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Worried you or a loved one may have Covid-19 (Coronavirus) ?

Get an isolation note from here NOW if you are asked to self-isolate

What is Coronavirus - watch this video below which explains in 8 minutes what it means and why social distancing and social isolation is so important

Click here to see advice and guidance about Coronavirus in over 20 languages with thanks to Doctors of the World.

Please wash your hands regularly with soap and water or sanitiser gel for at least 20 seconds.

If you have a new persistent cough or fever (37.8 or higher) then you should stay at home (self-isolate) for 1 week. You do not need to phone 111 to inform them that you are self isolating. See
111 Online Coronavirus service

Do not go to your GP surgery, pharmacist or hospital.

Contact 111 only if you feel you cannot cope with your symptoms at home, your condition gets worse or your symptoms do not get better after 7 days

People over 70 years old should not travel on cruises. Children should not go on school trips abroad.

Important information about the coronavirus (COVID-19)

The NHS in Tameside & Glossop and Public Health England (PHE) are well prepared for outbreaks of new infectious diseases. The NHS has put in place measures to ensure the safety of all patients and NHS staff while also ensuring services are available to the public as normal.

The latest information on symptoms of Coronovirus infection and areas where recent travel may have resulted in a high risk of exposure can be found on nhs.uk/conditions/coronavirus-covid-19/

NHS 111 has an online coronavirus service that can tell you if you need medical help and advise you what to do.

Use this service if:

  • you think you might have coronavirus;
  • you've been in close contact with someone with coronavirus.

Do not go to a GP surgery, pharmacy or hospital. Call 111 if you need to speak to someone.

Like the common cold, coronavirus infection usually occurs through close contact with a person with novel coronavirus via cough and sneezes or hand contact. A person can also catch the virus by touching contaminated surfaces if they do not wash their hands.

Testing of suspected coronavirus cases is carried out in line with strict guidelines. This means that suspected cases are kept in isolation, away from public areas of GP surgeries, pharmacies and hospitals and returned home also in isolation. Any equipment that come into contact with suspected cases are thoroughly cleaned as appropriate. Specific guidance has also been shared with NHS staff to help safeguard them and others. Patients can be reassured that their safety is a top priority, and are encouraged to attend all appointments as usual.

Everyone is being reminded to follow Public Health England advice to:

  • Always carry tissues with you and use them to catch your cough or sneeze. Then bin the tissue, and wash your hands, or use a sanitiser gel.
  • Wash your hands often with soap and water, especially after using public transport. Use a sanitiser gel if soap and water are not available.
  • Avoid touching your eyes, nose and mouth with unwashed hands.
  • Avoid close contact with people who are unwell.
Coronavirus - all you ever wanted to know about coronavirus but dare not ask (7th March 2020)

Talk delivered by Dr Hannan to the community in Sale on 7th March 2020 by 3 Meem Foundation covering the history of COVID-19 (a type of coronavirus), what are the symptoms, who is considered at risk of developing it, having tissues and a bin near you if you start with a cough, breathlessness and / or temperature, what you should do if you think you have got it, how safe is coronovirus and the likelihood that most people (4 out of 5) will get better with just mild symptoms, how to access appointments at the GP surgery, what may happen if you are thought to have coronavirus, how to self-isolate and what you should do, how you should prepare NOW for getting possible coronavirus, the importance of neighbourhood watch schemes to help your neighbours, the stopping of face to face consultations unless absolutely necessary and instead expecting text messages, information on practice websites to help keep you informed, using social media such as facebook and twitter to get simple messages out to people, telephone consultations, online medical history taking, the need to know how to order prescriptions online and book appointments which are available now in all GP surgeries. He also talks about specific things we are doing here at Haughton Thornley Medical Centres including having full access to your GP electronic health record including what the doctor or nurse have written about you, introducing video consultations if you have a smartphone or webcam and a new app MJOG messenger that allows rich content messages including pictures and video to be sent directly to your smartphone. He finishes by answering some of the myths that people have about the disease and how we can all beat this by sticking together and keeping ourselves well-informed.

