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DOE OSTI2020

The Demonstration of Power over Ethernet (PoE) Technologies in Commercial and Institutional Buildings

PoE technologies are currently ubiquitous in offices in the form of phones, access points, and IP security cameras and managed by on-site IT staff. As low voltage DC-power capabilities have increased with network switches, PoE devices are now being integrated across additional building systems, including lighting, computers, and HVAC controls. Since PoE devices are connected to network switches, energy monitoring and management can be performed through the IT network management software. Data and results from technology validations are still very limited for PoE equipment. This lack of information hinders higher adoption as its benefits and challenges have been insufficiently quantified in real-world scenarios. The use of IT network switches to power and control lighting, plug loads, and HVAC were demonstrated at a variety of sites including offices, schools, and a hotel. This paper presents the findings of a three-year DOE-/State of Minnesota-funded project that demonstrated and assessed the energy and non-energy benefits of Power over Ethernet (PoE) technologies at four commercial/institutional sites. The goals of the demonstrations were to: (1) assess the receptiveness of commercial and institutional markets to these new technologies, (2) demonstrate the feasibility of PoE technologies within standard design/construction practices and commercial codes, (3) assess the energy and cost savings opportunities of these technologies, (4) provide energy management opportunities where they typically are not available, and (5) formulate approaches to spur adoption of these technologies in the marketplace.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

DOE OSTI2020

The Demonstration of Power over Ethernet (PoE) Technologies in Commercial and Institutional Buildings

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

DOE OSTI2024

Discrete-Element and Material-Point Method (DEM and MPM) Based Solvers for Sustainable Technologies

We present the use of discrete element method (DEM) and material point method (MPM) in three relevant green technology applications that include biomass feedstock handling, lithium-ion battery manufacturing, and high-pressure reverse osmosis. Our open-source DEM and MPM solvers are developed using performance portable grid and particle management library, AMReX, thus enabling superior performance on NVIDIA and AMD GPUs with > 100 million particles. Our DEM solver resolves the motion of individual particles in a granular system and includes a bonded sphere method for modeling non-spherical particles along with Hertzian and liquid bridge-based contact models. We simulate highly variable biomass feedstock flows in large-scale hoppers for biofuel production and electrode calendering in battery manufacturing using DEM. Our simulations predict flow blockage in large scale biomass hoppers and electrode microstructure variations, thus providing valuable information for biofuel and battery manufacturers, respectively. The second half of the talk will be on MPM and its application towards pore resolved simulations of reverse osmosis membranes under compressive loads. We present a validation study of our MPM simulations with membrane microscopy imaging thus providing useful insights on membrane stability under high pressure conditions. We also present a spectral stability analysis of using linear hat, quadratic and cubic spline basis in MPM indicating regions of numerical stability.

BIOMASS FUELS,MATHEMATICS AND COMPUTING↗

DOE OSTI2022

Multi-Scale Modeling of Hydrogen Transport in a Porous Fuel Cell Anode

Proton-exchange-membrane fuel cells (PEMFC) are a clean energy conversion alternative to traditional fossil-fuel combustion; however, transport resistances in the electrode pose a lower-limit to catalyst loading and commercialization of PEMFCs. PEMFCs consist of simultaneous hydrogen (H 2 ) oxidation and oxygen (O 2 ) reduction at the anode and cathode, respectively. Here, while oxygen transport resistances in PEMFCs have been widely studied both experimentally and analytically, hydrogen transport resistances are less understood. Herein, we present a physics-based model that encompasses multi-scale transport within the anode side of the PEMFC. The O 2 in the cathode here is omitted and replaced with H 2 to deconvolute O 2 transport resistance contributions, similar to that of a hydrogen pump. Replication of the hydrogen pump setup allows for comparison of the model against experimental analysis of H 2 gas-transport resistance in H 2 limiting-current experiments, which can also inform gas transport (including oxygen) in general. Herein, we present a multi-scale analytical model of the porous anode catalyst layers and individual catalyst agglomerates that enables determination of the effects of electrode morphology such as agglomerate size, catalyst loading, etc. on H 2 transport resistance through the porous electrode to complement and better understand H 2 limiting current experiments and deconvolute local H 2 transport resistances.

