The majority of people will experience milder symptoms
but specific service-user populations may be at special
risk of COVID-19 related illness or complications.
Typically, this includes women who are pregnant, people
who are 65 years or older; have asthma or other chronic
pulmonary, cardiovascular, liver, haematological,
neurologic, neuromuscular, or metabolic disorders
such as diabetes; are immunosuppressed; or are residents
of a nursing home or other chronic- care facility.
Measures you can take are:
- Avoiding any contact with people who have symptoms
- Avoid non-essential use of public transport
- Avoid social contact with family and friends instead
use phone, social media etc to keep in touch
- Social distancing can make some people feel more
isolated including people who use drugs so if it's
possible to check up on anyone affected by phone or
social media this can help. Mental health foundation
have produced guidance for ways people can look after
their mental health during the outbreak:
- If you need to contact services such as GP, contact
by phone first
you, or someone you live with, develops symptoms of
COVID-19, the Government and Health Protection advice
to self-isolate is:
- Stay at home for 7 days if you have a new continuous
cough or high temperature
- Stay at home for 14 days if someone in the household
has a new continuous cough or high temperature even
if they don't have symptoms
Please help us help each other keep healthy at this
time by following official guidance:
- Regularly and thoroughly clean your hands with an
alcohol-based hand rub or wash them with soap and water.
- Maintain at least 1 metre (3 feet) distance between
yourself and anyone who is coughing or sneezing.
- Avoid touching eyes, nose and mouth.
- Make sure you, and the people around you, follow good
respiratory hygiene. This means covering your mouth
and nose with your bent elbow or tissue when you cough
or sneeze. Then dispose of the used tissue immediately.
- Stay home if you feel unwell. If you have a fever,
cough and difficulty breathing, seek medical attention
and call in advance. Follow the directions of your local
- Keep up to date on the latest COVID-19 hotspots (cities
or local areas where COVID-19 is spreading widely).
If possible, avoid traveling to places - especially
if you are an older person or have diabetes, heart or
If you've developed a new continuous cough and/or a
fever/high temperature in the last 7 days, stay at home
for 7 days from the start of your symptoms even if you
think your symptoms are mild.
Phone your GP if your symptoms:
- Are severe or you have shortness of breath
- Worsen during home isolation
- Have not improved after 7 days
- You should also phone your GP if you develop breathlessness
or it worsens, especially if you:o are 60 years old
- Have underlying poor health
- Have heart or lung problems
- Have a weakened immune system, including cancer
- Have diabetes
- If your GP is closed, phone NHS 24 (111).
If you have a medical emergency, phone 999 and tell
them you have COVID-19 symptoms.
Lyndsay and Gilmore - Crewe Road - Operating as
normal, they are adhering to social distancing and
allowing 2 people into the store at any one time,
if waiting outside please adhere to guidleines and
stay 2m apart
Spittal Street - OPen as normal (Mon, Tues, Thurs
Fri 12.30 - 16.30) They are operating a 1 person
in 1 person out policy
Craigroyston Health Clinic - CGL - Phone 0131
469 5044 to arrange, they have limited items and cannot
see people in the building but will give to people
outside obeying the social distancing advice.
a result of the Coronavirus measures, people who use
drugs should be advised that when collecting new equipment
from Injecting Equipment Provision services, try and
take enough equipment to last two weeks and ask for
a last resort, if people can't get new equipment,make
sure existing works are cleaned in the following way
by using 3 cups and remember not to share these cups.
Container 1 - First cup of water
The syringe should be filled to the top by drawing
up the water to fill the full barrel. This water shpuld
be squirted out (away from any other paraphernalia)
ideally down a sink or toilet.
Container 2 - Thin Bleach
Then, the syringe should be filled with thin bleach
in the same way and again squirted down a sink or
toilet keeping well away from any other paraphernalia.
Container 3 - Second cup of water
Then the syringe should be filled with clean water
in the same way as the previous 2 steps, repeating
once or twice to ensure the barrel is clean and clear
Guidance has been produced by Scottish Drug Forum
and partners to support local areas and services in
their contingency planning for COVID-19 in relation
to people who use drugs and particularly the provision
of opiate substitution treatment and injecting equipment
The Guidance is not meant to replace local contingency
planning but to aid further development with regard
to meeting specific challenging issues that areas
are likely to be faced over the coming months.
People who use drugs are a particular risk group
with very specific needs
are particular challenges in relation to Scotland's
population of people who have a drug problem many
of these are aged over 35 and have multiple morbidities,
often including COPD - a group of lung conditions
that cause breathing difficulties - so are a very
vulnerable high risk group in relation to COVID-19.
People can temporarily have a lowered immune system
due to use of different drugs even where they do not
have significant underlying conditions.
An information flyer, created by SDF in consultation
with NHS Scotland and public health, has been designed
to inform people who inject drugs how they can reduce
their risk of infection and contains advice regarding
the acquiral and use of injecting equipment provision
during the outbreak.
The flyer also describes potential scenarios that
may occur during the outbreak which will impact specifically
on people who inject drugs, such as:
- A potential reduction in needle exchange service
- What to do if you cannot get new injecting equipment
- What may happen to the drug supply
- Advice on what may happen in case of withdrawal
- Advice on other downers like benzodiazepines
- Where to access services details and further information
on the COVID-19 outbreak
For people who use drugs, general advice is
- Wash your hands for at least 20 seconds regularly
including after going to the toilet, before eating/drinking
and when you blow your nose, cough or sneeze
- Avoid touching your face, eyes, nose and mouth with
- Cover coughs or sneezes with a tissue or your inner
elbow, then throw the tissue in a bin and wash your
- Wash your hands for at least 20 seconds before and
after preparing or taking drugs
- Effective handwashing is the most effective way
to prevent infection, but where handwashing has not
been possible use alcohol hand gel sanitiser
- Wipe down any drug packaging or wraps with alcohol
wipes as soon as possible after buying
- For preparing drugs, always prepare a clean surface,
cleaned down with anti-bacterial spray or alcohol
wipes, if it's not possible use something like clean
kitchen roll and dispose of it afterwards
- Do not share any paraphernalia, including needles,
water, spoons of equipment for injecting straws or
equipment for snorting, pipes for smoking or dabbing
in shared bags.
