COVID-19 & Harm Reduction Guidelines – UK Reliable Pharmacy

At UK Reliable Pharmacy, we prioritise the safety and wellbeing of all UK residents, including those who use drugs. COVID-19, caused by a novel coronavirus, can lead to respiratory illness and other complications. While most cases are mild, it can be severe for people with weakened immune systems, chronic health conditions, or older adults. Staying informed and prepared is crucial.

Even if COVID-19 isn’t widespread in your area, following hygiene and prevention practices is essential for protecting yourself and your community.

How COVID-19 Spreads

COVID-19 is primarily transmitted through respiratory droplets from coughing, sneezing, or close contact with an infected person. Maintaining distance and hygiene is key to reducing transmission.

Common Symptoms

Symptoms typically appear 2–14 days after exposure and include:

• Fever
• Cough
• Shortness of breath or difficulty breathing
• Fatigue

People at higher risk include those with heart or lung conditions, diabetes, HIV, or weakened immune systems, and individuals over 60 years old.

Preventing COVID-19 in the UK

• Hand Hygiene: Wash hands for at least 20 seconds with soap and water. Use alcohol-based sanitiser (≥60%) when soap isn’t available.
• Avoid Close Contact: Keep distance from anyone showing symptoms.
• Cover Coughs & Sneezes: Use a tissue or the elbow crook; dispose of tissues safely and wash hands.
• Avoid Touching Face: Eyes, nose, and mouth are primary infection routes.
• Flu Vaccination: Protects against the flu and reduces exposure to clinics or pharmacies.
• Protect Others: Wear gloves and masks if caring for someone unwell.

What to Do If You Feel Unwell

• Stay Home & Isolate: Reduce contact with others and monitor symptoms.
• Seek Medical Advice: Use telehealth or call a healthcare provider before visiting clinics.
• Monitor Severity: Seek urgent care if symptoms worsen.
• Support Mental Health: Ensure access to emotional support, food, hygiene, medications, and finances during isolation.

Currently, there is no universal vaccine or specific treatment for COVID-19, but medical care can help manage symptoms and prevent complications.

Harm Reduction Tips for UK Drug Users

Safer Drug Use

• Do Not Share Supplies: Avoid sharing pipes, e-cigarettes, bongs, straws, or injection equipment.
• Prepare Your Own Drugs: Wash hands thoroughly, clean surfaces with alcohol (≥70%) or antimicrobial wipes.
• Minimise Contact: Maintain distance during sexual activity; always use condoms.
• Overdose Preparedness: Have naloxone and fentanyl testing strips available. Use staggered dosing when using with others and keep a breathing mask for emergencies.

Hygiene & Cleanliness

• Sanitise Surfaces: Wipe down preparation areas, doorknobs, and countertops with alcohol or bleach.
• Hand Hygiene: Wash hands frequently, especially after handling drugs or public contact.
• Stay Home if Sick: Avoid harm reduction centres if experiencing symptoms. Use delivery services where available.

Stock Up & Plan Ahead

• Supplies: Secure enough syringes and safer-use equipment for 2–4 weeks.
• Drugs & Medications: Maintain safe reserves. Ensure continuity of prescription medicines, including methadone, buprenorphine, HIV, and HCV treatments.
• Prepare for Shortages: Identify alternatives and supportive medications to manage withdrawal if needed.

Guidance for UK Harm Reduction & Syringe Services

• Prioritise Safety: Protect staff and participants; promote handwashing, masks, and vaccinations.
• Sanitise Facilities: Clean service areas before, during, and after operations.
• Provide Extra Supplies: Distribute syringes, gloves, masks, hand sanitiser, and naloxone kits to participants.
• Communication Plan: Keep participants informed about service changes via email, text, or social media.
• Staff Absence Planning: Anticipate 10–20% absence; implement cross-training and remote work if possible.
• Medication Continuity: Ensure uninterrupted access to essential medications; consider telehealth and extended take-home doses for methadone or buprenorphine.

Notes on Masks & Gloves

• Masks are primarily recommended for those who are sick to prevent transmission.
• Gloves are advised when handling bodily fluids.
• Maintain hygiene practices consistently to protect yourself and others.

Combat Racism & Stigma

Reports of discrimination linked to COVID-19, particularly against Asian communities, have been documented. It is essential to stand against racism, promote inclusion, and support the safety and wellbeing of all communities across the UK.