TWiV 1202: Clinical update with Dr. Daniel Griffin

In his weekly clinical update, Dr. Griffin and Vincent Racaniello rue about the unknowns of Sudan disease and new cases of paralytic polio, discuss the growing measles outbreak, exposure of newborns to measles, the FACTS about vaccination, high pathogenic influenza in dairy cows and cats, RFK's statement "just let the virus rip through the hens" before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, what happens when antiviral therapy is delayed, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, long COVID interventions and the relationship between EBV and long COVID.

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Links for this episode

• New cases of poliomyelitis  (GPEI)
• Polio in Africa (CIDRAP)
• Program for Monitoring Emerging Diseases (PROMED)
• ProMED Subscriptions (PROMED)
• Measles infected baby and exposes 12 (NY Post)
• Measles 159 in Texas…. (Texas Health and Human Services)
• 2025 Measles outbreak guidance (New Mexico Health)
• Get the FACTS about measles (NY State Department of Health)
• Revising US MMR vaccine recommendations amid changing domestic risks (JAMA Network)
• Long-term dynamics of measles virus–specific neutralizing antibodies in children vaccinated before 12 months of age (CID)
• Newborns exposed to measles in Texas hospital (NBC News)
• Newborns exposed in West Texas measles outbreak (CIDRAP)
• 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))
• Increase in global and domestic measles cases and outbreaks: (CDC:)
• The impact of influenza A H5N1 virus infection in dairy cows (Nature: Research Gate)
• Payment of indemnity and compensation for highly pathogenic avian Influenza (Federal Register)
• FDA or USDA: Kennedy's alarming prescription for bird flu on poultry farms(NY Times)
• Some of NYC's 500K stray cats could be infected with bird flu(NY Post)
• Two NYC cats dead from avian flu, including 8-month-old kitten:(NY Post)
• H7N9 avian flu strikes Mississippi broiler farm(CIDRAP) Highly pathogenic avian influenza diagnosed in Mississippi poultry flock (Mississippi Board of Animal Health)
• Influenza: Waste water scan for 11 pathogens (WastewaterSCan)
• US respiratory virus activity (CDC Respiratory Illnesses)
• Weekly surveillance report: cliff notes (CDC FluView)
• The burden of all-cause mortality following influenza-associated hospitalizations (CID)
• FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA)
• FDA announces flu strain picks for next season(CIDRAP)
• RSV: Waste water scan for 11 pathogens (WastewaterSCan)
• Weekly US influenza surveillance report (CDC FluView)
• US respiratory virus activity (CDC Respiratory Illnesses)
• RSV-Network (CDC Respiratory Syncytial virus Infection)
• Waste water scan for 11 pathogens (WastewaterSCan)
• COVID-19 deaths (CDC)
• COVID-19 national and regional trends (CDC)
• COVID-19 variant tracker (CDC)
• SARS-CoV-2 genomes galore (Nextstrain)
• COVID-19 antiviral medication use among pregnant and recently pregnant US outpatients (CID)
• Where to get pemgarda (Pemgarda)
• EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD)
• Fusion center (Prime Fusions)
• CDC Quarantine guidelines (CDC)
• NIH COVID-19 treatment guidelines (NIH)
• Drug interaction checker (University of Liverpool)
• 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)
• When your healthcare provider is infected/exposed with SARS-CoV-2 (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 TGFβ links EBV to multisystem inflammatory syndrome in children(Nature)
• Letters read on TWiV 1202
• 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 [email protected]

Content in this podcast should not be construed as medical advice.