Zhang, Rosa↗

DOE OSTI2024

Energy burden aware and thermal resilience informed thermal energy storage system planning for disadvantaged communities

Disadvantaged communities often face a disproportionate energy burden because they need to allocate a higher percentage of their income to energy costs. More importantly, climate change-induced extreme weather events, such as heat waves and severe cold snaps, exacerbate these communities’ energy burdens. As a result, low- and medium-income communities are more likely to experience energy supply disruptions, increased health risks, and elevated energy bills because of inadequate thermal insulation and airtightness in their houses. Thermal energy storage (TES) systems, such as large-scale (community-level) geothermal energy storage and small-scale (building-level) phase change material (PCM)–based storage, have a great potential to improve building energy efficiency and to enhance thermal comfort, load shifting, and integration with renewable energy. The objective of this study is to optimally allocate building level PCM-based TES systems at the community level by considering energy equity and extreme weather effects. To this end, we developed an energy burden and thermal resilience–informed TES system planning framework, which includes three modules: (1) a community-level energy burden and thermal resilience assessment module, (2) building-level a TES system integration and assessment module, and (3) a community-level optimal planning module. Case studies were conducted on four disadvantaged communities in Montgomery and Shelby Counties in Tennessee with energy burdens >10% and with high percentages of people of color. The results indicate that this comprehensive planning framework can assist disadvantaged communities in reducing their energy burden and in bolstering their resilience against the adverse effects of climate change.

Shen, Zhenglai↗

DOE OSTI2023

A Guide for Improved Resource Adequacy Assessments in Evolving Power Systems: Institutional and Technical Dimensions

This paper identifies and evaluates issues in traditional resource adequacy (RA) assessment practices, and how adjusting these practices may affect and depend on existing institutional arrangements for planning and procurement. The paper proposes a technical-institutional roadmap that would allow regulators in vertically-integrated jurisdictions and system planners and operators in restructured jurisdictions to revise RA practices across a range of components. First, we compile a critical review of current RA assessment practices based on (1) interviews with RA practitioners and (2) a review of recent technical literature. We find that (i) RA may need to expand beyond capacity adequacy to ensure energy adequacy – relevant for energy-limited resources such as storage – and potentially some form of ancillary service adequacy (e.g. enough ramping-up and ramping-down capability in the system); (ii) chronological hourly simulations for all hours in the year are the current best practice; (iii) metrics and models used do not reflect economic criteria in system operation and loss of load; and (iv) there is a need to improve representation of weather dependencies and weather data. Second, we review planning and RA reports for several private and public entities that plan generation and/or transmission infrastructure in the continental U.S. to look for existing practices involving resilience assessments. We find no systematic treatment of the costs of extreme weather and other hazards, the benefits of resilience, and resilience metrics in planning analyses and no systematic treatment of resilience metrics, methods, and outcomes for resource adequacy purposes. Third, we create a technical framework for probabilistic RA assessment and use it to study how key choices about how to model power system operations affect the values that are obtained for RA metrics. We find that (i) non-economic dispatch schemes that ignore economic objectives can lead to accurate RA assessments when coordinated with detailed operational strategies; (ii) multi-year data is critical to capture a wide variety of system conditions; (iii) not incorporating transmission limits into RA assessment could lead to substantial underestimation of traditional “expected value” RA metrics; and (iv) new RA metrics that capture event-specific shortfall characteristics should be used as supplements to traditional metrics. Finally, we examine RA assessments and use this information to propose a guide of evolving industry standards for resource adequacy assessments in resource planning and transmission planning. We report minimum, best, and frontier practices for temporal resolution of assessments, metrics and targets, weather data, load forecasting, characterization of variable renewable resources, characterization of transmission and market transactions, RA modeling and integration with planning processes, and capacity accreditation.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

DOE OSTI2025

Assessing electrification readiness in U.S. single-family homes based on a nationwide survey of electrical panel capacities

