The nose is not our most attractive feature. No line of Shakespeare reads, “O blessed nose! Had Heaven made thee as comely as thine office is noble,” but the human snout deserves more attention. It is constantly paying attention for us, and we are learning astonishing things about what it can detect.
Compared with a bloodhound, our noses are inadequate. Humans have 5-6 million scent receptors in the nose. A bloodhound has 300 million. The portion of a dog’s brain devoted to analyzing smells is about 40 times larger than ours.
Some birds also have remarkable beaks. Turkey vultures can detect gases released by decaying carcasses. They have helped workers locate leaking natural gas pipelines, attracted by the sulfur compounds added to otherwise odorless gas.
Now, emerging research may change perceptions of human olfactory skills. Scientists have discovered, for example, that when people are frightened or under stress, their body odour changes. Some scientists believe that other people can detect that odour without realizing it.
An analysis of 26 studies involving more than 1,600 people found evidence that fear, stress and anxiety can be communicated through body odour. It might happen like this. You walk into a room. Someone is frightened. They have not said anything or made eye contact, but somehow you become a little more alert yourself.
Body odours are being rebranded as chemosignals. We can sense these signals in instances of fear and stress. Some research suggests we can also sense positive emotional states, such as happiness, from detectable chemical information.
How the molecular chemistry works is not yet clear. Critics point out that laboratory experiments are more controlled than ordinary human life. In thinking through your life, have there not been times when you smelled someone passing by in a peculiar way, not their odour, per se, but their emotions?
Scientists are also learning new things about our noses and disease. Our bodies constantly release hundreds of volatile organic compounds, chemicals that can be detected in breath, sweat, skin, urine and other bodily materials. When metabolism changes because of infection or disease, the chemical mixture can change too. It is possible that diseases have distinctive chemical fingerprints.
This has produced extraordinary experiments involving dogs, electronic noses and laboratory instruments capable of identifying volatile compounds. Scientists are investigating whether these signatures could eventually help detect diseases earlier or more cheaply than conventional methods.
Parkinson’s disease provides an intriguing example. Loss or reduction of the sense of smell (called hyposmia) is common in Parkinson’s disease and can appear before the better-known movement problems.
Studies involving thousands of patients have found that smell testing can be effective in distinguishing Parkinson’s disease from other conditions that can look similar. That does not mean a poor sense of smell diagnoses Parkinson’s disease. Many healthy people have a poor sense of smell, especially as they get older. Nasal problems, medications, infections, and other conditions can affect it. It means that scientists are taking the nose seriously as a possible window into the brain.
Helen Keller, renowned American humanitarian who was deaf and blind from early childhood, referred to the nose as the fallen angel. She would be pleased that modern science is beginning to restore the nose to a central focus.
So, if you suddenly lose your sense of smell, or notice a substantial unexplained change, you might want to mention it to your doctor. It may be nothing more than a cold, allergies, medication, or aging.
If someone passes by, and you cannot explain your interest, for better or for worse, go get a better sniff.
This column offers opinions on health and wellness, not personal medical advice.
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Dr. W. Gifford-Jones, MD is a graduate of the University of Toronto and the Harvard Medical School. He trained in general surgery at Strong Memorial Hospital, University of Rochester, Montreal General Hospital, McGill University and in Gynecology at Harvard. His storied medical career began as a general practitioner, ship’s surgeon, and hotel doctor. For more than 40 years, he specialized in gynecology, devoting his practice to the formative issues of women’s health. In 1975, he launched his weekly medical column that has been published by national and local Canadian and U.S. newspapers. Today, the readership remains over seven million. His advice contains a solid dose of common sense and he never sits on the fence with controversial issues. He is the author of nine books including, “The Healthy Barmaid”, his autobiography “You’re Going To Do What?”, “What I Learned as a Medical Journalist”, and “90+ How I Got There!” Many years ago, he was successful in a fight to legalize heroin to help ease the pain of terminal cancer patients. His foundation at that time donated $500,000 to establish the Gifford-Jones Professorship in Pain Control and Palliative Care at the University of Toronto Medical School. At 93 years of age he rappelled from the top of Toronto’s City Hall (30 stories) to raise funds for children with a life-threatening disease through the Make-a-Wish Foundation. Diana Gifford-Jones, the daughter of W. Gifford-Jones, MD, Diana has extensive global experience in health and healthcare policy. Diana is Special Advisor with The Aga Khan University, which operates 2 quaternary care hospitals and numerous secondary hospitals, medical centres, pharmacies, and laboratories in South Asia and Africa. She worked for ten years in the Human Development sectors at the World Bank, including health policy and economics, nutrition, and population health. For over a decade at The Conference Board of Canada, she managed four health-related executive networks, including the Roundtable on Socio-Economic Determinants of Health, the Centre for Chronic Disease Prevention and Management, the Canadian Centre for Environmental Health, and the Centre for Health System Design and Management. Her master’s degree in public policy at Harvard University’s Kennedy School of Government included coursework at Harvard Medical School. She is also a graduate of Wellesley College. She has extensive experience with Canadian universities, including at Carleton University, where she was the Executive Director of the Global Academy. She lived and worked in Japan for four years and speaks Japanese fluently. Diana has the designation as a certified Chartered Director from The Directors College, a joint venture of The Conference Board of Canada and McMaster University. She has recently published a book on the natural health philosophy of W. Gifford-Jones, called No Nonsense Health – Naturally!



