Evidence map›Paper›PMID 33254516›Full record

ArticleMedical hypotheses2020

COVID 19 mortality: Probable role of microbiome to explain disparity.

Parveen Kumar, Bal Chander

Open access · greenAbstract read
In one paragraph

Article in Medical hypotheses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Country differences in transmissibility, age distribution and case-fatality of SARS-CoV-2: a global ecological analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Article
  8. COVID-19 and gut immunomodulation.World journal of gastroenterology · 2021
    Review
  9. Article
  10. COVID-19 Pandemic in India: Through the Lens of Modeling.Global health, science and practice · 2021
    Article
  11. Article
  12. SARS-CoV-2 and immune-microbiome interactions: Lessons from respiratory viral infections.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Review
  13. The hygiene hypothesis, the COVID pandemic, and consequences for the human microbiome.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  14. Do Pandemics Obey the Elliott Wave Principle of Financial Markets?medRxiv : the preprint server for health sciences · 2021
    Article
  15. Article
  16. Review
  17. Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Parveen KumarDepartment of Community Medicine, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, India.
Bal ChanderDepartment of Pathology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, India. Electronic address: ssst419@hotmail.com.
Dr. Rajendra Prasad Government Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a significant difference between COVID 19 associated mortality between different countries. Generally the number of deaths per million population are higher in the developed countries despite better health care efficiency, drinking water quality and expected healthy life span (HALE) at the time of birth. Developing and underdeveloped countries on the other hand have lower mortality even with higher rural and slum populations along with incidence of diarrhea because of lack of sanitation. We analyzed data from 122 countries out of which 80 were high or upper middle income and 42 were low or low middle income countries. There was statistically significant positive correlation between COVID 19 deaths /million population and water current score, health efficiency, and HALE. Statistically significant negative correlation was observed with % rural population and fraction of diarrhea because of inadequate sanitation for all ages. Moreover analysis of 51 countries showed that there is significant negative correlation between COVID 19 deaths /million population and proportion of total population living in slums. We propose that high microbial exposure particularly gram negative bacteria can possibly induce interferon type I which might have a protective effect against COVID 19 since the countries with less mortality also tend to have lack of sanitation and high incidence of attendant diseases. So, far none of the predictive models have taken into account immune status of populations engendered by environmental microbial exposure or microbiome. There might be a need to look at dynamics of COVID 19 pandemic using immune perspective. The approach can potentially inform better policies including interventions.

Indexed as

MicrobiotaPandemicsSARS-CoV-2Bacterial InfectionsBiodiversityCOVID-19Developing CountriesEnvironmental MicrobiologyHealth Status DisparitiesHumansInterferon Type IModels, BiologicalPovertyRural PopulationInterferon Type ICOVID19ImmunityInterferon IMicrobiomeMortalityTLR4

Identifiers

PMID33254516
PMCPMC7444648
OpenAlexW3080084962

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.