Removal of chloroquine from the aqueous solution by adsorption onto açaí-based biochars: Kinetics, thermodynamics, and phytotoxicity

This study aimed at emerging contaminant chloroquine (CQN) removal, widely used in the COVID-19 pandemic through adsorption and employing a low-cost activated biochar from açai fruit endocarp. Two different adsorbents from the same precursor were applied. The first (CAA) was activated at a high temperature using ZnCl2, and the second (CA) was obtained by physical activation. The adsorbents were characterized through BET, FTIR, DRX, TG/DTG, and SEM. The results showed that zinc chloride activation furnished a material with a high specific surface area (SBET) and pore volume of 762 m2 g−1 and 0.098 cm3 g−1, respectively. Adsorption kinetics and isotherm were best adjusted through the pseudo-second-order (PSO) and Freundlich for both biochars. The process was thermodynamically favorable, occurring spontaneously without energy request. Additionally, the maximum adsorption capacity for CQN was 15.56 and 40.31 mg g−1 for CA and CAA, respectively, in pH 6.84, at a temperature of 25 °C, 50 mL solution and with 0.05 and 0.02 g of adsorbent. Those results are congruent with the literature showing the versatility of the material and the efficiency of the applied adsorption process.

Post-acute sequelae of COVID-19 is characterized by diminished peripheral CD8+ß7 integrin+ T cells and anti-SARS-CoV-2 IgA response.

Several millions of individuals are estimated to develop post-acute sequelae SARS-CoV-2 condition (PASC) that persists for months after infection. Here we evaluate the immune response in convalescent individuals with PASC compared to convalescent asymptomatic and uninfected participants, six months following their COVID-19 diagnosis. Both convalescent asymptomatic and PASC cases are characterised by higher CD8+ T cell percentages, however, the proportion of blood CD8+ T cells expressing the mucosal homing receptor ß7 is low in PASC patients. CD8 T cells show increased expression of PD-1, perforin and granzyme B in PASC, and the plasma levels of type I and type III (mucosal) interferons are elevated. The humoral response is characterized by higher levels of IgA against the N and S viral proteins, particularly in those individuals who had severe acute disease. Our results also show that consistently elevated levels of IL-6, IL-8/CXCL8 and IP-10/CXCL10 during acute disease increase the risk to develop PASC. In summary, our study indicates that PASC is defined by persisting immunological dysfunction as late as six months following SARS-CoV-2 infection, including alterations in mucosal immune parameters, redistribution of mucosal CD8+ß7Integrin+ T cells and IgA, indicative of potential viral persistence and mucosal involvement in the etiopathology of PASC.

Adsorption of the First-Line Covid Treatment Analgesic onto Activated Carbon from Residual Pods of Erythrina Speciosa.

In this study, the residual pods of the forest species Erythrina speciosa were carbonized with ZnCl2 to obtain porous activated carbon and investigated for the adsorptive removal of the drug paracetamol (PCM) from water. The PCM adsorption onto activated carbon is favored at acidic solution pH. The isothermal studies confirmed that increasing the temperature from 298 to 328 K decreased the adsorption capacity from 65 mg g-1 to 50.4 mg g-1 (C0 = 175 mg L-1). The Freundlich model showed a better fit of the equilibrium isotherms. Thermodynamic studies confirmed the exothermic nature (ΔH0 = -39.1066 kJ mol-1). Kinetic data indicates that the external mass transfer occurs in the first minutes followed by the surface diffusion, considering that the linear driving force model described the experimental data. The application of the material in the treatment of a simulated effluent with natural conditions was promising, presenting a removal of 76.45%. Therefore, it can be concluded that the application of residual pods of the forest species Erythrina speciosa carbonized with ZnCl2 is highly efficient in the removal of the drug paracetamol and also in mixtures containing other pharmaceutical substances.

