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.


Biden slams Trump friendship with ‘thug’ Kim

Updated 23 October 2020

Biden slams Trump friendship with ‘thug’ Kim

  • Trump insists that he has avoided war through his summits with Kim Jong Un
  • Trump calls India, China air ‘filthy’ as he hits Biden’s stance on climate change

NASHVILLE, USA: Democratic candidate Joe Biden on Thursday denounced President Donald Trump for befriending North Korea’s “thug” leader, likening his diplomacy to working with Hitler.
In a sharp clash in their final presidential debate, Biden attacked Trump’s insistence that he has avoided war through his summits with Kim Jong Un.
“He’s talked about his good buddy, who’s a thug,” Biden said of the young North Korean leader.
“That’s like saying we had a good relationship with Hitler before he invaded Europe — the rest of Europe. Come on.”
But Biden indicated he was also willing to meet with Kim, saying his condition would be that Pyongyang works to make the Korean peninsula “a nuclear-free zone.”
Trump said that former president Barack Obama had left him “a mess” on North Korea and had warned him of the risk of “nuclear war.”
After the summits, “we have a very good relationship. And there’s no war,” said Trump, who also played down North Korea’s recent unveiling of a massive new long-range missile at a military parade.
“He didn’t like Obama,” Trump said of Kim not meeting the former president. “He didn’t like him. He wouldn’t do it.”
Biden, who was vice president under Obama, hit back that Obama would not meet Kim because he was pushing stronger sanctions.
“President Obama said we’re going to talk about denuclearization. We’re not going to legitimize you.”
Trump first met in June 2018 with Kim in Singapore, the first-ever summit between the countries still technically at war, and later said that the two leaders “fell in love.”
The two leaders have met two more times and North Korea has since held off on nuclear and missile tests but analysts say Pyongyang has kept advancing its weapons programs.

Climate change
On climate change, Trump described the air in India and China as “filthy” as he denounced Biden’s plans to tackle the controversial issue.
“Look at China, how filthy it is. Look at Russia, look at India — it’s filthy. The air is filthy,” Trump said.
Trump charged that Biden’s climate plan was an “economic disaster” for oil states such as Texas and Oklahoma.
Biden said that climate change is “an existential threat to humanity. We have a moral obligation to deal with it.”
“We’re going to pass the point of no return within the next eight to 10 years,” he said.
The planet has already warmed by around one degree Celsius (34 degrees Fahrenheit) from pre-industrial levels, enough to boost the intensity of deadly heat waves, droughts and tropical storms.
Trump has pulled the United States out of the Paris climate accord, which aims to cap global warming “well below” two degrees Celsius.
Trump’s remarks come days before Secretary of State Mike Pompeo and Defense Secretary Mark Esper visit New Delhi for talks on building the growing US-India partnership.
At the first presidential debate, Trump also spoke critically of India, questioning its coronavirus data amid criticism of Trump’s handling of the pandemic.