Current results do not provide conclusive evidence on the effect of BCG vaccination on COVID-19 alone or in combination with other factors. To address this limitation, in this study we used a citizen science initiative on the COVID-19 pandemic to collect data worldwide during October 2-30, 2020 (1,233 individuals) in a structured way for analyzing factors and characteristics of affected individuals in relation to BCG vaccination. For the first time, the results of our study suggested that vaccination with BCG may increase the risk for COVID-19 at certain age, particularly in individuals vaccinated at childhood. A reasonable explanation for this effect is the activation of certain innate immunity mechanisms associated with inflammatory reactions, which should be considered when analyzing the risks associated with this global pandemic. These factors should be considered when analyzing the risks associated with this global pandemic.

Animal tuberculosis (TB) is a widespread infectious disease caused by the Mycobacterium tuberculosis bacteria belonging to the Mycobacterium tuberculosis complex (MTC) that can persist in reservoir wildlife hosts. Wild boar (sus scrofa) are a key reservoir for MTC and an increasing trend in wild boar density is expected to lead to an increase in TB prevalence with spill-over to livestock. MTC infection is presently controlled through a variety of strategies, including culling. African swine fever (ASF) is a virulent, viral infection which affects wild boar and is spreading across Eurasia and Oceania. ASF infection leads to near 100% mortality at the individual level, can cause a dramatic decrease in population density and may therefore lead to TB control. In this study we develop a mathematical model to examine the impact of ASF introduction into a wild boar population that supports endemic TB. Our model results indicate that an ASF infection will reduce wild boar population density and lead to a decrease in the prevalence of TB. If ASF persists in the local host population the model predicts the long-term decline of TB prevalence in wild boar. If ASF is eradicated, or fades-out in the local host population, the model predicts a slower recovery of TB prevalence in comparison to wild boar density after an ASF epidemic. This may open a window of opportunity to apply TB management to maintain low TB prevalence.

Recently, the survival of Mycobacterium bovis on livestock mineral blocks has been confirmed, but little is known about its implication in the transmission of animal tuberculosis (TB) under field conditions. The objective of this study was to describe the shared use of mineral supplements in four extensive beef cattle farms from a high TB prevalence area in South Central Spain, to identify the main factors explaining their use, and characterize its potential role for the transmission of Mycobacterium tuberculosis complex (MTC). This is relevant to design control measures at the wildlife-livestock interface. Animal activity was monitored by camera-trapping at 12 mineral supplementation points during spring and fall. Additionally, swabs were periodically taken from the mineral substrates and analyzed by PCR searching for MTC DNA. Cattle, pig, goat, sheep, wild boar and red deer were all recorded licking on mineral supplementation points. Livestock species were the main users and presented a diurnal use pattern. Wild ungulates presented a nocturnal-crepuscular use pattern, with scarce overlapping with livestock. Wild boar presence was positively related to cattle presence at mineral supplementation points, whereas red deer presence was higher in supplemental points closer to forested areas, mostly in absence of cattle. We recorded 266 indirect wildlife-livestock interactions (i.e. two consecutive visits that occurred within 78h), all of them derived from 21 unique wildlife visits. All the analyzed swabs resulted negative to MTC DNA. Comparing to other environmental sources of MTC in our study area, mainly water ponds, this research evidenced that mineral blocks are less attractive to wildlife. However, the potential for interspecific transmission of MTC or other pathogens cannot be discarded. The risk for interaction at mineral supplementation points and further transmission can be prevented by implementing specific measures in the context of integral biosecurity plans at the wildlife-livestock interface, which are proposed.

The 2018 outbreak of myxomatosis in the Iberian hare (Lepus granatensis), has been hypothesized to originate from a species jump of the rabbit-associated myxoma virus (MYXV), after natural recombination with an unknown poxvirus. Iberian hares were long considered resistant to myxomatosis as no prior outbreaks were reported. To provide insights into the emergence of this recombinant virus (ha-MYXV), we investigated serum samples from 451 Iberian hares (88 live captured, 313 hunted and 50 found dead) collected over two time periods, 1994-1999 and 2017-2019, using a rabbit commercial indirect ELISA after validation, and tested different tissues or sera by a qPCR targeting M0005L/R gene conserved in MYXV and ha-MYXV. The cut-off of ELISA Relative Index 10 = 6.1 yielded an estimated positive predictive value of 96.4% (CI95% 82.6-98.0%), by comparison with qPCR positive and negative reference hares. Overall, antibodies were detected in 12.6% (57/451) of the hares tested, of which 40.3% (23/57) were also qPCR positive. Antibodies were found in apparently healthy hares sampled in 1994-1999 (n=10, none MYXV-DNA positive), and in 2017-2019 (n=28, of which 14% were MYXV-DNA positive). For the Iberian hares hunted or live trapped, seroprevalence was significantly higher in 2017-2019 (13.0%, CI95% 9.2-18.2%) than in 1994-1999 (5.4%, CI95% 3.0-9.6%) (p=0.005), and significantly higher in 2019 (p=0.007), being lower during the winter (p<0.001). While our molecular and serological results show that Iberian hares have been in contact with MYXV or an antigenically similar virus at least since 1994, they also show an increase in seroprevalence in 2018-2019. The more remote contact of hares with MYXV may have occurred with strains that circulated in wild rabbit, or unnoticed strains circulating in Iberian hare populations. This work clearly confirms the circulation of MYXV in the Iberian hare ate least 20 years before the severe virus outbreaks observed in 2018.

The first SARS-CoV-2 pandemic has affected most countries causing hundreds of thousands of deaths. Evolution of the pandemic may involve endemicity with or without significant secondary waves. We observed that disease severity (p=0.006) and duration of symptoms (p<0.001) declined over time in an isolated rural community. This decline was not driven by changes in patient age structure nor by changes in temperature or precipitations. The underlying mechanism may be relevant for COVID-19 management.