Air pollution in central European capital (Budapest) via self-made passive samplers and Sentinel-3B SYN satellite images

This study is to identify the types of ultra-fine air pollutants present in the local atmosphere. The authors utilize Sentinel-3B SYN satellite images to identify the presence of Aerosol Optical Thickness (T550), and later verify this presence through physical sample collection using self-made passive samplers (SMPSs) at various locations in Budapest ((A) Passenger Cruise Port, (B) Kunsthalle, (C) Szechenyi Lanchid, and (D) Liberty Bridge). The samples obtained from the SMPSs were analyzed by X-ray Diffraction (XRD) to identify the minerals present in ultra-fine phases (e.g. minerals and ultra-fine amorphous). The images from the Sentinel-3B SYN satellite, taken between 2018, 2019 and 2021 allowed us to identify the Aerosol Optical Thickness (T550) at these same locations in Budapest. The SMPS samples revealed the presence of ultra-fine particles containing elements dangerous to human health, such as: As, Cd, Cr, Hg, Pb, Ti, V and Ni. The points analyzed in the Sentinel-3B SYN satellite images showed a 50.89% reduction in T550 levels in the city of Budapest, attributed to the COVID-19 epidemic, which clearly demonstrates the need to reduce pollutants for a better quality of life in this central capital of Europe.

Prediction of Noninvasive Ventilation Failure in COVID-19 Patients: When Shall We Stop?

INTRODUCTION: In coronavirus disease 2019 (COVID-19), there are no tools available for the difficult task of recognizing which patients do not benefit from maintaining respiratory support, such as noninvasive ventilation (NIV). Identifying treatment failure is crucial to provide the best possible care and optimizing resources. Therefore, this study aimed to build a model that predicts NIV failure in patients who did not progress to invasive mechanical ventilation (IMV). METHODS: This retrospective observational study included critical COVID-19 patients treated with NIV who did not progress to IMV. Patients were admitted to a Portuguese tertiary hospital between October 1, 2020, and March 31, 2021. The outcome of interest was NIV failure, defined as COVID-19-related in-hospital death. A binary logistic regression was performed, where the outcome (mortality) was the dependent variable. Using the independent variables of the logistic regression a decision-tree classification model was implemented. RESULTS: The study sample, composed of 103 patients, had a mean age of 66.3 years (SD=14.9), of which 38.8% (40 patients) were female. Most patients (82.5%) were autonomous for basic activities of daily living. The prediction model was statistically significant with an area under the curve of 0.994 and a precision of 0.950. Higher age, a higher number of days with increases in the fraction of inspired oxygen (FiO2), a higher number of days of maximum expiratory positive airway pressure, a lower number of days on NIV, and a lower number of days from disease onset to hospital admission were, with statistical significance, associated with increased odds of death. A decision-tree classification model was then obtained to achieve the best combination of variables to predict the outcome of interest. CONCLUSIONS: This study presents a model to predict death in COVID-19 patients treated with NIV in patients who did not progress to IMV, based on easily applicable variables that mainly reflect patients' evolution during hospitalization. Along with the decision-tree classification model, these original findings may help clinicians define the best therapeutical approach to each patient, prioritizing life-comforting measures when adequate, and optimizing resources, which is crucial within limited or overloaded healthcare systems. Further research is needed on this subject of treatment failure, not only to understand if these results are reproducible but also, in a broader sense, helping to fill this gap in modern medicine guidelines.

The COVID-19 Student Stress Questionnaire: Validation in Spanish university students from health sciences.

This study aimed to validate the Spanish version of the COVID-19 Student Stress Questionnaire (CSSQ), a 7-item tool assessing COVID-19-related stressors among university students, namely, Relationships and Academic Life, Isolation, and Fear of Contagion. Participants were 331 Spanish university students. Factor analyses sustained the three factor solution of the original tool. Data also revealed satisfactory convergent and discriminant validity, suitable internal consistency, and significant associations with psychological symptoms, as measured by the Symptom Checklist-90-Revised. The Spanish version of the CSSQ represents a valid tool to be used in clinical settings to timely identify students at high psychological risk and to develop evidence-based interventions during/after the pandemic.

Behavior of the Return of Shares of Information Technology Companies Listed on B3 During the Covid-19 Pandemic

The worldwide pandemic of the new coronavirus is an external event that has been impacting economic sectors, with the technology sector being positively impacted by an increase in demand for products and services related to information technology. Motivated by the essentiality of the information technology sector, this study aims to analyze the behavior of stock returns of companies in the information technology sector listed on B3 during the Covid-19 pandemic. Descriptive methodology was used, with a quantitative approach for data analysis, regarding the procedures, it was classified as an event study. The initial sample comprised 14 firms from the information technology sector listed in Brazil, Stock Exchange, Counter (B3) and plus the Ibovespa index, 9 firms were eliminated for not presenting results throughout the analyzed period, leaving the final sample with 5 firms, with daily data for the period from 03/12/2019 to 03/12/2021 (2,766 daily observations). The results suggest that the Covid-19 pandemic affected the returns of the information technology sector, which after the start of the pandemic presents returns higher than the Ibovespa Index, however, when analyzing the persistence of returns, the results are significant in only some months. (English) [ FROM AUTHOR]

Zero knowledge and high interest in the use of long-acting injectable pre-exposure prophylaxis (PrEP) among adolescent men who have sex with men and transgender women in two capital cities in Brazil.