Changes since talk on 7th March 2020:
  • New advice from 16.3.2020: If you have a new persistent cough or fever then you should stay at home (self-isolate) for 14 days (2 weeks) with your family.
  • Contact 111 only if you feel you cannot cope with your symptoms at home, your condition gets worse or your symptoms do not get better
  • People over 70 years old should not travel on cruises. Children should not go to school trips abroad.
  • Travel history in the past 14 days no longer matters.
  • Only people who are serious enough to need to be admitted into hospital with respiratory symptoms are being tested for COVID-19.
Questions and Answers session including Dr Fozia Tariq (microbiologist), Dr Tariq Razzaq (dermatologist), Dr Mohammed Naseer ud din (anaesthetist) and Dr Amir Hannan (GP)

The WHO has now named the virus as COVID-19which is a type of coronavirus

The BBC Health team talk you through what the NHS says about protecting yourself from Covid-19 (a type of Coronavirus). Watch the video below

Learn about the Coronavirus and what you need to know from the World Health Organisation below

Typically patients are complaining 
  • The fever is usually high (over 38c and in some cases 40c) and persistent over more than 4 days.
  • The cough is generally dry and developed several days after the fever. (3 or 4 days)
  • The breathlessness varies from one person to another and in some was intermittent chest tightness like an asthma attack.
  • Fatigue and muscle aches seems worse in the first 4 days with cough and breathlessness after that.
  • The cough and breathlessness can persist in people beyond 2 weeks.
Frequently Asked Questions
  • Why is the fever so high?
The fever is your body’s way to fight the infection, we have no medicine to treat this virus but your immune system will fight it, the fever is part of that process. If the fever makes you too uncomfortable of stops you taking food drink use paracetamol to reduce the fever for a few hours
  • Why is the fever not settling after 4 days?
The fever can go on for 7 days with this infection if you are still feverish after that we should talk again.
  • Why is the cough not settling after 2 weeks?
The cough can go on for 3 weeks if you are not too breathless and able to eat and drink the dry cough will settle over time.
  • Why am I breathless and when will I need to go to hospital?
Breathlessness is a feature of this illness due to irritation and inflammation of the lungs if the breathlessness is severe you may need to have oxygen support or ventilation in hospital. This is likely if you are too breathless to climb the stairs or to hold a conversation or to eat and drink.
  • Can I have a swab to be sure it is coronavirus?
You will only be swabbed if you are so sick that you need to be admitted to hospital, the swab takes 3 or 4 days to get a result so we treat you on the presenting symptoms of this illness.
  • Can I come to the hospital for treatment?
This virus has no specific treatment. You will come into the hospital if the inflammation in the lungs is so severe that you need oxygen support or ventilation. Less than 1 in 10 people will need this support.

Only contact 111 or the surgery if the breathlessness becomes very severe such that you have difficulty speaking, eatin or drinking otherwise your symptoms can be managed safely at home. It is important to  help improve your own immune system with rest, fluids, fruit and nourishing foods, keeping warm and avoiding stress.

It seems to start with a fever, followed by a dry cough and then, after a week, leads to shortness of breath. But in more severe cases, infection can cause pneumonia, severe acute respiratory syndrome, kidney failure and even death. Most victims have been elderly people, suffering from other chronic diseases including Parkinson's and diabetes.

There are several myths surrounding the risks of coronavirus here in the UK. BBC Health Online desk have been looking at some of them, and putting the facts straight.
  • Face masks aren't that useful
  • You can't catch the virus from animals
  • It is seldom fatal 
  • But there is no cure
  • It's safe to eat Chinese food
Face masks aren't that useful
You might be starting to see people wearing them in the UK, but there is limited evidence that they work.

That's because they are generally too loose, don't cover the eyes and can't be worn for long periods.Face masks need to be changed frequently (because they get sweaty), if they are to offer any real protection.

To protect yourself, the World Health Organization (WHO) says it's more important to:
  • cover your mouth and nose while sneezing, with a tissue or your elbow
  • put the tissue straight into a closed bin
  • wash your hands afterwards, and then frequently, with soap or sanitiser
  • keep your distance from people who are coughing and sneezing (at least one metre)
Don't bother:
  • eating garlic
  • gargling 
  • mouthwash
  • rinsing your nose with saline
  • using sesame oil under the nose
None of these will help protect against the new virus in any way, the WHO adds.

Current advice from Public Health England says:

Stay at home for 14 days if you have either:
  • a high temperature above 37.8 degrees centigrade– you feel hot to touch on your chest or back
  • a new, continuous cough – this means you've started coughing repeatedly
Do not go to a GP surgery, pharmacy or hospital.You do not need to contact 111 to tell them you're staying at home.Testing for coronavirus is not needed if you're staying at home.

