positive-for-sars-cov-2/). This finding indicates the potential for wild mustelids to become a permanent reservoir of infection for other animal species (Manes et al., 2020) , as occurred with rabies in raccoons and skunks (Rupprecht et al. 1995) . Other animal species in the case of SARS-CoV-2 would include cervids because white-tailed deer have been identified by experimental infection as a susceptible wild animal species to the virus (Palmer et al., 2021) . The prospect of SARS-CoV-2 spilling into farmed and wild terrestrial animals like mustelids and cervids is a major concern. Aquatic animals are cold-blooded (poikilothermic) and are naturally resistant to mammalian and avian viruses, which replicate at ≥37 o C. Snakes, which are also cold-blooded, were shown to have a similar synonymous codon usage bias as SARS-CoV-2, which may allow homologous recombination to occur and contribute to the SARS-CoV-2 cross-species transmission (Ji et al., J o u r n a l P r e -p r o o f 2020). However, an expert FAO report found -no evidence to suggest that SARS-CoV-2 can infect aquatic food animals (e.g., finfish, crustaceans, mollusks, amphibians)‖. It concluded that -these animals do not play an epidemiological role in spreading COVID-19 to humans‖ (Bondad-Reantaso et al., 2020) . V‗kovski et al. (2020) The transmission routes for SARS-CoV-2 from human-to-human may be in one of three ways: 1. Direct person-to-person transmission through close contact. 3. Transmission via fecal-oral route (Khan et al., 2020) . J o u r n a l P r e -p r o o f 3.2.1. Direct person-to-person transmission of SARS-CoV-2 through close contact SARS-CoV-2 primarily spreads person-to-person through close contact with symptomatic and asymptomatic individuals (Chu et al., 2020; Wiersinga et al., 2020) . COVID-19 cases had very high shedding of the virus in pharyngeal samples during the first week of symptoms (Wölfel et al., 2020) , having peaked about two to three days before the onset of symptoms . The current criterion considers a patient completely recovered and not infectious after two consecutive negative RT-qPCR test results on respiratory samples (Mesoraca et al., 2020) ; several studies have shown negative virus isolation results for SARS-CoV-2 eight days after symptom onset (Wiersinga et al., 2020) . Zou et al. (2020) analyzed both symptomatic and asymptomatic individuals. They observed that the SARS-CoV-2 RNA shedding pattern of infected individuals resembles that for the influenza A virus (Tsang et al., 2015) and appears different from that of SARS-CoV (Peiris et al., 2003) . The SARS-CoV-2 viral load in the nasal and throat swabs of symptomatic and asymptomatic individuals was similar, suggesting asymptomatic individuals' transmission potential (Zou et al., 2020) . Current estimates suggest that 15% of infected individuals do not develop symptoms at all (i.e., excluding pre-symptomatic individuals) (Day et al., 2020; Byambasuren et al., 2020) , but <10% of new infections originate from asymptomatic individuals (Day et al., 2020; Buitrago-Garcia et al., 2020) . However, these reports may grossly underestimate the number of asymptomatic individuals; one report estimated the proportion of asymptomatic infections to range from 18% to 81% (Nikolai et al., 2020) . As many as 40% of cases were thought to be asymptomatic based on a seroprevalence study in 10 cities in the US (Havers et al., 2020) . A decision analytical model by CDC showed that 59% of J o u r n a l P r e -p r o o f all transmission came from asymptomatic individuals -35% from presymptomatic individuals and 24% from persons who never developed symptoms (Johansson et al., 2021) . Direct person-to-person transmission occurs primarily through the air via respiratory droplets produced by coughing, sneezing, talking, yelling, laughing, singing, or normal breathing from an infected individual (Phan et al., 2020; Fineberg, 2020) . The droplet-mediated transmission consists of droplets measuring >5 µm, which generally travel a short distance (~ 2 m) from the infected individual as they drop out from the air (CanCOVID, 2020). Less common transmission through the air is the airborne transmission (also called aerosol transmission) that can occur following medical procedures such as airway intubation, ventilation, and some dental procedures that create aerosols -particles measuring ≤5 µm that rapidly evaporate in