Could the next public health crisis be caused by a fungus?
Such an emergency is the basis of the post-apocalypse TV drama series The Last Of Us, which has returned for its second season on Sky Atlantic.
Starring Pedro Pascal and Bella Ramsey, the show takes place in a world ravaged by a pandemic caused by a mass cordyceps outbreak, which transforms people into bloodthirsty abominations.
The prospect was outlined in its debut episode in 2023, when a prescient epidemiologist played by John Hannah warned how a warming climate could force some fungus to evolve into something more dangerous.
“Candida, ergot, cordyceps, aspergillus: any one of them could be capable of burrowing into our brains and taking control of not millions of us, but billions,” he said.
An extreme outcome with plenty of artistic licence taken – but is it entirely without scientific basis?
Image: A mass cordyceps outbreak transforms people into blood-thirsty abominations in the show. Pic: HBO/Warner Media/Liane Hentscher
Do fungi really threaten humans?
“There are numerous fungi infecting the brains of human beings all over the planet, often with devastating outcomes,” says Professor Elaine Bignell, a world leader in the field of human fungal pathogen research.
“A number of fungal species are quite prominent pathogens and kill hundreds of thousands of people every year – it’s just the public is not well aware of this.”
Among the fungi deemed most high-risk was Aspergillus fumigatus, a common mould widespread in the environment in homes and outdoors, which can cause “chronic and acute lung disease” and can be deadly.
Image: Aspergillus is a type of mould, common in homes
Candida species, which are behind complaints like thrush and skin rashes, are also one of the leading causes of bloodstream infection in intensive care patients.
Cryptococcosis neoformans – which infects the lungs and brain, causing pneumonia and meningitis in immunosuppressed patients – also made the list. It kills more than 100,000 people a year in sub-Saharan Africa.
“One thing killer fungi do have in common is they are able to grow at human body temperature, and that’s unusual for a fungus,” Prof Bignell tells Sky News.
“Most fungi in the environment are suited to growing in more temperate conditions, and it places quite a strain on any microorganism to counteract an immune response in a human body and cope with the high temperature.”
Image: The main symptom of ringworm is a rash, which can spread. Pic: NHS
What about cordyceps?
Cordyceps was not on the threat list – but it is absolutely real.
The parasitic fungus infects and takes over the mind of insects, as it does to humans in The Last Of Us.
“There are about 600 species,” says Dr Mark Ramsdale, a professor in molecular microbiology at the MRC Centre for Medical Mycology.
“They are predominantly insect pathogens. It’s their insect host that they manipulate and change their behaviour. And so from that perspective, there is some basis there.”
Image: A fly infected by a cordyceps fungus. Pic: Alejandro Santillana/University of Texas
Found in tropical forests, the fungus penetrates an insect’s body via spores, which are released to allow a fungus to reproduce and defend itself.
The fungus then guides its host into more humid locations to help it grow, before feeding on the remains and launching new spores from its corpse.
When it comes to humans, cordyceps is used in treatments and therapeutics – notably Chinese herbal medicines.
“There’s a long history of relationships between humans and this particular group,” Dr Ramsdale tells Sky News.
“There’s no evidence they’re causing disease in humans. However, in terms of their insect relationships, they do manipulate their hosts – and several fungi have evolved this capacity over time.”
Image: Cordyceps growing from a caterpillar. Pic: L Shyamal/Wikimedia Commons
Image: Ophiocordyceps caloceroides infecting a tarantula. Pic: Ian Suzuki/Wikimedia Commons
Could climate change the picture?
Another facet of The Last Of Us shared by the WHO’s landmark report was the potential influence of climate change on the nature of fungi and our relationship with it.
Prof Bignell says the impact of global heating will be “profound” for all microbes on our planet.
There are some 150,000 identified species of fungi in the world, well short of the millions estimated to exist, and few have what it takes to cope with the 37C temperature and other stresses imposed by the human body.
But some do, and more could – either those yet to be discovered or which adapt to survive on a warming planet.
“It changes the selection pressures that are put on those huge, diverse life forms,” says Dr Ramsdale.
“Perhaps some could potentially make that transition from one lifestyle to another and become pathogenic in a context we haven’t thought of before.”
So the show’s pandemic may be far from factual, but it’s not completely without merit.
“What really is the most removed from the current status quo is the scale and the rate of the infections occurring in The Last Of Us,” says Prof Bignell.
