Could the CCR5-Δ32 Mutation be Protective in SARS-CoV-2 Infection?

Increasing evidence points to host genetics as a factor in COVID-19 prevalence and outcome. CCR5 is a receptor for proinflammatory chemokines that are involved in host responses, especially to viruses. The CCR5-Δ32 minor allele is an interesting variant, given the role of CCR5 in some viral infections, particularly HIV-1. Recent studies of the impact of CCR5-Δ32 on COVID-19 risk and severity have yielded contradictory results. This ecologic study shows that the CCR5-Δ32 allelic frequency in a European population was significantly negatively correlated with the number of COVID-19 cases (p=0.035) and deaths (p=0.006) during the second pandemic wave. These results suggest that CCR5-Δ32 may be protective against SARS-CoV-2 infection, as it is against HIV infection, and could be predictive of COVID-19 risk and severity. Further studies based on samples from populations of different genetic backgrounds are needed to validate these statistically obtained findings.

The Correlation between temperature and COVID-19 Incidence: An ecologic study

Background It has been hypothesized that the COVID-19 is less prevalent in regions with warm climates. Here we investigated the correlation between temperature and the cumulative COVID-19 incidence rate. Method Daily data of the temperature and the cumulative COVID-19 incidence rate were obtained from meteorological stations’ reports and CORONALAB database, respectively, for every 36 counties of Fars province, southern Iran. Results A decreasing pattern in the cumulative incidence rate of COVID-19 was occurred at 20-25°C and 25-35°C for counties with the cold climate and counties with the warm climate, respectively; while it was increased at both upper and lower temperatures. Conclusion It appears that higher rates of disease transmission at temperatures below 20°C and above 35°C might be linked to people’s indoor gatherings, coupled with insufficient ventilation.

The Shortage of Benzathine Penicillin and Its Impact on Congenital Syphilis Incidence: An Ecologic Study in the City of Rio de Janeiro

Background The Pan American Health Organization indicates that increased incidence of congenital syphilis (CS) can be attributed to the lack of penicillin. This study aimed to analyze the relationship between the benzathine penicillin shortage and the significant increase in the incidence of congenital syphilis in the city of Rio de Janeiro from 2013 to 2017. Methods We used a mixed ecologic study design (temporal and multiple groups). Analysis units were the neighborhoods (spatial) and quarters (temporal) during those years. The study population consisted of CS patients who were living in the city of Rio de Janeiro. The benzathine penicillin supply measure for use in gestational syphilis considered the ratio between (1) the number of bottles dispensed to health facilities in each neighborhood and (2) the number of bottles necessary to treat pregnant women diagnosed with syphilis and their respective partners residing in each neighborhood. To evaluate the association between shortages and a significant increase in CS incidence, the negative-inflated zero-binomial regression model (longitudinal model) was used. Results During the study period, the incidence rate of CS in Rio de Janeiro neighborhoods was on average 19.6 per 1000 live births. In the simple analysis, shortage was associated with a 2.17-fold increase in the risk of a significant increase in CS incidence. After adjustment for the sufficient minimum set, the strength of association increased to 2.23 (95% confidence interval, 1.15–4.30). Conclusions We conclude that the benzathine penicillin shortage had an impact on the increase in the incidence of CS in Rio de Janeiro.