When coronavirus robs you of your sense of smell

Coronavirus patients could also suffer anosmia, or the loss of one’s sense of smell, doctors have found. (AFP)
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Updated 06 July 2020

When coronavirus robs you of your sense of smell

  • “Anosmia cuts you off from the smells of life, it’s a torture.” — Jean-Michel Maillard, president of anosmie.org

PARIS: “What I miss most is the smell of my son when I kiss him, the smell of my wife’s body,” says Jean-Michel Maillard.
Anosmia — the loss of one’s sense of smell — may be an invisible handicap, but is psychologically difficult to live with and has no real treatment, he says.
And it is the price that an increasing number of people are paying after surviving a brush with the coronavirus, with some facing a seemingly long-term inability to smell.
“Anosmia cuts you off from the smells of life, it’s a torture,” says Maillard, president of anosmie.org, a French group designed to help sufferers.
If you have the condition you can no longer breathe in the smell of your first morning coffee, smell the cut grass of a freshly mown lawn or even “the reassuring smell of soap on your skin when you’re preparing for a meeting,” he says.
You only truly become aware of your sense of smell when you lose it, says Maillard, who lost his own following an accident.
And it is not just the olfactory pleasures you lose. He points out that people with anosmia are unable to smell smoke from a fire, gas from a leak, or a poorly washed dustbin.
Eating is a completely different experience too, as so much of what we appreciate in food is what we can smell, says Alain Corre, an ear, nose and throat specialist at the Hopital-Fondation Rothschild in Paris.

“There are dozens of causes of anosmia,” he says, including nasal polyps, chronic rhinitis, diabetes, Alzheimer’s and Parkinson’s.
Now the new coronavirus has been added to that list, says Corre — with the symptom alone allowing a diagnosis of COVID-19 in some cases.
“When people lose their sense of smell and don’t get it back, we note a real change in the quality of life and a level of depression that is not insignificant,” he adds.
The problem is when the condition persists, he says.
“To be deprived of your sense of smell for a month, it’s not serious,” says Maillard. “Two months, it starts to become a problem. But after six months, you’re all alone under a bell jar.
“There’s a psychological aspect to this which is very difficult to live with,” he insists. “You need to get help.”

CovidORL study
There is no specific treatment for the condition.
You have to address the cause, says Corre, but “the problem of the anosmias linked to the virus is that often, the treatment of the viral infection has no effect on your smell.
“According to the first numbers, around 80 percent of patients suffering from COVID-19 recover spontaneously in less than a month and often even faster, in eight to 10 days.”
For others, however, it could be that the disease has destroyed their olfactory neurons — the ones that detect smells. The good news is that these neurons, at the back of the nose, are able to regenerate.
Two Paris hospitals, Rothschild and Lariboisiere, have launched a “CovidORL” study to investigate the phenomenon, testing how well different nose washes can cure anosmia.
One cortisone-based treatment has proved effective in treating post-cold instances of anosmia and offers some hope, says Corre.
Another way to approach the condition is through olfactory re-education, to try to stimulate the associations that specific smells have in your memory, he says.
His advice is to choose five smells in your kitchen that are special to you, that you really like: cinnamon say, or thyme. Breathe them in twice a day for five to 10 minutes while looking at what it is you are inhaling.
Anosmie.org has even put together a re-education program using essential oils, working with Hirac Gurden, director of neuroscience research at the National Center for Scientific Research (CNRS). It is based on the work of Dresden-based researcher Thomas Hummel.
“As early as March, we got several hundred phone calls, emails from people who had COVID and who were calling for help because they couldn’t smell anything any more,” says Gurden.
Maillard meanwhile finished his re-education program last winter, using four smells.
“Today, I have 10 of them,” he says, including fish, cigarettes and rose essential oil. “I’ve even found a perfume that I can smell!” he declares.


Medical reservists to the rescue as Manila steps up virus battle

Updated 11 August 2020

Medical reservists to the rescue as Manila steps up virus battle

  • 3,000 personnel face call-up amid warnings country is losing COVID-19 war

MANILA: The Philippines is considering calling up more than 3,000 military medical reservists to help in the battle against the coronavirus pandemic.

The move comes as a rising number of infections threatens to overwhelm the country’s struggling health care system. 

Defense Secretary Delfin Lorenzana said that a list had been drawn up of of 380 doctors and nurses, as well as 3,000 reservists with medical training who can be mobilized to help COVID-19 patients.

In a televised interview, Lorenzana said talks on calling up medical reservists took place at a meeting with President Rodrigo Duterte last week after warnings of a shortage of medical personnel in Manila.

He said the message from medical groups that staff were overwhelmed and exhausted sent a “distress signal to the nation.”

Hospital staff also warned that the country “is waging a losing battle against COVID-19.”

“We have medical reserves. All we have to do is find out where they are now,” Lorenzana said.

“As of last week we were able to get about 380 doctors and nurses, plus about 3,000 other medical personnel, including medical aides and medical technicians,” he added.

If the plan to mobilize medical reservists is pushed through, the defense department will deploy them to help in Manila and other areas with high rates of COVID-19 infection.

The defense secretary said he is confident many of the reservists will respond once they are called to duty.

Asked if the defense department has a timetable for their deployment, Lorenzana said: “We have to process them, but first we will have to get a go signal from the Department of Budget and Management because we need money to mobilize these people. We have to pay their salary and allowances.

“I have directed the Philippines armed forces to estimate how much we money we need,” he said.

Last week Duterte ordered a strict quarantine to be reimposed in capital and surrounding provinces until Aug. 18.

He said this will give the government time to refine its pandemic strategies and offer a “breather” to exhausted front-line workers.

Under the curfew people will be restricted to essential travel and mass transport will be closed.

As of Monday, the Philippines had recorded 129,913 COVID-19 cases, with 67,673 recoveries and 2,270 deaths.