Coronavirus and your wellbeing

You might be worried about coronavirus (also known as COVID-19) and how it could affect your life. This may include being asked to stay at home or avoid other people. This might feel difficult or stressful. But there are lots of things you can try that could help your wellbeing. (Please see Coronavirus and your wellbeing from MIND whic provides more information on the points below)

Plan for staying at home or indoors
  • Find the right place to stay
  • Eat well and stay hydrated
  • Keep takign your medication
  • Continue accessing treatment and support if possible
  • Take care of your immediate environment
  • If you have care needs or provide care or support to someone else then think about what else you can do
Take care of your mental health and wellbeing

If you've been asked to stay at home and avoid other people, it might feel more difficult than usual to take care of your mental health and wellbeing.These are some ideas which may help:
  • Hand washing and anxiety
  • Connect with people
  • Decide on your routine
  • Try to keep active
  • Get as much sunlight, fresh air and nature as you can
  • Plan for workign or studying at home
  • Find ways to spend your time
  • Find ways to relax and be creative
  • Keep your mind stimulated
  • Take care with news and information
  • If you're feeling anxious, plan a "safe space" amd find ways to comfort yourself
  • If you're feeling claustrophobic or trapped, open the window to let aor in, look at the sky, change rooms regularly
Checklist: are you ready to stay at home for two weeks?
  • Food - do you have a way to get food delivered
  • Cleaning: are yourclaning supplies stocked up
  • Money: Can you budget for higher bills or expenses. Will you save money from lower transport costs that you could spend elsewhere
  • Work: Can you work from home or not. Do you know what rights you have to payments or benefits?
  • Medication: do you have enough medication or a way to get more?
  • Health: can you reorganise any planned therapy or treatments?
  • Commitments: can someone else help you care for any dependents, walk your dog, or take care of any other commitments?
  • Connectivity: have you checked the contact details of the people you see regularly, like their phone numbers or email addresses?
  • Routine: can you create a routine or timetable for yourself? And if you live with other people, should you create a household schedule? Do you need to agree how the household will run with everyone at home all day?
  • Exercise: is there any physical activity you can do inside your home, such as going up and down the stairs, using bean tins as weights, or exercises you can do in your chair?
  • Nature: have you thought how you could access nature? Can you get some seeds and planting equipment, houseplants or living herbs?
  • Entertainment: have you thought about things to do, books to read or TV shows to watch?
  • Relax: have you got materials so you can do something creative, such as paper and colouring pencils?
with thanks to MIND for produong this excellent checklist

What can patients at Haughton Thornley Medical Centres do to help themselves?
  • Please read the information on this webpage which we will try to keep uptodate
  • Ensure you know how to view your electronic health record via Evergreen Life PHR and / or Patient Access
  • The Evergreen Life PHR app is a health and wellness app and you can use this to monitor your wellness level too - see below for more information. 
  • Please email htmcpatient@nhs.net if you have forgotten your passwords and we will get back in touch with you
  • Use Engage Consult - the new way to get appointments online at any time, day or night. We prefer patients / carers to do the questionnaires in the evening after 6:30pm so that they are ready to be viewed first thing in the morning. We are gradually rolling this out across the practice so please bear with us. You can learn more here  
  • Download the MJOG Messenger app - the new way of receiving information from the practice
  • See Depression / Anxiety care for a variety of self-help innitiatives, leaflets, videos
  • Follow us on facebook and twitter and post positive messages about what ou have learned from here so that others can learn from you too and we share this widely. Your messages of support will help others too nad provide a positive contribution to the local community as well

The Evergreen Life PHR app for iOS and Android devices includes a "happiness score" and an overall "wellness score" which you can use to improve your health. Click here to learn more and how to use this to support your physical and mental health needs. 

Start recording your wellness score today and monitor it over time to see how it changes whilst making it fun too!

You need to isolate yourself if you've got either 
  • a high temperature – you feel hot to touch on your chest or back
  • a new, continuous cough – this means you've started coughing repeatedly
Do not go to a GP surgery, pharmacy or hospital.You do not need to contact 111 to tell them you're staying at home.Testing for coronavirus is not needed if you're staying at home.

You should stay in a well-ventilated room with a window that can be open, separate from the other people in your home.Ask for help if you need groceries, other shopping or medication - it's OK to have friends, family or delivery drivers drop off supplies to get you through the two weeks. But you shouldn't invite visitors in, PHE says.

