The COVID-19 pandemic has affected all aspects of our lives, including routine immunisation coverage.

With escalating COVID-19 misinformation and conspiracy theories, it is vital to understand community views and set realistic expectations to avoid lack of confidence and erosion of trust.

Vaccine-proximate seizures require careful evaluation of the vaccines involved, seizure type and duration to determine a safe course for revaccination.

Maternal immunisation is playing an increasingly important part in improving maternal and neonatal health.

While it is important to investigate and understand the role of the BCG vaccine in other areas, this should not be at the expense of its proven use for tuberculosis protection.

Many adverse events following immunisation are unlikely to be confirmed as true vaccine allergies but rather as coincidental symptoms that may mimic an allergic reaction.

Caution needs to be observed during the COVID-19 pandemic if a patient’s symptoms align with a viral conjunctivitis.

Molecular targeting agents are revolutionising treatment options, particularly poly adenosine diphosphate–ribose polymerase inhibitors, especially for patients with an underlying BRCA mutation.

A Caucasian female aged 18 years developed a well-defined erythematous vesicular eruption with clear non-purulent exudates on the ear lobules and adjacent inferior neck area.

Key immunisation issues include maternal vaccination, allergy, revaccination after vaccine-proximate seizures, BCG vaccination and the general practitioner’s role in the rollout of a COVID-19 vaccine.

A systematic approach to viewing the radiograph should be used, and an understanding of the anatomy of the area is needed to fully assess the image.

Once infection spreads beyond the confines of the jaws, there is an increasing risk of airway obstruction and septicaemia.

The two professions have evolved with different social drivers and scientific underpinnings, with only a recent appreciation of the connections between the health of the mouth and the body.

Some of the issues with which patients present to their primary healthcare provider may be resolved using skills and techniques of maxillofacial surgery.

This clinical challenge is based on this month’s Focus articles. To complete this activity, go to the RACGP website.