Going Viral Podcast: Recent Episodes
Healthed Australia
A one-stop source of Coronavirus information for you and your patients as this rapidly evolving crisis unfolds.
We welcome your questions or feedback, which you can send to us at the email address goingviral@healthed.com.au
- H5N1 is a highly pathogenic avian flu affecting birds globally, with a higher mortality rate than COVID-19 but limited human-to-human spread
- Australia is the only continent without H5N1 cases, with strong pandemic preparedness, including antivirals and vaccine stockpiles
- At-risk groups include poultry workers and dairy farmers; exposed individuals should be tested, treated with antivirals, and reported to authorities
- Symptoms include respiratory and early GI issues; conjunctivitis has been common in U.S. dairy workers
- Australia’s new CDC has improved outbreak notification systems, using lessons learned from COVID-19
Host: Dr David Lim | Total Time: 27 mins
Guest:Prof Adrian Esterman, Epidemiologist and Biostatistician
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- Listen to Kylie’s extensive journey of recovery from Long COVID, including her debilitating symptoms and emotional turmoil
- Explore the critical role her General Practitioner and Long COVID clinic played in her recovery
- Understand the importance of empathy, patient support and multidisciplinary care in recovery
- Important insights into how to manage Long COVID patients, highlighting the need for understanding, patience and tailored treatment plans
Host: Dr David Lim | Total Time: 48 mins
Guest:Kylie Trounson, Senior Associate and A/Prof John Litt AM, General Practitioner
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- Natural history of Long COVID, although up to 95% patients will improve their symptoms; it is a long process
- Role of vaccination in prevention of Long COVID in patients at higher risk
- Role of Metformin in prevention of symptoms of Long COVID and how it is best used in clinics
- Type of rehabilitation patients with Long COVID need
- Impact on interpersonal relationships and the role of family and community
- General practitioners and allied health can together make a significant improvement to patient outcomes
Host: Dr David Lim | Total Time: 41 mins
Guest:Prof Steven Faux AM, Rehabilitation and Pain Physician
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- Why Long COVID is a large and growing concern as new insights emerge at great speed
- Understand the proposed mechanisms driving Long COVID, including the two main mechanisms of persistent infection and the role of toxic fibrin induced vascular damage
- How to clinically assess Long COVID in patients
- Role of antivirals in reducing the duration, severity and potentially preventing the impact of Long COVID
- Three hierarchical drivers of preventing the impact of Long COVID, how can this messaging help your patient
- What should be your tool kit of prevention, when explaining Long COVID to your patients, especially the vulnerable ones
- Risk of long lasting viraemia in the body causing future chronic conditions
- Use of CoRiCal, a COVID calculator (including Long COVID); beneficial as a tool in your practice
Host: Dr David Lim | Total Time: 54 mins
Experts:Prof Brendan Crabb, Infectious Disease Researcher
A/Prof John Litt AM, Public Health Physician
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- Understand the definition, incidence and the symptoms of long COVID
- Cluster symptoms to help you understand the different presentations form the patient
- What risk factors predispose patients to long COVID
- What investigations as a GP may help you diagnose long COVID
- Rehabilitation of the patient is key, and it’s essential to develop tailored plans while ensuring appropriate referral pathways are in place when needed.
- How healthcare professions can assist patients to discuss with employers their rehabilitation plan and return to work
Host: Dr David Lim | Total Time: 31 mins
Guest:Prof Steven Faux AM, Rehabilitation and Pain Physician
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- Pre-emptively develop a COVID action plan, use the drug-to-drug interaction checker and plan for drug interactions if using Paxlovid
- Consider referral to specialist services or phone consult for complex cases
- Put in place a follow up plan after completion of antivirals
- Give the patient a copy of the plan and upload to records
Host: Dr David Lim | Total Time: 26 mins
Guest:Dr Angela Molga, Clinical Pharmacologist and Geriatrician
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- Current COVID situation worldwide and in Australia
- Latest vaccine and antiviral news
- Long COVID news
- What’s making news – Respiratory infections, Avian flu
Host: Dr David Lim | Total Time: 25 mins
Guest:Prof Adrian Esterman, Epidemiologist & Biostatistician
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- Long COVID is an important illness and needs to be acknowledged in patients
- Be aware of the psychological outcomes of this condition
- Treatments are available to either prevent, reduce its severity or treat its symptoms
Host: Dr David Lim | Total Time: 32 mins
Guest:Dr Gary Grohmann, Virologist
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- The new COVID vaccines arriving next week and in the next few months
- What’s happening in China now? Multiresistant mycoplasma infection may be the issue
- The China outbreak may be spreading to other countries
Host: Dr David Lim | Total Time: 31 mins
Guest:Dr Gray Grohmann, Virologist
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- Where we are at with the current COVID wave
- Latest vaccine news
- Latest study on antivirals
- The NICE long COVID guidelines
Host: Dr David Lim | Total Time: 22 mins
Guest:Prof Adrian Esterman, Epidemiologist & Biostatistician
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- COVID is still very much around, older people are still most at risk of increase vulnerability and significant morbidity
- Evidence from the pandemic showed that those aged over 65 were 23 times more likely to die with COVID infection
- Management strategies, both in the community and in facilities, that can be helpful in mitigating this risk
Host: Dr David Lim | Total Time: 21 mins
Guest:A/Prof Paul Griffin, Infectious Diseases Physician and Clinical Microbiologist
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- Basic statistics, epidemiology, and important events
- New variants and subvariants
- Vaccination status, new vaccines
- COVID-19 therapies, existing and emerging
Host: Dr David Lim | Total Time: 26 mins
Guest:A/Prof Paul Griffin, Infectious Diseases Physician and Clinical Microbiologist
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- New variants (Eris, Pirola)
- ATAGI guidance
- Antivirals
- How to track without waiting for hospitalisation
Host: Dr David Lim | Total Time: 40 mins
Guest:Prof Nancy Baxter, Clinical Epidemiologist
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- Booster confusion
- What is going on with the waves?
- Are protein-based vaccines more likely to attract people?
Host: Dr David Lim | Total Time: 14 mins
Guest:Prof Nigel Crawford, Infectious Disease Specialist
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- It isn’t over yet
- Molnupiravir is still effective
- Protect your vulnerable patients
- Vaccines, antivirals and long COVID
Host: Dr David Lim | Total Time: 22 mins
Guest:Prof Adrian Esterman, Epidemiologist and Biostatistician
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- Vaccine-related injury
- Long COVID
- More on boosters
Host: Dr David Lim | Total Time: 34 mins
Guest:Dr Gary Grohmann, Virologist
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- The current COVID situation – it’s not over yet
- Vaccines & antivirals
- Increasing burden of long COVID
- Protect your vulnerable patients
Host: Dr David Lim | Total Time: 22 mins
Guest:Prof Adrian Esterman, Epidemiologist and Biostatistician
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- We’re in the 5th wave!
- WHO vs ATAGI booster advice, which do we use?
- Antivirals - positive evidence for molnupiravir emerges
Host: Dr David Lim | Total Time: 24 mins
Guest:Prof Adrian Esterman, Epidemiologist and Biostatistician
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- The WHO says the emergency is over - should we believe them?
- 2nd generation vaccines are needed
- Vaccine related injury
Host: Dr David Lim | Total Time: 37 mins
Guest: Dr Gary Grohmann, Environmental Consultant and Scientific Adviser
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- More myocarditis studies
- How to justify the use of vaccines that can cause serious adverse reactions in healthy people
- Are mask beneficial?
- How do we tell the public it is not over?
- Long COVID
Host: Dr David Lim | Total Time: 39 mins
Guest: Dr Gary Grohmann, Environmental Consultant and Scientific Adviser
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- New variant of concern - Arcturus
- The bivalent vaccines
- Whether or not to boost
- Winter quadrella - COVID, influenza, RSV and pneumococcal disease
Host: Dr David Lim | Total Time: 24 mins
Guest: A/Prof Nicholas Wood, Staff Specialist General Paediatrician
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- Which booster when? Is bivalent or monovalent better?