- New equipment greatly reduces the risk of ALL infections
- If fresh equipment is not available guidance for
cleaning works is below and pipes or snorting equipment
can be wiped down with alcohol wipes
For people living with HIV, current advice from Terrence
Higgins Trust is that people on HIV treatment with
a good CD4 count (anything over 350) and an undetectable
viral load are not considered to have weakened immune
systems. HIV Scotland suggest that if your CD4 count
is less than 350, if you're not on treatment or if
you have a detectable viral load, then it is particularly
important that you follow social distancing guidance.
While many of us may be feeling worried or stressed
about the impact of Coronavirus, there are things
that we can be doing to look after our mental wellbeing
at this time. On this page, you will find some additional
resources that might help you to look after your mental
World Health Organizationhas developed a mental health guide. It
includes information for how to look after your mental
health and wellbeing if you are self-isolating, if
you are a healthcare worker, team leader or manager
of a health facility, or a care provider for children
or older adults and people living with underlying
BBC has created
a guide that includes useful tips around what people
can do to protect their mental health during this
Health Foundation has developed
some tips for what people can be doing to look after
their mental health and the mental health of their
friends and family.
has provided information around coronavirus
and wellbeing, including tips for staying at home,
looking after your mental health and wellbeing and
a checklist for whether you are ready to stay at home.
has a hub of information and guidance around looking
after your mental health while the virus developments
Minds provides information about
how to talk to your child about coronavirus, as well
as some tips for how to look after your mental health
while you are self-isolating.
has provided free resources to help support people's
mental and emotional wellbeing, including soothing
meditations and sounds.
Women's Aid has created a page dedicated
to safety advice for women who are isolating in a
household with their perpetrator.
Drinkline and FRANK
Drinkline, the national alcohol helpline is available
weekdays 9am to 8pm and weekends 11am to 4pm on 0300
FRANK also has a helpline for difficulties regarding
drugs, which is open 24 hours, 7 days a week on 0300
and Keeping Well
If you're feeling anxious and overwhelmed at the moment,
you're not alone. Here are some ideas, based on the 5 Ways
to Wellbeing, you can take to look after and improve your
mental health and wellbeing.
Trying these things could help you feel more positive and
able to get the most out of life during this challenging
1. Connect with other people
Good relationships are important for your mental wellbeing.
" help you to build a sense of belonging and self-worth
" give you an opportunity to share positive experiences
" provide emotional support and allow you to support
are lots of things you could try to help build stronger
and closer relationships:
" if possible, take time each day to be with your family,
for example, try arranging a fixed time to eat dinner together
" try switching off the TV to talk or play a game with
your children, friends or family
" make the most of technology to stay in touch with
friends and family. Video-chat apps like Skype and FaceTime
are useful, especially if you live far apart
" search and download online community apps on the
NHS apps library
" do not rely on technology or social media alone to
build relationships. It's easy to get into the habit of
only ever texting, messaging or emailing people
Being active is not only great for your physical health
and fitness. Evidence also shows it can also improve your
mental wellbeing by:
" raising your self-esteem
" helping you to set goals or challenges and achieve
" causing chemical changes in your brain which can
help to positively change your mood
out more about getting active
" find free activities to help you get fit
" if you have a disability or long-term health condition,
find out about getting active with a disability
" start running with our couch to 5k podcasts
" find out about getting started with exercise
" do not feel that you have to spend hours in a gym.
It's best to find activities you enjoy and make them a part
of your life
Research shows that learning new skills can also improve
your mental wellbeing by:
- Boosting self-confidence and raising self-esteem
- Helping you to build a sense of purpose
- Helping you to connect with others
if you feel like you do not have enough time, or you may
not need to learn new things, there are lots of different
ways to bring learning into your life.
Some of the things you could try include:
- Try learning to cook something new. Find out about healthy
eating and cooking tips
- Work on a DIY project, such as fixing a broken bike, garden
gate or something bigger. There are lots of free video tutorials
- Consider signing up for a course online. You could try
learning a new language.
- Try new hobbies that challenge you, such as writing a
blog, taking up a new sport or learning to paint
- Do not feel you have to learn new qualifications or sit
exams if this does not interest you. It's best to find activities
you enjoy and make them a part of your life
Research suggests that acts of giving and kindness can help
improve your mental wellbeing by:
- Creating positive feelings and a sense of reward
- Giving you a feeling of purpose and self-worth
- Helping you connect with other people
be small acts of kindness towards other people, or larger
ones like volunteering in your local community.
Some examples of the things you could try include:
- Saying thank you to someone for something they have done
- Asking friends, family or colleagues how they are and
really listening to their answer
- Donate to the local food bank
attention to the present moment (mindfulness)
Paying more attention to the present moment can improve
your mental wellbeing. This includes your thoughts and feelings,
your body and the world around you.
Some people call this awareness "mindfulness".
Mindfulness can help you enjoy life more and understand
yourself better. It can positively change the way you feel
about life and how you approach challenges.
Read more about mindfulness, including steps you can take
to be more mindful in your everyday life.