TWiV 1208: Clinical update with Dr. Daniel Griffin

In his weekly clinical update, Dr. Griffin with Vincent
Racaniello mourn the demise of vaccination against childhood
diseases when discussing the continuing measles outbreak and the
rise of pertussis, the first human case of H5N1 in Mexico, and
human metapneumovirus before Dr. Griffin reviews recent
statistics on RSV, influenza and SARS-CoV-2 infections and
vaccination schedules, the WasterwaterScan dashboard, 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, if antiviral therapy prevents long COVID and how
long COVID may affect brain volume.


Subscribe (free): Apple
Podcasts, RSS, email


Become a patron of TWiV!
Links for this episode

A natural experiment on the effect of herpes
zoster vaccination on dementia (Nature)

Taking a shot at
dementia (microbeTV: TWiV)

RFK Jr. visits Texas after second child
dies of measles amid outbreak (Washington Post)

Kennedy Attends Funeral of Texas
Girl Who Died of Measles(NY Times)

‘Most effective way’ to prevent measles
is vaccination, RFK Jr. says, in most direct remarks yet (STAT
News)

Fort Bliss…..Fort measles: Beaumont Army
hospital confirms measles case at Fort Bliss(KTSM News)

Measles cases and outbreaks (CDC
Rubeola)

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

Measles vaccine recommendations from NYP (jpg)

2025 Measles outbreak
guidance (New Mexico Health)

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)

Two infants die of whooping
cough in Louisiana (CNN)

Clinical features
of pertussis (CDC: Whooping cough
Pertussis)


Pertussis vaccination recommendations
(CDC: Whooping cough Pertussis)


Diphtheria vaccination (CDC: Diphtheria)

Mexico’s first human case of H5N1
(Reuters)


Human metapneumovirus seasonality and
co-circulation with respiratory syncytial virus — United
States, 2014–2024 (CDC: MMWR)

Influenza: Wastewater 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)


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)

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)

Human source SARS-CoV-2 aerosol
transmission to remote sentinel hamsters (OFID)

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


Where to get pemgarda (Pemgarda)


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

Fusion 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)


Cost-effectiveness analysis of
nirmatrelvir/ritonavir for high-risk individuals with
COVID-19….does this mean use the big button calculator? (OFID)

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

Nirmatrelvir–ritonavir versus placebo–ritonavir in
individuals with long COVID in the USA
(PAX LC): (LANCET: Infectious Diseases)

Quantitative brain volume
differences between COVID-19 patients and
non-COVID-19 volunteers (NeuroImage)


Donepezil for fatigue and psychological
symptoms in post–covid-19 condition (JAMA Network
Open)


Letters read on TWiV 1208

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.