TWiV 1264: Clinical update with Dr. Daniel Griffin

In his weekly clinical update, Dr. Griffin with Vincent
Racaniello are distressed by the continuing government shutdown,
first locally acquired chikungunya virus infection, President
Trump’s suggestion for removing aluminum from vaccines, H5N1
isolation from backyard birds and turkey farms, and the
suggestion of establishing an alternative to the CDC’s MMWR and
asymptomatic measles infections 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, the quarantining in the US due to
measles, access to anti-influenza antiviral, where to find
PEMGARDA, how to access and pay for Paxlovid, can you be
retreated with Paxlovid, long COVID treatment center, where to go
for answers to your long COVID questions, if colchicine is
effective for long COVID, and contacting your federal government
representative to stop the assault on science and biomedical
research.


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Links for this episode

New York health officials confirm state’s
first locally acquired case of
chikungunya virus (AP News)

Trump Rattles Vaccine Experts Over
Aluminum (NY Times)


Aluminum-Adsorbed Vaccines and Chronic
Diseases in Childhood (Annals of Internal Medicine)

Three large turkey farms in
Minnesota hit with H5N1 avian flu (CIDRAP)

Confirmations of Highly Pathogenic Avian Influenza in
Commercial and Backyard
Flocks (USDA: Animal and Plant
Health Inspection Service)


Jeffrey Lee
McLean (California.No)

California mpox cases raise
concerns. But health officials say the risk remains low (AP News)

‘Alternative’ to CDC’s
Flagship Journal in the Works (MEDPAGE TODAY)

Measles without rash during acute
febrile illness surveillance in Tanzania, 2023-2024 (CID)

Frustration grows amid measles
outbreak quarantines across several
states (NBC News)

More Than 100 Cases of Measles Reported in Utah
and Arizona (NY Times)


Wastewater for measles (WasterWater Scan)

Measles cases and outbreaks (CDC
Rubeola)

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


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 recommendations from NYP
(jpg)


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: clift
notes (CDC FluView)


ACIP Recommendations Summary (CDC:
Influenza)


American Academy of Pediatrics


Flu and Children (CDC: Influenza (flu))

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

Roche to sell flu pill for $50 to
cash-paying US patients (Reuters)

RSV: Waste water scan for 11
pathogens (WastewaterSCan)

US respiratory virus activity (CDC
Respiratory Illnesses)

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)

Evidence
to Recommendations Framework
(EtR): RSV Vaccination in Adults Aged 50–59 years (CDC: National
Center for Immunization and Respiratory Diseases)


Efficacy and safety of respiratory
syncytial virus vaccines (Cochrane Library)

Estimated Vaccine
Effectiveness for Respiratory Syncytial
Virus–Related Acute Respiratory Illness in Older Adults (CID)

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)


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

Effectiveness of Colchicine for
the Treatment of Long COVID(JAMA Internal Medicine)

Reaching out to US house representative


Letters read on TWiV 1264

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.