Tracking Coronavirus by Smell Test
bloomberg.com
bloomberg.com
If you have, consider also paying attention to news about serum transfusion projects in your area. That's a process by which an immune person donates antibody-containing plasma, which is then transfused into patients with active disease or at-risk people to supplement their immune system with "targeting data" for the disease. It can significantly improve people's chances, and is one of the longer-term (and admittedly less likely, since no one is really certain yet whether or how well it'll work) possibilities I'm looking at for how to effectively volunteer as an immune person once my own COVID-19 case resolves.
The more I've mentioned this to people, the more I've heard people bring up their own stories and theories that they all had super bad flus this year unlike any other year and are all convinced they already had COVID. So everyone has convinced themselves that they already got it, no matter what city they were in at the time and whether they got sick in November or February.
This is hard to grapple with because I'm sure that any give year, a lot of people randomly get a bad flu like they've never had before with unique symptoms. And if you happen to be that person this year, then of course you would think you had this new disease that matches the symptoms. But given the lack of secondary community effects at the same time (other hospitalizations in your area), it's more likely that most of us are wrong and it's just a co-incidence. But if you are the person suffering the coincidence, it appears the same as if you are the person who actually got infected.
So who knows? I guess until antibody tests are widely available, none of us will know for sure.
Of course, that's Germany, not London or the US, but at least there, the evidence currently points to a bad flu or something else for all these people from November to February.
An acquaintance of mine was actually sick in November with COVID-like symptoms. They had a dry cough that was so nasty, doctors tested them for whooping cough (pertussis) and it was negative. And, it actually was not too long after their office got a visit from some overseas partners from China. IIRC, they even said one of the Chinese visitors had a bit of a cough at the time. I think this is pretty strong circumstantial evidence that they may have had the virus. At the very least, it's enough evidence that this person should definitely get an antibody test as soon as practical.
Edit: I initially forgot to include that the pertussis test was negative, although that was certainly implied.
I had what I thought was definitely whooping cough in November. Tested negative and thought well there is definitely going to be a new disease surfacing.
Skip ahead and covid 19 happens. I thought, this is definitely what I had.
However, the faux whooping cough lasted months and the cough was very characteristic, cough so hard you struggle to breathe back in. It doesn't chime perfectly with covid-19, I've yet to hear of a cough lasting more than 2 weeks.
But what was this mysterious "whooping cough"
Usually in office style flus only a subset of people get it.
I also have noticed my sense of smell come and go with lots of infections.
https://en.wikipedia.org/wiki/Seattle_windshield_pitting_epi...
The point is, often things that are quite common but otherwise unnoticed all of a sudden appear to be an outbreak due to some sort of new found public consciousness. Everybody is analyzing their latest cough and fever so you are going to get a lot more stories of people with coronavirus symptoms even if people getting those sorts of symptoms is quite common (relatively speaking). It's just reporting of those symptoms has increased.
With respect to COVID-19, the real sign of its unusualness is the increase in hospital admissions for respiratory issues.
2018 https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20...
2019 https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20...
I could be just the flu, but it could also be the start of something else circulating with the flu. Even in that case odds are that something else was not covid-19, but it could be. The only way to tell would be to test blood collected at the time for serological evidence of covid-19.
"Yeah I had a mild fever last week, I probably had it"
Which to me translates to: "I hope I got off so easily and now I'm immune and can get on with my life".
Youngest child went almost with no symptoms. The one with strongest immune system suffered a lot.
This was 3 weeks before first confirmed cases.
It's not a safe bet for anyone to assume on that basis that they've already had the coronavirus and are now immune. Those bad flu-like symptoms were flu symptoms, and confer no immunity against SARS-CoV-2.
We were looking at tweets like this in June 2019: https://twitter.com/drdhanlon/status/1137512141970399232?s=2...
Or this: https://twitter.com/SFHTCOO/status/1151783951016628226?s=20
... and still. I think it's a social psychology phenomenon. If I talk to our baker, her family has the same story. Friends as well. We all might like to believe we've had it and so we lightly skew the facts to fit our perception and hope. What I know as a fact (data released today) is that mortality was not rising in my region until two weeks after 'patient zero'. In our case three weeks after the first ill kid.
Occam's razor: It would be very hard to imagine wide-spread asymptomatic cases without symptomatic cases and deaths. No deaths means no spread. So we had something else.
"now significant" could be a typo for "known significant", "non-significant", "no significant", "not significant", and possibly others, including not being a typo at all.
Likewise "significant" itself could mean different things in this context. E.g. phenotype neutral mutations can be highly informative when tracing origins, mutations in "non-coding" regions can have huge regulatory effects, etc.
I agree that your interpretation of the post to which I responded is plausible, but it's not the only one.
It really doesn't fit the timeline since it didn't officially hit the US until a month and a half later, so I don't think this is what I had then, but still, there are reports that this was active in China in November, so sometimes it really makes me wonder.
I worry about people catching Covid and another flu simultaneously
There's no evidence that it was Covid-19. But she is a nanny for a family of doctors in Boston so it's not impossible that it's it.
