Highgate Health

Highgate Health Infusion clinic and Medical wellness Centre: Primary Health Care, Weight Loss LGBTIQA *. Telehealth Available across Australia.

Approved Community Nursing NDIS provider

03/04/2026

NSW Health is reminding people to protect themselves from mosquito bites ahead of the Easter long weekend and upcoming school holidays.

Recent mosquito monitoring has detected Ross River virus activity in mosquito trappings in parts of greater western Sydney. Earlier this year, Japanese encephalitis (JE) virus and Barmah Forest virus activity were detected in inland areas of NSW.

NSW Health Executive Director of Health Protection, Dr Kerryn Coleman, said even though summer is over, continuing warm weather and wet conditions mean mosquitoes are still around in significant numbers, particularly in the greater Sydney region.

“The Easter long weekend and the school holidays are a time when many people travel, spend time outdoors, and take part in activities like camping and visiting parks, which can increase the risk of exposure to mosquitoes and mosquito bites,” Dr Coleman said. “The Ross River virus activity recently detected in greater Sydney is particularly concerning because of the density of the population, so with many people planning to be outdoors, we are encouraging them to take the necessary precautions not to get bitten.

“Viruses such as Ross River and Barmah Forest can cause unpleasant symptoms, including tiredness, rash, fever, and sore and swollen joints. These symptoms usually last a few days, but some people may experience these symptoms for weeks or even months. There is no specific treatment for these viruses. The best way to avoid infection is to avoid being bitten by mosquitoes.”

NSW Health recently expanded free access to the JE vaccine to people who plan to visit high-risk local government areas for outdoor recreational activities including camping, caravanning, boating, hunting and fishing while mosquito activity remains high.

The JE vaccine is also free for anyone who lives or routinely works in various inland regions as well as people who work in some high-risk occupations.

People planning to travel to the high-risk regions in the school holidays should have a discussion with their vaccination provider as soon as possible.

“JE is a rare but serious illness spread by infected mosquitoes. While many people experience mild illness, it can cause severe neurological illness with headache, convulsions and reduced consciousness and in rare cases can be fatal,” Dr Coleman said.

Actions to prevent mosquito bites include:
- applying repellent to exposed skin. Use repellents that contain DEET, picaridin, or oil of lemon eucalyptus. Check the label for reapplication times
- re-applying repellent regularly, particularly after swimming. Be sure to apply sunscreen first and then apply repellent
- wearing light, loose-fitting long-sleeve shirts, long pants and covered footwear and socks
- avoiding going outdoors during peak mosquito times, especially dawn and dusk
- using insecticide sprays, vapour dispensing units and mosquito coils to repel mosquitoes (mosquito coils should only be used outdoors in well-ventilated areas)
- covering windows and doors with insect screens and checking there are no gaps
- removing items that may collect water such as old tyres and empty pots from around your home to reduce the places where mosquitoes can breed
- using repellents that are safe for children. Most skin repellents are safe for use on children aged three months and older. Always check the label for instructions
- protecting infants aged less than three months by using an infant carrier draped with mosquito netting, secured along the edges
- while camping, use a tent that has fly screens to prevent mosquitoes entering or sleep under a mosquito net
- remember, Spray Up – Cover Up – Screen Up, to protect from mosquito bites.

For more information on protecting yourself from mosquito bites visit: https://www.health.nsw.gov.au/Infectious/mosquito-borne/Pages/default.aspx

Information on eligibility for a free JE vaccine is available on the NSW Health website: https://www.health.nsw.gov.au/Infectious/jev/Pages/vaccination.aspx

31/03/2026

🌈 INTERNATIONAL TRANSGENDER DAY OF VISIBILITY

Today, on International Transgender Day of Visibility, we celebrate the strength, diversity, and resilience of trans and gender‑diverse communities. Visibility means being seen, respected, and supported, especially when it comes to sexual health and wellbeing.

Everyone deserves access to safe, affirming, and inclusive sexual health care without judgment or barriers. We remain committed to providing gender-affirming, culturally safe care for all.

