Wastewater contains a large number of biomarkers that reflect the lifestyle and health status of an entire community.

Our mission

Monitoring human health on a global scale using wastewater-based epidemiology.

Wastewater contains valuable information about various aspects of human lifestyle and health. The goal of the SCORE network is to bring experts together and to further develop wastewater-based epidemiology towards a comprehensive and complementary approach which can help monitor and, ultimately, improve human health.

What we do

Further develop wastewater-based epidemiology as an innovative tool to improve human health on a global scale.

We promote and coordinate research in the field of wastewater-based epidemiology.

Research and development

The main activity of SCORE members is to further develop and implement wastewater-based epidemiology as an innovative and complementary tool to monitor human lifestyle and health. SCORE members are involved in numerous national and international research projects.

Yearly monitoring campaigns

SCORE has been coordinating a yearly monitoring campaign to assess illicit drug use through wastewater analysis since 2011.
Once a year, SCORE members collect wastewater samples from cities across the world and analyse these to determine amounts of illicit drug markers. Data is then published and provides an overview of illicit drug use across numerous cities in the world. Part of this data is published by the European Centre for Drug and Drug Addiction (EMCDDA) in Lisbon.

Inter-laboratory exercise

To guarantee that only high-quality data is used and published, SCORE organises a yearly inter-laboratory exercise in which any interested laboratory can participate for free.

Guidelines and best practices

Through the research that our members carry out, their expertise and the year-long experience with proficiency testing, we formulate guidelines and best practices that organisations involved in wastewater-based epidemiology can follow to ensure that correct and accurate data can be obtained from wastewater analysis.
Photo: KWR, Nieuwegein NL

Who we are

We are a network of research and governmental organisations focused on developing and implementing wastewater-based epidemiology to improve human health.

SCORE members

SCORE exists thanks to the voluntary work and commitment of its members, a network of more than 34 organisations from across the world.


Activities of SCORE are being coordinated by a smaller group of core member organisations from Belgium, Italy, the Netherlands, Norway, Spain, Switzerland and the UK.

Meet the SCORE core team

This is the group of researchers that coordinate the SCORE network

Sara Castiglioni​

Unit Head at Mario Negri Institute for Pharmacological Research​

Coordinator SCORE network

Lubertus Bijlsma

Researcher at Research Institute for Pesticides and Water, University Jaume I

Deputy coordinator SCORE network

Christoph Ort

Group Leader (Swiss Federal Institute of Aquatic Science and Technology)

Frederic Béen

Researcher and Theme Coordinator Chemical Safety at KWR Water Research Institute

Jose Antonio Baz Lomba

Researcher at the Environmental Chemistry and Technology department, Norwegian Institute for Water Research

Alexander van Nuijs

Research professor at University of Antwerp, Department of Pharmaceutical Sciences, Toxicological Centre

Adrian Covaci

Professor of Environmental and Analytical Toxicology at University of Antwerp, Toxicological Center

Barbara Kasprzyk

Professor in Environmental and Analytical Chemistry, University of Bath

We collaborate with

Want to participate?

We are always looking for partners willing to participate and to contribute to the SCORE network in order to further develop wastewater-based epidemiology.