I heard that’s why several countries denied testing initially even when symptoms matched: “you can’t have coronavirus because there’s no coronavirus in <country>.” Which is rather stupid considering <country> can’t “have” coronavirus if they just deny testing.
Reminds me of stuff like "there are no gay people in $COUNTRY." [0]
---
[0]: https://www.cnn.com/2019/03/07/asia/malaysia-tourism-ministe...
Wikipedia still lists fever as the most common symptom (87.9%), before dry cough (67.7%). But their data is from a middle of February WHO report. Is there a more recent list of symptom frequency?
https://en.wikipedia.org/wiki/Coronavirus_disease_2019#Signs...
For anyone watching government reactions from January, it's clear that testing was not thorough in any meaningful way in Asian nations for at least 3 months after the outbreak began in Wuhan, including truly minimal screening at airports over those months.
In other words there's an order of magnitude greater undiagnosed cases out there than reported, and I believe that fact is so clear that it should be part of mainstream coverage.
(I am not saying that is not going to be true, but if the virus doesn't get effectively eradicated then it may well not end up being so? Not An Expert At All, just spitballing)
Any scenario I come up with seem very implausible compared to the idea that as we learn more about the virus our ability to treat it will improve.
They are showing that a virus can be contained if dealt with quickly and in a coordinated fashion. This results in fewer people getting ill (and dying) as well as minimizing economic impact.
1. the number of people dying from respiratory problems would have spiked up specially among the older population
2. The number of people each infected person infects that he knows points to the virus not having passed through the population before
Isn't there a covid immunity test coming soon. I am in the same boat.
When I heard about the coronavirus in the beginning of February, I dismissed the possibility because of the timeline. How could it have arrived so early in Portugal?
I still don't think it was Covid-19, but recently got doubts when I heard it might have been circulating in Italy before January. We also had one of the first Covid-19 cases in the region of Lisbon in an institute co-located with ours. Many of my colleagues are Italian and most of them visited Italy during Christmas until New Year. So I'm no longer sure.
Well, you could take an antibody test when they become available. The first occurrence of the virus in Europe (I suppose?) is almost certainly underestimated. I'll add a reference to the paper if I find it again later.
EDIT: Found it: [1] J. Lourenc ̧o, R. Paton, M. Ghafari, M. Kraemer, C. Thompson, P. Simmonds, P. Klenerman, and S. Gupta. Fundamental principles of epidemic spread highlight the immediate need for large-scale serological surveys to assess the stage of the sars-cov-2 epidemic. 2020.
I am skeptical. A test based on the sense of smell would have a very high amount of noise. There is no good, concrete measure of a person's sense of smell. One has to ask the person to get a "measurment" and it's very hard to know what different people would mean by "I can smell fine" or "I can't smell as well as I used to".
Maybe some people would convince themselves they have no sense of smell (like some people convince themselves they are gluten or lactose "intolerant"). Maybe some people who have a weak sense of smell anyway (because they smoke or live in places with a high level of air pollution) would tend to ignore having completely lost their smell.
In any case, it would be very hard to track real infections with such an unreliable measure.
covid19? --> ~30-60% chance of loss of smell
loss of smell? --> ~80% chance of covid19 [in the data they collected]
For what it's worth, my grandma lost her sense of smell permanently in her 30s after a car crash. Unfortunately, now she can't tell if the food is burning.
https://labblog.uofmhealth.org/lab-report/are-digestive-issu...
reports are that the loss of sense of smell and taste are severe, sometimes total. things 'taste weird' or have no taste at all. it doesn't matter what the person's sense of smell was before - the magnitude of change reported by a noticeable amount of individuals in a geotemporal cluster is enough to trigger an alert. the key is 'noticeable amount', so you measure background noise first.
For testing by sense of smell to work with any degree of certainty, there would have to be similar tests beyond self-reporting.
I'm also skeptical of the idea that they make it harder for people with "real" intolerances - in the gluten example, there's been an explosion of GF foods, products, and menu signage ever since "gluten intolerance" became a familiar phrase.
Per celiac relatives, the gluten free "fad" has helped in the creation and availability of a lot more prepackaged foods in stores, but hurt in that a lot of restaurants don't take it fully seriously and do things in ways that result in cross-contamination, so there's more crap to wade through to find the truly safe gluten-free places at which to eat out.
Allaying Fears and Fallacies about Lactose Intolerance
https://www.sciencedirect.com/science/article/abs/pii/S00028...