To all trans and gender‑diverse people: we see you, we celebrate you, and we stand with you, today and every day. Reach out to us at Clinic 16 (02 9462 9500, https://clinic16.com.au)

28/03/2026
06/03/2026

Everyone deserves to be heard

28/02/2026

Highgate seeks Nurse Practitioners and Registered Nurses for our Infusion clinic & NDIS services email your CV to admin@highgatehealth.com.au

A great research project in to Long Covid a very real medical condition
24/02/2026

A great research project in to Long Covid a very real medical condition

UNE researcher and GP Dr Jacqueline Epps has been named a Chief Investigator on a $3 million national research project to transform Long COVID care in primary care settings across Australia, including rural and remote communities.

The new project – SAGE (Scalable Allied Health and General Practitioner Responses to Long-COVID in primary care) – will:

▪️Compare multidisciplinary, symptom-focused rehabilitation (physical therapy + psychological support) with self-directed management
▪️Help upskill GPs, practice nurses and allied health professionals in diagnosing and managing Post-Acute Sequelae of COVID-19 (PASC)
▪️Test whether this model can work equitably for priority populations, including those in rural and remote communities

“General Practitioners face real challenges with Long COVID – studies show only a small minority feel very confident in diagnosing it, yet the vast majority want to learn more,” Dr Epps said.

“The outcomes from SAGE will provide comprehensive support, education and training to upskill GPs, practice nurses and allied health professionals, as well as patients themselves, in the diagnosis and multidisciplinary care of PASC.”

Based in the New England region, Dr Epps will lead recruitment and training of local rural clinicians in partnership with the Hunter New England and Central Coast Primary Health Network, while UNE medical students gain the chance to learn within real-world research tackling a major rural health challenge.

If proven cost-effective, this scalable model could be embedded into primary care funding nationally, improving Long COVID care for all Australians – not just those in cities.

🔗 Go to comments for full story.

New guidelines for endometriosis diagnosis in Australia laparoscopic diagnosis no longer required under new guidelines r...
23/02/2026

New guidelines for endometriosis diagnosis in Australia laparoscopic diagnosis no longer required under new guidelines released

Hot off the press - New Clinical Practice Guideline: Diagnosis of Endometriosis.

Here is the rundown of the new guidelines:

ACOG has formally shifted endometriosis from a surgically confirmed disease to a clinically diagnosable chronic pain disorder. You no longer need laparoscopy to diagnose or treat.
The modern model is: Clinical diagnosis → empiric treatment → selective surgery

This is the single most important paradigm change affecting OB-GYN practice.

When laparoscopy (surgery) IS appropriate
• Failed empiric therapy
• Diagnostic uncertainty
• Patient wants definitive diagnosis
• Infertility evaluation context
• Suspicion for alternative pathology

Surgical principles emphasized
If you go to the OR:
• Perform systematic inspection
• Biopsy suspicious lesions
• Treat disease during same surgery

ACOG highlights average delay: 4–11 years to diagnosis
Guideline goal = reduce delay.

The shift reflects recognition that:
• Endometriosis behaves like a chronic inflammatory pain syndrome
• Surgery-first models worsened outcomes because of the delay in care (may take years to get surgery) and delaying treatment of endometriosis.
• Imaging and symptom prediction models improved
• Earlier hormonal suppression reduces disease burdens.

Modern pain science changed everything.

Endometriosis pain becomes neuroplastic, not purely lesion-driven.

Untreated chronic nociceptive input causes:
• peripheral nerve sprouting
• neuroangiogenesis
• spinal cord sensitization
• altered CNS pain processing

Once these pain pathways have been established: pain can persist even after lesion removal.

So delaying medical treatment until surgery allowed pain pathways to become entrenched.

This is why:
• some patients have severe pain with minimal disease
• excision alone SOMETIMES fails LATE-stage patients

Early hormonal suppression reduces this progression and helps improve pain when lesions are caught early and managed and ideally removed.

Endometriosis pain is very real. Treat the pain as well as the disease. Even with negative laparoscopy - does not rule out the disease.

Link to the new clinical practice guideline: https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline/articles/2026/03/diagnosis-of-endometriosis




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Inside City Cave, 1 Capital Place, Rouse Hill
Sydney, NSW
2155

Opening Hours

Monday 8:30am - 5pm
Tuesday 8:30am - 5pm
Wednesday 8:30am - 5pm
Thursday 8:30am - 5pm
Friday 8:30am - 5pm
Saturday 8:30am - 1pm

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