4.7 Article

Convergence between global BCG vaccination and COVID-19 pandemic

Journal

JOURNAL OF MEDICAL VIROLOGY
Volume 93, Issue 3, Pages 1496-1505

Publisher

WILEY
DOI: 10.1002/jmv.26450

Keywords

BCG vaccination; correlation data; COVID-19; severity variation; trained immunity

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The novel coronavirus SARS-CoV-2 has caused a global crisis with COVID-19, while efforts to develop vaccines are ongoing and the potential protective effect of BCG vaccine in COVID-19 is being investigated. However, further research is needed to fully understand the implications of these interventions.
The novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has kept the whole world in tenterhooks due to its severe life-threatening infectious disease, COVID-19. The virus is distinct from its cousins, SARS-CoV and MERS-CoV in terms of severity of the infection. The obligated killing properties of the SARS-CoV-2 virus is mediated by its unique structure. Efforts for developing vaccines for COVID-19 are ongoing, but it is unlikely to be available in the immediate future. Due to the absence of precise treatment, the investigators are discovering other effective, protective, and healing choices. However, the lower than a predictable number of SARS-CoV-2 cases in countries with fragile health systems is mystifying. Recently, there has been a buzz about the protective effect of Bacille Calmette-Guerin (BCG) vaccine in COVID-19 through long-term boosting of trained immunity. Based onepidemiological correlations, we link up that BCG vaccination adopted by different countries might influence the SARS-CoV-2 transmission patterns and/or COVID-19 associated mortality through the vaccine's capacity to confer heterologous protection. A number of clinical studies are underway to investigate this possibility but even if they prove effective-many questions will remain. Moreover, responsiblestewardship of the BCGvaccine in the context of the COVID-19 epidemic is directly needed.

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