I AM writing on behalf of the Meningitis Trust, in response to news that Frank McCourt, author of Angela's Ashes, has died from meningitis. Our thoughts are with his family and friends in Ireland and around the world at this very sad time.

At the Meningitis Trust, we are constantly reminded how devastating meningitis can be; changing people's lives in an instant and leaving some with life-long after-effects. We are urging everyone to be aware of the signs and symptoms of the disease, as it can strike in minutes and kill within hours. If people are concerned about their own, or someone else's health, they must seek medical attention immediately.

While many people think that meningitis is a disease that only affects children, the sad fact is that it can be contracted at any age, as Mr McCourt's tragic death shows.

Recognising the symptoms of meningitis can be difficult, as many are similar to more common illnesses like the flu. The rash that is commonly associated with meningitis doesn't appear in all cases, so it is vital that people are aware of the other symptoms. Symptoms can appear together and some may not appear at all. They include fever (possibly with cold hands and feet), headache, stiff neck, dislike of bright lights, drowsiness, joint pain, vomiting, diarrhoea and confusion. In babies, an unusual cry, dislike of being handled and refusing feeds are also signs that can point to meningitis. If in doubt, always seek urgent medical advice.

We produce and distribute free credit card sized symptoms cards for people to keep in their wallets and purses. To request these, call our freephone 24-hour nurse-led helpline on 0800 028 18 28 or visit our website at www.meningitis-trust.org.

BRIDIE TAYLOR Services and Education Director Meningitis Trust