the air, leaving behind droplet nuclei (Klompas et al., 2020) ; these can remain suspended in the air for a longer time (Arslan et al., 2020) (similarly to pollen), spreading further than droplets (WHO, 2020a; CanCOVID, 2020) . Airborne transmission can also occur in confined environments where aerosols may be moved farther when the air is mechanically moved (e.g., by fans or air conditioners) (CanCOVID, 2020) . Both droplet-mediated and airborne transmissions can be prevented by the physical distancing of 2 m or more, N95 respirators and face masks, eye protection, and other basic measures such as enhanced hygiene (Chu et al., 2020) . SARS-CoV-2 has also been detected in non-respiratory bodily fluids, including feces (Wu et al., 2020a; Wang et al., 2020c) , blood (Chen et al., 2020a) , ocular secretions (Wu et al., 2020b) , saliva , milk (WHO, 2020b), urine , and semen samples (Li et al., 2020c) . However, the role of these biological materials in the transmission is uncertain. There are several reports of efficient transmission of SARS-CoV-2 in crowded, confined indoor spaces such as long-term care facilities (McMichael et al., 2020) , workplaces including factories, churches, restaurants, ski resorts, shopping centers, worker dormitories, cruise ships, and vehicles, or social events occurring indoor Leclerc et al., 2020) . In long-term care facilities, COVID-19 outbreaks were, in part, ascribed to the health care personnel being able to move between facilities in the region (McMichael et al., 2020) . In a negative pressure isolation ward in a non-intensive care unit, fomite transmission was the primary route of virus exposure (Wei et al., 2020) . In other congregated areas, the transmission could be linked with activities characterized by increased production of respiratory droplets and aerosols (Hamner et al., 2020) . Clusters have been seen in several places where crowding occurs, including meatprocessing factories in England and Wales (Leclerc et al., 2020; Thompson, 2020; ProMed, 2020b) and Germany (Tidey, 2020) , meat and poultry processing facilities in the USA (Dyal et al., 2020; Waltenburg et al., 2020) , and abattoirs in Australia (Anonymous 2020; Davis and Burns, 2020). In Chile, there was anecdotal evidence of an increasing number of SARS-CoV-2 positive workers in fish processing plants and salmon farm sites in the XI region (El Magallánico, 2020) . However, most of the workers were infected or had traveled from another region (M. Godoy, personal communication). According to the Centres for Disease Control and Prevention (CDC), workers in seafood processing are not exposed to SARS-CoV-2 through the fish and other seafood products they handle but rather from having close, and often, extended contact with coworkers and supervisors (CDC, 2020). J o u r n a l P r e -p r o o f Fomite transmission, such as infection via fomite to hand contamination (e.g., if a person touches a contaminated inanimate material and then transfers the infectious virus to mucous membranes in the eyes, nose, or mouth) (Kabir et al., 2020; Kitajima et al., 2020) , occurs through indirect contact with surfaces that have been contaminated by an infected person (Ong et al., 2020; WHO, 2020a; ECDC, 2020) . There are several scenarios of contaminated surfaces, but this transmission route appears to be less common (CanCOVID, 2020) . The amount of infectious virus transferred in this case may not be sufficient to infect (Dowell et al., 2004; CanCOVID, 2020) . Other scenarios are only considered a theoretical risk; for example, an infected person touches/pets a domestic animal. The virus remains on the animal's hair coat, fur, or feathers long enough to transmit to another person (CVMA, 2020). However, a real risk has become evident with the transmission of SARS-CoV-2 via contaminated cold-chain food sources. The survival period and transmission distance of the virus could be prolonged (Han et al., 2020; Pang et al., 2020; Fisher et al., 2020) . This -non-traditional‖ transmission mechanism (Fisher et al., 2020) has been linked to the COVID-19 resurgence in Beijing, China (Han et al., 2020; Pang et al., 2020) . Factors such as temperature, pH, relative humidity, and the virus (i.e., naked or enveloped particle) influence the stability of a virus in the environment (Otter et al., 2016) . Kampf et al. J o u r n a l P r e -p r o o f (2020) reviewed the