- When are non-mRNA boosters appropriate
- How to integrate your COVID and influenza strategies
Host: Dr David Lim | Total Time: 32 mins
Guest: Prof Paul Van Buynder, Public Health Physician and Infectious Diseases Epidemiologist
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TBC GV
Host: Dr David Lim | Total Time: TBC mins
Guest: Dr Gary Grohmann, Environmental Consultant and Scientific Adviser
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Host: Dr David Lim | Total Time: 42 mins
Guest: Prof Nancy Baxter, Clinical Epidemiologist;
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- Bivalent COVID-19 vaccine boosters - COVID-19 mAbs and anti-virals
- Seasonal influenza vaccines
- Mpox and Japanese encephalitis vaccines
- Horizon scanning: RSV vaccine(s)
Host: Dr David Lim | Total Time: 22 mins
Guest: A/Prof Nigel Crawford, Infectious Disease Specialist
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- COVID is not over, large number of deaths each week
- RAT’s should be done serially when symptomatic
- Vaccines are being trialled that may stop transmission
- Red tape is making effective new anti-viral’s difficult to access
- If a new variant is more pathogenic then we are effectively back to square one and yet we have no strategy for this
Host: Dr David Lim | Total Time: 36 mins
Guest: Prof Adrian Esterman, Epidemiologist & Biostatistician
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- The bivalent vaccines in practice
- Booster advice- get it every 6 months
- Long COVID
- Streptococcus A
Host: Dr David Lim | Total Time: 31 mins
Guest: Prof Michael Toole AM, Infectious Disease Expert
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Host: Dr David Lim | Total Time: 43 mins
Guest: Dr Gary Grohmann, Environmental Consultant and Scientific Adviser
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- Covid – 5th dose
- Flu – concurrent annual booster
- Many recrudescent diseases
- Is Bird-flu coming?
- Monkeypox – protect yourself/your patients
Host: David Lim | Total Time: 31 mins
Guest: Prof Robert Booy, Infectious Diseases Specialist and Paediatrician
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- How we need a national CDC to prevent the fragmented response we had to the COVID pandemic from happening again
- How healthy young people will derive little benefit from a fourth or fifth dose of vaccine, and how we should keep them for the vulnerable population
- China's response to the COVID surge being of global interest and concern
Host: David Lim | Total Time: 44 mins
Guest: Dr Gary Grohmann, Environmental Consultant and Scientific Adviser
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Episode 213
- Pros & cons of the 5th jab for health workers
- Have we reached the end of the road with mRNA-based vaccines?
- Cutting through the subvariant hype and new vaccines on the horizon
- 2023 forecast – does ATAGI need a rethink?”
Host: David Lim | Total Time: 38 mins
Guest: Dr Gary Grohmann, Virologist
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Episode 211
- Entering a new wave driven by a soup of Omicron sub variants, where more than 5 million Australians eligible for boosters have not received them
- How we must encourage patients to get their boosters, with the bivalent vaccines being more effective
- Cases of long COVID in Australia ranging between 300K and 1 million, and increasing re-infections escalating the risks
- How our health care system had not been designed to cope with long COVID
- Continued mask wearing still being very important, and how we must teach our patients about the importance of ventilation, filtration, and air quality
- Why the five-day isolation period should be re-introduced
Host: David Lim | Total Time: 30 mins
Guest: Prof Michael Toole AM, Infectious Disease Expert
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Episode 210
- The new COVID wave comprising of BQ1, XBB and other variants, and what our frontline response should look like
- Whether a fifth booster is worth having
- Children’s vaccination developments and an update on the antivirals
Host: David Lim | Total Time: 42 mins
Guest: A/Prof Paul Griffin, Infectious Diseases Physician and Clinical Microbiologist
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Episode 209
- How resources are being diverted to COVID-19, and how they have been affecting Tuberculosis resources
- Knowing when to suspect and diagnose active Tuberculosis and how to manage the patient
- What is latent Tuberculosis and what should you do about it
Host: David Lim | Total Time: 33 mins
Guest: A/Prof James Trauer, Respiratory, General and Public Health Physician
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Episode 208
- The bivalent vaccines
- The new variant alert for Ba.2.75 and Ba.4.6
- Herd immunity predictions and implications
Host: David Lim | Total Time: 37 mins
Guest: Prof Kristine Macartney, Infectious Disease Specialist
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Episode 207
- Despite a panoramic study suggesting a lower effect, Lagevrio has a useful impact on hospitalisations, deaths and shorter recovery time
- COVID trials becoming more difficult to run because so many people have either been vaccinated and / or exposed
- How the Pfizer vaccination’s lack of impact on transmission is not a cause for concern and was clearly communicated since its release. The main impact is the reduction of severity, hospitalisations and death, and the data for this hasn’t changed
- How a nasal vaccination might be coming
Host: David Lim | Total Time: 21 mins
Guest: A/Prof Paul Griffin, Infectious Diseases Physician and Clinical Microbiologist
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Episode 206
- The elimination of isolation periods and mask mandates
- An update on the vaccination landscape, including recently approved jabs, the bivalent vaccine, and vaccination for children
- A new nasal swab test which is about to become available. It's not a RAT and it might be more accurate
- How some prominent world leaders have tried to convince us that the pandemic is over and that we just have to get used to the "new normal", but are these ideas having the right impact on public health outcomes?
Host: David Lim | Total Time: 33 mins
Guest: Prof Nancy Baxter, Clinical Epidemiologist
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Episode 205
- Navigating interactions...it’s easier than it first looks
- How antivirals are an important part of the management strategy to reduce the chances of severe illness and hospital admissions
Host: David Lim | Total Time: 29 mins
Guest: Dr Alexander Padiglione, Infectious Diseases Physician
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- The national vaccine strategy
- Subdermal injection
Host: David Lim | Total Time: 5 mins
Guest: A/Prof Nigel Crawford, Infectious Disease Specialist
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- The Omicron booster, latest ATAGI decisions including the Moderna baby dose and Novavax for teens
- The new variant vaccines, should we mix and match boosters?
- Forecasting the next wave
Host: Dr David Lim | Total time: 29 mins
Guest: A/Prof Nigel Crawford, Infectious Diseases Specialist
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- A closer look at where we are right now in Australia and the world
- Efficacy of a fourth dose of COVID-19 mRNA vaccine against Omicron specifically
- More information on the Zoonotic Henipavirus in China, Monkeypox and other emerging diseases
Host: Dr David Lim | Total time: 46 mins
Guest: A/Prof Sanjaya Senanayake, Infectious Diseases Specialist
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- COVID-19 trends of new cases, hospitalisations and deaths
- Mask mandates will help but the political leaders don’t want to do it
- Monkeypox - understanding the Australian situation and the public health response
Host: Dr David Lim | Total time: 31 mins
Guest: Prof Michael Toole AM, Infectious Disease Expert: Associate Principal Research Fellow, Burnet Institute; Professor, School of Public Health and Preventive Medicine, Monash University
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- Antiviral drugs and other therapeutics
- New drugs and vaccines in the pipeline
- Are universal vaccines a pipe dream?
- Why vaccines are only part of the answer and will never control the pandemic?
- Lesson learned on how to stop the next pandemic
Host: Dr David Lim | Total time: 33 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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New 3rd booster guidelines from ATAGI Omicron is changing and there are serious implications We need to ramp up preventive measures to tackle this new wave more effectively
Host: Dr David Lim | Total time: 29 mins
Guest: Prof Michael Toole AM, Infectious Disease Expert, Associate Principal Research Fellow, Burnet Institute; Professor, School of Public Health and Preventive Medicine, Monash University
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A high index of suspicion based on vaccination status, travel and exposure history will help raise a red flag Whilst awaiting confirmation of the throat swab culture result, reaching out early to your local infectious disease expert is highly advised GPs are once again at the forefront of identifying, treating and ensuring that we commence the appropriate public health interventions
Host: Dr David Lim | Total time: 22 mins
Guest: A/Prof Paul Griffin, Infectious Diseases Physician and Clinical Microbiologist; Director of Infectious Diseases, Mater Hospital; Lecturer, University of Queensland; Principal Investigator and Medical Director, Nucleus Network
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Managing Influenza and reducing co-infection The safety and effectiveness of the flu vaccine when given with a covid vaccine Cases of Monkeypox in Australia and vaccination Diphtheria in Australia, should we worry about Polio yet?
