RT Journal Article T1 COVID-19, an opportunity to reevaluate the correlation between long-term effects of anthropogenic pollutants on viral epidemic/pandemic events and prevalence. A1 Tsatsakis, Aristidis A1 Petrakis, Demetrious A1 Nikolouzakis, Taxiarchis Konstantinos A1 Docea, Anca Oana A1 Calina, Daniela A1 Vinceti, Marco A1 Goumenou, Marina A1 Kostoff, Ronald N A1 Mamoulakis, Charalampos A1 Aschner, Michael A1 Hernández, Antonio F K1 COVID-19 K1 Chronic diseases K1 Coronavirus K1 Epidemic K1 Immune deficiency K1 Pandemic K1 Pollutants K1 SARS-CoV-2 K1 Xenobiotics AB Occupational, residential, dietary and environmental exposures to mixtures of synthetic anthropogenic chemicals after World War II have a strong relationship with the increase of chronic diseases, health cost and environmental pollution. The link between environment and immunity is particularly intriguing as it is known that chemicals and drugs can cause immunotoxicity (e.g., allergies and autoimmune diseases). In this review, we emphasize the relationship between long-term exposure to xenobiotic mixtures and immune deficiency inherent to chronic diseases and epidemics/pandemics. We also address the immunotoxicologic risk of vulnerable groups, taking into account biochemical and biophysical properties of SARS-CoV-2 and its immunopathological implications. We particularly underline the common mechanisms by which xenobiotics and SARS-CoV-2 act at the cellular and molecular level. We discuss how long-term exposure to thousand chemicals in mixtures, mostly fossil fuel derivatives, exposure toparticle matters, metals, ultraviolet (UV)-B radiation, ionizing radiation and lifestyle contribute to immunodeficiency observed in the contemporary pandemic, such as COVID-19, and thus threaten global public health, human prosperity and achievements, and global economy. Finally, we propose metrics which are needed to address the diverse health effects of anthropogenic COVID-19 crisis at present and those required to prevent similar future pandemics. YR 2020 FD 2020-05-11 LK http://hdl.handle.net/10668/15609 UL http://hdl.handle.net/10668/15609 LA en DS RISalud RD Apr 9, 2025