SARS-CoV-2, the infectious agent causing the ongoing COVID-19 pandemic, often has long-term impacts on the health of those who survive initial infection [1][2][3][4][5][6] and can lead to premature death [1]. An understudied outcome of COVID-19 is its effect on the audiovestibular system [7,8]. Impacts of the virus on this system create a pattern of disability similar to that of Ménière's Disease (MD), a progressively degenerative condition that can cause severe falls and deafness [1]. COVID-induced MD (CMD) impacts physical, social, psychological, financial, and other dimensions of health in profound ways that must be addressed throughout public and individualized health systems as early in its course as possible in order to increase individuals' quality of life and decrease costs to individuals and society. In this paper, we define "post-COVID syndrome," describe MD in more detail, and provide additional information on how MD impacts health, quality of life, and potential social and economic costs of COVID-19-induced MD (CMD). We also discuss options for early detection and intervention. Finally, we provide suggestions for public-and communitybased health approaches to addressing MD and COVID-19-originated MD (CMD) that focus on early detection and intervention, provider education, integrated treatment options that include use of interdisciplinary teams and paraprofessionals, fall prevention, and future avenues for research.
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Check for updatesMénière's Disease (MD) has historically been diagnosed primarily in people aged 40-60 (AHRF, 2022). Its effects on the inner ear include stiffening of the "hairs" (stereocilia) that line the cochlea, tinnitus, deafness, dizziness, vertigo and loss of balance that can lead to increased risk for falls [7,12]. Falls caused by MD typically occur without warning, loss of consciousness, or neurological symptoms and are known as drop attacks, Tumarkin drop attacks, drop vestibular attacks, or otolithic crises [12]. These can be severe, especially before MD/CMD is identified, and early in symptom