TWiV 1210: Clinical update with Dr. Daniel Griffin

In his weekly clinical update, Dr. Griffin with Vincent
Racaniello rue about the continuation of the gutting of the
American public health infrastructure, the continuing measles
outbreak, an unreported outbreak of deadly E.coli human
infections, meningococcal disease before Dr. Griffin reviews
recent statistics on RSV, influenza and SARS-CoV-2 infections,
the WasterwaterScan dashboard, ACIP recommended changes in
guidelines for the RSV and COVID-19 vaccines, reactogenicity
differences between Novavax and Pfizer 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, long COVID
interventions, effects of long COVID in children and adolescents
and a list of ongoing clinical trials for long COVID treatment.


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Links for this episode

Making America Healthy Again-purging of
administrators at HHS (Politico)

Making America Healthy Again-purging of
data (Politico)

Deep cuts of the federal
government (NY Times)

Cutting NIH, CDC and HHS promotes
chronic disease research(Washington Post)

Political ideology and trust in
scientists in the USA(Nature Human Behavior)

US political conservatives have deep,
unbudging suspicion of science, survey
suggests(CIDRAP)

A deadly E. coli outbreak hit 15 states, but
the FDA chose not to publicize it(NBC
News)

Invasive meningococcal disease –
Kingdom of Saudi Arabia(WHO)

The essential guide to understanding the differences
between hajj and
umrah (Marhabahaji)

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


Measles booster? (Washington Post)

How to stop an outbreak…….fire the
experts (Washington Post)

Measles cases and outbreaks (CDC
Rubeola)

Measles 159 in Texas…. (Texas Health
and Human Services)

2025 Measles outbreak
guidance (New Mexico Health)


Measles and rubella weekly monitoring
(Government of Canada)

Measles vaccine recommendations from NYP
(jpg)

NAFMA: North American Free
Measles agreement…..(NY Times)

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))


Doctors’ talk measles (YouTube)


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)

Influenza: Waste water scan for 11
pathogens (WastewaterSCan)

US respiratory virus activity (CDC
Respiratory Illnesses)

Weekly surveillance report: clift
notes (CDC FluView)

Respiratory virus activity levels
(CDC Respiratory Illnesses)


200 children die from flu (CIDRAP)

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)

RSV-Network (CDC Respiratory Syncytial virus
Infection)

ACIP votes to expand
recommendation for Pfizer’sRSV vaccine Abrysvo to
include adults aged 50 to 59 at increased risk of disease
(Pfizer)

Respiratory syncytial virus and incidence
of cardiovascular events: a nationwide
self-controlled case series analysis (JACC Journals)

Waste water scan for 11
pathogens (WastewaterSCan)

COVID-19 deaths (CDC)

COVID-19 national and
regional trends (CDC)

COVID-19 variant tracker (CDC)

SARS-CoV-2 genomes galore
(Nextstrain)

Comorbidities associated with different degrees of severity
in children and young
people hospitalized with acute COVID-19 (Pediatric
Infectious Disease Journal)

SHIELD-Utah study shows Novavax’s COVID-19
vaccine induces lower reactogenicity symptoms
compared to mRNA (Novavax)

Interim clinical considerations for use of
COVID-19 vaccines in the United States (CDC
Vaccines & Immunizations)

Novavax says its COVID vaccine produces fewer,
milder reactions than Pfizer version(CIDRAP)

US CDC advisers discuss narrower
use of COVID-19 vaccines (Reuters)


Where to get pemgarda (Pemgarda)


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

Infusions center (Prime Fusions)


CDC Quarantine guidelines (CDC)


NIH COVID-19 treatment guidelines (NIH)

Drug
interaction checker (University of
Liverpool)


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

Molnupiravir safety and efficacy
(JMV)

Convalescent plasma recommendation
for immunocompromised (ID Society)

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

When your healthcare provider
is infected/exposed with SARS-CoV-2
(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


Kidney Function following COVID-19 in
children and adolescents(JAMA Network Open)


Cardiovascular post-acute sequelae of
SARS-CoV-2 in children and adolescents: cohort study using
electronic health records(Nature Communications)


Great barrington
declaration (gbdeclaration.org)

Clinical trials:

Effectiveness of transcranial direct
current in patients with persistent COVID-19 with
headaches and chronic pain.

Home-based Brain Stimulation
Treatment for Post-acute Sequelae of COVID-19
(PASC)

Acupuncture for post COVID-19 Condition (Long
COVID) neuropsychiatric symptoms

Pain relief with integrative medicine (prime)?: feasibility
of acupuncture for long COVID


Electro-acupuncture for long COVID
neuropsychiatric symptoms

Randomised study to investigate the effectiveness of
acupuncture for the relief of long COIVD-19 related fatigue
(ACU-COVID)

Vagus stimulation in female long COVID
patients.(Vagus)

Stellate ganglion block with lidocaine for the treatment of
COVID-19-induced parosmia (Stella)

Therapeutic updates on long COVID: Where things
stand 5 years
later (ID Society)

Reaching out to US house representative


Letters read on TWiV 1210

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.