Abstract
Public awareness and misunderstandings of lactose intolerance are at an all-time high. Many people erroneously believe they are lactose intolerant or develop gastrointestinal symptoms after intake of lactose. Consequently, lactose-containing foods such as milk and other dairy foods may be eliminated unnecessarily from the diet. Because these foods are a major source of calcium, low intake of them can compromise calcium nutriture. This, in turn, can increase the risk of major chronic diseases such as osteoporosis (porous bones) and hypertension. This review is intended to help dietetics professionals alleviate clients' fears about lactose intolerance and recommend dietary strategies to improve tolerance to lactose. Scientific findings indicate that the prevalence of lactose intolerance is grossly overestimated. Other physiologic and psychologic factors can contribute to gastrointestinal symptoms that mimic lactose intolerance. Scientific findings also indicate that people with laboratory-confirmed low levels of the enzyme lactase can consume 1 serving of milk with a meal or 2 servings of milk per day in divided doses at breakfast and dinner without experiencing symptoms. Several dietary strategies are available to help lactose maldigesters include milk and other dairy foods in their diet without experiencing symptoms.
The full study cites results from breath hydrogen tests to support its claim that "the prevalence of lactose intolerance is grossly overestimated" (as stated in the abstract, above). In particular:
A diagnose of lactose maldigestion [by an increase in breath hydrogen concentration of 20 ppm or more above the baseline value measured by a breath hydrogen test] does not predict the occurrence of symptoms of intolerance (12, 13, 15, 22, 28, 30). Nor can symptoms that follow lactose or milk intake be used to diagnose low lactase levels or lactose maldigestion (28). Intolerance symptoms after a lactose load have been demonstrated to occur in lactose maldigesters and lactose digesters (28).
Or, in other words (citing from the paper):
There is no clear correlation between lactose maldigestion, lactose intolerance, and milk intolerance. This may be explained by the subjectiveness of symptoms and the quantity of lactose or milk required to demonstrate symptoms. Strong beliefs may contribute to lactose intolerance; that is, persons who believe they are lactose intolerant may experience symptoms (12,30). Johnson et al (12) reported that when 45 lactase-deficient African-Americans were fed either a lactose-containing milk or lactose-hydrolyzed milk under boudle-blind conditions, on third of the subjects experienced some minor intolerance to both types of milk. The subjects' symptoms were not due to the lactose content of milk, but perhaps to social and cultural attitudes that influenced their ability to tolerate milk (12). In a more recent double-blind investigation, Vesa et al (3) found that one half of lactose maldigesters reported symptoms after consuming a lactose-free milk or a greater level of symptoms after intake of smaller rather than larger intakes of lactose. The symptomes were due, therefore, to factors other than lactose intake.
I note that this is one study and rather dated, but I just happened to stumble upon it while looking for something else. There may be newer studies in the literature that contradict this one's findings.
Edit: also, I used the term "gluten intolerance", not "coeliac disease". Please don't accuse me of being flippant about coeliac disease when I did no such thing.
Parents with young children in diapers might disagree. I can think of one test that occurs consistently and is easy to validate.
(Joking aside, I do think about the fact that I can detect soiled diapers as evidence that I can still smell just fine!)
(1) Do PCR tests on wastewater. Viruses show up in excrement, and sewer pipes are a ready-made aggregate sample collection system. See https://www.medrxiv.org/content/10.1101/2020.03.29.20045880v...
(2) Figure out which keywords correlate with other data about the spread, then mine social media data for those keywords. See https://www.medrxiv.org/content/10.1101/2020.02.24.20026682v...
https://www.scientificamerican.com/article/how-does-chlorine...
"To ensure continued protection against harmful organisms, a certain amount of chlorine must remain in the water after treatment. The remaining chlorine is known as a residual chlorine. It is this tiny amount that you sometimes smell in your tap water."
https://www.cdc.gov/coronavirus/2019-ncov/php/water.html
"Can the COVID-19 virus spread through pools and hot tubs? There is no evidence that COVID-19 can be spread to humans through the use of pools and hot tubs. Proper operation, maintenance, and disinfection (e.g., with chlorine and bromine) of pools and hot tubs should remove or inactivate the virus that causes COVID-19."
One of the many places linking Zinc and sense of smell:
https://www.mayoclinic.org/drugs-supplements-zinc/art-203661...
There have been reports of Zinc being used in conjunction with other medications to address C19.
[1] https://covid.joinzoe.com/post/research-update-april-1-2020
If you just ask people about their sense of smell, I'm not sure they can give you a reliable answer. But maybe you could design a postcard to give them with a few numbered squares on it, and they could tell you whether they notice anything when they scratch each one of those. (It could be a blind test, too.)
Stick a URL or QR code on the postcard and you can collect the data.
The postcard could serve as both material for the experiment and advertisement. Mail them out to random people in an area you want to sample.
I've gotten these sorts of things in the mail as advertisements in the past, so obviously it's very feasible to produce them.
I guess it's due to a blocked nose / inflamed mucous membranes, maybe that's what is different?
Unfortunately I only have this German source handy: https://youtu.be/VP7La2bkOMo?t=178
https://trends.google.com/trends/explore?q=i cant smellSo this could easily be explained by people googling about the theory itself.
Note that this article is about a corona symptom, Anosmia, not about the ability to smell patients. According to this [1] source, it only shows up in 30%-60% of cases.
[1]: https://www.entuk.org/sites/default/files/files/Loss%20of%20...
https://trends.google.com/trends/explore?geo=US&q=can%27t%20...