"At the moment people are being told to go back to work, if they are a care worker and they have got something like loss of smell and taste, severe muscle pains and fatigue things that we know have shown are related to being swabbed positive".
If the symptomatic person lives with others, they should stay at home for seven days, while all other household members should stay home for 14 days even if they do not have symptoms.
"Anosmia is the loss of or a change in your normal sense of smell".
By adding anosmia the sensitivity of new case pick up could increase to 93 percent from 91 percent with just new cough and fever, Van-Tam said.
Prof Spector, head of the department of genetic epidemiology and leader of the Covid symptom study app at King's, said 50,000 to 70,000 people in the United Kingdom with Covid-19 were now not being told to self-isolate even though they had the virus.
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Prof Van-Tam said on April 3 that the New and Emerging Respiratory Virus Threats Advisory Group (Nervtag) had looked at the issue and concluded loss of smell or taste should not be added to the symptom list.
But in the same month, ENT UK, the professional membership body representing ear, nose and throat surgery in the UK, published guidance to patients saying it believed loss of smell and loss of taste were symptoms of coronavirus and that it had shared these details with PHE.
He said 17 other countries had now changed their advice, as had the World Health Organisation the European Union, and the US Centers for Disease Control and Prevention in order to take on a broader range of symptoms.
From today, people are being told to self isolate if they lose their sense of taste or smell.
The change, announced by Professor Jonathan Van-Tam, England's deputy chief medical officer, came after scientists advising the government decided it could help pick up more cases if included in the basic case definition.
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