The world is urbanizing and chronic health conditions associated with urban living are on the rise. There is mounting evidence that people with a diverse microbiome (bacteria that inhabit the human body) or who interact with green spaces enjoy better health. However, studies have yet to directly examine how biodiverse urban green spaces (BUGS) might modify the human microbiome and reduce chronic disease. Here we highlight the potential for green spaces to improve health by exposing people to environmental microorganisms that diversify human microbiomes and help regulate immune function. We present four international perspectives (from Australia, China, India, and the UK) on the major challenges and benefits of using BUGS to alleviate health burdens. We propose solutions to these challenges and outline studies that can test the connections between BUGS, immune function, and human health and provide the evidence base for effective BUGS design and use. If further studies reinforce this hypothesis, then BUGS may become a viable tool to stem the global burden of urban‐associated chronic diseases.

Non-pharmaceutical interventions including physical distancing and restriction on public gatherings were the cornerstone in controlling the COVID-19 pandemic, in the absence of effective vaccines and available treatment options. Many sport mega-events and sport leagues were canceled or indefinitely postponed, leaving stadiums globally empty or converted to be used as part of the COVID-19 response. There were calls for exit strategies to be developed. With the early containment of COVID-19 in South Australia, various restrictions were lifted in a staged and controlled manner, including the reopening of the Adelaide Oval for recommencement of sport leagues with spectator attendance. This involved the collaboration between public health authorities, other governmental agencies, Adelaide Oval Stadium Management Authority, various sporting leagues etc. Recommencement of sport leagues with staged increase in number of attending spectators allowed various measures to be introduced, revisited, and implemented accordingly, demonstrating that a case-by-case risk assessment can be conducted for mega-events during COVID-19, accounting for the epidemiological context at the time. Economic impacts and non-economic benefits of this recommencement were documented. This globally unprecedented, staged and controlled approach in returning spectators to sporting events during the COVID-19 pandemic could inform the reopening strategy of stadiums, recommencement of sport leagues and mega-events all over the world before herd immunity is achieved or in the event of future outbreaks.

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An outbreak of skin abscesses occurred in Adelaide, Australia, in association with biomesotherapy, an alternative therapy practice. Mycobacterium chelonae was identified in 8 patient and 3 environmental samples. Our findings show M. chelonae infection can be associated with alternative therapies when infection-control breaches occur. Tighter regulations of alternative therapy practices are needed.