Host: Dr David Lim | Total time: 19 mins
Guest: A/Prof Nicholas Wood, Staff Specialist General Paediatrician; Associate Director, National Centre for Immunisation Research and Surveillance
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Omicron sub-variants Antivirals Reinfection Long COVID epidemiology
Host: Dr David Lim | Total time: 15 mins
Guest: A/Prof Nicholas Wood, Staff Specialist General Paediatrician; Associate Director, National Centre for Immunisation Research and Surveillance
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COVID-19 is now endemic, constantly changing and evolving The health system is under rising pressure at all points, and therefore a concerted approach to prevent and minimize disease is increasingly needed The information on treatment options is also constantly evolving Working from regularly updated guidelines is now usual practice Current oral antivirals provide good options for many, noting the indication, contraindications, and particularly drug interaction
Host: Dr David Lim | Total time: 27 mins
Guest: Adj. Prof Brent Richards, Professor of Critical Care Research; Medical Director of Research Commercialisation, GCHHS; Founding member, National Intensive Care Clinical Trials Group
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Some ‘basic’ influenza epidemiology What happened in 2021 and what to expect in 2022 What's new with cell culture influenza vaccines and high dose influenza vaccines Importance of vaccination rates Health care worker influenza vaccination
Host: Dr David Lim | Total time: 22 mins
Guest: A/Prof John Litt AM, Staff Public Health Physician; Associate Professor in the Discipline of General Practice, Flinders University
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The number of confirmed monkey pox cases in Australia and the world Transmission can occur via respiratory droplets and aerosols, close contact with bodily fluids, lesions and fomites Diagnosis of a monkey pox rash – When to suspect and where to go from there Treatment and prevention
Host: Dr David Lim | Total time: 12 mins
Guest: A/Prof Nicholas Wood, Staff Specialist General Paediatrician; Associate Director, National Centre for Immunisation Research and Surveillance
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Current burden and variants Long COVID and vaccines COVID vaccine boosters - effectiveness and safety and the need for a 4th dose Update on safety of COVID vaccines
Host: Dr David Lim | Total time: 25 mins
Guest: A/Prof Nicholas Wood, Staff Specialist General Paediatrician; Associate Director, National Centre for Immunisation Research and Surveillance
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New advice on when to vaccinate after COVID infection Coronary emergencies after vaccination, hepatitis in children - cause for concern Ba5 update
Host: Dr David Lim | Total time: 32 mins
Guest: A/Prof Paul Griffin, Infectious Diseases Physician and Clinical Microbiologist; Director of Infectious Diseases, Mater Hospital; Lecturer, University of Queensland; Principal Investigator and Medical Director, Nucleus Network
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Should GPs have a fourth booster? The Ba4 and Ba5 variants More information on the antivirals Long COVID is an emerging public health issue
Host: Dr David Lim | Total time: 42 mins
Guest: Prof Nancy Baxter, Clinical Epidemiologist; Head of the Melbourne School of Population and Global Health, University of Melbourne
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A look at our local and national infection rates Third and fourth boosters - more data on benefits Influenza and other respiratory infections will cause a problem sooner or later The antivirals - Paxlovid and Lagevrio What does the medium to long term future look like?
Host: Dr David Lim | Total time: 46 mins
Guest: Prof Kristine Macartney, Infectious Disease Specialist, Director, National Centre for Immunisation Research and Surveillance (NCIRS)
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Tuesday 1 February 2022 | 7:00pm-9:00pm AEDT
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Overseas travel and COVID - booster before travelling? What’s the evidence? The more transmissible OMICRON subvariant... is there any cause for concern here? Pre-exposure Prophylaxis - understanding how to use EVUSHELD - what/when/for who/safety and side effects Which Anti-COVID drugs DO NOT work for OMICRON?...most of the MABs Paed vax programme issues… data suggests rapidly waning protection? Daycare/pre-school challenges Twindemic prep, indigenous update
Host: Dr David Lim | Total time: 43 mins
Guest: Prof Robert Booy, Infectious Diseases Specialist and Paediatrician; Professor of Paediatrics and Child Health, University of Sydney Clinical School, Children's Hospital at Westmead
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Olfactory disturbances with COVID19 is evidence of brain involvement Whilst olfactory changes mostly resolve, cognitive changes may not return to normal Consider a neuropsychological assessment for patients complaining of fatigue, poor attention span, slower processing speed. It is important to not let these patients suffer in silence
Host: Dr David Lim | Total time: 42 mins
Guests: Dr Lucette Cysique, Clinical Neuropsychologist; St. Vincent’s Hospital, Sydney; Senior Research Fellow, UNSW and Dr Clare Ramsden, Clinical Neuropsychologist and Deputy Director; Allied Health, Tasmanian Health Service
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A clinical overview of Novavax Is a fourth booster imminent for Australia? Post-COVID cardiovascular risk
Host: Dr David Lim | Total time: 32 mins
Guest: A/Prof Nigel Crawford, Chair, ATAGI, Infectious Disease Specialist; Director, Surveillance of Adverse Events Following Vaccination In the Community (SAEFVIC), Murdoch Children’s Research Institute; Head of Immunisation Services Royal Children’s Hospital, Melbourne; Secondment Senior Medical Advisor, Victorian Department Health COVID19 vaccine safety team; Chair, Victorian Specialist Immunisation Services (VicSIS) network
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With the opening of the borders and the relaxation of COVID related social distancing measures, the risk of infectious respiratory disease is significantly elevated COVID is not the only preventable infectious disease - influenza, pertussis, and pneumonia are also very important The risk is elevated for those with chronic respiratory disease but these considerations are important for all people, especially older patients Patients presenting for the COVID booster can be co-administered their flu/pertussis/pneumonia vaccination as well
Host: Dr David Lim | Total time: 36 mins
Guest: Prof Christine Jenkins, Head, Respiratory Group, The George Institute for Global Health
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Vaccine inequity is not the main reason the Congo is not immunised against COVID-19 Vaccine scepticism is not the only reason for reduced vaccination rates in the Congo There are so many factors to take into account with a world immunisation programme
Host: Dr David Lim | Total time: 40 mins
Guest: Lindsay Thitchener, Pathologist; Catalyst Project Manager, Sonic Healthcare; Accredited Education Assessment Representative, Royal Australian College of General Practitioners
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Boosters - will we need a fourth? Will it work? Are we really in the final phase of the pandemic? Other recent development
Host: Dr David Lim | Total time: 38 mins
Guest: Prof Stephen Duckett, Health Economist; Fellow of the Academy of the Social Sciences in Australia; Health and Aged Care Program Director, Grattan Institute; Australian public policy think tank and Emeritus Professor of Health Policy, La Trobe University
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From the start the strategy to ditch all COVID restrictions and open the borders was risky The National Strategy was designed for Delta rather than the very different Omicron Economic activity is down regardless because people voted with their feet and began to lockdown themselves Communication from the authorities must be honest, reflect the reality of the situation and carefully manage changes to the strategy to keep the population on board
Host: Dr David Lim | Total time: 26 mins
Guest: Prof Stephen Duckett, Health Economist; Fellow of the Academy of the Social Sciences in Australia; Health and Aged Care Program Director, Grattan Institute; Australian public policy think tank and Emeritus Professor of Health Policy, La Trobe University
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Booster update Introduction to the Novavax vaccine School immunisation and RATs The new Anti-viral therapies Omicron BA2... cause for concern?
Host: Dr David Lim | Total time: 39 mins
Guest: Prof Kristine Macartney, Infectious Disease Specialist, Director, National Centre for Immunisation Research and Surveillance (NCIRS)
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There are two schools of thought emerging with regard to the future of the pandemic and there is a great deal of tension between them Our politicians, business sector and mainstream media are very committed to the idea that Omicron is essentially the end of the pandemic - they want to open the country up now There are many other scientific experts who feel that it is better to be cautious and act more slowly - but their voices are being ignored Time will ultimately tell us which school of thought is right… OZSAGE thinks that the more cautious narrative is more likely
Host: Dr David Lim | Total time: 34mins
Guest: Prof Guy Marks, Respiratory Physician; Epidemiologist and Public Health Physician
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Tuesday 15 February 2022 | 7:00pm-9:00pm AEDT
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The government and the media have propelled anti-scientific disinformation into the mainstream We are seeing very significant post-COVID sequelae including diabetes & neurocognitive issues and more are emerging Omicron infection is less protective than the booster COVID has generated a major variant every six months for the past two years… more are likely to emerge so we are unlikely to be near the end Omicron is as deadly as the original COVID variant… it’s not just a bad flu
Host: Dr David Lim | Total time: 49 mins
Guest: Prof Raina MacIntyre, Infectious Disease Physician; Professor of Global Biosecurity, NHMRC Principal Research Fellow, Head, Biosecurity Program, Kirby Institute, UNSW
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Tuesday 1 February 2022 | 7:00pm-9:00pm AEDT
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COVID-19 vaccine boosters work well against the Omicron variant Awaiting more data before we know if a 4th jab will be needed COVID vaccination in children 5-11 yrs have shown a good safety record A third primary dose for children 5-11 yrs with immunosuppression Novavax was not superior to mRNA vaccines as a booster so patients should not be waiting for it You can have both flu and COVID shots at the same time
Host: Dr David Lim | Total time: 28 mins
Guest: A/Prof Nicholas Wood, Staff Specialist General Paediatrician; Associate Director, National Centre for Immunisation Research and Surveillance
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Tuesday 1 February 2022 | 7:00pm-9:00pm AEDT
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Rapid antigen test kits should be provided for free and an app to upload results both negative and positive Why the Omicron wave is not the end of the pandemic Stay on the look out for long COVID, especially in patients under 40 years of age Post-COVID depression, anxiety and diabetes in young people are a concern
Host: Dr David Lim | Total time: 48 mins
Guest: Prof Mary-Louise McLaws, Epidemiologist; Director, Immunisation Coalition; Professor of Epidemiology, Healthcare Infection and Infectious Diseases Control, UNSW
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Tuesday 1 February 2022 | 7:00pm-9:00pm AEDT
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COVID vaccine boosters & Novavax Rapid antigen testing Debunking recent COVID myths Why we should be optimistic
Host: Dr David Lim | Total time: 37 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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Latest data on immune escape, infectivity and pathogenicity Implications for the Australian and world public health effort Is Omicron a sign that the pandemic is burning out?