Learn more about "staying at home" (self-isolation) with definitive guidance from the government.

The new coronavirus has been declared a global emergency by the World Health Organization, as the outbreak continues to spread outside China. Globally there are now 209,839 confirmed cases of COVID-19. The death toll now stands at 8,778 deaths globally and 4,084 deaths in Europe (correct on 19th March 2020). You can see the latest info from the World Health Organisation here as this is a developing situation.

What happens to patients diagnosed with coronavirus?

A detailed analysis of the first 99 patients treated there has been published in the Lancet medical journal.

Lung assault
All of the 99 patients taken to the hospital had pneumonia - their lungs were inflamed and the tiny sacs where oxygen moves from the air to the blood were filling with water.Other symptoms were:
  • 82 had fever
  • 81 had a cough
  • 31 had shortness of breath
  • 11 had muscle ache
  • 9 had confusion
  • 8 had a headache
  • 5 had a sore throat
At least 10% die

As of 25 January, of the 99 patients:
  • 57 were still in hospital
  • 31 had been discharged
  • 11 had died
This does not mean the death rate of the disease is 11%, though, as some of those still in hospital may yet die and many others have such mild symptoms they do not end up in hospital. Most of the 99 patients were middle-aged, with an average age of 56 - and 67 of them were men.However, more recent figures suggest a more even gender split. The China Centers for Disease Control and Prevention said 1.2 men were infected for every 1.0 women.

What is the current situation in the UK ?

As of 9am on 19 March 2020, 64,621 people have been tested in the UK, of which 61,352 were confirmed negative and 3,269 were confirmed positive. As of 1pm 144 patients in the UK who tested positive for coronavirus (COVID-19) have died. You can see the latest information and advice for the UK here.  

Risk level
Based on the World Health Organization’s declaration that this is a public health emergency of international concern, the UK Chief Medical Officers have raised the risk to the public from low to moderate.This permits the government to plan for all eventualities. The risk to individuals has been rasied to high.

How many cases are there in your area?

I do not have Coronavirus currently - what can I do now to help myself and my loved ones for the future?
  • Make sure you have signed up for Records Access and Understanding. This allows you to see what your doctor or nurse have witten about you too. Click here and complete the questionnaire for each member of your family. If you care for somebody then do the questionnaire on their behalf.  
  • Register with Engage Consult so that you can book an appointment whenever you need an appointment
  • We are introducing video consultations for those patients who are unable to come to the surgery or it is unsafe for you to do so. This will requre you to have a smartphone or a computer with a video camera attached too. This is not essential but it does allow the doctor to see you even if you are unable to come to the surgery.
  • Face masks may be useful if you are in confined spaces or travelling in a closed environment eg a plane. However washing your hands regularly with warm soapy water is much more important
  • The foreign office currently advises against all but essential travel to China. See the latest travel advice from the WHO
  • Look back at this webpage which we will keep uptodate with useful information. For the latest info please see here

Not everybody who is a case of coronavirus results in death.

How deadly is the coronavirus?

Watch COVID-19 the real numbers that will make you feel safe below by ProjectNightfall (please note - non-NHS source)

Based on data from 44,000 patients with this coronavirus, the WHO says:
  • 81% develop mild symptoms
  • 14% develop severe symptoms
  • 5% become critically ill
The proportion dying from the disease, which has been named Covid-19, appears low (between 1% and 2%) - but the figures are unreliable.Thousands are still being treated but may go on to die - so the death rate could be higher. But it is also unclear how many mild cases remain unreported - so the death rate could also be lower.

To put this it into context, about one billion people catch influenza every year, with between 290,000 and 650,000 deaths. The severity of flu changes every year.

Click on the world map to see the latest information from every country in the world - useful for peopel planning to travel abroad and wanting to know what the latest information is 



The above information has been collected from advice from NHS Choices, Public Health England and advice from Tameside and Glossop CCG as well as Haughton Thornley Medical Centres and the BBC

Updated 10.3.2020

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  UK Health News  
Coronavirus: Five-year-old among latest UK victims
A child with underlying health conditions is among 708 people whose deaths were reported in the past day.

Coronavirus: The NHS workers wearing bin bags as protection
One intensive care doctor describes the reality faced by some UK health workers on the front line.

Nurse deaths 'inevitable' from coronavirus
Nursing chiefs raise fears about protective equipment following the deaths of two nurses.

BBC Health

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