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Abstract
Dehydration of the upper airways increases risks of respiratory diseases from COVID-19 to asthma and COPD. We find in human volunteer studies involving 464 human subjects in Germany, the US, and India that respiratory droplet generation increases by up to 4 orders of magnitude in dehydration-associated states of advanced age (n = 357), elevated BMI-age (n = 148), strenuous exercise (n = 20) and SARS-CoV-2 infection (n = 87), and falls with hydration of the nose, larynx and trachea by calcium-rich hypertonic salts. We also find in a protocol of exercise-induced airway dehydration that hydration of the airways by calcium-rich salts increases oxygenation relative to a non-treatment control (P < 0.05). In a random control study of COVID-19 positive subjects (n = 40), thrice-a-day delivery of the calcium-rich hypertonic salts (active) suppressed respiratory droplet generation by 51% ± 11% and increased oxygen saturation over three days of treatment by 48.08% ± 9.61% (P < 0.001), while no changes were observed in the nasal-saline control group. Self-reported symptoms significantly declined in the active group and did not decline in the control group. Hydration of the upper airways appears promising as a non-drug approach for reducing risks of respiratory diseases such as COVID-19.
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1 Bangalore Baptist Hospital, Bangalore, India (GRID:grid.464829.5) (ISNI:0000 0004 1793 6833)
2 GS BIO-INHALATION GmbH, Germunden, Germany (GRID:grid.464829.5)
3 Klinik Sonnenblick, Marburg, Germany (GRID:grid.464829.5)
4 RTI International, Research Triangle Park, USA (GRID:grid.62562.35) (ISNI:0000000100301493)
5 University of Leicester, Respiratory Sciences, Leicester, UK (GRID:grid.9918.9) (ISNI:0000 0004 1936 8411)
6 Columbia University, School of Engineering & Applied Sciences, New York, USA (GRID:grid.21729.3f) (ISNI:0000000419368729)
7 Sensory Cloud, Cambridge, USA (GRID:grid.511855.d)
8 Northeastern University, School of Bioengineering, Boston, USA (GRID:grid.261112.7) (ISNI:0000 0001 2173 3359)
9 Massachusetts General Hospital, Boston, USA (GRID:grid.32224.35) (ISNI:0000 0004 0386 9924)
10 Sensory Cloud, Cambridge, USA (GRID:grid.511855.d); Harvard University, John A Paulson School of Engineering & Applied Sciences, Cambridge, USA (GRID:grid.38142.3c) (ISNI:000000041936754X)