Host: Dr David Lim | Total time: 43 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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Practical details on boosters and their combination The 5-11yo vaccination programme…safety and efficacy Infant immunisation is coming soon
Host: Dr Vivienne Miller | Total time: 32 mins
Guest: Prof Kristine Macartney, Paediatrician; Infectious Disease Specialist, Staff Specialist in Infectious Diseases and Microbiology, The Children’s Hospital at Westmead; Director, National Centre for Immunisation Research and Surveillance (NCIRS)
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• Long COVID is emerging as a major public health issue • It seems to primarily involve the CNS • GPs to be up to speed on this relatively under recognised issue
Host: Dr David Lim | Total time: 13 mins
Guest: Prof Mary-Louise McLaws, Epidemiologist; Director, Immunisation Coalition; Professor of Epidemiology, Healthcare Infection and Infectious Diseases Control, UNSW
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Tuesday 1 February 2022 | 7:00pm-9:00pm AEDT
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What we know about Omicron so far
Boosters should be given earlier than six months
Children are the current Covid target group
Host: Dr David Lim | Total time: 50 mins
Guest: Prof Mary-Louise McLaws, Epidemiologist; Director, Immunisation Coalition; Professor of Epidemiology, Healthcare Infection and Infectious Diseases Control, UNSW
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Tuesday 1 February 2022 | 7:00pm-9:00pm AEDT
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At this stage, Omicron does not appear to be causing severe disease so right now there is little cause for alarm But we need more time to understand it, especially its impact on the most vulnerable groups The key information will become available within 2-3 weeks This development highlights vaccine equity as a very important issue Per capita, Australia has donated more covid vaccines than any other country except the USA
Host: Dr David Lim | Total time: 33 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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Tuesday 27 April 2021 | 7:00pm-9:00pm AEDT
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More information has emerged regarding theories about the origin of the virus An understanding of when and how to use PCR and RAT Future waves/outbreaks are likely, what should we be doing about it?
Host: Dr David Lim | Total time: 33 mins
Guest: Prof Dominic Dwyer, Medical Virologist and Infectious Diseases Physician; Centre for Infectious Diseases and Microbiology Laboratory Services, ICPMR, Westmead Hospital, Sydney
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This is the Novavax update we've been waiting for All of the frequently asked questions Novavax promises to be a very positive addition to our national COVID strategy
Host: Dr David Lim | Total time: 39 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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COVID Booster dose Myocarditis following mRNA vaccine Vaccinating 5-11-year-olds with Pfizer Best vaccine delivery method Opening the borders - don’t forget there are many vaccine-preventable diseases (VPDs)
Host: Dr David Lim | Total time: 30 mins
Guest: A/Prof Nigel Crawford, Infectious Disease Specialist; Director, Surveillance of Adverse Events Following Vaccination In the Community (SAEFVIC), Murdoch Children’s Research Institute; Head of Immunisation Services Royal Children’s Hospital, Melbourne; Secondment Senior Medical Advisor, Victorian Department Health COVID19 vaccine safety team; Chair, Victorian Specialist Immunisation Services (VicSIS) network
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Dr Gary Grohmann raises important issues and questions surrounding the imminent release of home rapid antigen test kits in Australia. It is not as clear and simple as it may sound.
Host: Dr David Lim | Total time: 41 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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ATAGI latest Boosters for who? What about this antiviral, Molnupiravir? Moderna safety concerns
Host: Dr David Lim | Total time: 23 mins
Guest: A/Prof Nicholas Wood, Staff Specialist General Paediatrician; Associate Director, National Centre for Immunisation Research and Surveillance
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An update on the latest ATAGI announcements Moderna safety data The booster debate Back to school
Host: Dr David Lim | Total time: 31 mins
Guest: A/Prof Nigel Crawford, Infectious Disease Specialist; Director, Surveillance of Adverse Events Following Vaccination In the Community (SAEFVIC), Murdoch Children’s Research Institute; Head of Immunisation Services Royal Children’s Hospital, Melbourne; Secondment Senior Medical Advisor, Victorian Department Health COVID19 vaccine safety team; Chair, Victorian Specialist Immunisation Services (VicSIS) network
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One person’s freedom is another person's going to hospital This plan was developed by business for business Find out more about OzSage
Host: Dr David Lim | Total time: 25 mins
Guest: Prof Stephen Duckett, Health Economist, Fellow of the Academy of the Social Sciences in Australia; Health and Aged Care Program Director, Grattan Institute; Australian public policy think tank and Emeritus Professor of Health Policy, La Trobe University
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We are a nation divided as there isn't a uniform message and strategy that is accepted by all states. We need such an agreement in Australia and the leadership must come from Canberra with advice from experts It is vital we continue with social distancing and personal protection restrictions when we intermingle even after we achieve the 80% two jab target We need to vaccinate children and to protect the community If we do not tame this spread of COVID, we will have a hospital crisis Australians are sub-optimally immunised as we adopted a shortened period between first and second shots as such, we will need booster doses but raises the issue of vaccine equity
Host: Dr David Lim | Total time: 34 mins
Guest: Prof John Dwyer AO, Immunologist; Professor of Medicine; Public Health Advocate; Director, The Prince of Wales Hospital Foundation; Emeritus Professor, UNSW
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An expert applies scientific scrutiny and highlights important issues with Australia’s proposed roadmap out of the pandemic Why is the NSW lockdown not working what must be done Some comments on the UK and Israel situation
Host: Dr David Lim | Total time: 37 mins
Guest: Prof Stephen Duckett, Health Economist, Fellow of the Academy of the Social Sciences in Australia; Health and Aged Care Program Director, Grattan Institute; Australian public policy think tank and Emeritus Professor of Health Policy, La Trobe University
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One dose of COVID vaccine can reduce secondary outcomes of severe disease and hospitalisations by about 60% Vaccinated individuals can still become infected and transmit the virus and may cause severe disease in those whom they have spread it to Novavax may become the preferred vaccine for boosters, which may be required in 12 months Even after full vaccination, personal safety with masks, hand washing, social distancing and avoiding mass gatherings remain the cornerstone of prevention of COVID
Host: Dr David Lim | Total time: 44 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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GPs have a crucial role in getting the right message to our patients when discussing COVID vaccine options We should stick with the ATAGI recommendations wherever possible In discussing benefits and risks, know the latest figures. Check the weekly ATAGI reports Other voices are causing confusion and have other motives, our principle responsibility is to our patient and we need to block out the noise There is no right or wrong decision, people may take time to make up their minds. There should be no coercion so that trust is not broken
Host: Dr David Lim | Total time: 42 mins
Guest: Dr Michelle Ananda-Rajah, Infectious Diseases and General Medicine Physician; Founder, fungalAi; Co-Founder, Healthcare Workers Australia
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The key to diagnosis is the timing relating to the first dose of the AZ vaccine, most cases occurring between days 4 and 30 Look out for headaches and abdominal pain that are unusual, does not settle with usual treatment, and occur within the 4 – 30 day post immunisation period Key blood tests show thrombocytopenia <150 and d-dimer >5 times ULN
Host: Dr David Lim | Total time: 27 mins
Guest: A/Prof Nigel Crawford, Paediatrician, Director, Surveillance of Adverse Events Following Vaccination In the Community (SAEFVIC), Murdoch Children’s Research Institute; Head of Immunisation Services Royal Children’s Hospital, Melbourne, Paediatric Department, The University of Melbourne
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In this episode: Vaccine rollout – an update Latest in vaccine safety Five minutes with Comirnaty – Pfizer vaccine
Host: Dr David Lim, GP | Total time: 25 mins
Guest: A/Prof Nicholas Wood, Staff Specialist General Paediatrician; Associate Director, National Centre for Immunisation Research and Surveillance
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Tuesday 11 May l 2021 | 7:00pm-9:00pm AEDT
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In this episode: The twin issues of vaccine rollout and hotel quarantine of returned travellers are capturing our attention The bigger question is when can we open our international borders. To counter vaccine hesitancy, appropriate educational campaigns ought to be happening now Countries whose health systems are collapsing should be helped
Host: Dr David Lim, GP | Total time: 28 mins
Guest: Prof Stephen Duckett, Health Economist, Fellow of the Academy of the Social Sciences in Australia; Health Program Director, Grattan Institute; Emeritus Professor of Health Policy, La Trobe University
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Tuesday 11 May l 2021 | 7:00pm-9:00pm AEDT
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In this episode: Our current vaccine rollout is a mess, mostly because federal politicians are politicising the pandemic Decisions are being made without the important contribution of frontline health professionals There is little transparency in decision making which profoundly erodes trust When politicians start politicising, public health suffers immediately... doctors at the coalface need to unify and call out this problem
