Association between the dynamics of the COVID-19 epidemic and ABO blood type distribution

Yuefei Liu1, Lisa Häussinger1, Jürgen M Steinacker1

  • 1Division of Sports and Rehabilitation Medicine, Department of Internal Medicine II, University of Ulm, Ulm, Germany.

Insights

Blood type A is associated with higher COVID-19 spread and mortality. Understanding this link between severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) and ABO blood groups can aid pandemic control efforts.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic, caused by SARS-CoV-2, presents a significant global health challenge.
  • Understanding factors influencing SARS-CoV-2 transmission is crucial for effective pandemic response.
  • The potential role of host genetics, such as blood type, in disease dynamics warrants investigation.

Purpose of the Study:

  • To investigate the association between SARS-CoV-2 infection dynamics and ABO blood group distribution.
  • To analyze how blood type prevalence correlates with COVID-19 epidemic indicators across different global regions.

Main Methods:

  • Utilized big data from the WHO and Johns Hopkins University for early-phase COVID-19 epidemic data.
  • Analyzed infection and death data from approximately 5.4 billion people across six WHO geographic zones.
  • Calculated epidemic indicators including infection growth factor, case doubling times, and reproductive numbers in relation to blood type distribution.

Main Results:

  • A significant positive correlation was found between the proportion of blood type A and infection/death growth factors.
  • A significant negative correlation was observed between the proportion of blood type B and infection/death growth factors.
  • Populations with higher proportions of blood type A (>=30%) exhibited greater infection and death cases, higher growth factors, and shorter doubling times, indicating more dynamic epidemic spread.

Conclusions:

  • An association exists between SARS-CoV-2 infection dynamics and ABO blood group distribution.
  • Blood type A prevalence may be linked to increased COVID-19 epidemic severity and spread.
  • This finding could inform public health strategies for managing the COVID-19 pandemic.

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