BACKGROUND: Adolescent men who have sex with men (aMSM) and transgender women (aTGW) are affected disproportionately by human immunodeficiency virus (HIV) infection. Although new methods of pre-exposure prophylaxis (PrEP), such as long-acting injectable (LAI-PrEP), have been approved by the Food and Drug Administration, their acceptability among aMSM/aTGW is not well known. METHODS: Forty-eight semi-structured interviews were conducted to assess the knowledge and interest in LAI-PrEP among aMSM/aTGW enrolled in a daily oral PrEP cohort from two capital cities of Brazil since 2019. RESULTS: Previous knowledge of LAI-PrEP remains scarce, but the high interest regarding its use has been reported. Interest in the use of LAI-PrEP is associated with eliminating the burden of daily responsibility or the risk of missing the necessary medications, lowering the costs of this method, increasing confidentiality, and decreasing the frequency of visiting PrEP clinics. The reported barriers to uptake included fear of injection, doubts on its effectiveness, side effects, and greater dependence on a health provider. CONCLUSIONS: There is an urgent need to strengthen the preventive strategies against HIV infection among the youth, enhance their knowledge and those of healthcare providers, and offer safe and new options.

Air Quality Changes during the COVID-19 Lockdown in an Industrial City in North China: Post-Pandemic Proposals for Air Quality Improvement

To better understand the changes in air pollutants in an industrial city, Handan, North China, during the COVID-19 lockdown period, the air quality and meteorological conditions were recorded from 1 January to 3 March 2020 and the corresponding period in 2019. Compared to the corresponding period in 2019, the largest reduction in PM2.5–10, PM2.5, NO2 and CO occurred during the COVID-19 lockdown period. PM2.5–10 displayed the highest reduction (66.6%), followed by NO2 (58.4%) and PM2.5 (50.1%), while O3 increased by 13.9%. Similarly, compared with the pre-COVID-19 period, NO2 significantly decreased by 66.1% during the COVID-19 lockdown, followed by PM2.5–10 (45.9%) and PM2.5 (42.4%), while O3 increased significantly (126%). Among the different functional areas, PM2.5 and PM2.5–10 dropped the most in the commercial area during the COVID-19 lockdown. NO2 and SO2 decreased the most in the traffic and residential areas, respectively, while NO2 increased only in the township and SO2 increased the most in the industrial area. O3 increased in all functional areas to different extents. Potential source contribution function analysis indicated that not only the local air pollution lessened, but also long-distance or inter-regional transport contributed much less to heavy pollution during the lockdown period. These results indicate that the COVID-19 lockdown measures led to significantly reduced PM and NO2 but increased O3, highlighting the importance of the synergetic control of PM2.5 and O3, as well as regional joint prevention and the control of air pollution. Moreover, it is necessary to formulate air pollution control measures according to functional areas on a city scale.

Psychological Impact during Confinement by COVID-19 on Health Sciences University Students-A Prospective, Longitudinal, and Comparative Study.

BACKGROUND: The objective was to analyze the factors that influence reactions to confinement situations, such as personality, humor, coping with stressors, and resilience, and to compare this population with a normal situation of exposure to an intense academic stressor such as a partial test, and with the confinement situation caused by the COVID-19 pandemic. METHODS: A longitudinal study was performed involving 116 health sciences students from Spain. Three situations were evaluated: a basal situation of normality at the beginning of the course, situation facing an academic stressor (partial test), and confinement situation due to COVID-19. The Positive and Negative Affect Schedule (PANAS), Coping Orientation to Problems Experienced (COPE), Connor-Davidson Resilience Scale, and NEO-FFI scale were used. RESULTS: Significant differences were observed in the increase in negative humor and decrease in positive one, as well as decrease in "Focus on and Venting of Emotions". Personality factors that better predict humor at confinement were "conscientiousness" for having positive humor and low "extraversion" for negative humor. CONCLUSIONS: The confinement situation due to COVID-19 has caused changes in predominant humor, as well as in coping strategies. Personality factors positively or negatively influence the situation.

