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This article applied the WHO COVID-19 case definition in Somalia and suggest ways to improve its performance The results strongly suggest a high level of community transmission of COVID-19 in Somalia that is most likely under-reported using current approaches This implies that a significant portion of infected Somalis go undetected and unwittingly serve as asymptomatic spreaders The article demonstrates that the inclusion of anosmia into a case definition for COVID-19 may result in fewer false negatives, thus ensuring that a higher number of cases are quarantined until they no longer pose a public health threat It appears that the onset of anosmia precedes the full-blown clinical disease Therefore, objectively assessing these symptoms could prove useful in screening for COVID-19, even in primary healthcare settings Notably, hyposmia/anosmia is seldom reported spontaneously by the patients themselves and should be intentionally investigated during history taking, especially during an ongoing COVID-19 outbreak
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International_Journal_of_Infectious_Diseases
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Evidence for significant COVID-19 community transmission in Somalia using a clinical case definition. (Special Section: Coronavirus (COVID-19) collection.)
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