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The most common symptoms of coronavirus (COVID-19) are recent onset of:
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  • High temperature
For most people, coronavirus (COVID-19) will be a mild illness If you have coronavirus symptoms:
  • 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
  • Plan ahead and ask others for help to ensure that you can successfully stay at home and consider what can be done for vulnerable people in the household
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  • If you feel you cannot cope with your symptoms at home, or your condition gets worse, or your symptoms do not get better after 7 days, then use the NHS 111 online coronavirus service. If you do not have internet access, call NHS 111. For a medical emergency dial 999
  • Visit NHS 111 Online for more information

Stay at Home
  • If you live alone and you have symptoms of coronavirus illness (COVID-19), however mild, stay at home for 7 days from when your symptoms started. (See ending isolation section below for more information)
  • If you live with others and you or one of them have symptoms of coronavirus, then all household members must stay at home and not leave the house for 14 days. The 14-day period starts from the day when the first person in the house became ill
  • It is likely that people living within a household will infect each other or be infected already. Staying at home for 14 days will greatly reduce the overall amount of infection the household could pass on to others in the community
  • For anyone in the household who starts displaying symptoms, they need to stay at home for 7 days from when the symptoms appeared, regardless of what day they are on in the original 14 day isolation period. (See ending isolation section below for more information
  • If you can, move any vulnerable individuals (such as the elderly and those with underlying health conditions) out of your home, to stay with friends or family for the duration of the home isolation period
  • If you cannot move vulnerable people out of your home, stay away from them as much as possible
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Tick Borne Encephalitis
S and S Chemist


Tick Borne Encephalitis (TBE) is a viral infection spread through the bite of an infected Ixodes tick’s saliva. Less commonly the disease can be spread through drinking unpasteurised milk. The endemic regions spread from European Russia, Scandinavia, Hungary, Czech Republic and the Balkans, mainly found in the forests between late spring and early autumn. The ticks are mainly found on small rodents such as mice and voles.


The symptoms are two-phased meaning that there is a primary onset of symptoms and then a secondary follow up of symptoms.

The first onset of symptoms will consist mainly of non-specific flu-like symptoms such as fever, headache, fatigue etc. This usually happens after a 7-14 day period lasting about 1-8 days.

The next set of symptoms arises after a 1-20 day period during which time there won’t be any signs of the disease. Only a third of patients who experience symptoms in the first stage will move on to experience symptoms of the second stage. In the second stage the symptoms are more similar to those of meningitis. Key features include an extremely high temperature, malaise and weakness. It is at this stage that the disease becomes more dangerous because it begins to affect the spine and brain and can cause damage to the nervous system or lead to death.


There is no specific treatment for TBE as it can only be managed through supportive treatment.


Travellers to endemic regions are at risk in particular those travelling through woodland or camping, depending on the time of year, particularly during vole season.


Prevention is important because the bite of the Ixodes tick is difficult to detect at time of attachment as the saliva acts as a local anaesthetic.

  • Avoid endemic regions during spring, summer, and autumn.
  • Wear long sleeves and long trousers which are tucked into socks. Light coloured clothes will make it easier to notice ticks and treating clothes with permethrin will prevent attachment.
  • Use DEET based repellents.
  • Check the body for ticks on a regular basis, common areas ticks attach themselves to are the back of knees, groin, elbows, and hair line.
  • Remove ticks as soon as possible using tweezers, aim to get as close to the skin as possible and using a straight, slow action remove the whole tick especially the mouth. Avoid squeezing the stomach as the contents will irritate the bite. Use a disinfectant on the bite immediately after removal.


The immunisation schedule is a course of 3 vaccinations. The first is on day 1, the second is after 1-3 months and the third 5-12 months after the second. Vaccinations are available at the pharmacy for £65 per dose. Accelerated courses are available, contact the pharmacy team on 02089021328 for further information.

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Greater London
0208 902 13 28
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