Here at Geelong Orthopaedics we many patients who have suffered delays due to COVID outbreaks. These have mostly been due to unvaccinated patients filling hospitals. We note a recent Scientific Advisory Group for Emergency paper from the UK ;VIRAL EVOLUTION SCENARIOS that proposes future scenarios for COVID. They note “Infections are expected to occur in waves in all scenarios” and endorse the use of ongoing “countermeasures” to minimise evolution of more dangerous variants and drug resistance. Vaccination is a key countermeasure and we encourage all to get vaccinated including children age 5-11.