literature on the persistence of coronaviruses (enveloped viruses) on inanimate surfaces and their inactivation by chemical disinfection. Human coronaviruses such as SARS-CoV and MERS-CoV, and HCoV persisted on the surfaces for up to 9 days. They were still effectively inactivated with 62-71% ethanol, 0.5% hydrogen peroxide, or 0.1% sodium hypochlorite within 1 minute (Kampf et al., 2020) . Taylor et al. (2020) studied the stability of cultured SARS-CoV-2 and SARS-CoV in aerosols and on various surfaces (stainless steel, copper, and cardboard) at 21-23°C and 40% relative humidity over seven days. Both viruses were viable in aerosols for at least 3 hours. For both viruses, the infectious virus survived 72 hours after application on the plastic and stainless steel surfaces (Taylor et al., 2020) . No viable SARS-CoV-2 was detected on cardboard after 24 hours, and no viable SARS-CoV was detected after 8 hours Taylor et al., 2020) . On copper, no viable SARS-CoV-Dai et al. (2020) investigated the survival of SARS-CoV-2 (~10 4.5 log 10 TCID 50 /ml) attached to pieces of salmon stored at 4°C or 25°C. The salmon-attached SARS-CoV-2 remained viable at 4°C and 25°C for 8 and 2 days, respectively, demonstrating that SARS-CoV-2 can survive for more than a week at 4°C -the temperature in refrigerators or cold rooms for the temporary storage of fish (Dai et al., 2020) . Independently, Fisher et al. (2020) studied the stability of cultured SARS-CoV-2 (~10 6 log 10 TCID 50 /ml) spiked in pieces of salmon, chicken, and pork Fisher et al., 2020) , further supporting the speculation that contaminated cold-chain food sources initiated the COVID-19 resurgence in Beijing (Pang et al., 2020) . 3.2.2.3. Risk of transmission of SARS-CoV-2 via aquatic food animals or their products Figure 1 illustrates the typical layout of a fish processing plant to demonstrate potential points of possible contamination with SARS-CoV-2, and Figure 2 illustrates the potential risk of transmission of the virus via contaminated aquatic food products, particularly when handled by infected workers (Bondad-Reantaso et al., 2020; Taylor et al., 2020) . The global trade in fresh and frozen aquatic animal food products is favorable for the contaminating virus to survive and be transported over long distances (Han et al., 2020) . Temperature and relative humidity further J o u r n a l P r e -p r o o f influence the virus's survival in the environment (Lee et al., 2015; van Doremalen et al., 2013 van Doremalen et al., , 2020 Fisher et al., 2020) . The Global Aquaculture Alliance (GAA) provided a guidance document for seafood processing facilities seeking best practices to keep their employees and community healthy and limit the spread of COVID-19 (GAA, 2020) . Although the initial COVID-19 cases were in people who had visited the Huanan seafood wholesale market in Wuhan city, Hubei province, China (Jiang et al., 2020; Chen et al., 2020a; , there is no evidence that the seafood and fish from the animal market were associated with the outbreak (Lu et al., 2020) . Low temperatures favoring viral survival and high humidity have been suggested to explain why seafood markets in China could be sources of COVID-19 outbreaks (Caiyu and Hui, 2020; Jalava, 2020) . A recent resurgence of COVID-19 cases in Beijing, China, has been linked to the massive Xinfadi Market (Pang et al., 2020) . Of the earliest 53 people testing positive for SARS-CoV-2, 48 had worked, and three had shopped at the seafood market (Wang and Yu, 2020) . Among the environmental samples tested at the same seafood market, 40 samples were positive for SARS-CoV-2, including samples taken from chopping boards used to process imported salmon (Caiyu, 2020; Caiyu and Hui, 2020; Wang and Yu, 2020) . Further investigation of the 14 booths in the Xinfadi Market trading hall identified booth #S14 as the virus' source; salmon was the only imported commodity sold at this booth (Pang et al., 2020) . Upon examination of all salmon (3,582 in total) in the original sealed package in the cold storage at the Xinfadi Market, six were positive for SARS-CoV-2 RNA, and five of these fish were from the company that supplied the salmon to booth #14 on May 30, 2020 (Pang et al., 2020) . Genome sequencing of the virus identified it as a European SARS-CoV-2 virus strain (Pang et al., 2020) . The authors suggest this case to be the origin of the COVID-19 J o