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Loss of smell tracked as early clue in coronavirus cases

Mar 29, 2020 (Nikkei) - Loss of the ability to smell and taste can be an early sign of coronavirus infection, according to a growing number of reports from around the world.

More than two in three confirmed COVID-19 patients in Germany had anosmia -- the inability to smell -- and China, South Korea and Italy have also reported significant numbers of cases, according to a statement by ENT U.K., an organization for ear, nose and throat specialists.

In South Korea, "30% of patients testing positive have had anosmia as their major presenting symptom in otherwise mild cases," the statement said.

The World Health Organization has "seen quite a few reports" about this phenomenon, but "this is something that we need to look into to really capture if this is one of the early signs and symptoms of COVID-19," Maria van Kerkhove, technical lead for COVID-19 at the organization, said in a briefing Monday.

The American Academy of Otolaryngology set up a website Thursday where doctors can report such cases. Japanese Deputy Chief Cabinet Secretary Akihiro Nishimura told reporters Friday that Japanese organizations are also gathering information.

The novel coronavirus appears to replicate more in the nose than in the throat. "It may be that the virus infects olfactory cells deep within the nose, impairing the sense of smell," said Norio Sugaya, head of the infection control center at Keiyu Hospital in Yokohama.

The ENT UK statement suggested that loss of smell "could potentially be used as a screening tool to help identify otherwise asymptomatic patients."

But this alone is unlikely to prove a reliable indicator. "Even with a normal cold, [patients] can lose their sense of smell, affecting their sense of taste," said Mitsuyoshi Urashima, a professor of molecular epidemiology at Jikei University School of Medicine in Tokyo.

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Japan’s World Cup campaign ended in the cruelest possible fashion on June 29, as Gabriel Martinelli scored in the fifth minute of stoppage time to give Brazil a 2-1 victory over the Samurai Blue in their knockout match in Houston. Japan had led in the first half and were still level at 1-1 in the final moments, but Martinelli’s late strike sent Brazil into the Round of 16 and eliminated Japan from the tournament.

Strong earthquakes have continued to shake parts of Japan in recent weeks, with 11 temblors measuring lower 5 or above on the Japanese seismic intensity scale recorded across the country since April 2026.

A Kintetsu Railway train derailed inside Kyoto Station on the morning of June 29, forcing partial suspensions on the Kintetsu Kyoto Line for the rest of the day and causing long delays that hit commuters, students and tourists.

A section of stone wall at Hikone Castle, one of Japan’s few surviving original Edo-period castles and a National Treasure whose main keep remains intact more than 400 years after its construction, collapsed after heavy rain caused by Typhoons No. 7 and No. 8, Hikone city officials said.

Japan advanced to the knockout stage of the World Cup after a 1-1 draw with Sweden on June 25, finishing second in Group F and setting up a Round of 32 clash with Brazil in Houston.

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