Electrification of residential buildings is a key strategy for increasing the use of renewable energy sources. Central to this transition is understanding the capacity of existing electrical infrastructure—specifically electrical panels—to safely and effectively manage increased electricity demands from electrification technologies. However, comprehensive nationwide data on electrical panel capacities in U.S. single-family homes is currently lacking. To address this gap, we conducted a nationwide survey of single-family homes, collecting detailed data on electrical panel capacities, breaker slot availability, major electric and gas appliances, electrical panel models, and home characteristics such as construction year and floor area. Photographic documentation was used to verify electrical panel data and appliance information. Results show that approximately 60% of surveyed homes have electrical panels rated at ≥200 amperes (A), indicating that a significant portion of the existing housing stock can accommodate additional electric loads. However, 31% of homes possess panels rated at ≤100 A, potentially restricting their ability to adopt new electric appliances without significant upgrades. Panel capacities positively correlate with both home size and construction year, with newer and larger homes generally better suited for electrification. Homes with higher-capacity panels tend to have fewer gas appliances, reflecting a gradual shift toward electric technologies. Conversely, homes with lower-capacity panels frequently rely on multiple gas appliances, highlighting substantial electrification challenges. Additionally, approximately 3% of surveyed homes had potentially hazardous electrical panel models, emphasizing important safety considerations in the residential electrification process. Our findings underscore the need for targeted policies, financial incentives, and infrastructure investments designed specifically to address infrastructural and safety barriers, particularly in older and smaller homes, to support equitable and efficient electrification across the U.S. residential sector.

Gul, Sadia↗

DOE OSTI2020

Control of Output Power in Primary Side LCC and Secondary Series Tuned Wireless Power Transfer System without Secondary Side Sensors

The output power of a wireless power transfer (WPT) system varies with load and coupling factor of the inductively coupled coils. This paper presents a method to control the output power of primary side LCC and secondary side series tuned WPT system using information of primary side variables. In this approach, a secondary side control system or secondary side sensors are not needed. Detailed mathematical derivations are given to identify and justify the suitable primary side variable that accomplishes the desired purpose without the need of any secondary side communications. Simulation results presented validate the proposed scheme.

Mukherjee, Subho↗

DOE OSTI2021

Human Factors Evaluation of Energy Visualization Dashboards

Energy visualization systems provide information about use in real-time to assist users with energy efficiency. In this study, three energy visualization dashboards for small businesses were developed and tested. Performance measurement, NASA Task Load Index (TLX) workload assessment, and posttest survey were used to conduct the usability testing. Compared with the dashboards that were designed using line charts and tables, a dashboard designed using visuals (e.g., gauges, pie charts, and flashing lights) produced quicker response time, lower mental and temporal demand and effort ratings, and higher ratings of engagement, interest, and trustworthiness.

Nimbarte, Ashish D. (ORCID:0000000210599112)↗

DOE OSTI2021

Design of high-deflection foils MHK applications - FEA models - Helical turbines

The Ocean Renewable Power Company's (ORPC's) goal is to design, develop, and test hydrofoils with large deflections. The effects of the deflections on cross-flow turbine performance would be evaluated in order to inform design considerations for full-scale water turbines and other marine hydrokinetic devices. FEA models - NASTRAN Helical foil turbines tested at UNH tow tank Glass and carbon composite material properties Loads derived from CFD models

16 TIDAL AND WAVE POWER↗

DOE OSTI2023

Resilience Assessment Framework For Electric Distribution Systems Performance Under Extreme Conditions

The devastating impact of extreme weather-related events is increasingly evident on power grids, especially on distribution grids. The severity of their potential impact calls for 1) developing a suitable resilience assessment framework to capture the system performance and 2) assessing relevant mitigative strategies to lessen the impact of such events. This paper proposes a framework to identify grid vulnerabilities using the energy-at-risk concept to select, disconnect and isolate grid portions due to a resilience event. The proposed framework mainly consists of two steps; i) processing the utility's available infrastructure, i.e., a network model, possible switching combinations, and outage information for those combinations, as a graph-based database, and ii) implementing a novel optimal switching algorithm leveraging database and grid simulated metrics. These switching actions are generated to implement load curtailment in a rolling manner during anticipated grid scarcity conditions. In this study, a test case is created using two taxonomy feeders and is simulated against an extreme temperature event, e.g., a long, relatively cold, and prolonged freeze peak, thereby creating stress on the grid. It is demonstrated that the proposed framework allows utilities to predict the energy-at-risk during such resilience events and design suitable outage management strategies.

