TWiV 1204: Clinical update with Dr. Daniel Griffin

In his weekly clinical update, Dr. Griffin with Vincent
Racaniello rue about the continuing measles outbreak, the FACTS
about vaccination, irresponsibility of promoting vitamin A
therapy “lifelong liver damage or vaccinaton!”, high pathogenic
influenza and egg importation before Dr. Griffin reviews recent
statistics on RSV, influenza and SARS-CoV-2 infections and
vaccination schedules and if vaccination affects long COVID, 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, how to track long
symptoms using a wearable device and how these data will never be
used with the closing of governmental long COVID programs and
offices.


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Links for this episode

Measles cases and outbreaks (CDC
Rubeola)

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

2025 Measles outbreak
guidance (New Mexico Health)

10 in Ohio and 23 in Kansas…..oh my! (US
News)


Measles data (Kansas:
Department of Health and Enivornment)

Health
director urges parents
to ensure children are vaccinated against measles (Ohio:
Department of Health)

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

New York Governor Kathy Hochul sounds alarm for
measles vaccine amid 4 confirmed cases (abc News)

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

Long-term dynamics of measles virus–specific
neutralizing antibodies in children vaccinated
before 12 months of age (CID)


Measles vaccine (CDC Measles (Rubeola))


Clinical Overview of Measles (CDC Rubeola)

Red Book: 2024–2027 Report of the Committee on
Infectious Diseases (33rd Edition)(Redbook)


Vitamin A in Children Hospitalized for
Measles in a High-income Country (Pediatric Infectious Disease
Journal)

No vaccination necessary…….instead take vitamin A
and develop liver damage….(NY Times)

Measles vaccine recommendations from NYP (jpg)


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))

Influenza of avian origin confirmed in a sheep
in Yorkshire (UK government)

UK reports H5N1 in a sheep on
poultry-outbreak farm(CIDRAP)

Don’t send money….send EGGS! (Reuters)

Are your eggs domestic or Brazilian?
(Reuters)

USDA to invest 100M in bird
flu projects…..(Reuters)

Influenza: Waste water scan for 11
pathogens (WastewaterSCan)

US respiratory virus activity (CDC
Respiratory Illnesses)

Flu in US continues to decline but still packs a
punch (CIDRAP)

Weekly surveillance report: clift
notes (CDC FluView)

Respiratory virus activity levels
(CDC Respiratory Illnesses)


FDA-CDC-DOD: 2025-2026 influenza vaccine
composition (FDA)

RSV: Waste water scan for 11
pathogens (WastewaterSCan)


Weekly US influenza
surveillance report (CDC FluView)

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)

Lower levels of household
transmission of sars-cov-2 omicron variant of
concern vs wild type: an interplay between transmissibility and
immune status (JID)

Does COVID-19 vaccination reduce the
risk and duration of post COVID-19
condition?(European Centre for Disease Prevention and Control)

COVID-19 vaccination reduces
risk of ‘long COVID’
in adults (European Centre for Disease
Prevention and Control)


Vaccination cuts the risk of long COVID
27%, review suggests (CIDRAP)

Interim clinical considerations for use of
covid-19 vaccines in the United States (CDC:
Vaccines and 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)

The effect of nirmatrelvir-ritonavir on short-
and long-term adverse outcomes from covid-19 among
patients with kidney disease (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

Effect of pulmonary
rehabilitation for patients with long
COVID-19(Therapeutic Advances in Respiratory Disease)

Wearable data reveals distinct
characteristics of individuals with persistent
symptoms after a SARS-CoV-2 infection(npj digital medicine)


Long Covid office ‘will be closing,’ Trump
administration announces(Politico)

Commencing
the reduction of the
federal bureaucracy(White House) Musk said no one has died since
aid was cut. That isn’t true.(NY Times)


Letters read on TWiV 1204

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.