Host: Dr David Lim, GP | Total time: 37 mins
Guest: Bill Bowtell AO, Adjunct Professor, Kirby Institute for Infection and Immunity, UNSW; Executive Director, Pacific Friends of the Global Fund to Fight AIDS, Tuberculosis and Malaria
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Tuesday 27 April 2021 | 7:00pm-9:00pm AEDT
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COVID-19 vaccine current advice
Thrombosis and thrombocytopenia
Allergic reactions Current Aus-Vax Safety data
Host: Dr David Lim | Total time: 27 mins
Guest: A/Prof Nicholas Wood, Staff Specialist General Paediatrician; Deputy Director, National Centre for Immunisation Research and Surveillance
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Tuesday 27 April 2021 | 7:00pm-9:00pm AEDT
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In this episode: Stress builds up and coping mechanisms become less effective over time Impact of the static environment, the brain needs variation and experience Preparing for isolation is important, plan activities and schedule social connection Prioritise sleep and routine - sleep can be the 'canary in the coal mine' Look for common symptoms after isolating experience including anxiety, depression, asthenia, irritability, insomnia and absentmindedness Red flags in the recovery phase include social and occupational function and sleep not returning to normal, depression and early trauma symptoms
Host: Dr David Lim | Total time: 29 mins
Guest: Dr Marc Jurblum, Psychiatric Registrar, University of Melbourne Child & Adolescent Psychiatry Advanced Trainee, Alfred Hospital; Research Associate, St Vincent's Mental Health Service; PhD Candidate, University of Melbourne; Space Life Sciences Committee, Australasian Society of Aerospace Medicine
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Tuesday 30 March 2020 | 7:00pm-9:00pm AEDT
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In this episode: There are many moving parts to make the national COVID-19 immunisation campaign work The GP’s role in ensuring the success and widespread uptake of the Astra Zeneca Oxford vaccine is crucial Issues that can help practices not giving the vaccine a good understanding of what needs to be done so that we can all play our part well
Host: Dr David Lim | Total time: 36 mins
Guest: A/Prof Kristine Macartney, Professor, Discipline of Paediatrics and Child Health, University of Sydney
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Tuesday 2 February 2020 | 7:00pm-9:00pm AEDT
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In this episode: Instead of efficacy, look at the secondary endpoints as vaccine data is being released Whilst the evidence for giving the AstraZeneca Oxford vaccine in patients over 65 yrs is small it is still a reasonable option TGA is maintaining a very watchful eye on all new vaccines It is possible Australia will have 5 different vaccines available by the end of 2021
Host: Dr David Lim | Total time: 27 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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Tuesday 2 February 2020 | 7:00pm-9:00pm AEDT
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In this episode: The South African and Brazilian variants are causing a pandemic within a pandemic, where previous infection may not confer immunity A vaccine conferring 95% efficacy means 90% of adults must be immunised to achieve herd immunity in Australia “Denial" of air borne transmission means that hotels chosen for quarantine poses a significant risk, especially in view of the new variants
Host: Dr David Lim | Total time: 29 mins
Guest: Prof Prof Raina MacIntyre, Infectious Disease Physician; Professor of Global Biosecurity, NHMRC Principal Research Fellow, Head, Biosecurity Program, Kirby Institute, UNSW
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Tuesday 2 February 2020 | 7:00pm-9:00pm AEDT
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In this episode: The death rate of the elderly (> 80 yrs) in Norway given the Pfizer-BionTech vaccine is about 1:1,000. Vaccine related deaths are usually between 1:100,000 to 1:1,000,000. It is misleading to claim an efficacy of > 90% for the AstraZeneca Oxford vaccine Recombinant protein vaccines can be given as a second immunisation for any initial COVID19 vaccine and may be an option for someone who had an adverse reaction to the first dose of another vaccine.
Host: Dr David Lim | Total time: 32 mins
Guest: Prof Nikolai Petrovsky, Director of Endocrinology, Flinders Medical Centre; Professor of Medicine at Flinders University; Vice-President and Secretary-General of the International Immunomics Society; Founder of ‘Vaxine’
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Tuesday 2 February 2020 | 7:00pm-9:00pm AEDT
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In this episode: Expect Mutations, current vaccines will give immunity to these new strains Even if it significantly alters the spike proteins, vaccines can be reformulated quickly Education is absolutely vital Who should and should not receive these vaccines What to be careful about - we must not mix vaccines as there are no studies to inform us We need a steady hand
Host: Dr David Lim | Total time: 36 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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Tuesday 2 February 2020 | 7:00pm-9:00pm AEDT
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In this episode: The current data for the AZ vaccine shows efficacy of 62% - insufficient for herd immunity, so new trials are essential If full TGA approval is required for the Australian COVID-19 vaccines then availability by March 2021 seems unrealistic Although the UQ vaccine failed, there are other Australian vaccines under development despite lack of government support
Host: Dr David Lim | Total time: 28 mins
Guest: Prof Nikolai Petrovsky, Director of Endocrinology, Flinders Medical Centre; Professor of Medicine at Flinders University; Vice-President and Secretary-General of the International Immunomics Society; Founder of ‘Vaxine’
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Tuesday 2 February 2020 | 7:00pm-9:00pm AEDT
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In this episode: These technologies were originally developed as gene therapy and have never before been used in humans Efficacy and safety data on Pfizer and Moderna vaccines have significant limitations Trust of the public requires objective discussion of these issues
Host: Dr David Lim | Total time: 32 mins
Guest: Prof Nikolai Petrovsky, Director of Endocrinology, Flinders Medical Centre; Professor of Medicine at Flinders University; Vice-President and Secretary-General of the International Immunomics Society; Founder of ‘Vaxine’
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Tuesday 15 December 2020 | 7:00pm-9:00pm AEDT
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In this episode: Adverse reactions to the Pfizer BionTech vaccine have been reported and are expected, those with severe allergies advised not to receive this vaccine In Australia we will have the benefit of closely monitoring the experience of other countries; and a range of vaccines Even with vaccines, social distancing; hand washing and use of masks in at-risk venues will remain important
Host: Dr David Lim | Total time: 27 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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Tuesday 15 December 2020 | 7:00pm-9:00pm AEDT
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In this episode: There is no data on whether these vaccines will reduce transmission Cold chain logistics will restrict distribution of the mRNA (Pfizer, Moderna) vaccines to specialised centres rather than GP clinics Questions remain regarding young, elderly, immunocompromised, chronic disease
Host: Dr David Lim | Total time: 28 mins
Guests: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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Tuesday 1 December 2020 | 7:00pm-9:00pm AEDT
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In this episode: Is Australia’s model of quarantine of our returned travellers the safest for our community? Would you travel to the USA for a vacation after you receive your immunisation? Some positives that have arisen because of COVID-19 in Australia.
Host: Dr David Lim | Total time: 34 mins
Guests: Prof Adrian Esterman, Epidemiologist and Biostatistician; Professor of Biostatistics, UniSA Clinical & Health Sciences
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Tuesday 1 December 2020 | 7:00pm-9:00pm AEDT
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In this episode: The mink mutation is a potentially serious issue, but for now seems to be contained Pfizer vaccine 90% effective? Probably not
Host: Dr David Lim, GP | Total time: 30 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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Tuesday 17 November October 2020 | 7:00pm-9:00pm AEDT
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In this episode: Myths and misconceptions about the COVID vaccine Practical implications and uptake of the vaccine Rapid testing for Phase 3 trials
Host: Dr David Lim, GP | Total time: 25 mins
Guest: A/Prof Paul Griffin, Infectious Diseases Physician and Microbiologist; Director of Infectious Diseases, Mater Hospital; Lecturer, University of Queensland; Principal Investigator and Medical Director at Nucleus Network
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Tuesday 17 November October 2020 | 7:00pm-9:00pm AEDT
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In this episode: Despite pauses in vaccine trials, progress is satisfactory Only dexamethasone has robust evidence as a treatment for acute COVID Remdesevir doesn’t work, small chance that regeneron and convalescent plasma might
Host: Dr David Lim, GP | Total time: 34 mins
Guest: A/Prof Sanjaya Senanayake, Infectious Diseases Physician; Medical School, ANU
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Tuesday 3 November October 2020 | 7:00pm-9:00pm AEDT
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In this episode: Now that numbers are very low, rolling average of new cases becomes less useful There are alternative metrics that can be used now Sewage testing will be an important early warning system in Melbourne
Host: Dr David Lim, GP | Total time: 23 mins
Guest: Catherine Bennett, Chair in Epidemiology, Deakin University
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Tuesday 20 October 2020 | 7:00pm-9:00pm AEDT
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In this episode: Understanding the role of the culture wars in shaping the pandemic response Loss of faith in experts and science needs to be more deeply understood What are the lessons for us here?
