TWiV 1270: Clinical update with Dr. Daniel Griffin

In his weekly clinical update, Dr. Griffin and Vincent Racaniello
record from the ASTMH meeting in Toronto and discuss continuing
avian flu outbreaks, the continued global measles outbreak, the
effectiveness of high and low doses of the influenza vaccine
before Dr. Griffin deep dives into recent statistics on the
measles epidemic, RSV, influenza and SARS-CoV-2 infections, the
Wasterwater Scan dashboard, Johns Hopkins measles tracker,
children hospitalizations following COVID-19 and influenza
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, and contacting your federal government
representative to stop the assault on science and biomedical
research.


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Links for this episode

Five new avian flu
outbreaks confirmed in ducks, turkeys in 3 US
states (CIDRAP)

Confirmation of highly pathogenic Avian Influenza in
Commercial and Backyard flocks (USDA: Animal and Plant Health
Inspection Service)


Wastewater for measles (WasterWater Scan)

Measles cases and outbreaks (CDC
Rubeola)

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

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)


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)

Respiratory virus activity levels
(CDC Respiratory Illnesses)

Weekly surveillance report: clift
notes (CDC FluView)


ACIP Recommendations Summary (CDC:
Influenza)

Effectiveness of high-dose influenza
vaccine against hospitalisations in
older adults (FLUNITY-HD) (LANCET)

Relative effectiveness of the high-dose versus
standard-dose influenza vaccines for the prevention
of laboratory-confirmed influenza among Italian older adults
during three recent seasons (International Journal of Infectious
Diseases)

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)

US respiratory virus activity (CDC
Respiratory Illnesses)

RSV-Network (CDC Respiratory Syncytial virus
Infection)


Long-term impact of nirsevimab on
prevention of respiratory syncytial virus infection using a
real-word global database (Journal of 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)

Waste water scan for 11
pathogens (WastewaterSCan)

COVID-19 deaths (CDC)

Respiratory Illnesses Data
Channel (CDC: Respiratory Illnesses)

COVID-19 national and
regional trends (CDC)

COVID-19 variant tracker (CDC)

SARS-CoV-2 genomes galore
(Nextstrain)

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

COVID-19 and influenza deaths in
Australian children 2018-2023: a national case analysis (Journal
of Pediatric Infectious Diseases Society)


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
interaction checker (University of
Liverpool)

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


Understanding Coverage Options
(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)


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 Reaching out
to US house representative


Letters read on TWiV 1270

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.