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.

Details

Title
COVID-19 symptoms are reduced by targeted hydration of the nose, larynx and trachea
Author
George, Carolin Elizabeth 1 ; Scheuch Gerhard 2 ; Seifart Ulf 3 ; Inbaraj Leeberk Raja 1 ; Sindhulina, Chandrasingh 1 ; Nair, Indu K 1 ; Hickey, Anthony J 4 ; Barer, Michael R 5 ; Fletcher, Eve 5 ; Field, Rachel D 6 ; Salzman, Jonathan 7 ; Moelis Nathan 8 ; Ausiello, Dennis 9 ; Edwards, David A 10 

 Bangalore Baptist Hospital, Bangalore, India (GRID:grid.464829.5) (ISNI:0000 0004 1793 6833) 
 GS BIO-INHALATION GmbH, Germunden, Germany (GRID:grid.464829.5) 
 Klinik Sonnenblick, Marburg, Germany (GRID:grid.464829.5) 
 RTI International, Research Triangle Park, USA (GRID:grid.62562.35) (ISNI:0000000100301493) 
 University of Leicester, Respiratory Sciences, Leicester, UK (GRID:grid.9918.9) (ISNI:0000 0004 1936 8411) 
 Columbia University, School of Engineering & Applied Sciences, New York, USA (GRID:grid.21729.3f) (ISNI:0000000419368729) 
 Sensory Cloud, Cambridge, USA (GRID:grid.511855.d) 
 Northeastern University, School of Bioengineering, Boston, USA (GRID:grid.261112.7) (ISNI:0000 0001 2173 3359) 
 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) 
Publication year
2022
Publication date
2022
Publisher
Nature Publishing Group
e-ISSN
20452322
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2644714164
Copyright
© The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.