“…Regarding COVID-19, it has been proposed that trained innate immunity or heterologous T-cell responses induced by BCG vaccination may reduce disease incidence, morbidity and severity (Curtis et al, 2020;Giamarellos-Bourboulis et al, 2020;Jirjees et al, 2020;Kubota et al, 2020;Levi et al, 2021;Mantovani & Netea, 2020;Marín-Hernández et al, 2021;Pana et al, 2021;Wickramasinghe et al, 2020). However, considering the limitations of ecological studies, analyses of the links between BCG vaccination and COVID-19 incidence and mortality have shown no correlation (Hensel et al, 2020;Liu et al, 2021;Ricco & Ranzieri, 2021), negative correlation (Goswami et al, 2021;Singh et al, 2020) or changes in correlation patterns as the pandemic progresses (Kubota et al, 2020). Other factors that have been proposed to affect SARS-CoV-2 infection and disease morbidity and mortality include ABO blood group (higher and lower susceptibility to infection in individuals with A and O blood groups, respectively) (Hodžić et al, 2020;Wu et al, 2020), age (older age associated with COVID-19 severity and mortality) (Ho et al, 2020), antibody levels against glycan Galα1-3Galβ1-(3)4GlcNAc-R (α-Gal) present in midgut microbiota (lower antibody levels associated with higher disease severity) (Urra et al, 2020) and sex (male patients appear to be at higher risk of mortality) (Ritter & Kararigas, 2020).…”