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What is already known on this topic?Empirical studies suggest that multiple physical health conditions (physical multimorbidity) coupled with a mental health condition are associated with a wide range of adverse health, economic, and social outcomes. What is added by this report?After adjusting for confounding factors, our study showed that physical multimorbidity accompanied by mental health conditions and low socioeconomic status increased the use of health care services while reducing work productivity and health-related quality of life.What are the implications for public health practice?The Australian health system should prioritize improving the management of people with multimorbidity by using a more patient-centered approach that fosters integration of treatments for physical and mental health conditions.

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The Victorian Specialist Immunization Services (VicSIS) was established in Victoria, Australia, in February 2021, aiming to enhance vaccine safety services for Coronavirus disease (COVID-19) vaccines. VicSIS supports practitioners and patients with complex vaccine safety questions, including those who experience adverse events following immunization (AEFI) after COVID-19 vaccines. VicSIS provides individual vaccination recommendations, allergy testing, vaccine challenges, and vaccination under supervision. VicSIS initially comprised of eight adult COVID-19 specialist vaccination clinics, subsequently, expanding to better support pediatric patients as the Australian vaccine roll-out extended to adolescents and children. Since their establishment to September 2021, the inaugural VicSIS clinics received a total of 26,401 referrals and reviewed 6,079 patients. Consults were initially predominantly for pre-vaccination reviews, later predominantly becoming post-vaccination AEFI reviews as the program progressed. Regardless of the type of consult, the most common consult outcome was a recommendation for routine vaccination (73% and 55% of consult outcomes respectively). VicSIS is an integral component of the COVID-19 vaccination program and supports confidence in COVID-19 vaccine safety by providing consistent advice across the state. VicSIS aims to strengthen the health system through the pandemic, bolstering specialist immunization services beyond COVID-19 vaccines, including training the next generation of vaccinology experts.