PERMA Model of Well-Being Applied to Portuguese Senior Tourists: A Confirmatory Factor Analysis

Tourism has been affirmed as an activity that promotes health and well-being. The present study aims to present a confirmatory analysis of the PERMA model in a sample of Portuguese senior tourists who visited the island of São Miguel (Azores). After approval of the study by the ethics committee (reference 6/2022), a Sociodemographic Questionnaire, PERMA Profiler, and Life Satisfaction Scale—SWLS were applied to 1083 senior tourists (≥55 years) of various nationalities. To evaluate the PERMA model for senior tourism in Portugal, a total of 434 senior tourists of Portuguese nationality were extracted from the sample. The results revealed that most of the participants attributed scores above the midpoint in the five dimensions of PERMA (positive emotions, engagement, relationships, meaning, accomplishment) and in the satisfaction with life scale. Using scale reliability analyses, we found that some of the dimensions in the PERMA model showed relatively low values both for Cronbach alpha and composite reliability. Several confirmatory structural equation models (single factorial, second order, and five factors) were calculated, as well as the usual adjustment measures, with the five-factor PERMA model presenting the best structure, although with a relatively low fit. The modification of the model by the weight of regressions between some of the items with larger covariances allowed a better adjustment: χ2(73) = 264.960, p < 0.001, χ2/df = 3.63, CFI = 0.94, TLI = 0.91, IFI = 0.94;GFI = 0.92, RMSEA = 0.078, p < 0.001. Although the results revealed that the experiences of senior tourists when visiting the island of São Miguel contributed significantly to their well-being and the modified model presented superior adjustment quality, future studies are suggested to evaluate the quality of the PERMA model applied to tourism.

Increased Serum Mir-150-3p Expression Is Associated with Radiological Lung Injury Improvement in Patients with COVID-19.

Coronavirus disease 2019 (COVID-19) is caused by the SARS-CoV-2 virus, responsible for an atypical pneumonia that can progress to acute lung injury. MicroRNAs are small non-coding RNAs that control specific genes and pathways. This study evaluated the association between circulating miRNAs and lung injury associated with COVID-19. Methods: We evaluated lung injury by computed tomography at hospital admission and discharge and the serum expression of 754 miRNAs using the TaqMan OpenArray after hospital discharge in 27 patients with COVID-19. In addition, miR-150-3p was validated by qRT-PCR on serum samples collected at admission and after hospital discharge. Results: OpenArray analysis revealed that seven miRNAs were differentially expressed between groups of patients without radiological lung improvement compared to those with lung improvement at hospital discharge, with three miRNAs being upregulated (miR-548c-3p, miR-212-3p, and miR-548a-3p) and four downregulated (miR-191-5p, miR-151a-3p, miR-92a-3p, and miR-150-3p). Bioinformatics analysis revealed that five of these miRNAs had binding sites in the SARS-CoV-2 genome. Validation of miR-150-3p by qRT-PCR confirmed the OpenArray results. Conclusions: The present study shows the potential association between the serum expression of seven miRNAs and lung injury in patients with COVID-19. Furthermore, increased expression of miR-150 was associated with pulmonary improvement at hospital discharge.

Molecular and serology methods in the diagnosis of COVID-19: An overview.

Coronavirus disease-19 (COVID-19) has become a pandemic, being a global health concern since December 2019 when the first cases were reported. Severe acute respiratory syndrome coronavirus 2, the COVID-19 causal agent, is a ß-coronavirus that has on its surface the spike protein, which helps in its virulence and pathogenicity towards the host. Thus, effective and applicable diagnostic methods to this disease come as an important tool for the management of the patients. The use of the molecular technique PCR, which allows the detection of the viral RNA through nasopharyngeal swabs, is considered the gold standard test for the diagnosis of COVID-19. Moreover, serological methods, such as enzyme-linked immunosorbent assays and rapid tests, are able to detect severe acute respiratory syndrome coronavirus 2-specific immunoglobulin A, immunoglobulin M, and immunoglobulin G in positive patients, being important alternative techniques for the diagnostic establishment and epidemiological surveillance. On the other hand, reverse transcription loop-mediated isothermal amplification also proved to be a useful diagnostic method for the infection, mainly because it does not require a sophisticated laboratory apparatus and has similar specificity and sensitivity to PCR. Complementarily, imaging exams provide findings of typical pneumonia, such as the ground-glass opacity radiological pattern on chest computed tomography scanning, which along with laboratory tests assist in the diagnosis of COVID-19.

