One potential reason is that some people could be genetically resistant to COVID-19. Such resistance has been displayed in individuals to different diseases, such as malaria or HIV. Professor András Spaan at the Rockefeller University in New York believes that those who are resistant to COVID-19 do not have the receptor used by the coronavirus pathogen to enter cells.
Professor Spaan says it is unlikely that that the majority of those who avoided getting infected with the disease are genetically resistant, rather they have some partial immune protection. This was the case with Phoebe Garrett from England. The 22-year-old participated in trials last year, which saw researchers trying to infect people with COVID-19. Among other things, individuals dripped the live virus into their noses and pegged their nostrils shut for several hours. Phoebe didn’t catch the disease.
"We had multiple rounds of tests, and different methods of testing: throat swabs, nose swabs, other types of swabs that I’d never done before like nasal wicks – where you hold a swab in your nose for a minute – as well as blood tests, but I never developed symptoms, never tested positive. My mum has always said that our family never gets flu, and I’ve wondered if there’s maybe something behind that", the 22-year-old said.
According to Professor Christopher Chiu at Imperial College London, who led the study, this can be explained with the immune system of those individuals quickly shutting down embryonic infection.
"In our previous studies with other viruses, we have seen early immune responses in the nose that are associated with resisting infection. Together, these findings imply that there is a struggle between the virus and host, which in our 'uninfected' participants results in prevention of infection taking off", said Professor Christopher Chiu.
Blood tests revealed that around 15 percent of healthcare workers had T-cells that react against the disease, plus other markers of viral infection.