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.


Militant attack on Afghan prison frees hundreds

Afghan security personnel in front of a prison gate after an attack by Daesh that had freed hundreds in Jalalabad, east of Kabul, on Monday. (AP)
Updated 04 August 2020

Militant attack on Afghan prison frees hundreds

  • The attack, reportedly by Daesh, took place hours before end of cease-fire

KABUL: Militants affiliated with the Daesh group stormed a prison in eastern Afghanistan in a daylong siege that left at least 39 people dead, including the assailants, and freed nearly 400 of their fighters before security forces restored order, a government official said Monday.

The attack on the main prison in Jalalabad, in Nangarhar province, where several hundred Daesh fighters have been detained, began on Sunday afternoon with a car bomb detonated at the entrance to the jail.

The attack came hours before the end of a three-day ceasefire between the Afghan government and the Taliban, who immediately denied any involvement in the assault. Several Western media outlets reported that the Daesh had claimed responsibility.

The Nangarhar governor’s spokesman, Attaullah Khogyani, told Arab News that there was still gunfire on Monday morning, and that more than 20 civilians and personnel and three attackers have died in the fighting.

Two local security sources speaking on condition of anonymity said that nearly half of the prison’s 1,500 inmates managed to flee.

They said 20 assailants made their way into the prison and a number of explosions were heard from inside the jail.Residents said one group of attackers was firing on the jail from a nearby building and they reported heavy and sustained exchanges of small fire.

According to Khogyani, most of the escapees have been caught. He gave no further details about the attack.

The assault comes amid official claims that Daesh leaders have been arrested or killed in recent months, notably in Nangarhar, which used to be the group’s bastion.

“This is a major embarrassment for the government, which every now and then claims to have wiped out or paralyzed the Daesh. The government needs to answer why such a high security lapse has happened,” analyst Shafiq Haqpal said.

The Eid Al-Adha ceasefire between the Taliban and Afghan government forces was a part of efforts to begin long-awaited peace talks following a US-Taliban agreement signed in Qatar in late February.

In accordance with the deal, the Taliban is releasing 1,000 Afghan troops in exchange for 5,000 militants held by President Ashraf Ghani’s government.

The process is near completion, but Kabul is refusing to free 400 remaining Taliban inmates, saying they have been behind “heinous crimes.”

After Eid prayers on Sunday, Ghani announced he would summon a traditional grand assembly, Loya Jirga, to help him decide whether the rest of Taliban prisoners should be freed.

The assembly is scheduled to start on Aug. 7. Loya Jirga has deep roots in Afghan history and tradition and is usually summoned during times of crisis or emergency.

The Taliban have voiced their opposition to the convocation of the jirga. Their Qatar-based spokesman, Suhail Shaheen, told TOLO News that Kabul’s decision would only complicate the peace process.

Afghan politicians are divided on the jirga announcement. Hamidullah Tokhi, a member of parliament from southern Zabul province, said: “The nation and parliament have deep doubts about Ghani’s goal for summoning the jirga to decide over the fate of 400 Taliban.

“All of the 4,500 Taliban already freed were involved in some sort of bloody attacks. Why did the government not ask for the jirga on the overall release of the Taliban?”

“Summoning the jirga now is a treason to this country and a clear blocking of the peace process,” he said.
Torek Farhadi, who served in the previous government as an adviser, said Ghani hopes that the victory of Democrats in the upcoming US elections, would sideline Zalmay Khalilzad, the US special envoy for Afghanistan who struck the Qatar deal with the Taliban, allowing Kabul to be in charge of the peace process.
“We should have one Loya Jirga to discuss substantive matters on peace with the Taliban and the type of future regime,” Farhadi said, adding that the Taliban, too, should participate in the assembly. “This meeting would be like a half-baked national dialogue (if it is) conducted by only one side of the conflict.”