TWiV 1236: Clinical update with Dr. Daniel Griffin

In his weekly clinical update, Dr. Griffin with Vincent
Racaniello have a morning chat about the measles epidemic and
H5N1 in cows before Dr. Griffin discusses how vaccination
associates with reduced dementia risk before deep diving into
recent statistics on measles epidemic, RSV, influenza and
SARS-CoV-2 infections the Wasterwater Scan dashboard, a potential
new influenza antiviral drug, whether or not the NB.1.8.1 variant
should be included in the fall 2025 vaccines, immunization
recommendations for COVID-19 vaccines, where to find PEMGARDA,
provides information for Columbia University Irving Medical
Center’s long COVID treatment center, where to go for answers to
your long COVID questions, associaton of remesdivir
administration and long-term sequelae and contacting your federal
government representative to stop the assault on science and
biomedical research.


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Links for this episode


Wastewater for measles (WasterWater Scan)

Measles cases and outbreaks (CDC
Rubeola)


Weekly measles and rubella monitoring
(Government of Canada)


Measles (WHO)

Get the FACTS about measles (NY
State Department of Health)


Measles (CDC Measles (Rubeola))


Measles vaccine (CDC Measles (Rubeola))


Presumptive evidence of measles immunity
(CDC)


Contraindications and precautions to
measles vaccination (CDC)


Measles (CDC Measles (Rubeola))

Adverse events associated with childhood
vaccines: evidence bearing on causality (NLM)

Measles Vaccination: Know the
Facts (ISDA: Infectious Diseases Society of America)

Deaths following vaccination: what does
the evidence show (Vaccine)

Measles vaccine recommendations from NYP
(jpg)

The impact of highly pathogenic avian influenza H5N1 virus
infection on dairy
cows (Nature)

Avian flu exacts heavy financial
toll on dairy industry, report says(CIDRAP)

Inherited IFNAR1 deficiency in
otherwise healthy patients with adverse reaction to measles and
yellow fever live vaccines (Journal of Experimental Medicine)

Influenza: Waste water scan for 11
pathogens (WastewaterSCan)

US respiratory virus activity (CDC
Respiratory Illnesses)

Respiratory virus activity levels
(CDC Respiratory Illnesses)

Weekly surveillance report: clift
notes (CDC FluView)


FDA-CDC-DOD: 2025-2046 influenza vaccine
composition (FDA)

RSV: Waste water scan for 11
pathogens (WastewaterSCan)

US respiratory virus activity (CDC
Respiratory Illnesses)

ENFLONSIA: novel
drug approvals 2025 (FDA)

RSV-Network (CDC Respiratory Syncytial virus
Infection)

Systematic review and expert consensus on the use of
long-acting monoclonal antibodies for prevention of respiratory
syncytial virus
disease: ARMADA (Advancing RSV Management And Disease Awareness)
Taskforce (OFID)

Waste water scan for 11
pathogens (WastewaterSCan)

COVID-19 deaths (CDC)

COVID cases likely rising in half
of states, CDC estimates(CBS News)

Estimated COVID-19 Periodicity and
Correlation with SARS-CoV-2 Spike Protein S1
Antigenic Diversity, United States (Emerging Infectious Diseases)

Respiratory Illnesses Data
Channel (CDC: Respiratory Illnesses)

COVID-19 national and
regional trends (CDC)

COVID-19 variant tracker (CDC)

Estimated COVID-19 Periodicity and
Correlation with SARS-CoV-2 Spike Protein S1
Antigenic Diversity, United States (Emerging Infectious Diseases)

SARS-CoV-2 genomes galore
(Nextstrain)

Antigenic and Virological Characteristics of SARS-CoV-2
Variant BA.3.2, XFG, and
NB.1.8.1 (biRxiV)


This CDC Resignation Should Scare
You (Substack: Beyond the Noise)

ACIP: COVID-19–Associated Hospitalizations
— COVID-NET, April 2025 Update (CDC:
National Center for Immunization and Respiratory Diseases))


Where to get pemgarda (Pemgarda)


EUA for the pre-exposure
prophylaxis of COVID-19 (INVIYD)

Infusion center (Prime Fusions)


CDC Quarantine guidelines (CDC)


NIH COVID-19 treatment guidelines (NIH)


Drug treatments for mild or moderate
covid-19: systematic review and network meta-analysis (BMJ)

Drug
interaction checker (University of
Liverpool)


Paxlovid (Pfizer)


Infectious Disease Society guidelines for
treatment and management (ID Society)

Extended nirmatrelvir–ritonavir treatment
durations for immunocompromised patients with
COVID-19 (EPIC-IC) (LANCET: Infectious Diseases)

Molnupiravir safety and efficacy
(JMV)

Convalescent plasma recommendation
for immunocompromised (ID Society)

What to do when sick with a respiratory
virus (CDC)

Managing healthcare
staffing shortages (CDC)

Steroids, dexamethasone at the
right time (OFID)


Anticoagulation guidelines
(hematology.org)

Daniel Griffin’s evidence
based medical practices for long COVID (OFID)

Long COVID hotline (Columbia :
Columbia University Irving Medical Center)


The answers: Long COVID

Invivyd and Leading Researchers Form SPEAR (Spike Protein
Elimination and Recovery) Study Group to Assess the Effects
of Monoclonal Antibody Therapy for
Long COVID and COVID-19 Post-Vaccination Syndrome (INVIVYD)

Reaching out to US house representative


Letters read on TWiV 1236

Dr. Griffin’s COVID treatment summary (pdf)

Timestamps by Jolene Ramsey. Thanks!



Intro music is by Ronald Jenkees


Send your questions for Dr. Griffin to daniel@microbe.tv


Content in this podcast should not be construed as medical
advice.