In this episode, Dr Ramya Raman is joined by Dr Paul Victor Effler, a public health physician, to discuss the current diphtheria outbreak in northern Australia. The clinical features of diphtheria, including its potential for severe throat and skin infections, and highlights the characteristic signs to watch for in general practice.

Dr Effler outlines the epidemiology of the outbreak, noting its predominance in remote Aboriginal communities, and provides guidance on when to suspect diphtheria based on clinical and epidemiological clues. Recommending the use of culture and PCR swabs, as well as the importance of alerting public health authorities in suspected cases.

Explaining vaccination schedules and recent updates for high-risk areas, and the vaccine’s role in preventing severe disease but not transmission. They conclude by addressing the need for ongoing vaccination in affected communities and the importance of tackling underlying factors that contribute to high rates of skin infection.

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