Host: Dr David Lim, GP | Total time: 31 mins
Guest: Dr Ben Wellings, Senior lecturer in Politics and International Relations; Director of the Monash PPE Degree at Monash University, Melbourne
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Tuesday 20 October 2020 | 7:00pm-9:00pm AEDT
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In this episode: Practical implications- “keep washing your hands frequently” Why has fomite transmission not featured more prominently in recent outbreaks?
Host: Dr David Lim, GP | Total time: 27 mins
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
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Tuesday 20 October 2020 | 7:00pm-9:00pm AEDT
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In this episode: Anxiety about catching COVID, en-masse disappointment if the vaccine doesn’t meet expectations Effects of prolonged psychosocial isolation Economic Stress is probably the main issue Drug & alcohol issues and domestic violence can be severe but often hidden if not specifically screened for
Host: Dr David Lim, GP | Total time: 25 mins
Guest: Prof Malcolm Hopwood, Psychiatrist; Director of the Professorial Psychiatry Unit, Albert Road Clinic, University of Melbourne
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Tuesday 20 October 2020 | 7:00pm-9:00pm AEDT
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In this episode: What’s your assessment of how the US is handling the current COVID situation? What are the implications of the White House being contaminated? Why do you think the US leadership is negatively disposed towards science?
Host: Dr David Lim, GP | Total time: 20 mins
Guest: Dr Amesh Adalja, Senior Scholar, Johns Hopkins University Centre for Health Security, United States; Infectious Diseases and Emergency Medicine/Critical Care Physician
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Tuesday 20 October 2020 | 7:00pm-9:00pm AEDT
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In this episode: Is it ideology, science or pseudoscience? The editors of the NEJM finally speak up Testing rates in Ethiopia are higher than the rates in USA
Host: Dr David Lim, GP | Total time: 22 mins
Guest: Prof Raina McIntyre, Professor of Global Biosecurity, NHMRC Principal Research Fellow, Head, Biosecurity Program, Kirby Institute, UNSW
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Tuesday 20 October 2020 | 7:00pm-9:00pm AEDT
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In this Episode: Suicide is the leading cause of death in adults under 45yo; the pressures of the pandemic have exacerbated this situation What are the psychosocial factors at play in the pandemic that increase risk of mental illness and suicide? What are practical measures that health professionals can take to mitigate risk
Host: Dr David Lim, GP
Guest: Dr David Horgan Psychiatrist, Royal Melbourne Hospital; Clinical Associate Professor of Psychiatry, University of Melbourne
Total time: 48 mins
FREE Webcast TONIGHT! Tuesday 6 October 7:00pm - 9:00pm AEDT Register Now!
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In this Episode: Currently 11 in large phase 3 studies Will a moderately effective vaccine make any practical difference in Australia? What about the USA Efficacy vs immunogenicity
Host: Dr David Lim, GP
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific services
Total time: 28 mins
FREE Webcast! Tuesday 6 October 7:00pm - 9:00pm AEDT Register Now!
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In this Episode: The AZ trial was suspended due to a single case of transverse myelitis… how many adverse events are tolerable before the trial will be cancelled? Some trial sites have NOT resumed, including the USA More transparency is needed for public confidence There are 14 vaccines currently in phase 3 clinical trials, approx 15 in phase 2, 27 in phase 1 and 92 candidates in animal (i.e. pre-phase 1) trials
Host: Dr David Lim, GP
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific services
Total time: 27 mins
Free Webcast TONIGHT! Tuesday, 22 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: What is the main cause of the second wave? Is the main cause behavioural? Europe’s open borders, impending winter and political turmoil put all of Europe at risk There are major concerns regarding the European refugee camps
Host: Dr David Lim, GP
Guest: Prof Raina MacIntyre,Head of Biosecurity, UNSW Kirby Institute
Total time: 16 mins
Free Webcast TOMORROW! Tuesday, 22 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: It does not replace manual contact tracing The issues with iPhone compatibility have now been addressed, the app has always worked well for android It’s important to update the app to the latest version, health professionals should encourage their patients to use and update frequently
Host: Dr David Lim, GP
Guest: A/Prof Alwen Tiu, Fellow, Logic and Computation group, College of Engineering & Computer Science, Australian National University
Total time: 36 mins
FREE WEBCAST Tuesday, 22 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: Many studies show an important potential role and minimal risk Aged care residents should all be taking regular Vit D Evidence suggests appropriate dosage is at least 1000-2000IUs per day, aiming for levels above 75
Host: Dr David Lim, GP
Guest: Prof Peter Ebeling AO, Endocrinologist, Head of the Department of Medicine, Monash Health
Total time: 15 mins
FREE WEBCAST Tuesday, 22 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: Healthcare worker infections - a more granular analysis What’s the difference between contact tracing in NSW and VIC? Preparing for high risk activities in the Christmas season
Host: Dr David Lim, GP
Guest: Prof Raina MacIntyre, Head of Biosecurity, UNSW Kirby Institute
Total time: 23 mins
FREE WEBCAST Tuesday, 22 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: January vaccine is too optimistic because phase 3 data won't be complete If immunity doesn't last, will that impact vaccine efficacy? Victoria's public health unit contact tracing capacity
Host: Dr David Lim, GP
Guest: Prof Robert Booy, Professor in Paediatrics, Vaccinology, Epidemiology and Infectious Diseases, University of Sydney; Chair of the Immunisation Coalition and a Founder of Meningococcal Australia; Senior Professorial Fellow at the National Centre for Immunisation Research and Surveillance (NCIRS), Australia
Total time: 17 mins
FREE WEBCAST Tuesday, 22 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: A vaccine by January is impossible Is fast tracking the vaccine evaluation going to create safety issues? Politicians are mistaking immunogenicity for efficacy
Host: Dr David Lim, GP
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific services
Total time: 20 mins
FREE Webcast Tonight! Tuesday, 8 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: The VIC authorities do appear to be using an evidence-based approach NSW might be getting too complacent Masks on public transport should be mandatory
Host: Dr David Lim, GP
Guest: Prof Stephen Duckett, Health Economist, Fellow of the Academy of the Social Sciences in Australia; Health Program Director, Grattan Institute; Australian public policy think tank and Emeritus Professor of Health Policy, La Trobe University
Total time: 18 mins
FREE Webcast Tomorrow! Tuesday, 8 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: Which vaccines are likely to yield useful results soon? What is a molecular clamp? A viral vector? the nucleic acid (the RNA and DNA) vaccines? DNA vaccines - integration into host DNA is “the elephant in the room”
Host: Dr David Lim, GP
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific services
Total time: 34 mins
FREE Webcast! Tuesday, 8 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: Fatigue appears to be the most common issue affecting Australians recovering from COVID-19 How to assess? What are the red flags? How to differentiate between psychogenic vs post-viral fatigue? What can be done about it?
Host: Dr David Lim, GP
Guest: Prof Andrew Lloyd, Infectious Diseases Physician, Head of the Viral Immunology Systems Program (VISP), Kirby Institute, the National Centre for Cancer Survivorship (NCCS) and the UNSW Fatigue Clinic, University of NSW; Prince of Wales Hospital; Justice Health
Total time: 24 mins
FREE Webcast! Tuesday, 8 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: We need to actively promote the rights of the elderly; don’t be silent GPs can be very influential
Host: Dr David Lim, GP
Guest: Prof Joseph Ibrahim, Head, Health Law and Ageing Research Unit, Department of Forensic Medicine, Monash University; Specialist in Geriatric Medicine
Total time: 26 mins
FREE Webcast! Tuesday, 8 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: Steroids for severe COVID-19 are helpful, but for mild COVID-19 they could make it worse Which immunomodulating drugs impact on COVID-19 severity? Could COVID-19 infection trigger autoimmune syndromes?
