Department of Basic Neurosciences, School of Medicine,University of Geneva, Geneva 1205, SwitzerlandSummaryAlthough sociability offers many advantages, a major draw-back is the increased risk of exposure to contagious patho-gens, like parasites, viruses, or bacteria [1]. Social specieshave evolved various behavioral strategies reducing theprobability of pathogen exposure [2]. In rodents, sickconspecific avoidance can be induced by olfactory cuesemitted by parasitized or infected conspecifics [3–6]. Theneural circuits involved in this behavior remain largely un-known. We observed that olfactory cues present in bodilyproducts of mice in an acute inflammatory state or infectedwith a viral pathogen are aversive to conspecifics. We foundthatthesechemicalsignalstriggerneuralactivityinthevom-eronasalsystem,anolfactorysubsystemcontrollingvariousinnate behaviors [7]. Supporting the functional relevance oftheseobservations,weshowthatpreferencetowardhealthyindividuals is abolished in mice with impaired vomeronasalfunction. These findings reveal a novel function played bythe vomeronasal system.ResultsIn the wild, animals are exposed to various pathogenic andtransmissible agents, including viruses, bacteria, and para-sites. Social animals, which interact closely with their conspe-cifics, are particularly prone to exposing themselves to a highrisk of contagion [1]. From humans displaying disgust towardpersons with symptoms of pathogenic infections [8] to spinylobsters shunning conspecifics carrying a lethal virus [9], thebehaviorof socialspecies hasbeenshapedthroughout evolu-tion by host-pathogen interactions and has been selected tominimize the risk of exposure [2, 10]. The initial step to avoida pathogen is to identify the threat. Health status assessmentis based on the perception and integration of various cues.For example, in some fish and birds, sexual ornamentation isaltered in parasitized males; these visual cues play an impor-tant role for female mate choice [11, 12]. In many mammalsthough, health assessment largely relies on olfactory signals.Rodents have an ability to discriminate between odorantcues from healthy and parasitized conspecifics [13]. This abil-ity, which results from an altered balance between attractiveandrepulsivesignalsandtranslatesintoalimitedinvestigationof unhealthy peers, is innate. We refer to such behavior as‘‘sick conspecific avoidance.’’ Although extensive researchhas described sick conspecific avoidance behaviors, little isknown about the neural circuits and mechanisms underlyingthis ability. Here, we show that in addition to mediating malesexual preference [14, 15], female sexual behavior [16], pred-ator avoidance [17], and inhibition of sexual behavior towardjuveniles [18], the vomeronasal circuit mediates sick conspe-cific avoidance.MicePreferInteractingwithHealthyoverSickConspecificsPathogenic agents themselves are not necessary to drive sickconspecific avoidance [5, 6]. We first evaluated the investiga-tionpatternofmiceinthepresenceofahealthypeerandinthepresence of a conspecific in an acute inflammatory state. Thisstate was induced by injecting mice with lipopolysaccharide(LPS), an endotoxin produced by Gram-negative bacteriathat activates the immune system and mimics bacterial infec-tion [19]. Stimulus animals were anesthetized to diminish non-olfactory cues such as motor behaviors or vocalizations. Micedisplayed a strong investigation preference toward healthyconspecifics (log