TWiV 1204: Clinical update with Dr. Daniel Griffin

Mar 29, 2025

Dr. Daniel Griffin, an expert in infectious diseases, shares critical insights on the alarming measles resurgence in the U.S. He discusses the importance of vaccinations, especially the MMR vaccine, while debunking misconceptions about vitamin A treatment. The conversation also covers long COVID challenges, highlighting the role of wearable technology for tracking symptoms and the financial implications of treatments. Griffin stresses the urgency for continued support in long COVID research as governmental resources dwindle.

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ADVICE

Vitamin A and Measles

Avoid excessive vitamin A supplementation for measles, especially in high-income countries.
High doses of vitamin A can cause liver damage and other serious health issues.

ANECDOTE

Bird Flu in Sheep

The UK reported its first case of avian flu in a sheep.
The USDA plans to invest $100 million in bird flu research, while egg imports continue.

INSIGHT

Importance of Scientists

Scientific expertise is crucial in decision-making for public health crises like bird flu.
Relying on non-scientists for scientific advice can lead to ineffective strategies.

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In his weekly clinical update, Dr. Griffin with Vincent Racaniello rue about the continuing measles outbreak, the FACTS about vaccination, irresponsibility of promoting vitamin A therapy “lifelong liver damage or vaccinaton!”, high pathogenic influenza and egg importation before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections and vaccination schedules and if vaccination affects long COVID, the WasterwaterScan dashboard, 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, long COVID interventions, how to track long symptoms using a wearable device and how these data will never be used with the closing of governmental long COVID programs and offices.

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Links for this episode

Measles cases and outbreaks (CDC Rubeola)
Measles 159 in Texas…. (Texas Health and Human Services)
2025 Measles outbreak guidance (New Mexico Health)
10 in Ohio and 23 in Kansas…..oh my! (US News)
Measles data (Kansas: Department of Health and Enivornment)
Health director urges parents to ensure children are vaccinated against measles (Ohio: Department of Health)
Get the FACTS about measles (NY State Department of Health)
New York Governor Kathy Hochul sounds alarm for measles vaccine amid 4 confirmed cases (abc News)
Get the FACTS about measles (NY State Department of Health)
Long-term dynamics of measles virus–specific neutralizing antibodies in children vaccinated before 12 months of age (CID)
Measles vaccine (CDC Measles (Rubeola))
Clinical Overview of Measles (CDC Rubeola)
Red Book: 2024–2027 Report of the Committee on Infectious Diseases (33rd Edition)(Redbook)
Vitamin A in Children Hospitalized for Measles in a High-income Country (Pediatric Infectious Disease Journal)
No vaccination necessary…….instead take vitamin A and develop liver damage….(NY Times)
Measles vaccine recommendations from NYP (jpg)
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))
Influenza of avian origin confirmed in a sheep in Yorkshire (UK government)
UK reports H5N1 in a sheep on poultry-outbreak farm(CIDRAP)
Don’t send money….send EGGS! (Reuters)
Are your eggs domestic or Brazilian? (Reuters)
USDA to invest 100M in bird flu projects…..(Reuters)
Influenza: Waste water scan for 11 pathogens (WastewaterSCan)
US respiratory virus activity (CDC Respiratory Illnesses)
Flu in US continues to decline but still packs a punch (CIDRAP)
Weekly surveillance report: clift notes (CDC FluView)
Respiratory virus activity levels (CDC Respiratory Illnesses)
FDA-CDC-DOD: 2025-2026 influenza vaccine composition (FDA)
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)
Lower levels of household transmission of sars-cov-2 omicron variant of concern vs wild type: an interplay between transmissibility and immune status (JID)
Does COVID-19 vaccination reduce the risk and duration of post COVID-19 condition?(European Centre for Disease Prevention and Control)
COVID-19 vaccination reduces risk of ‘long COVID’ in adults (European Centre for Disease Prevention and Control)
Vaccination cuts the risk of long COVID 27%, review suggests (CIDRAP)
Interim clinical considerations for use of covid-19 vaccines in the United States (CDC: Vaccines and immunizations)
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)
The effect of nirmatrelvir-ritonavir on short- and long-term adverse outcomes from covid-19 among patients with kidney disease (ofid)
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
Effect of pulmonary rehabilitation for patients with long COVID-19(Therapeutic Advances in Respiratory Disease)
Wearable data reveals distinct characteristics of individuals with persistent symptoms after a SARS-CoV-2 infection(npj digital medicine)
Long Covid office ‘will be closing,’ Trump administration announces(Politico)
Commencing the reduction of the federal bureaucracy(White House) Musk said no one has died since aid was cut. That isn’t true.(NY Times)
Letters read on TWiV 1204
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.