u r n a l P r e -p r o o f resurgence in Beijing linked to a contaminated cold-chain food source (Pang et al., 2020) , although they did not establish the route of infection. The more virus consumed in a food, the more likely an illness will result (Todd et al., 2020) . Foodborne virus infections often result in shedding large amounts of virus particles in the diarrheal feces or vomitus (~10 5 to >10 12 infectious particles per ml or g) (Gerba, 2000; Bishop, 1996) (Sernapesca, 2020) , thereby guaranteeing the safety of the aquatic products exported. Sernapesca will also implement regular supervision of salmon processing plants using online checks (Sernapesca, 2020) . (Caiyu, 2020; Caiyu and Hui, 2020; Wang and Yu, 2020) , China began testing all frozen food imports for SARS-CoV-2 RNA and suspended shrimp imports from three producers from Ecuador after traces of the virus were found on the outer packaging of six samples taken from the shipment (Korban and Welling, 2020 ). An additional case of SARS-CoV-2 RNA on Ecuadorian shrimp packaging was reported a week later (Korban and Sapin, 2020) . Additional incidents have been reported across the country where SARS-CoV-2 was detected on imported foods, mostly on their packaging materials (Han et al., 2020) . In one case, the virus was also detected on the interior of a shipping container (Han et al., 2020) . The FAO has published a qualitative assessment of the likelihood of exposure to SARS-CoV-2 from wild, livestock, companion, and aquatic animals in COVID-19 affected areas (El Masry et al., 2020) . The likelihood of humans or animals getting exposed to SARS-CoV-2 in COVID-19 affected areas through contact with aquatic animals (namely fish, amphibians, mollusks, and crustaceans) is considered negligible (i.e., extremely unlikely to occur/result in exposure) (El Masry et al., 2020) . The fact is that SARS-CoV-2 does not replicate in aquatic animals as they are -cold-blooded‖ and have a different ACE2 cell receptor, and therefore, would not cross the species barrier. The in-silico analysis conducted by Damas et al. (2020) predicted that the ACE2 proteins of birds, fishes, reptiles, and amphibians are not likely to bind the SARS-CoV-2 S protein, indicating that vertebrate classes other than mammals are not likely to be an intermediate host or reservoir for SARS-CoV-2. The likelihood of exposure is low (i.e., unlikely to occur/result in exposure) through handling or consumption of raw products originating from aquatic animal species processed and sold in markets or retail shops in conditions not meeting J o u r n a l P r e -p r o o f the Codex Alimentarius food hygiene standards (CAC, 2009) where cross-contamination occurred; the likelihood drops to negligible for sufficiently heat-treated products (El Masry et al., 2020) . The likelihood of infection, post-exposure, was not assessed (El Masry et al., 2020) . Several papers report the detection of SARS-CoV-2 RNA in wastewater (Ahmed et al., 2020; Holshue et al., 2020; Lodder and de Roda Husman, 2020; Randazzo et al., 2020; Chen et al., 2020a; Wang et al., 2020a,b,c; Xiao et al., 2020a; Ling et al., 2020; Kitajima et al., 2020) , and it has been suggested that this is a sensitive surveillance system and early warning tool for COVID-19, as was previously shown for poliovirus (Lodder et al., 2012) and Aichi virus (Lodder et al., 2013) . Kitajima et al. (2020) recently reviewed the potential of wastewater surveillance for understanding the epidemiology of COVID-19. SARS-CoV-2 in wastewater can enter aquatic ecosystems, particularly during poor sanitation, and infect many people (Wartecki and Rzymski, 2020) , for example, via aerosolization. The concern for the role of wastewater as a potential source of SARS-CoV-2 has been heightened by three lines of evidence supporting the possibility that SARS-CoV-2 can replicate in enterocytes of the gastrointestinal tract (Kitajima et al., 2020; Singh et al., 2020) : 1. Reports of COVID-19 patients with diarrhea and with the virus in feces (Chen et al., 2020a; Wang et al., 2020a,b,c; Kitajima et al., 2020) . A systematic review and meta-analysis of such studies found that 12% of COVID-19 patients have gastrointestinal symptoms, and 40.5% of patients with confirmed SARS-CoV-2 infection passed the virus in feces (Parasa et al., 2020) . Another meta-analysis on COVID-19 patients found fecal samples J o u r n