White-nose syndrome (WNS) is a fungal disease in bats and one of the most devastating infectious disease outbreaks in wild mammals to emerge over the past century 1-15. WNS was first detected in 2007 by biologists who discovered an abnormal mortality event at a cave in Albany County, New York (NY), USA, while conducting routine bat population monitoring surveys 16. Bats that were still alive were covered in a white fungus, which was most noticeable on their muzzles, ears and wings, thus leading to the disease being named WNS 17,18. Following this discovery, inspection of nearby hibernation sites (hibernacula) led to similar findings and further examination of photos collected from previous winter surveys revealed that bats at another nearby site had visible signs of infection with the fungus in the winter of 2005-2006. Thus, the earliest evidence of this disease in North America is on 16 February 2006 in Howes Cave, NY 17. Histological examination of dead and dying bats later identified the likely causative agent as Geomyces destructans 19 , a novel fungus that was unknown to science before its discovery in North America 17. Based on DNA sequence data from other Geomyces spp. and related fungi, G. destructans was reclassified as Pseudogymnoascus destructans 16,17,20 in 2013. P. destructans is a multi-host psychrophilic ascomycete 20 in the order Onygenales, which contains many other pathogenic and environmentally resilient fungi. Molecular evidence suggests that P. destructans has evolved with Eurasian bat communities, with which it has coexisted for millenia 21,22 , to become a specialist pathogen that relies primarily on living bat tissue for growth and replication 22-24. The investment in parasitic traits has led to physiological and ecological trade-offs 22-26 , which make P. destructans both reliant on but also well adapted to infecting the epidermal tissue of hibernating bats during the winter 26,27. While bat communities across Eurasia experience greatly reduced WNS disease severity with no evidence of mass mortality 28,29 , naive host communities in North America experienced unprecedented population declines 1-15 on first exposure to this virulent pathogen 26,27. Routine monitoring and retrospective photo documentation of bat populations enabled biologists to estimate the timing of P. destructans' introduction to North America with some certainty, making this disease emergence unique among other wildlife diseases. Early detection enabled the spread of P. destructans across North America to be tracked and the impacts of the pathogen on hosts to be accurately assessed. Building on this information, the first decade of WNS research has led to considerable advances in the understanding of the closely tied interactions between P. destructans and its hosts compared with other emerging wildlife diseases over similar timescales 30,31. In this Review, we describe the origins, distribution, seasonal life history, pathogenesis, and the impacts and persistence of bats with P. destructans across the globe. Finally, we...