Objective: The aim of this study was to assess the nature and consequences of student vaping in Australian primary and secondary schools by consulting staff working in these settings. Methods: A national sample of 196 school staff was accessed via a web panel provider and administered an online survey about students’ e‐cigarette use. Three‐quarters of the survey respondents were teachers/teacher aides, with the remainder divided between those in other student‐facing roles and office staff. Results: A majority (78%) of respondents expressed concern about current levels of vaping in schools. Around half reported negative outcomes relating to mental well‐being, social/peer interactions, and school performance. Only one‐third of respondents reported a vaping policy (35%) or vaping‐prevention education (31%) being in place at their schools. Conclusions: E‐cigarette use in schools is an area of concern for school staff, yet relevant policies and education programs appear to be lacking. Implications for public health: Schools represent a key context for encouraging health promoting behaviours and discouraging harmful behaviours, including vaping. These results highlight the need to monitor and address student e‐cigarette use in schools and provide staff with greater support to prevent the negative consequences associated with vaping by children at school and beyond.

We used open source data from the EpiWATCH observatory to monitor for early disease signals in Russia and surrounding countries following an explosion at a BSL 4 laboratory, Vector, in Siberia in September 2019. Upon news of the explosion at Vector on September 16th 2019, the EpiWATCH team added the Russian language and key words Russia, Siberia, Novosibirsk, and Koltsovo to the Standard Operating Procedures, in addition to the usual epidemic-specific keywords used in EpiWATCH. We also searched for outbreak reports in countries bordering Siberia, including Mongolia, Kazakhstan and China. Given local spread of an epidemic could manifest in these countries, we included searching in Chinese, Mongolian and Kazakh. We added "Ukraine" as a key word, given current conflict between Russia and Ukraine. Data collection began in September 2019, one week after the explosion, with this considered the baseline. We demonstrate a method for rapid epidemic intelligence following an incident of concern, the explosion at Vector. There were some unexplained outbreaks in Russia in the three months following the explosion. No unexplained outbreaks were detected in countries bordering Russia, nor in Ukraine in the three months following the explosion. We detected an accidental release of brucella from a laboratory in China in early December 2019 and two reports of severe pneumonia prior to official reports, which could have been early COVID-19 cases. Best practice in preparedness should include surveillance for disease events in the months following an event of concern at local, national and global levels. In the absence of official surveillance data, open source intelligence may be the only available means of detecting outbreaks and enabling early response and mitigation for the rest of the world. EpiWATCH was able to identify reports of Russian outbreaks in the weeks and months following the Vector explosion, which allowed monitoring of outbreaks of concern without a known cause.

The term “Tomato Flu” or “Tomato Fever” is the colloquial term in India used to describe multiple diseases that present with a fever and rash, with characteristic red, “tomato” shaped blister that appears on different parts of the body, which begin small and increase in size as disease progresses. Some controversy exists on this ‘new viral “flu” that emerged in May 2022 over a period of 2 weeks in areas in the south of India. Currently, local healthcare workers have been encouraged to address the disease as a variant of Hand Foot and Mouth Disease to avoid unnecessary panic on the emergence of a “new outbreak”. With the circulation of other viruses, inadequate testing and poor-quality surveillance in a low resource setting, where healthcare systems are already burdened with ongoing monkeypox outbreak and COVID-19 pandemic, the use of colloquial terms may cause unnecessary panic in the current hypervigilant climate. Confirmation from Government is required to confirm whether this outbreak is due to a mixed infection or a variant of the highly infectious Hand Foot and Mouth Disease virus.