a l P r e -p r o o f from 48.1% of the patients positive for viral RNA, and of these, 70.3% were positive even after their respiratory samples tested negative . (Xiao et al., 2020a) and gut enterocytes (Lamers et al., 2020) , and the ACE2 cell receptor for SARS-CoV-2 is expressed in the small intestine, lung and oral mucosa (Kitajima et al., 2020; Hamming et al., 2004; Xu et al., 2020b; Liang et al., 2020) . Furthermore, ACE2 and the cellular serine protease TMPRSS2 were found to be coexpressed not only in lung alveolar type 2 cells but also in esophageal upper epithelial and gland cells, ileum and colon . Singh et al. (2020) predicting enterocytes and goblet cells of the small intestines and colon, and gallbladder basal cells to be susceptible to SARS-CoV-2 based on their expression of SARS-CoV-2 and coronavirus-associated receptors and factors (SCARFs). In contrast, although a positive fecal test is as accurate as a pharyngeal swab test for laboratory diagnosis of COVID-19, patients with a positive fecal test did not have gastrointestinal symptoms . Moreover, while the virus is readily isolated from throat and lung samples, there is only one report on the isolation of SARS-CoV-2 from a single fecal sample (Holshue et al., 2020) despite high concentrations of viral RNA (Wölfel et al., 2020) . Besides, viral RNA detection does not equate to the infectious virus (Cevik and Bamford, 2020) ; while RT-PCR could detect SARS-CoV RNA in untreated wastewater from two hospitals, the virus could not be isolated using Vero E6 cell culture (Wang et al., 2005a) . The stability of SARS-CoV in feces, urine, and water and chemical inactivation of the virus in wastewater were studied by Wang et al. (2005b) . The intact virus was reported to persist for two days (viral RNA J o u r n a l P r e -p r o o f for seven days) in hospital or domestic sewage or tap water; three days in feces; 14 days in PBS; and 17 days in urine at 20 o C (Silverman and Boehm, 2020) . The virus persisted longer at 4 o C: 14 days in wastewater and 17 days in feces or urine (Wang et al., 2005b) . It is also unknown if SARS-CoV-2 could survive passage through the stomach (Ng and Tilg, 2020) , and how long it remains infective in wastewater remains to be determined (Wartecki and Rzymski, 2020) . In experimental studies of SARS-CoV-2 infection in cats published to date Halfmann et al., 2020; Bosco-Lauth et al., 2020) , and where fecal samples were tested, viral RNA was either not detected in the feces of virus-inoculated cats or was detected. However, the virus was not recovered from the viral RNA-positive small intestines. Experimental studies using ferrets showed them to be highly susceptible to SARS-CoV-2 infection and transmitted the virus through direct and indirect contact similar to humans (Kim et al., 2020; Richard et al., 2020; Schlottau et al., 2020) . However, the infectious virus could not be recovered from the trachea, kidney, and intestine tissues (Kim et al., 2020) or was isolated from the throat and nasal swabs but not from rectal swabs (Richard et al., 2020) . In the experimental study with minks, which developed the more severe disease, infectious virus was detected in the nasal washes of all three animals on days 2 and 4 post-inoculation (p.i) but not from the concha swabs or rectal swabs of any animals at any time points (Shuai et al., 2020) . White-tailed deer experimentally inoculated intranasally with SARS-CoV-2 developed a subclinical infection, and infected animals shed infectious virus in their nasal secretions (Palmer et al., 2021) . Although viral RNA was detected in nasal secretions of all inoculated and indirect contact animals between 2 and 21 days p.i, viral RNA from feces was detected only intermittently and transiently through days 6-7 p.i; infectious SARS-CoV-2 shedding was detected by virus isolation in nasal secretions of all inoculated and J o u r n a l P r e -p r o o f indirect contact animals between days 2 and 7 p.i, whereas shedding in feces was only detected in inoculated animals and only on day 1 p.i (Palmer et al., 2021) . Thus, the SARS-CoV-2 material detected in wastewater may not be infectious, and wastewater may not move the viable virus to an aquatic environment (Wartecki and Rzymski, 2020) . However, it is still possible for the ingested virus to migrate to the respiratory tract . Wartecki and Rzymski (2020) reviewed the potential survival of coronaviruses in aquatic environments and wastewater and observed that coronavirus survival likely depends on four key conditions: 1. Water temperaturehigher temperature decreases survivability. 