Poudel, Shiva↗

DOE OSTI2023

Series tee splitter for impedance measurements

A series tee splitter comprises a primary electromagnetic transmission line and a secondary electromagnetic transmission line that is placed in a series path with the primary electromagnetic transmission line, wherein a load is attached to the end of the secondary electromagnetic transmission line and a network analyzer is connected to opposite ends of the primary electromagnetic transmission line to measure a load impedance. This configuration increases the high impedance measurement limit of the network analyzer normally seen for reflection measurements. The series tee splitter can be electrically small to provide broadband impedance information.

Halligan, Matthew↗

DOE OSTI2025

EV Charging Infrastructure Energization An Overview of Approaches for Simplifying and Accelerating Timelines to Processing EV Charging Load Service Requests

The United States has seen significant growth in electric vehicle (EV) adoption, leading to increased demand for EV charging infrastructure. Over the past decade, EV charging infrastructure site developers, site hosts, and electric distribution utilities have navigated the process to integrate chargers onto the electric grid. Site developers and site hosts have raised the alarm that the integration process for high-powered EV charging projects does not meet the needs of the EV market for timeliness or cost. High-powered charging stations typically require a load service request or an agreement with the local utility to connect to the grid. The process of energizing a new high-powered charging site can be complex and time-consuming, often taking up to 2 years. This timeline is the result of current utility energization processes having been designed for construction projects that take longer to build (i.e., buildings). The specific challenges stem from various factors, including compartmentalization in application processes, the integration of EV charging process approvals with other distributed energy resources (DERs), and the need to ensure grid reliability. The energization process needs to evolve to meet the growing demand for high-powered EV charging. This white paper compiles information gathered through various conversations with key stakeholders, including utilities, utility regulators, EV charging operators, site developers, and authorities having jurisdiction (AHJ) as well as through an extensive literature review. This document identifies the challenges and provides potential solutions to streamline the process of connecting EV charging infrastructure to the power grid in the United States, serving as a starting point for future conversations around these solutions. The solutions noted in this white paper require collaborative efforts among utilities, regulators, and EV charging infrastructure developers to streamline the grid connection process for EV charging infrastructure. They are broadly organized into four areas: 1. Increase data access and transparency: Develop automated load service request tools, integrate hosting capacity and load service request analyses, incorporate EV adoption forecasts, and provide transparency on the processing queue. 2. Improve energization processes and timing: Create fast-track options based on prescreening criteria, provide flexibility or phased approvals in the load service request/interconnection process, build internal knowledge within utilities about EV charging technologies, and provide standardized workforce training. 3. Promote economic efficiency: Right size distribution components to accurately reflect the load requirements of EV charging infrastructure, make proactive investments in grid infrastructure based on EV adoption forecasts and growth projections, and consider energy equity and environmental justice factors such as equitable access to EV charging when planning infrastructure. 4. Improve grid reliability and resilience: Use load management/power control systems (PCS) at EV charging stations, adopt and implement harmonized standards for communication protocols and information models between the EV charging and grid control infrastructure, and address cybersecurity considerations by implementing robust security measures and standards for EV charging infrastructure—with particular emphasis on clarifying the security requirements for the interface to the grid. The objective of the solutions proposed in this white paper is to accelerate the timeline and decrease costs associated with connecting EV charging infrastructure to the grid. Electric utilities, utility regulators, EV charging infrastructure developers, and site hosts will first need to understand which solutions are available in their service territory, and if warranted, which combination of solutions would support their specific needs. Through the successful implementations of solutions at scale detailed here, industry will demonstrate a new and innovative ecosystem where timely deployment and energization of EV charging infrastructure with greater grid resiliency and reliability is a reality.

