Episode 249

Mpox in Australia: What GPs Need to Know Now

In this episode of the Good GP, Dr Ramya Raman speaks with Dr Fergus McCabe, specialist GP and medical governor of Western Australia’s AIDS Council, about the current rise of mpox (monkeypox) cases in Western Australia and across Australia.

Dr McCabe talks about the epidemiology and transmission of mpox, including shifting patterns from predominantly MSM (men who have sex with men) communities to increasing numbers among heterosexual men and women. Discussing the classic and current presentations of mpox and stresses the importance of clinical suspicion, even when presentations are atypical, such as isolated proctitis.

Key topics addressed include:

  • Recognising mpox: clinical features, variable presentations, and risk factors based on sexual history and practices.
  • Practical advice for GPs: how to take a sexual health history, safe specimen collection, appropriate testing, infection control, and patient isolation steps.
  • Guidance on vaccination: eligibility, timing, vaccine access, and recommendations for both patients at risk and healthcare workers.
  • Key reminders for GPs: stay vigilant, routinely ask non-judgmental sexual health questions, and continue mpox testing regardless of vaccination status.

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About the Podcast

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The Good GP
The Good GP, the education podcast for busy GPs

About your hosts

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Tim Koh

Dr Tim Koh is a Perth-based GP with over 20 years of experience and a strong focus on GP education and evidence-based practice. He provides practical insights and advice on key topics in primary care.
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Krystyna de Lange

Dr Krystyna de Lange is a GP with nine years of experience, specialising in Aboriginal and Torres Strait Islander health, women’s health, and chronic disease management. She delivers practical insights and fosters engaging discussions on essential health topics.
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Sean Stevens

Dr Sean Stevens is a GP with 27 years of experience, recognised for his expertise in medical education and innovation. He has contributed to over 60 episodes, sharing valuable insights to promote quality care in general practice.