3. Level of organic matteradsorption of virus particles to the suspended organic matter may be protective, whereas the presence of antagonistic microorganisms may inactivate the virus. (Feichtmayer et al., 2017) . In organic matter, for example, transmissible gastroenteritis virus (TGEV), a diarrheal pathogen of swine and surrogate for SARS-CoV-2, at 25 o C, survived for 22 days in reagent-grade water. In contrast, in wastewater (lake water), it survived for only nine days (Casanova et al., 2009) . Thus, coronavirus survival in treated wastewater (Carducci et al., 2020) is significantly different from survival in untreated wastewater that is known to contain microorganisms (protozoa, ciliates, flagellates, bacteria), which decrease the presence of viable viruses (Feichtmayer et al., 2017; Wartecki and Rzymski, 2020) . J o u r n a l P r e -p r o o f The impacts of the COVID-19 pandemic on the fisheries and aquaculture sector are wideranging (FAO, 2020) . The concerns about the safety of aquatic animal food products have directly impacted the aquaculture industry. This review aims to better understand the potential for SARS-CoV-2 contamination and its potential transmission via aquatic food animals or their products to curtail these direct impacts. The industry also faces global economic impacts by changing consumer demands, access to international markets, and problems with transport and border restrictions (FAO 2020) that may be longer-lasting, making the COVID-19 pandemic one of the most economically devastating diseases to affect the whole aquaculture value chain. This review supports the understanding that contaminated cold-chain food sources may introduce SAR-CoV-2 via food imports (Dai et al., 2020; Fisher et al., 2020) , although the virus is unlikely to infect humans through consumption of aquatic food animals or their products or drinking water, i.e., SAR-CoV-2 is not a foodborne virus and should not be managed as such but instead through the implementation of strong, multifaceted public health interventions such as physical distancing, rapid contact tracing, and testing, enhanced hand and respiratory hygiene, frequent disinfection of high-touch surfaces, and isolation of infected workers and their contacts, as advocated by the GAA (GAA, 2020). The -non-traditional‖ transmission of SAR-CoV-2 via cold-chain food contamination calls for enhanced screening protocols used in international seafood trade to prevent re-introducing SAR-CoV-2 in importing countries and regions. We provide critical information about how aquatic food does not present the big danger to the human population as was initially feared due to the association of early outbreaks to seafood markets and indicate areas needing more research. SARS-CoV-2 is not a foodborne virus and should not be managed as such. This virus can contaminating surfaces, including food handled by an infected person or coming in contact with contaminated material. Although SARS-CoV-2 has low stability on fomites at 21-23 o C (room temperature), it has been demonstrated that the virus can survive the time and temperatures associated with transportation and storage conditions associated with international food trade, thereby presenting a -non-traditional‖ transmission mechanism requiring enhanced screening protocols for the international seafood trade. While mostly viral RNA has been found on aquatic animals' products or surfaces in contact with aquatic animal products, a recent COVID-19 resurgence in Beijing, China, was linked to contaminated cold-chain food sources. However, a direct link between SARS-CoV-2 infection and food consumption remains to be documented. No funding was provided for writing the manuscript. The term foods is used to include fresh, frozen, prepared or processed food in general. 4 + denotes confirmed; ? denotes not yet known (*although long-range transport of SARS-CoV-2 has been linked to contaminated cold-chain food sources, -no direct link has been established between COVID-19 infection and foodborne transmission‖ (Han et al., 2020) ; -denotes not known to occur. J o u r n a l P r e -p r o o f Shi et al. 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