Sleep quality among parents and their children during COVID-19 pandemic.

OBJECTIVE: To evaluate sleep characteristics of parents and their children during the COVID-19 pandemic and predictors for sleep disturbances. METHODS: Cross-sectional web-based study using an online survey made available for dyads of parents and their children during the 7th week of quarantine in southern Brazil. Parents' and adolescents' sleep were characterized using the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale. For children aged 0-3 years parents completed the Brief Infant Sleep Questionnaire, for those aged 4-12 years the Sleep Disturbance Scale for Children. Parents also informed, subjectively, their perception about sleep habits during social distancing. Multiple regression was run to predict sleep disturbances in adults using independent variables: sex, income, education, children age, and children with sleep disturbances. RESULTS: Data from 577 dyads showed sleep alterations in 69,8% of adults, in 58,6% of children aged 0-3 years, 33,9% in the 4-12 years range (with a predominance of disorders of initiating or maintaining sleep), and 56,6% in adolescents. Sex (female) and children with sleep disturbances were significant predictors of a sleep problem in parents (p < 0.005). Subjective perception revealed complaints related to emotional concerns such as anxiety and fear in adults and due to alterations in routine in children and adolescents. CONCLUSION: The present study's data showed an increased rate of sleep problems among families during quarantine both measured by validated instruments and also based on personal perception.

Are the recommendation of sodium and fluid restriction in heart failure patients changing over the past years? A systematic review and meta-analysis.

BACKGROUND: Heart failure (HF) is a growing problem for healthcare systems worldwide. Sodium and fluid restriction are non-pharmacological treatments recommended for patients with HF by several guidelines over the years, even without consensus. OBJECTIVE: To evaluate the effects of sodium and fluid restriction in patients with HF. METHODS: We searched MEDLINE, Embase, and Cochrane CENTRAL databases up to June 2020 and screened the reference lists of relevant articles. We included randomized controlled trials evaluating sodium and/or fluid restriction in patients with HF. We assessed three independent comparisons: (a) sodium restriction versus control; (b) fluid restriction versus control; and (c) sodium and fluid restriction versus control. Main outcomes of interest were all-cause mortality and hospitalization. Two independent reviewers selected studies and extracted data. We pooled the results using random-effects meta-analysis. We used the RoB 2.0 and the GRADE framework to assess risk of bias and quality of evidence. RESULTS: We included 16 studies totaling 3545 patients in our meta-analysis. Daily sodium intake was 1.5-2.4 g for the intervention group and >2.7 g for the control group, and daily fluid intake was 0.8-1.5 L for the intervention group and free oral fluid intake for the control group. Sodium restriction increased mortality (relative risk 1.92, 95% confidence interval 1.51 to 2.45, moderate quality of evidence) and hospitalization (relative risk 1.63, 1.11 to 2.40, low quality of evidence). Fluid restriction reduced mortality (relative risk 0.32, 0.13 to 0.82, low quality of evidence) and hospitalization (relative risk 0.46, 0.27 to 0.77, n = 331, low quality of evidence). The combination of sodium and fluid restriction did not significantly affect the risk of mortality (relative risk 0.92, 0.49 to 1.73, low quality of evidence) or the risk of hospitalization (relative risk 0.94, 0.75 to 1.19, low quality of evidence). CONCLUSION: The combination of sodium and fluid restriction in clinical trials resulted in a null effect although results in the opposite direction were observed for each intervention independently. Combined sodium and fluid restriction are usually recommended for patients with HF. Our findings of sodium restriction harm, risk of mortality and hospitalization are consistent with publications from several clinical trial and physiologic explanations. A well-designed clinical trial nested by an implementation study is urgent for definitive sodium range recommendation, specially considering the change of currently guidelines, pushing up the cut-off of sodium restriction range.