24 POWER TRANSMISSION AND DISTRIBUTION↗

DOE OSTI2021

Igiugig Site Visit Report

The National Renewable Energy Laboratory (NREL) team conducted a site visit during January 23-25, 2019 with the Igiugig Village Council (IVC) and other stakeholders to assist the community of Igiugig in refining their long-term energy strategy. The agenda included a tour of the village, data collection, presentations, long-term visioning exercises, identification of energy scenarios, and a school presentation. Participants in the site visit activities spanned a range of local, regional, government, and industry participation. There were 24 attendees at the all-day community workshop on Thursday, January 24th, with participants from the IVC, NREL, Bristol Bay Native Association (BBNA), Bristol Bay Native Corporation (BBNC), Lake and Peninsula Borough, Alaska Energy Authority, Intergrid, ORPC, Deer Stone Consulting, the Southwest Alaska Municipal Conference, and University of Alaska Fairbanks - Alaska Center for Energy and Power. Igiugig is a well-organized rural Alaskan community, with a leadership team that appears to have broad community support. The use of consensus-based decision making is one tangible example of how the leadership team actively invokes and promotes community-focused thinking. The NREL team observed anecdotal evidence of how this approach seems to be strengthening the community: active participation in the visioning exercise, a student hosted fund-raiser dinner at the school, a clean and organized landfill, and well-maintained roads and buildings. Igiugig has wind, solar, and river hydrokinetic resources readily available within the community. Wind has shown to be a promising resource in the region, and has been integrated into microgrids around the state, but the community has had mixed success with wind technologies: some devices failed quickly and others continue to operate. The economics of solar energy are improving in Alaska, and economical solar projects are being installed around the state. Considering that economic activity in Igiugig peaks during the summer sport fishing season, solar could prove to be a valuable supplement to the electrical system. Igiugig has been a test site for two different river hydrokinetic devices, and they have began a third project to operate ORPC's RivGen device, which is delivering valuable device performance data, operations and maintenance experience, and design refinement information. Already, this device has made over 7-million revolutions, and delivered over 8 MWh of power to the community. Igiugig's river resource is fairly unique because it is available year-round and has the potential to provide reliable base-load power for months at a time. A preliminary investigation of this diverse resource mix suggests that Igiugig could achieve very high levels (70% or more) of annual renewable generation contributions. A critical step in pursuing this path is identifying the mix of energy assets (generation and storage) that best meets the community's budget, needs, and goals. The assets that a community installs early in their grid-modernization initiative can constrain the options that are economical at later stages, which may lead to sub-optimal solutions. This is where technical and economic analysis of potential scenarios (i.e., distinct mixes of energy assets) can be useful in identifying the most promising pathways so that a community can make informed and strategic decisions about the assets they install. These analyses are most accurate and informative when they are based on actual technology performance and cost data. As the RivGen project continues to operate and generate this data, we will be better prepared to evaluate the technology's long-term viability and to identify research areas that would improve it. Igiugig's energy projects are at the cutting edge of two intersecting technology areas: 1) deploying an operational river hydrokinetic turbine, and 2) integrating renewable energy sources to achieve very high percent renewables. If these projects are successful, the lessons learned and technologies developed could be valuable for other microgrids around the world. Igiugig's unique resource mix make it an ideal location for this work, and the community's organizational strength make it an ideal partner in this ground-breaking work. Ongoing support for technical assistance to manage and address technical challenges along the way will maximize the probability of project success.

13 HYDRO ENERGY↗

DOE OSTI2022

Co-simulation Framework for Community-scale Building-grid Integration [SWR-21-75]