Host: Dr David Lim, GP
Guest: A/Prof Stephen Reddel, Neurologist & Neuroimmunology Clinic Head, Concord Repatriation General Hospital Sydney; PhD in Immunology
Total time: 44 mins
FREE Webcast! Tuesday, 8 September 2020 7:00pm-9:15pm AEST Register Now!
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In this Episode: There is still no credible comprehensive, national plan for aged care facilities to manage through the pandemic Part of the problem is discrimination against the elderly Lack of detailed coordination by authorities is a major cause of the problem The royal commission and senate enquiries have not got to the bottom of the issues
Host: Dr David Lim, GP
Guest: Prof Joseph Ibrahim, Head, Health Law and Ageing Research Unit, Department of Forensic Medicine, Monash University; Specialist in Geriatric Medicine
Total time: 26 mins
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In this Episode: New vaccine technology is emerging - viral vector, DNA and RNA vaccines Rare adverse events may not be detected in the COVID vaccine phase 3 trials The no-fault vaccine injury compensation scheme proposal- for all rare, serious adverse effects associated with all vaccines
Host: Dr David Lim, GP
Guest: A/Prof Nicholas Wood, Paediatrics & Child Health, Children's Hospital, Westmead; Senior Lecturer, University of Sydney
Total time: 35 mins
FREE Webcast Tomorrow! Tuesday, 25 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: What are the common features and criteria for admission? What kind of treatments do patients receive while in hospital? Post-discharge issues include dyspnea, fatigue and sometimes ongoing fevers What kind of support is available for GPs to better manage patients post-discharge?
Host: Dr David Lim, GP
Guest: A/Prof Ben Roger, Infectious Disease Physician, Monash Medical Centre
Total time: 32 mins
FREE Webcast Tomorrow! Tuesday, 25 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: NSW and NZ have got it right using 2 different strategies, VIC is the result of a major stuff up NZ is likely to get back to elimination status, NSW is on a knife edge - but could achieve elimination VIC is progressing well but may never achieve zero community transmission (i.e elimination) Making the future COVID-19 vaccination mandatory is impossible
Host: Dr David Lim, GP
Guest: Prof Tony Blakely, Epidemiologist and Public Health Medicine Specialist, University of Melbourne
Total time: 31 mins
FREE Webcast! Tuesday, 25 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Phase 3 trials will be done by end of 2020. If it works it is likely to become available from mid 2021 Should it really be mandatory? The technology for this vaccine is very new so risk of adverse effects must be carefully assessed What if it is only partially effective or ineffective? What if it mutates? Which strains will it work for?
Host: Dr David Lim, GP
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing Expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
Total time: 39 mins
FREE Webcast! Tuesday, 25 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Nasopharyngeal swab is still the gold standard What about false positives and weak positives? Understanding the saliva test, point of care tests Case 1: Mild/moderate symptoms, first COVID-19 test is negative, when should the next test be done? Case 2: Very mild symptoms, positive COVID-19 test, what next? Case 3: Contact with confirmed COVID-19 case, asymptomatic, should they be tested, any other action? How accurate are the global figures for confirmed cases? Any new tests on the horizon?
Host: Dr David Lim, GP
Guest: Dr Michael Wehrhahn, Clinical Microbiologist and Infectious Disease Physician, Douglass Hanly Moir Pathology.
Total time: 38 mins
FREE Webcast! Tuesday, 25 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Myocarditis, vasculitis and coronary thrombosis and/or spasms STEMI can be first presentation of COVID-19 Important to reinforce the perception that hospitals are safe places for patients with significant symptoms Primary care case studies
Host: Dr David Lim, GP
Guest: Dr Raj Puranik, Clinical Cardiologist; Royal Prince Alfred Hospital, Clinical Associate Professor; The University Of Sydney
Total time: 35 mins
FREE Webcast! Tuesday, 25 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Trauma is at the centre of young people’s pandemic experience Restoring a sense of control, hope and optimism is essential to helping young people adjust Encouraging young people to help others strengthens sense of meaning and enhances resilience “The right to party” can be exchanged for “the opportunity to help”
Host: Dr David Lim, GP
Guest: Andrew Fuller, Child and Adolescent Psychologist
Total time: 40 mins
FREE Webcast! Tuesday, 25 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: A substantial proportion of those who have had COVID-19, experience health issues many weeks and months after the acute infection As part of the clinical approach, ask about level of energy and general function, “brain fog”…mental clarity and general pain Mental health, shortness of breath are important issues to monitor for It will be a multidisciplinary challenge and specialist opinion will often be needed, but GPs will be central players in this process
Host: Dr David Lim, GP
Guest: Dr Jim Newcombe, Infectious Diseases Physician, Clinical Microbiologist; Royal North Shore Hospital, Douglass Hanly Moir Pathology
Total time: 38 mins
FREE Webcast! Tuesday, 25 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: American exceptionalism has blinded its leaders to the reality of COVID-19 The cult of the individual has destroyed the social contract and the protections that it provides Pandemic death toll is approaching that of WW2 for the USA
Host: Dr David Lim, GP
Guest: Prof Wade Davis, Author, Anthropologist, BC Leadership Chair in Cultures and Ecosystems at Risk; University of British Columbia
Total time: 36 mins
FREE Webcast! Tuesday, 25 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Young people need to be targeted with social media and science of behaviour change Is COVID-19 likely to become endemic in Australia? What is the role of the primary care team likely to be as COVID-19 becomes more prevalent?
Host: Dr David Lim, GP
Guest: Prof Leon Piterman, GP, Head of Department of General Practice, Monash University
Total time: 34 mins
FREE Webcast! Tuesday, 25 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: What can we learn from the way we have handled the pandemic so far? Federal/state divide of health departments has hampered the pandemic response The burden of care for COVID-19 patients is now shifting toward GPs
Host: Dr David Lim, GP
Guest: Prof Leon Piterman, GP, Head of Department of General Practice, Monash University
Total time: 32 mins
FREE Webcast Tonight! Tuesday, 11 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Messaging is not hitting the mark with young people Strategies to build a communication task force to avoid community spread of COVID-19 We need to depoliticize COVID-19 messaging and address the uncertainty
Host: Dr David Lim, GP
Guest: Prof Kirsten McCaffrey, NHMRC Principal Research Fellow, the University of Sydney; Director of Research, Sydney School of Public Health, Sydney Medical School
Total time: 29 mins
FREE Webcast Tomorrow! Tuesday, 11 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: If the test-trace-isolate method was used very early then lockdowns would not be necessary at all The government has failed in its core mission - as a result COVID-19 will be endemic in the USA for a long time Asymptomatic transmission is the main reason why COVID-19 is so problematic
Host: Dr David Lim, GP
Guest: Dr Amesh Adalja, Intensivist and Biosecurity Expert; Senior Scholar, Johns Hopkins University Center for Health Security
Total time: 35 mins
FREE Webcast! Tuesday, 11 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Vaccine access equity, safety, and production at scale COVID-19 antibodies seem to disappear soon after infection, are there implications for the vaccine? Is the low mutation rate good or bad for vaccine effectiveness?
Host: Dr David Lim, GP
Guest: A/Prof Nigel Crawford, Paediatrician, Director, Surveillance of Adverse Events Following Vaccination In the Community (SAEFVIC), Murdoch Children’s Research Institute; Head of Immunisation Services Royal Children’s Hospital, Melbourne, Paediatric Department, The University of Melbourne
Total time: 33 mins
FREE Webcast! Tuesday, 11 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Strict lockdown and striving for elimination is better for the economy, than aiming for suppression Asymptomatic testing needs to be done in high risk communities The current situation in NSW and the strategies that should be imposed Can Australia afford a strict lockdown?
Host: Dr David Lim, GP
Guest: Dr Stephen Duckett, Health Economist, Fellow of the Academy of the Social Sciences in Australia; Health Program Director, Grattan Institute; Australian public policy think tank and Emeritus Professor of Health Policy, La Trobe University
Total time: 36 mins
FREE Webcast! Tuesday, 11 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: R0 is not the best measure of success... cases in the community from “unknown sources” is a better indicator The messaging needs to be driven through the communities for better public health impact NSW public health infrastructure is better compared to VIC
Host: Dr David Lim, GP
Guest: Dr Norman Swan, Multi-Award Winning Producer, Broadcaster and Investigative Journalist
Total time: 24 mins
FREE Webcast! Tuesday, 11 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Is the new VIC lockdown going to be enough? When will we see the curve go down? Are Govt guidelines encouraging risky behaviours? The community has not grasped the seriousness of the situation
Host: Dr David Lim, GP
Guest: Prof Raina MacIntyre, Head of Biosecurity, UNSW Kirby Institute
Total time: 28 mins
FREE Webcast! Tuesday, 11 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Health professionals need to agitate for a more sensible strategy Are the government rules for restaurants, pubs and clubs safe if applied rigorously? No The virus is either growing exponentially or heading toward elimination - suppression is not practically feasible
Host: Dr David Lim, GP
Guest: Prof Nick Talley, Neurogastroenterologist; School of Medicine and Public Health, the University of Newcastle; Editor-in-Chief, MJA
Total time: 29 mins
FREE Webcast! Tuesday, 11 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Vitamin D can, directly and indirectly, influence immune response to infection, especially RTIs and hence COVID-19 Aim for Vitamin D blood levels of 90-100, which requires 3000 IUs/day, for COVID-19 prevention, consider adding Zinc and Vitamin C as well 40% of Australians are Vitamin D deficient, especially in lower latitudes - such as Melbourne!
