High levels of air pollution can contribute to high rate of the COVID-19 outbreaks. Air pollutants induce oxidative stress, inflammatory process, immune imbalance and coagulation at systemic level, making the organism susceptible to complications caused by various pathogens, including viruses, resulting in a possible important damage co-factor. Sperm cells are highly sensitive to the pro-oxidant effects of environmental pollutants, and represent an important alarm bell indicating how the burden of environmental pressure in a certain area is becoming increasingly unsustainable. We underline that overlapping among maps of case fatality rate of COVID-19, male infertility rate and air pollution can be a challenging idea to understand the dynamics of the virus impact, considering semen quality that is an early and sensitive environmental marker, and could be a potential susceptibility indicator to viral insults (including SARS-CoV-2 ) in heavily polluted areas. So that, assessing the burden of environmental exposure of a given population and its potential susceptibility to insults through early biological stress indicators able to predict the probability, nature and magnitude for the adverse effects is a major public health challenge.