Every year in August/September in Brisbane, the number of reported instances of influenza and other communicable diseases spike. Every year the Royal National Agricultural and Industrial Association of Queensland host the Royal Queensland Show (aka the “Ekka”) in August in Brisbane. Coincidence or not? The Ekka sees hundreds of thousands of people cram together into various pavilions and alleyways spread over 22 hectares to sample the regional delights (Dagwood dog anyone) and pretend to be a little bit country for 10 days. The Ekka also sees thousands of people coming into contact with animals they are not used to, people sneezing and coughing everywhere and a range of displays of personal hygiene habits to make you cringe. This presentation will explore the history of seasonal outbreaks and infections related to Royal annual shows and how learnings from these events can be applied to other infections and how they can impact on your workforce. We will also explore the differences between outbreaks and epidemics, future implications of the rise of treatment-resistant infections, and when you should hit the big red panic button for your workers. We will end on some practical takeaways that OHS professionals can implement in their workplaces.