Prevalence of Burnout Syndrome and other psychiatric disorders among health professionals during the COVID-19 pandemic: A systematic review and meta-analysis protocol

Introduction: Studies carried out during previous pandemics revealed an increase in the prevalence of Burnout Syndrome and other psychiatric disorders among health professionals. A high prevalence of psychiatric disorders is also observed in some health categories, during the COVID-19 pandemic. Objective: This systematic review/meta-analysis study aims to assess the prevalence of Burnout Syndrome and other psychiatric disorders (depression, anxiety, stress, and insomnia) among health care professionals and other support professionals during the COVID-19 pandemic. Inclusion criteria: Observational studies published from December 2019, without language restrictions in which the prevalence of Burnout Syndrome and other psychiatric disorders among health professionals during the COVID-19 pandemic will be assessed. Methods: PubMed, Web of Science, Embase, CINAHAL, PsycINFO, LILACS, SCOPUS, and The Cochrane Library will be searched for eligible studies. Two reviewers will independently screen and select studies, assess methodological quality, and extract data. A meta-analysis will be performed, if possible, and the Grading of Recommendations Assessment Development and Evaluation (GRADE). Ethics and disclosure: This study will use secondary data. Thus, there is no need for submission to the ethics committee. The results of this systematic review will be published in a journal after a peer-review process. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Development of an Online Distance Learning Platform Combining Anatomy, Imaging, and Surgical Practice to Support Mastery Learning of the Equine Locomotor Apparatus.

There are many challenges in teaching veterinary anatomy, such as available classroom time, costs, and difficulties accessing animal cadavers, mainly due to animal welfare concerns. Furthermore, veterinary surgeons and radiologists complain that recent graduates lack anatomical knowledge. On the other hand, the current limitations of face-to-face teaching due to the COVID-19 pandemic suggest that the development of online distance education tools is necessary, mainly in specialties that lack this type of material. Teaching platforms promoting the integration of anatomy with other applied disciplines such as imaging and surgery in the horse were not found in the consulted literature. Therefore, this work aimed to develop an online distance education platform for studying the surgical anatomy of a horse's locomotor apparatus as a complementary tool for training students enrolled in undergraduate courses in veterinary surgery. The locomotor apparatus was chosen as the focus as it is the most commonly found in equine surgeries. Anatomical pieces referring to the locomotor apparatus were prepared. These were complemented with material related to diagnostic imaging, surgery videos, theoretical explanations, and an interactive radiological anatomy tool. Finally, all the material was uploaded to a virtual platform accessible via the Internet. The platform is expected to be a tool that helps students in surgical training and prepares them with a better understanding of anatomy and its application in surgery.

Uma Proposta de Solução Abordando o Contexto de Notícias Falsas em Países de Língua Portuguesa

: Fake news is an expression currently used, which gained greater visibility when used by Donald Trump during the election campaign for the presidency of the United States of America, in 2016. During the study carried out, it was possible to identify widespread problems on this topic, such as for example impact, they have on society. With the identification of these sub-problems mentioned above, it was possible to develop a taxonomic model to implement a tool that helps in the detection of fake news, identifying whether a news item is true, false or whether the user must be aware (when it is not possible to identify whether the news is true or false). Este trabalho está distribuído em secçoes da seguinte forma: na secção 2 é apresentado o estado da arte, na secção 3 está explicada a solução proposta, na secção 4 é demonstrada a implementação da ferramenta e apresentados os testes realizados e os resultados, e para finalizar as conclusoes e trabalhos futuros. 2.Estado da Arte Ao ser realizado um estudo sobre as noticias falsas foi possível verificar a dimensao de propagação que estas tem na sociedade atual e a influencia que tem nas pessoas, levando-as a ter sentimentos negativos, pois o principal dano obtido, derivado das fake news é na reputação, como indicado por (Fernández, 2019).

Physiological characteristics, geochemical properties and hydrological variables influencing pathogen migration in subsurface system: What we know or not?

The global outbreak of coronavirus infectious disease-2019 (COVID-19) draws attentions in the transport and spread of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in aerosols, wastewater, surface water and solid wastes. As pathogens eventually enter the subsurface system, e.g., soils in the vadose zone and groundwater in the aquifers, they might survive for a prolonged period of time owing to the uniqueness of subsurface environment. In addition, pathogens can transport in groundwater and contaminate surrounding drinking water sources, possessing long-term and concealed risks to human society. This work critically reviews the influential factors of pathogen migration, unravelling the impacts of pathogenic characteristics, vadose zone physiochemical properties and hydrological variables on the migration of typical pathogens in subsurface system. An assessment algorithm and two rating/weighting schemes are proposed to evaluate the migration abilities and risks of pathogens in subsurface environment. As there is still no evidence about the presence and distribution of SARS-CoV-2 in the vadose zones and aquifers, this study also discusses the migration potential and behavior of SARS-CoV-2 viruses in subsurface environment, offering prospective clues and suggestions for its potential risks in drinking water and effective prevention and control from hydrogeological points of view.