Distributed energy resources (DERs), including rooftop solar, energy storage, and flexible loads, are gaining popularity as costs decline and as building owners and utilities realize their benefits. DERs can improve distribution system efficiency, help prevent the need for expensive grid upgrades, and increase the resilience of local communities. However, they can also cause difficulties in grid operations and can require controls to achieve their benefits. To address this challenge, NREL researchers have developed a community-scale solution that assesses the impacts of DERs and their control strategies on a distribution system. The framework has been shown to reduce solar photovoltaic (PV) curtailment to 0%, mitigate the adverse impact of solar variability on the distribution voltage, and provide up to 5-day critical load support during emergency events. Utilizing 5 different modules representing the feeder, buildings, home energy management systems, an aggregator, and a utility controller, NREL expects this simulation technology to play a critical role in the continued integration of DERs. According to the Energy Information Administration (EIA), solar curtailments accounted for 94% of the total energy curtailed in the California Independent System Operator (CAISO) in 2020. By enabling Independent System Operators (ISOs) and utility operators to bring solar curtailments to 0%, the electrical grid can become less dependent on fossil-fueled power generation sources. NREL's co-simulation framework contains five major components: Distribution Feeder Model: describes the distribution feeder topology using OpenDSS, including the locations of all DERs. Residential Building Model: simulates a large number of buildings at a high resolution using OCHRETM. The model is equipped to control equipment based on signals from an external module. The model includes major household appliances such as HVAC and a water heater, non-dispatchable load models, a distributed PV system, and a home battery system. Home Energy Management System: optimizes the controls for the devices in a home using foreseeTM. The control can adjust based on the user preferences including cost, comfort, and convenience. In hierarchical control scenarios, where the houses follow signals from an aggregator, the home energy management system provides a flexibility band with a range of power and follows the dispatch signals received from aggregator. Community-Level Aggregator: solves for optimal energy dispatch based on the flexibility bands received from each home and the grid service signal received from the utility controller. Utility-Level Controller: provides grid signals for voltage control using Distributed Energy Resources (DERs), such as solar systems, in the community.

Balamurugan, Sivasathya Pradha↗

DOE OSTI2023

Final Report On Non-Intrusive Load Monitoring Of Welding Processes

The conventional method of weld process monitoring is to monitor the process output electrical power close to the point of welding. Non-Intrusive Load Monitoring (NILM) describes the method of monitoring primary or utility electrical power into a welding process well away from the point of welding. The objective of this project was to determine if there is sufficient information within the welding process input power to understand process output power characteristics, and, if so, determine if there is sufficient resolution within the input electrical characteristics to infer some measures of weld quality. To understand the relationship between process input and output power, both input and output power were monitored for two welding processes (GMAW and GTAW) and two different power source types (inverter and SCR). Welds were made with and without intentional disturbances. The results showed that there is a strong correlation between input and output power and that the influence of process disturbances are evident within the input power. A simple method using input power only was devised and successfully demonstrated to discriminate between a weld made with no intentional disturbance (a nominal weld) from a weld made with an intentional disturbance (off-nominal weld). The primary conclusions of this work is that NILM of process input power is sensitive to process disturbances that could influence weld quality and that the approach warrants additional study.

36 MATERIALS SCIENCE↗

DOE OSTI2024

Development of ceria-supported metal-oxide (MO x /CeO 2 ) catalysts via a one-pot chemical vapor deposition (OP-CVD) technique: Structure and reverse water gas shift reaction study

Current synthesis techniques for metal oxide (MO x )-supported catalysts have certain limitations of undesired target loading, ineffective dispersion of active species over the surface, uncontrolled particle size of active species, and complicated synthesis steps. Here, we developed a one-pot chemical vapor deposition (OP-CVD) methodology; by using which a solid metal precursor forms a vapor in a controlled condition and gets supported over the surrounding matrix. The theoretical stability followed by experimental validation using TGA is crucial for selecting the metal precursors. Three simple steps viz. premixing, dispersion, and rapid fixation by calcination are involved in the catalyst development via the OP-CVD approach. This study solely focused on the synthesis of 3d transition MO x over ceria support. The physicochemical characterizations of the prepared catalysts were performed by XRD, ICP-OES, SEM-EDX, CO pulse chemisorption, XANES, and EXAFS analyses to understand the crystal structure of involved species, target metal loading, dispersion, and particle size and prove the feasibility and viability of OP-CVD. The prepared catalysts were further tested for reverse water gas shift (RWGS) reaction to link their structural information with activity. The RWGS reaction data showed that the CO activity and CO selectivity were metal - and metal precursor-dependent. Higher CO activity of > 0.1 mol/h g-cat was observed for Cu and Co-based catalysts, with CO selectivity of ~100 %. This study provides an opportunity to produce efficient supported catalysts in a convenient way, providing effective catalytic activity.

