professor sanjaya senanayake is an infectious disease physician at canberra hospital.the advice being given around the world, this is a very unusual outbreak in terms of its scale, and as surveillance improves we are discovering more and more cases. we are telling people who suspect they might have it to present to their doctors early, so they can get tested, and of course we are increasing the knowledge of our frontline doctors so general practitioners, emergency doctors, who see these patients who might otherwise have missed them. because it is really important, if you capture them early you can put them into isolation and their close contacts can be given vaccine and put into quarantine. is there anything in particular about monkeypox that is concerning to you? well, monkeypox, as, just before this particular outbreak, can cause a very nasty illness, which could make you feel very unwell, can give you a very nasty rash, and a proportion of people can die with it. that is in the african setting, and i suspect those mortality figures would be lower in the western sett