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Published on: September 19, 2016
Citizen science initiative points at childhood BCG vaccination as a risk factor for COVID-19
José de la Fuente1,2, Octavio Armas3, Luis Sánchez-Rodríguez3
1SaBio, Instituto de Investigación en Recursos Cinegéticos IREC-CSIC-UCLM-JCCM, Ciudad Real, Spain.
Insights
Bacille Calmette-Guérin (BCG) vaccination may increase the risk of contracting COVID-19, especially in individuals vaccinated during childhood. This finding suggests a potential link between BCG and heightened susceptibility to the virus.
Area of Science:
- Immunology
- Epidemiology
- Public Health
Background:
- Existing research lacks conclusive evidence on the impact of Bacille Calmette-Guérin (BCG) vaccination on COVID-19 outcomes.
- The role of BCG vaccination in the context of the COVID-19 pandemic requires further investigation.
Purpose of the Study:
- To analyze factors and characteristics of individuals affected by COVID-19 in relation to BCG vaccination status.
- To investigate the potential association between BCG vaccination and COVID-19 risk using a global citizen science approach.
Main Methods:
- A worldwide citizen science initiative collected data from 1,233 individuals between October 2-30, 2020.
- Structured data collection focused on analyzing factors, characteristics, and BCG vaccination status of individuals diagnosed with COVID-19.
Main Results:
- The study suggests that BCG vaccination may increase the risk of COVID-19, particularly in individuals vaccinated during childhood.
- Childhood BCG vaccination was associated with a fivefold increased likelihood of COVID-19 diagnosis in low-incidence countries and threefold in high-incidence countries.
- Innate immunity mechanisms and inflammatory reactions are proposed as potential explanations for this observed association.
Conclusions:
- Childhood BCG vaccination might be a risk factor for developing COVID-19.
- The findings highlight the need to consider BCG vaccination status in epidemiological analyses of the COVID-19 pandemic.
- Further research is warranted to elucidate the immunological mechanisms underlying the potential link between BCG and COVID-19 risk.
Abstract:
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 2 October 2020-30 October 2020 (1,233 individuals) in a structured way for analysing 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. Childhood BCG vaccination increased the likelihood of being diagnosed with COVID-19 fivefold in COVID-19 low-incidence countries and threefold in high-incidence countries. A reasonable explanation for this effect is the activation of certain innate immunity mechanisms associated with inflammatory reactions. These factors should be considered when analysing the risks associated with this global pandemic.
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