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2 [p = 0.006]) and being employed (aOR 4.2; 95% CI 1.7-10.5 [p = 0.002]) were independent risk factors for TB diagnostic delay. There is considerable TB diagnostic delay in The Gambia, and this is likely to be worsened by the COVID-19 pandemic. There is considerable TB diagnostic delay in The Gambia, and this is likely to be worsened by the COVID-19 pandemic. Because the detection of SARS-CoV-2 RNA in aerosols but failure to isolate viable (infectious) virus are commonly reported, there is substantial controversy whether severe acute r