TWiV 1286: Clinical update with Dr. Daniel Griffin

In his weekly clinical update, Dr. Griffin and Vincent Racaniello
are bewildered and dismayed by RFK Jr’s announced changes in the
routine childhood immunization schedule, though not unpredicted,
and highlight the science and evidence which eviscerate these
changes, then deep dives into recent statistics on the measles
epidemic- in particular in South Carolina, RSV, influenza and
SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns
Hopkins measles tracker, estimated societal burden of COVID-19
illness, deaths and hospitalizations, benefit of maternal
COVID-19 vaccination, where to find PEMGARDA, how to access and
pay for Paxlovid, long COVID treatment center, where to go for
answers to your long COVID questions, neurodevelopmental
consequences of in-utero SARS-CoV-2 infection and contacting your
federal government representative to stop the assault on science
and biomedical research.


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Links for this episode


Childhood Immunization Schedule by
Recommendation Group (US Health and Human Service)


Recommended Child and Adolescent Immunization
Schedule for Ages 18 Years or Younger (American
Academy of Pediatrics)


Kennedy Scales Back the Number of
Vaccines Recommended for Children (NY Times)

There RFK Jr. Goes Again . .
.(Wall Street Journal)

Hepatitis B Vaccination is an Essential Safety
Net for Newborns (Johns Hopkins Bloomberg School of
Public Health)


Effectiveness and Impact of Maternal RSV
Immunization and Nirsevimab on Medically Attended RSV in US
Children (JAMA Pediatrics)


Rotavirus (College of Physicians of
Philadelphia)


Hepatitis A in the Era of Vaccination
(Epidemiologic Reviews)


Meningococcal Vaccination in the United
States: Past, Present, And Future (Ped Drugs)

Meningococcal
Vaccination: Recommendations of the
Advisory Committee on Immunization Practices, United States, 2020
(CDC: MMWR)

N.Y. DOH says childhood vaccine recommendations
remain unchanged despite CDC’s update (Spectrum 1
News)


Wastewater for measles (WasterWater Scan)

Measles cases and outbreaks (CDC
Rubeola)

Tracking Measles Cases in the U.S.
(Johns Hopkins)

South Carolina measles cases rise by
26 to 211, state health department says (Reuters)

Measles vaccine recommendations from NYP
(jpg)


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)

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)

Respiratory virus activity levels
(CDC Respiratory Illnesses)

Weekly surveillance report: cliff
notes (CDC FluView)

Influenza Vaccine Composition for
the 2025-2026 U.S. Influenza Season
(FDA)

RSV: Waste water scan for 11
pathogens (WastewaterSCan)


Respiratory Diseases (Yale School of
Public Health)

RSV-Network (CDC Respiratory Syncytial virus
Infection)


Vaccines for Adults (CDC: Respiratory
Syncytial Virus Infection (RSV))


Economic Analysis of Protein Subunit and
mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP)

COVID-19 deaths (CDC)

Respiratory Illnesses Data
Channel (CDC: Respiratory Illnesses)

COVID-19 national and
regional trends (CDC)

COVID-19 variant tracker (CDC)


Estimated Burden of COVID-19 Illnesses,
Medical Visits, Hospitalizations, and Deaths in the US From
October 2022 to September 2024 (JAMA Internal Medicine)

The Role of Vaccination in Maternal and
Perinatal Outcomes Associated With COVID-19 in
Pregnancy (JAMA)


Where to get pemgarda (Pemgarda)


EUAfor the pre-exposure prophylaxis of
COVID-19 (INVIYD)

Infusion center (Prime Fusions)


CDC Quarantine guidelines (CDC)


NIH COVID-19 treatment guidelines (NIH)

Drug
interaction checker (University of
Liverpool)

Help your eligible patients
access PAXLOVID with the PAXCESS Patient Support
Program (Pfizer Pro)

UnderstandingCoverageOptions (PAXCESS)


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)

Managing healthcare
staffing shortages (CDC)


Anticoagulationguidelines (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

The COVID generation: the
neurodevelopmental consequences of
in-utero COVID-19 exposure (Brain, behavior and
Immunity)

Reaching out to US house representative


Letters read on TWiV 1286

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.