Phil Harrison
BBC Radio Kent

There’s a steady stream of students, often accompanied by their parents, at the Vicarage Lane Clinic in Ashford town centre, where free antibiotics are available.

The clinic began offering them this morning and has a large stock - students at local schools were advised to take them. It is open on a no appointment basis until 4pm today.

One of those attending the clinic today is Agatha Burton, who has come with her dad.

“I’ve come here as a precaution as I was out in Canterbury on the dates my school told us needed checking," she explains.

She says that a friend of hers is in hospital with meningitis. "But he is doing fine. He was moved from Medway to London though.”

“All of my friends are talking about it because there’s people from Ashford who have meningitis, it’s scary," she adds.

“The antibiotics were easy to take, it’s just a pill to swallow.”

Another young person queuing at the clinic for antibiotics is Mohammed Sheik, a media student at Ashford College.

People are "worried" about meningitis, he tells me.

"I know of some friends who have become ill. I’m glad the antibiotics are available but I won’t be socialising as much just in case.”

How worried should we be?published at 12:30 GMT

12:30 GMT

Nick Triggle
Health correspondent

The meningitis outbreak has been described as an unprecedented and explosive event.

But at the same time we are being told it’s not like Covid and there’s low risk of it spreading nationwide - so how do we reconcile those two things?

It’s true this outbreak is highly unusual. You don’t normally get such a concentration of cases all at one time.

When cases occur in clusters, it's often limited to only three or four cases. So to have 20, seemingly linked, is hardly ever seen.

Meningitis does not spread super easily. Sitting next to someone on a bus is not considered a risk, for example. It normally requires very close contact involving the exchange of saliva - such as kissing or sharing drinks or vapes.

What is more, many of us already have the bacteria that causes it in the back of our throats and in our noses – and it doesn’t cause a problem.

Only in rare cases does it lead to invasive meningitis, involving brain inflammation and blood poisoning - there are only around 300 to 400 of those cases every year.

It’s why experts in the field continue to say the risk, even to people in Kent, is very small.

But the unanswered question, of course, is why this has happened.

It could just be completely random or a freak event with a particular set of unique circumstances. Or, and this is very much worst-case scenario, it could have mutated.

While the health authorities cannot rule that out – they are carrying out tests to check – their working assumption is it hasn’t.

Image source, House of Commons

In the House of Commons, Prime Minister Sir Keir Starmer started this week's Prime Minister's Questions by expressing his "deepest condolences" to the families and friends of the two young people who have died following the meningitis outbreak in Kent.

He says "this will be a deeply difficult time" for the loved ones of those are now seriously ill, and adds that health experts are working to identify close contacts of those affected.

The prime minister calls on anyone who attended Canterbury nightclub Club Chemistry on 5, 6 and 7 March "to come forward please and receive antibiotics."

• Follow live coverage of this week's PMQs here

Simon Jones
Reporting from the University of Kent

There is a strange atmosphere again today on the university campus - it’s a bit like a ghost town.

There are very few students here, apart from people coming to pick up antibiotics, wearing masks. It feels like the Covid era.

The university says it’s doing all it can to support its students.

One who does remain on site is Kwatng. He tells me: "It’s really quiet. I haven’t been out since Sunday. I’ve been locked in my room. This is my first time going out."

Many students have left the site and headed home. This should be exam season, a stressful time already. But people here are feeling stressed here for very different reasons.

Image source, PA Media

Why is this outbreak 'unprecedented'?published at 11:46 GMT

11:46 GMT

James Gallagher
Health and science correspondent

This meningitis outbreak is unusual because of the large number of cases occurring in such a short period of time.

The big unknown is why it's happened.

Answers are not obvious. Meningitis B is the most common type in the UK, students go to clubs up and down the country - nothing is overtly unusual.

We know people regularly catch Meningitis B bacteria and they usually live harmlessly in the nose. But in rare cases the bacteria can invade the body and cause meningitis.

So has there been an exceptional amount of spread of the bacteria or has it become more likely to cause invasive disease?

There is speculation about vaping - could sharing a vape in groups accelerate spread or could vaping itself making it easier for meningitis bacteria to invade the body.

But it still asks the question what could cause such an explosive outbreak as vaping is not new or rare.

Is there something different about the meningitis bacteria this time? Is there some unusual environmental or behavioural factor - we know smoking increases the risk of invasive disease - that is different this time.

There are so many questions. We're still waiting for answers.

