TWiV 1250: Clinical update with Dr. Daniel Griffin

In his weekly clinical update, Dr. Griffin with Vincent
Racaniello is shocked by COVID vaccine restrictions and
uncertainties such as pharmacy stock, the ACIP meeting roster and
whether it guidance is legal, 3 new ACIP members all
anti-vaccine, ending of childhood vaccine mandates in Florida,
the continued Legionnaire’s outbreak in Harlem, 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, cardia
benefits of the influenza vaccine, presence of SARS-CoV-2
antibodies in breast milk following vaccination, the use of
antiviral nasal sprays to treat COVID 19, whether or not the
NB.1.8.1 should be included in the fall 2025 vaccines, where to
find PEMGARDA, 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

Can You Still Get the Covid Shot? (NY
Times)

Meeting of the Advisory Committee on
Immunization Practices (Federal
Register)

Cassidy Calls for Vaccine Committee Meeting to
be Postponed Following CDC
Departures(US Senate Committee on Health, Education, Labor and
Pensions)


Catherine Stein (Brownstone Institute)

CIP to review COVID, hep B, and MMRV vaccine
recommendations at September meeting (CIDRAP)

Kennedy plans to add new
members to an influential vaccine advisory panel.

(NY Times)


Patricia Mazzei (NY Times)

The Steep Cost of Ron
DeSantis’s Vaccine Turnabout (NY Times)

Florida Moves to End Vaccine
Mandates for Schoolchildren(NY Times)


Legionnaires’ Disease: In Harlem(NYC
Health)


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)

Prevention and Control of Seasonal Influenza
with Vaccines: Recommendations of the Advisory Committee
on Immunization Practices — United States, 2025–26 Influenza
Season (CDC: MMWR)


ACIP Recommendations Summary (CDC:
Influenza (Flu))

Flu vaccines show benefits for the
heart in new studies (CIDRAP)

Risk of Myocarditis or
Pericarditis With High-Dose vs Standard-Dose
Influenza Vaccine (JAMA: OPEN)

High-Dose vs Standard-Dose Influenza Vaccine
and Cardiovascular Outcomes in Older
Adults (JAMA: Cardiology)

Influenza vaccination to improve
outcomes for patients with acute heart failure
(PANDA II) (LANCET)

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

RSV: Waste water scan for 11
pathogens (WastewaterSCan)

Respiratory Syncytial Virus Immunization
Coverage Among Infants Through Receipt of
Nirsevimab Monoclonal Antibody or Maternal Vaccination (CDC:
MMWR)

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)

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 (biRxiV)

SARS-CoV-2 Vaccine-Elicited Antibody Responses
in Human
Milk (Journal of Pediatric
Infectious Diseases Society)

Interferon-α Nasal Spray
Prophylaxis Reduces COVID-19 in Cancer Patients: A
Randomized, Double-Blinded, Placebo-Controlled Trial (CID)

Azelastine Nasal Spray
for Prevention of
SARS-CoV-2 Infections (JAMA Internal Medicine)


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)

Effect of Metformin on the Risk of Post-coronavirus Disease
2019 Condition Among Individuals With Overweight or
Obese (CID)


Paxlovid (Pfizer)


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)

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

Reaching out to US house
representative Florida moves to kill
vaccine mandates; state surgeon general slams them as
‘slavery’ (Herald-Tribune)


Letters read on TWiV 1250

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.