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This article reports on the investigation of a cluster of Ross River virus (RRV) infections in the outer western suburbs of metropolitan Sydney. Ross River virus is an arbovirus transmitted by mosquitoes, and its symptoms include arthralgia, myalgia, arthritis, fatigue, fever, and headache.1 A rash, usually maculopapular and found on the trunk and limbs, accompanies these symptoms in 40- 60 per cent of patients. 2 Duration and severity of symptoms can vary, with full recovery taking from several months to a number of years.3 Ross River virus is most often considered a disease of rural Australia. 4,5 However, an outbreak of RRV infection identified among people living in the north-western outskirts of Sydney, and outbreaks in Brisbane, Perth and south-western Australia, reveal the potential for RRV activity to spread to metropolitan areas. 6,7,8,9

A cluster of locally-acquired Ross River virus infection in outer western Sydney