A UK Health Security Agency (UKHSA) spokeswoman says that "there are sufficient MenB vaccine stocks".

The UKHSA "will work with local resilience partners to ensure effective distribution", a spokeswoman tells news agency PA.

It comes as high street pharmacies warn of a surge in demand for the vaccine.

Speaking to the Today programme on Wednesday morning, Olivier Picard - chair of the National Pharmacy Association - says that "most of our distributors and wholesalers have no stock".

He says the association is "hearing that there may be some stock in the system" but "it is taking its time to come into our fridges".

Simon Jones
Reporting from the University of Kent

We’re still awaiting firm details of where and when the vaccination programme for 5,000 students who live on the University of Kent will begin.

Jabs are expected to start being given some time this afternoon.

It is a big logistical operation getting hold of the vaccines and finding the staff to administer them, but it is being treated as an urgent matter.

That’s why this outbreak is being classed as one requiring a national response, so resources can be brought in from elsewhere.

Image source, Simon Jones / BBC

French authorities say a person who was admitted to hospital with meningitis, after returning from England, is now in a stable condition.

On Saturday, French authorities alerted UKHSA to a second confirmed case in France linked to the University of Kent.

In a statement today, the French health ministry says "no other cases linked with the situation across the Channel" have been reported.

"All possible measures have been taken to limit the spread of the infection. People who were in risky contact with the patient have been informed and an antibiotic treatment has been offered to them," the ministry says.

"The situation is being monitored by French authorities, with their British counterparts," it adds.

• With five additional cases announced by the UKHSA this morning, a total of nine meningitis cases have now been confirmed, and 11 are under investigation
• Two young people have died - an 18-year-old sixth form student called Juliette, and a University of Kent student whose identity has not been released
• Six cases are known to be Meningitis B - a bacterial form of the disease
• Five schools in the Kent area have so far confirmed or suspected cases among their students
• All cases are currently being treated as linked to Kent. Anyone who visited Canterbury nightclub Club Chemistry on 5, 6 or 7 March is being urged to pick up preventative antibiotics from clinics in the Kent area, or from their GP - more information on those services can be found on the NHS website, external
• Close contacts of cases are being traced, and advised to take antibiotics too - the health secretary said earlier that 2,500 people have been given medication
• Meanwhile a targeted vaccination programme is expected to roll out later today, which will aim to give MenB jabs to around 5,000 students at the University of Kent

"Everyone's just feeling a lot of anxiety at the moment," says Izzy Kenny, who is in her fourth year at the University of Kent.

She tells BBC Radio 5 Live Breakfast that she was with friends when she first heard about the meningitis outbreak and "the mood just shifted completely."

Kenny says she received an email from the university "explaining the situation, the symptoms to look out for, also explaining that unfortunately one of the students has passed away".

Since then, she says she's had "a few small updates through things like Instagram" laying out when people should get antibiotics but "that's been about it, to be honest."

Having been told she was a close contact of a meningitis case, Kenny says she picked up antibiotics on Monday.

"It was a long line, a lot of people going even if they haven't been in contact with somebody, just to get it for the sake of it, which I do think is a good thing," she says.

Image source, Izzy Kenny

Dr Simon Clarke, associate professor in cellular microbiology at the University of Reading, says MenB vaccination doesn't provide a "huge immediate effect".

Speaking to BBC Radio 5 Live, Clarke says: "Protection from [the jab] will take a couple of months to come on full strength. It requires a couple of doses and then the protection comes about two weeks after the second dose, the full protection."

"It won't have a huge immediate effect, even if people start having it today," he adds.

As a reminder, a targeted vaccination programme for 5,000 students on the University of Kent campus in Canterbury is expected to begin later on Wednesday.

High street retailer Boots says it has implemented a queuing system for customers who are trying to enter the vaccination service page of its website, warning that demand for its MenB jab is currently high.

Similarly Superdrug has also created a waiting list for the vaccine, with a note on its website informing customers of a "national shortage".

It says it is "working with suppliers to secure more doses."

A targeted vaccination programme for 5,000 students is expected to begin on the University of Kent campus in Canterbury later today. They'll be given a jab for Meningitis B - the strain confirmed in six cases so far.

Who is the MenB vaccine offered to normally?

Since 2015, babies have been given vaccinations on the NHS for Meningitis B, or MenB.

The vaccine is recommended for babies aged eight weeks. It's followed up with a second dose at 12 weeks, then a booster when they turn one.

