TWiV 1242: Clinical update with Dr. Daniel Griffin

In his weekly clinical update, Dr. Griffin with Vincent
Racaniello re-address the dangers of drinking raw milk, the
Legionnaire’s outbreak in Harlem and results of a vaccine
knowledge survey done by emergency departments before Dr. Griffin
deep dives into recent statistics on RSV, influenza and
SARS-CoV-2 infections, the Wasterwater Scan dashboard, reports of
influenza-associated acute necrotizing encephalopathy or
neuropsychiatric events in children, whether or not the NB.1.8.1
should be included in the fall 2025 vaccines, the effectiveness
of Pfizer and MODERNA vaccines against the JN.1 variant, risk of
children developing severe disease from SARS-CoV-2 infection,
where to find PEMGARDA, long COVID treatment center, where to go
for answers to your long COVID questions, the association of
“virus rebound” and post-acute sequelae among hospitalized
patients, effectiveness of COVID-19 vaccines against long COVID,
predictors for distinct COVID-19 sequelae including immune
disturbances and contacting your federal government
representative to stop the assault on science and biomedical
research.


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Links for this episode

Florida Department of Health
Provides Update on Raw Milk(Florida
Health)

Raw milk linked to 21 E coli, Campylobacter
infections in Florida (CIDRAP)


Legionnaires’ Disease: In Harlem (NYC Health)

NYC health officials report Harlem
Legionnaires’ outbreak(CIDRAP)

Emergency Department Survey of Vaccination
Knowledge, Vaccination Coverage, and Willingness to
Receive Vaccines in an Emergency Department Among Underserved
Populations  (CDC: MMWR)


Wastewater for measles (WasterWater Scan)

Measles cases and outbreaks (CDC
Rubeola) 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)

Influenza-Associated Acute Necrotizing
Encephalopathy in US Children (JAMA)

Influenza With and Without Oseltamivir Treatment
and Neuropsychiatric
Events Among Children and
Adolescents(JAMA Neurology)


FDA-CDC-DOD: 2025-2046 influenza vaccine
composition (FDA)

RSV: Waste water scan for 11
pathogens (WastewaterSCan)

US respiratory virus activity (CDC
Respiratory Illnesses)

ENFLONSIA: novel
drug approvals 2025 (FDA)

RSV-Network (CDC Respiratory Syncytial virus
Infection)

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)

Effectiveness of the BNT162b2 and
mRNA-1273 JN.1-adapted vaccines against
COVID-19-associated hospitalisation and death: a Danish,
nationwide, register-based, cohort study (LANCET: Infectious
Diseases)

Hospitalization for COVID-19 and Risk Factors for Severe
Disease Among Children: 2022–2024
(Pediatrics)


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)

Metformin and Time to Sustained
Recovery in Adults With
COVID-19 (JAMA Internal Medicine)

Drug
interaction checker (University of
Liverpool)


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)

SARS-CoV-2 rebound and post-acute
mortality and hospitalization among patients
admitted with COVID-19(Nature Communications)

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

Effectiveness of COVID-19
vaccines against post COVID-19
condition/long COVID (CMI: Clinical Microbiology and Infection)

Precision Symptom Phenotyping
Identifies Early Clinical and Proteomic Predictors
of Distinct COVID-19 Sequelae (JID)

Systemic and SARS-CoV-2 specific Immune
Disturbances in Individuals With Post–COVID
Syndrome (JID)

Reaching out to US house representative


Letters read on TWiV 1242

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.