“Some fungi can get passed from one person to the next – and in the environment we are exposed to them all the time – but it would take a very significant variant to be able to cause the sorts of species extinction event they’re dramatising.”
Image: Humans are transformed into zombie-like monsters in the show. Pic: HBO/Warner Media/Liane Hentscher
So … no reason for alarm?
You can sleep easy knowing there won’t be a fungus that turns you into a zombie in your cereal tomorrow morning.
But COVID, researchers say, is proof we can’t rest on our laurels when it comes to public health threats and the potentially sudden nature of their arrival.
With fungal infection in humans being a relatively modern phenomenon, with few examples until the 1980s, and the absence of any antifungal vaccine research programmes, there’s certainly work to do.
“We have to be in a state of preparedness,” says Prof Bignell.
“We have to have a very good understanding of how different fungi can cause human diseases, how our immune systems cope with those microbes, and a good medicine cabinet with antifungal agents we know are effective.”
In the meantime, if you do happen to see anyone that looks like they’re covered in mushrooms and feasting on a member of their family – best steer clear.
The Last Of Us airs every Monday at 2am on Sky Atlantic.
He is the man behind the biggest-selling electronica record of all time, but the success of Moby’s album Play came with some unwanted side effects.
His fifth record, the album charted at 33 upon its release in the UK in May 1999, and fell out of the Top 40 after just a week. But despite the lacklustre initial response, Play started to pick up steam, slowly climbing the chart until it reached number one in April 2000.
It stayed there for five weeks and remained in the Top 40 until March 2001, re-entering the Top 100 several times over the next few years.
While Moby had experienced success with Go, the breakthrough 1991 single from his self-titled debut album, Play was next level. Even if you don’t know the album, you’ll know at least some of the songs – Porcelain, Why Does My Heart Feel So Bad?, Honey, and Natural Blues. The record was ubiquitous and fame hard to escape.
Image: Pic: Adam Warzawa/EPA/Shutterstock
“I think fame and fortune are, probably, empirically two of the most destructive forces on the planet,” he says, speaking from his home in Los Angeles. “I mean, if fame and fortune fixed things, Kurt Cobain and Amy Winehouse would still be making records.
“I guess it’s a very easy system to buy into, especially in a place like… in New York, in Los Angeles, in these big cities that are driven by ostentation and consumption and the need for external validation. It’s hard to resist those temptations. But then… you look at the consequences of that.
“I’d rather try and live a rational life and not necessarily let other people’s concerns dictate what my concerns should be.”
Now sober and with a few years between him and those heady days of peak fame, in recent years Moby has been doing something few established stars in his position would do – giving his compositions away for free.
“I have a house, I have a car, I have some hoodies, I have food in the fridge, I don’t really need anything more,” he insists. “To live and work in a way where I’m not driven by money, why not use that as an opportunity?”
Selfless selfishness or selfish selflessness
Image: Pic: Wael Hamzeh/EPA/Shutterstock
Over a decade ago, the musician came up with the quietly radical idea of making a free music licensing platform, MobyGratis. The idea was simple and rather exciting, he admits – to allow anyone unrestricted access to hundreds of his compositions to use them however they wish. From film scores to remixes, whatever.
“It’s either selfless selfishness or selfish selflessness, meaning I’m giving these things away but the benefit to me is I get to see what people do with it,” he says.
“There are a lot of things about the current digital media climate that are terrifying and baffling and confusing, but one of the things I love is the egalitarian nature of it.”
The idea of giving his music away for free runs somewhat contrary to the AI copyright battle many artists are currently speaking out over, with the likes of Ed Sheeran and Damon Albarn calling for greater protections in law to prevent artificial intelligence software from scraping their work to learn from it.
Remix culture and creative processes
“I completely appreciate and respect the concerns that other people have,” says Moby. “I think they’re incredibly valid… but for me personally, I don’t know. Maybe it’s naive and stupid of me, but I kind of just ignore it.
“I put this music out there and you sort of hope for the best, which probably is completely dim-witted of me. Part of remix culture is seeing how people reinterpret your work; sometimes it’s mediocre, sometimes it is bad, but sometimes it is so inspired, and I can actually learn a lot from other creative processes.”
The dance artist also takes issue with how the act of giving and compassion more generally has come to be seen, and references Elon Musk‘s comments on Joe Rogan’s podcast in April, when the billionaire said: “We’ve got civilizational suicidal empathy going on.”
