Impact of the COVID-19 Duration on Neglected Parasitic Diseases

Özlem Ulusan Bağcı1

  • 1İzmir Katip Çelebi Üniversitesi, Atatürk Eğitim ve Araştırma Hastanesi, Tıbbi Mikrobiyoloji Kliniği, İzmir, Türkiye

Insights

Parasitic infections may offer protection against COVID-19 by modulating immune responses and sharing cellular receptors with SARS-CoV-2. However, the pandemic has disrupted parasitic disease control, risking increased incidence of malaria and other helminth infections.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Epidemiology

Background:

  • The COVID-19 pandemic caused by SARS-CoV-2 has led to significant mortality globally.
  • Parasitic infections, though often underestimated, are highly prevalent and lethal.
  • Emerging research suggests parasitic infections can alter host immunity, impacting viral disease progression.

Purpose of the Study:

  • To explore the potential protective effects of parasitic immunity against SARS-CoV-2 infection.
  • To investigate the mechanisms by which parasites influence viral disease outcomes, including the cytokine storm.
  • To highlight the consequences of pandemic-related disruptions on the control of parasitic diseases.

Main Methods:

  • Review of recent scientific literature on the interplay between parasitic infections and viral diseases.
  • Analysis of shared cellular receptors (e.g., CD147) and immunological pathways (e.g., Th1/Th2 responses) between SARS-CoV-2 and parasites.
  • Examination of epidemiological data and trends in parasitic disease incidence during the COVID-19 pandemic.

Main Results:

  • Parasitic infections may confer protection against SARS-CoV-2 by modulating immune responses and potentially utilizing common cellular entry receptors.
  • Helminth infections, promoting Th2 immunity, may mitigate the severity of COVID-19 by preventing detrimental Th1-driven cytokine storms.
  • The global focus on COVID-19 has led to a concerning pause in efforts against parasitic diseases, potentially increasing their incidence.

Conclusions:

  • Immunity shaped by parasitic infections could play a role in the varying severity and incidence of COVID-19 observed globally.
  • Urgent resumption of parasitic disease control programs is necessary to prevent a resurgence of malaria, leishmaniasis, schistosomiasis, and soil-transmitted helminths.

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