Host: Dr David Lim, GP
Guest: Prof Peter Ebeling AO, Endocrinologist, Head of the Department of Medicine, Monash Health
Total time: 33 mins
FREE Webcast! Tuesday, 11 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Is it really safe or sensible right now to have dinner at a table of 10 in a restaurant? To go to a pub or club? The community must drive behaviour change - financial and moral incentives are important Does the WHO deserve the criticism it is getting?
Host: Dr David Lim, GP
Guest: Bill Bowtell AO, Adjunct Professor, Kirby Institute for Infection and Immunity, UNSW; Executive Director, Pacific Friends of the Global Fund to Fight AIDS, Tuberculosis and Malaria
Total time: 25 mins
FREE Webcast! Tuesday, 11 August 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: The community doesn’t understand asymptomatic spread Should Sydneysiders be using masks more widely? The VIC situation is very worrying, a stage 4 lockdown seems like the only option
Host: Dr David Lim, GP
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services.
Total time: 36 mins
FREE Webcast Today! Tuesday, 28 July 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Whatever is happening in NSW and VIC demonstrates that the political leaders controlling the pandemic response are on the wrong track It’s cheaper to lockdown aggressively now rather than end up on the suppression yo-yo We are at a critical juncture: It’s time for some gutsy decisions before we end up like the USA
Host: Dr David Lim, GP
Guest: Bill Bowtell AO, Adjunct Professor, Kirby Institute for Infection and Immunity, UNSW; Executive Director, Pacific Friends of the Global Fund to Fight AIDS, Tuberculosis and Malaria
Total time: 29 mins
FREE Webcast! Tuesday, 28 July 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: A “COVID payment” should be paid to those who have COVID-19 or have come in contact with someone with COVID-19 as an incentive to stay home…this strategy has proven effective in other pandemics. 40% of infected people can transmit the virus BEFORE they become symptomatic Aerosol transmission of COVID-19 is a scientific fact…masks and building ventilation are very important
Host: Dr David Lim, GP
Guest: Prof Guy Marks, Professor of Respiratory Medicine, UNSW; Respiratory Physician; Epidemiologist; Public Health Physician; President, International Union Against Tuberculosis and Lung Disease.
Total time: 46 mins
FREE Webcast! Tuesday, 28 July 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: The messaging has been poorly done and this is one of the reasons why the curve is not flattening A coherent, coordinated communication and messaging strategy is desperately needed - the government hasn’t engaged the grassroots! What are the key features of a good pandemic communication strategy?
Host: Dr David Lim, GP
Guest: Prof Kirsten McCaffery, NHMRC Principal Research Fellow, the University of Sydney; Director of Research, Sydney School of Public Health, Sydney Medical School
Total time: 33 mins
FREE Webcast! Tuesday, 28 July 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Eradication is not the same as elimination, both terms are often used incorrectly and that's a problem Recurrent lockdowns are inevitable, concurrent messaging is essential for them to be effective Hard lockdowns will normalise the situation
Host: Dr David Lim, GP
Guest: Prof Raina MacIntyre, Head of Biosecurity, UNSW Kirby Institute
Total time: 29 mins
FREE Webcast! Tuesday, 28 July 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: The current lockdown can be enhanced to achieve elimination Mask wearing will be the game-changer Schools and some essential workers need to be locked down too Better political leadership, more transparency and community engagement is essential
Host: Dr David Lim, GP
Guest: Prof Tony Blakely, Epidemiologist and Public Health Physician
Total time: 29 mins
FREE Webcast! Tuesday, 28 July 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: The community is not adequately engaged… a new messaging strategy is necessary Our quarantine strategy is incoherent and that is letting infected people in Children in high school can spread the infection… why are schools being kept open?
Host: Dr David Lim, GP
Guest: Prof Raina MacIntyre, Head of Biosecurity, UNSW Kirby Institute
Total time: 19 mins
FREE Webcast! Tuesday, 28 July 2020 7:00pm-9:00pm AEST Register Now!
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In this Episode: Post infection immunity to COVID-19 Absence of antibodies does not necessarily mean absence of immunity Could COVID-19 mutate into a more benign form?
Host: Dr David Lim, GP
Guest: A/Prof Sanjaya Senanayake, Infectious Diseases Physician; Medical School, ANU
Total time: 31 mins
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In this Episode:
- It’s not possible to co-exist with the virus….we came out of lockdown too early and too hard
- Suppression won’t work- it’s elimination or nothing
- Elimination is entirely achievable, and it’s never too late to aim for it
- We need to de-politicise and de-popularise the management of the COVID-19 crisis
Host: Dr David Lim, GP
Guest: Bill Bowtell AO, Adjunct Professor, Kirby Institute for Infection and Immunity, UNSW; Strategic Health Policy Adviser
Total time: 41 mins
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In this Episode:
- Is the situation under control in the USA?
- What about South America?
- Implications for the rest of the world
Host: Dr David Lim, GP
Guest: Dr Gary Grohmann, Virologist; Vaccine Manufacturing expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific Services
Total time: 18 mins
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In this Episode:
- There are 3 kinds of masks, each with pros and cons
- What happens if you wash the mask?
- Some social distancing case studies
Host: Dr David Lim, GP
Guest: A/Prof Euan Tovey, Associate Professor & Principal Research Fellow, Central Clinical School, Woolcock Institute of Medical Research; University of Sydney
Total time: 30 mins
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In this Episode:
- The letter to the WHO… why the 1.5m rule is probably wrong
- Small droplet transmission (aerosol) travels much further than 1.5m and explains super spreading events
- Why so much disagreement on masks?
- What can GPs do?
Host: Dr David Lim, GP
Guest: A/Prof Euan Tovey, Associate Professor & Principal Research Fellow, Central Clinical School, Woolcock Institute of Medical Research; University of Sydney
Total time: 29 mins
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In this Episode:
- The Victorian outbreak - why is it different?
- Challenging WHO’s unscientific and illogical assumptions about aerosol transmission
- What is the social contract?
Host: Dr David Lim, GP
Guest: Prof Raina MacIntyre, Head of Biosecurity, UNSW Kirby Institute.
Total time: 28 mins
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In this Episode:
- Case 1: Mild/moderate symptoms, first COVID-19 test is negative, when should the next test be done?
- Case 2: Very mild symptoms, positive COVID-19 test, what next?
- Case 3: Contact with confirmed COVID-19 case, asymptomatic, should they be tested, any other action?
- How accurate are the global figures for confirmed cases? Any new tests on the horizon?
Host: Dr David Lim, GP
Guest: Dr Michael Wehrhahn, Clinical Microbiologist and Infectious Disease Physician, Douglass Hanly Moir Pathology.
Total time: 17 mins
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In this Episode:
- Nasopharyngeal swab is still the gold standard
- What about false positives and weak positives?
- Understanding the saliva test, point of care tests
Host: Dr David Lim, GP
Guest: Dr Michael Wehrhahn, Clinical Microbiologist and Infectious Disease Physician, Douglass Hanly Moir Pathology.
Total time: 23 mins
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In this Episode:
- The Victorian situation
- More on masks
- Is air conditioning a big risk?
Host: Dr David Lim, GP
Guest: Prof Robert Booy, Infectious Diseases Specialist; Senior Professorial Fellow, NCIRS; Professor, Child & Adolescent Health, Sydney Medical School, The Children’s Hospital at Westmead.
Total time: 23 mins
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In this Episode:
- Studies on how long the virus survives on surfaces are often very misleading
- More advice on masks, gloves and hygiene
- Dental procedures
Host: Dr David Lim, GP
Guest:Dr Gary Grohmann, Virologist; Vaccine Manufacturing expert; Former Director of Immunobiology and WHO ERL at the TGA, Office of Laboratories and Scientific services.
Total time: 23 mins
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