It protects against the most common, but not all, group B bacteria.

Long-term health conditions

People with certain long-term health conditions are also recommended to get the MenB vaccine, and can be referred on the NHS by their GP.

This includes people with no spleen, sickle cell anaemia, coeliac disease or complement disorders (an immune disorder), according to Meningitis Now.

Can I pay for a vaccine?

The MenB vaccine is available through pharmacies, travel clinics and private GP practices.

The cost varies from place to place, but Meningitis Now says to expect to pay at least £110 for the two doses required.

Speaking to BBC Breakfast earlier this morning, Health Secretary Wes Streeting said it is "not necessary" for people to purchase vaccines privately as a result of the outbreak.

Simon Jones
Reporting from the University of Kent

Image source, Simon Jones/BBC

People are queuing for antibiotics at the University of Kent again today.

News of an increase in cases in the county is causing renewed concern, and the health secretary has described the outbreak here as "unprecedented".

Later today, we’re expecting the start of a vaccination programme aimed at 5,000 students who live on the campus.

But some parents of school pupils are asking why their children are not being offered jabs. Five schools in the county have been linked to the outbreak.

The vaccination programme is being kept under review by health bosses, but at the moment the priority is university students.

If doctors suspect that someone has meningitis, they usually test them to see if it's been caused by a bacterial or viral infection.

The NHS says some of these tests are:

• A physical examination, to look for symptoms such as a rash
• A blood test
• Taking a sample of fluid from the spine, called a lumbar puncture
• A CT scan, to look for any brain issues like swelling

Treatment

Six of the confirmed cases are Meningitis B, the UK Health Security Agency has said. This is a bacterial form of the disease.

Bacterial meningitis can be very serious, and it's recommended that all cases are treated in hospital so someone can be closely monitored. According to the NHS, hospital treatments include:

• Antibiotics, given into a vein
• Fluids, also given into a vein
• If someone has breathing difficulties, oxygen is administered through a face mask
• Steroid medication, if the person has any brain swelling

Nick Triggle
Health correspondent

Confirmation of five more suspected cases is not surprising - and health officials believe there could be more.

The incubation period is up to 14 days so they believe so there is still scope the mixing at the Canterbury club on the 5, 6 and 7 March, which experts believe may have acted as a superspreader event, will result in even more cases.

What is more, often outbreaks have a tail - subsequent close contacts of those infected could develop invasive meningitis.

That is why there has been such a push to give students and others antibiotics - to stop the infection in its tracks.

The vaccine programme starting later on Wednesday is about offering longer-term protection. It will be several weeks before immunity full kicks in.

But it is worth remembering meningitis is not like flu or measles. It is not that easy to pass on.

It requires prolonged close contact, like kissing, sharing drinks or vapes. Simply sitting next to someone on the bus is not considered a risk, for example.

A panel of experts is currently taking your calls on the meningitis outbreak on BBC Radio 5 Live.

You can watch live at the top of the page.

Nick Triggle
Health correspondent

There has been reports the authorities have declared the meningitis outbreak a national incident.

This is true - it happened on Sunday and was declared by the UK Health Security Agency - but it's not a sign that the outbreak is spreading beyond Kent.

That is not currently considered a concern - as Health Secretary Wes Streeting made clear in his interview with BBC Breakfast.

Instead, it is an operational tool to allow the authorities to flex national resources.

It means they can acquire antibiotics from the rest of the country and bring in staff to help with the targeted vaccination programme that is due to start on Wednesday afternoon.

We've just heard from Health Secretary Wes Streeting, who spoke to BBC Breakfast shortly after the UK Health Security Agency confirmed five new cases of meningitis in Kent. Here's what he said:

• The health secretary said while contracting meningitis is "extremely serious", the general risk from this outbreak is "very low"
• He called the Kent outbreak "unprecedented" in terms of spread. In a normal year the UK would see around 350 cases of meningitis, he said, so he expects to see unconnected cases in other parts of the country
• Asked if there is a concern this might spread geographically, Streeting said "no" - and added that it's "OK" that some students in Kent have decided to return to their hometowns
• The outbreak is not being treated as a national incident, he said, but the response is being managed on a national level
• A targeted vaccination programme for 5,000 students in Kent starts today, while 2,500 doses of antibiotics have been given out so far, he said - and it's "not necessary" for people elsewhere to buy vaccines privately