Moby says that while “we live in this world of fear, selfishness, desperation and viciousness”, he supports “anything that is a rejection of the manosphere… anything that rejects Elon and the idea that empathy is a weakness and reminds people that life can be simple and decent.”
He jokes: “I’m definitely becoming like the weird old guy that you’ll see in the mountains, sort of like not making eye contact and mumbling about chemtrails or something.”
This is a man who is aware his approach to fame, fortune and giving stuff away is somewhat out-of-keeping with the times we’re living in – but the thing is, Moby doesn’t seem to care.
A lawyer representing Sean “Diddy” Combs has told a court there was “mutual” domestic violence between him and his ex-girlfriend Casandra ‘Cassie’ Ventura.
Marc Agnifilo made the claim as he outlined some of the music star’s defence case ahead of the full opening of his trial next week.
Combs has pleaded not guilty to one count of racketeering conspiracy, two counts of sex trafficking and two counts of transportation for prostitution. If convicted, he faces up to life in prison.
Ms Ventura is expected to testify as a star witness for the prosecution during the trial in New York. The final stage of jury selection is due to be held on Monday morning.
Please use Chrome browser for a more accessible video player
2:51
Why is Sean Combs on trial?
Mr Agnifilo told the court on Friday that the defence would “take the position that there was mutual violence” during the pair’s relationship and called on the judge to allow evidence related to this.
The lawyer said Combs‘s legal team intended to argue that “there was hitting on both sides, behaviour on both sides” that constituted violence.
He added: “It is relevant in terms of the coercive aspects, we are admitting domestic violence.”
Image: A court sketch showing Sean ‘Diddy’ Combs (right) as he listens to his lawyer Marc Agnifilo addressing the court. Pic: Reuters
Ms Ventura’s lawyers declined to comment on the allegations.
US District Judge Arun Subramanian said he would rule on whether to allow the evidence on Monday.
Combs, 55, was present in the court on Friday.
He has been held in custody in Brooklyn since his arrest last September.
Prosecutors allege that Combs used his business empire for two decades to lure women with promises of romantic relationships or financial support, then violently coerced them to take part in days-long, drug-fuelled sexual performances known as “Freak Offs”.
Combs’s lawyers say prosecutors are improperly seeking to criminalise his “swinger lifestyle”. They have suggested they will attack the credibility of alleged victims in the case by claiming their allegations are financially motivated.
An ex-model has tearfully told a court that being sexually assaulted by Harvey Weinstein when she was 16 was the most “horrifying thing I ever experienced” to that point.
Warning: This article contains references to sexual assault
Kaja Sokola told the film producer’s retrial that he ordered her to remove her blouse, put his hand in her underwear, and made her touch his genitals.
She said he’d stared at her in the mirror with “black and scary” eyes and told her to stay quiet about the alleged assault in a Manhattan hotel in 2002.
Ms Sokola told the New York court that Weinstein had dropped names such as Penelope Cruz and Gwyneth Paltrow, and said he could help fulfil her Hollywood dream.
“I’d never been in a situation like this,” said Polish-born Ms Sokola. “I felt stupid and ashamed and like it’s my fault for putting myself in this position.”
Weinstein denies sexually assaulting anyone and is back in court for a retrial after his conviction was overturned last year.
Image: Weinstein denies the allegations. Pic: Reuters
The 73-year-old is not charged over the alleged sexual assault because it happened too long ago to bring criminal charges.
However, he is facing charges over an incident four years later when he’s said to have forced Ms Sokola to perform oral sex on him.
Prosecutors claim it happened after Weinstein arranged for her to be an extra in a film.
“My soul was removed from me,” she told the court of the alleged 2006 assault, describing how she tried to push Weinstein away but that he held her down.
Ms Sokola – who’s waived her right to anonymity – is the second of three women to testify and the only one who wasn’t part of the first trial in 2020.
Image: Miriam Haley testified previously in the retrial. Pic: AP
Miriam Haley last week told the court that Weinstein forced oral sex on her in 2006. The other accuser, Jessica Mann, is yet to appear.
Claims against the film mogul were a major driver for the #MeToo movement against sexual harassment and abuse in 2017.
Weinstein’s lawyers allege the women consented to sexual activity in the hope of getting film and TV work and that they stayed in contact with him for a while afterwards.