TWiV 1238: Clinical update with Dr. Daniel Griffin

In his weekly clinical update, Dr. Griffin with Vincent
Racaniello chat about how flies and milk-snatching might
contribute to influenza virus H5N1 among dairy cattle, the recent
pertussis oubreak and measles epidemic before Dr. Griffin
discusses monoclonal antibody therapy can enrich for RSV variants
before deep diving into recent statistics on RSV, influenza and
SARS-CoV-2 infections the Wasterwater Scan dashboard, whether or
not the NB.1.8.1 should be included in the fall 2025 vaccines,
the effectiveness of Sinopharm’s COVID-19 vaccine, where to find
PEMGARDA, provides information for Columbia University Irving
Medical Center’s long COVID treatment center, where to go for
answers to your long COVID questions, how mast cell activation
can enhance 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

Flies, ‘milk snatching’ among H5N1
transmission contributors in dairy cattle(CIDRAP)

H5N1 virus invades the mammary glands of dairy cattle
through “mouth-to-teat” transmission (NSR:
National Science Review)

Mississippi warns of steep increase in pertussis
cases (CIDRAP)

MSDH Issues Pertussis
Alert (Mississippi State
Department of Health)


Wastewater for measles (WasterWater Scan)

Measles cases and outbreaks (CDC
Rubeola)


Weekly measles and rubella monitoring
(Government of Canada)

Measles vaccine recommendations from NYP
(jpg)


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)


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)

Respiratory Syncytial virus Strain
Evolution and Mutations in Western Australia in the
Context of Nirsevimab Prophylaxis (OFID)

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)

Real-world Evaluation of the Effectiveness
of Sinopharm COVID-19 Vaccine Against
Symptomatic COVID-19 in an Omicron-Dominant Setting in Mozambique
(CID)


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)


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


Mast cell activation symptoms are
prevalent in Long-COVID (International Journal of Infectious
Diseases)

Using the Right Criteria for MCAS
(Current Allergy and Asthma Reports)

Utility
of glucagon-like-peptide-1-receptor agonists
in mast cell activation syndrome (The American Journal of the
Medical Sciences)

Reaching out to US house representative


Letters read on TWiV 1238

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.