36 MATERIALS SCIENCE↗

DOE OSTI2025

HIV drug resistance during antiretroviral therapy scale-up in Uganda, 2012–19: a population-based, longitudinal study

Background With scale-up of antiretroviral therapy (ART) in sub-Saharan Africa, increasing pretreatment HIV drug resistance has been reported; however, the broader effect of ART expansion on population-level resistance patterns remains insufficiently quantified. We aimed to estimate the longitudinal prevalence of drug resistance and resistance-conferring mutations. Methods This study used data collected as part of the Rakai Community Cohort Study (RCCS), an open population-based census and cohort study conducted in southern Uganda. At each survey round, residents aged 15–49 years are invited to participate and receive a structured questionnaire that obtains sociodemographic, behavioural, and health information, including self-reported past and current ART use. Voluntary HIV testing is conducted using a rapid test algorithm and a venous blood sample. People with HIV provide samples for viral load quantification and deep sequencing. We analysed RCCS survey, HIV viral load, and deep sequencing (which was used to predict resistance) data from five survey rounds. The key outcomes were the population prevalence of viraemic people with HIV with non-nucleoside reverse transcriptase inhibitor (NNRTI), nucleoside reverse transcriptase inhibitor (NRTI), protease inhibitor, or multiclass resistance among all participants (regardless of HIV serostatus) in the 2015 and 2017 surveys. Prevalence of class-specific resistance and resistance-conferring substitutions were estimated using robust log-Poisson regression. Findings Between Aug 10, 2011, and Nov 4, 2020, there were 43 361 participants in the RCCS and 7923 (18·27%) people with HIV. Over five survey rounds, 93 622 participant visits occurred, among which 17 460 (18·65%) were from people with HIV. Over the analysis period, the median age of study participants remained similar (28 years [22–35] in 2012 and 29 years [21–38] in 2019). Sufficient data were available to reliably genotype 4072 (90·03%) of 4523 participant visits from 3407 people with HIV for at least one drug. Overall population prevalence of resistance contributed by viraemic pretreatment people with HIV decreased between 2012 and 2017 from 0·56% (95% CI 0·42–0·75) to 0·25% (0·18–0·33) for NNRTI and from 0·24% (0·15–0·37) to 0·05% (0·02–0·10) for NRTI (prevalence ratio 0·44 [0·29–0·68] for NNRTI and 0·21 [0·09–0·47] for NRTI). Between 2012 and 2017, NNRTI resistance among viraemic pretreatment people with HIV increased from 4·86% (3·69–6·42) to 9·61% (7·27–12·7; prevalence ratio 1·98 [1·34–2·91]). The prevalence of NNRTI and NRTI resistance was substantially higher among viraemic treatment-experienced people with HIV (51·49% [46·24–57·34] for NNRTI and 36·46% [30·06–44·22] for NRTI in 2017) than among pretreatment people with HIV. NNRTI and NRTI resistance was predominantly attributable to rtK103N and rtM184V. inT97A was observed at a similar prevalence among viraemic treatment-experienced (9·96% [6·41–15·48]) and viraemic pretreatment (10·56% [8·01–13·93]) people with HIV; no major dolutegravir resistance mutations were observed. Interpretation Despite rising NNRTI resistance among pretreatment people with HIV, overall population prevalence of pretreatment HIV drug-resistant viraemia decreased due to increasing ART uptake and viral suppression. This finding underscores the crucial role of achieving and maintaining high ART coverage in reducing transmission of drug-resistant HIV. The high prevalence of mutations conferring resistance to components of first-line ART regimens among viraemic people with HIV is potentially concerning. Funding National Institutes of Health, Johns Hopkins University Center for AIDS Research, Bill & Melinda Gates Foundation, and the US Centers for Disease Control and Prevention.

59 BASIC BIOLOGICAL SCIENCES↗