A doctor on a remote Irish island has warned that coronavirus is now "rampant" after the area went months without a case.
Noreen Curtis, who is a GP based in Achill, Co Mayo, said that locals need to adhere strictly to all public health guidelines.
The region had been Covid-free for six months, but infections have recently started to shoot up.
She wrote on Twitter: "Folks, it’s rampant. Achill escaped very lightly since March, but no more. Stay in, wash hands, mask up.
"To all the people here - behave as though you have it & don’t want to spread it."
Dr Curtis added that cases are now in the "high teens" on the tiny island, which has a population of just over 2,500.
It comes after a leading doctor has issued a four-week lockdown warning as she claimed there is "very little time" left to make a big decision.
Health officials are set to meet on Thursday with a number of counties, particularly in border areas, facing a move to Level Four.
Dr Mary Favier, former President of the Irish College of General Practitioners, said there needs to be a "radical difference" in behaviour over the next couple of days and weeks.
And in terms of how long we might be placed under Level Four or Level Five restrictions, Dr Favier said we need to be able to ensure our health service can get through the winter.
She told Morning Ireland on RTE Radio One: "I think we need three to four weeks.
"I think we are capable of doing it if we know there is an end of sight, if we know that means we can get to Christmas and through the winter with a robust health service.
"That means we can keep the schools open, we can keep retail open and we can meet our families.
"But unfortunately now we have to put in the hard work, we have to sit down at our table this evening and say 'what did we do today that we can do differently tomorrow?'
"We need to say to employers that staff need to work from home if at all possible. It appears people are going to work when they should ideally be working from home.
"We ask people not to travel unless they absolutely have to, not to go to gym, all those kinds of sporting activities, don't do them unless you have to. It's the small activities that will make a big difference."
