TWiV 1372: Clinical Update with Dr. Daniel Griffin

In his weekly clinical update, Daniel Griffin and Vincent Racaniello are cautiously elated by results of election day 2026 on the backdrop of additional measles associated deaths in Wisconsin, Pennsylvania and New York, return of mpox, Chagas disease in Texas, hippopotami dying from anthrax infections, increase in dengue cases in Florida before Dr. Griffin deep dives into recent statistics RSV, influenza, SARS-CoV-2 infections and measles, susceptibility of human neural stem cells to SARS-CoV-2 infection, chemosensory dysfunction after COVID-19 vaccination, low dose naltrexone for Post-COVID Fatigue Syndrome, effect of metformin at the time of SARS-CoV-2 infection and the FDA approved package inserts for the influenza and COVID-19 mRNA vaccines.

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Links for this episode

• Wilma Glodean Rudolph (Wikipedia)
• Democratic doctors win big in 2026 midterm elections (CIDRAP)
• Democratic Doctors Elected for First Time in Nearly 60 Years Flip U.S. Senate (3.14 ACTION)
• Child Dies From Measles in New York State's First Fatal Case in 30 Years (NY Times)
• Pennsylvania Department of Health Confirms Sixth Measles-Associated Death, Provides Statewide Update on Measles Outbreak as Cases Reach 1,467 in 45 Counties (Pennsylvaina Department of Health)
• Pennsylvania reports another measles-related death, the 2nd in Jefferson County (CIDRAP)
• DHS Reports a Death Connected to the Ongoing MeaslesOutbreak (Wisconsin Department of Health Services)
• A baby in Wisconsin has died from measles, the 3rd such US death this week (CIDRAP)
• Four Mpox Cases reported to Stanislaus County Public Health (Stanislaus County: California)
• Autochthonous Acute Chagas Disease with Fulminant Myocarditis in a Texas Infant Exposed to a Peridomestic Environment with Trypanosoma cruzi-infected Vectors and Animals (CID)
• Mysterious anthrax outbreak kills hippos in Africa — raising concerns for human spread (Nature)
• Dengue (WHO:Dengue)
• Florida Arbovirus Surveillance Week 42: October 18-24, 2026 (Florida Health)
• With 60 new cases in the past week, Florida's dengue total jumps to 485 (CIDRAP)
• Avian Influenza (Bird Flu) (YAKIMA: Health District)
• Dashboard SCREWWORM.Gov (USDA: Animal and Plant Health Inspection Service)
• CDC Activates Emergency Operations Center for New World Screwworm Response (CDC Newsroom)
• Ebola DRC (X)
• Ebola dashboard (ebola.fyi)
• EBOLA: The Democratic Republic of the Congo, 2026 (WHO)
• Wastewater for measles (WasterWater Scan)
• Child Dies From Measles in New York State's First Fatal Case in 30 Years (NY Times)
• Pennsylvania Department of Health Confirms Sixth Measles-Associated Death, Provides Statewide Update on Measles Outbreak as Cases Reach 1,467 in 45 Counties (Pennsylvaina Department of Health)
• Pennsylvania reports another measles-related death, the 2nd in Jefferson County (CIDRAP)
• DHS Reports a Death Connected to the Ongoing MeaslesOutbreak (Wisconsin Department of Health Services)
• A baby in Wisconsin has died from measles, the 3rd such US death this week (CIDRAP)
• Measles cases and outbreaks (CDC Rubeola)
• Big outbreak, bright lights…Measles Dashboard (South Carolina Department of Public Health)
• Utah measles outbreak response (Utah Department of Health and Human Services)
• Utah Measles Dashboard (Utah Department of Health and Human Services)
• Measles (VDH: Virginia Department of Health)
• Tracking Measles Cases in the U.S. (Johns Hopkins)
• HAP's Latest News Pa. Launches New Measles Dashboard (Hospital + HealthSystem Association of Pennsylvania)
• Measles (Commonwealth of Pennsylvania)
• Measles Dashboard (New York State: Department of Health)
• 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)
• 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)
• Measles Cases and Outbreaks (CDC: Rubeola)
• Laboratory Testing for Measles (CDC: Measles (Rubeola)
• Measles Clinical Diagnosis Fact Sheet (CDC: Measles (Rubeola)
• Measles Serology Testing (CDC: Measles (Rubeola)
• New York State Seasonal Respiratory Virus Dashboard (New York State: Department of Health)
• Influenza: Waste water scan for 11 pathogens (WastewaterSCan)
• US respiratory virus activity (CDC Respiratory Illnesses)
• Respiratory virus activity levels (CDC Respiratory Illnesses)
• Flu vaccine recommendations: Vaccines and Related Biological Products Advisory Committee March 12, 2026 Meeting Announcement (FDA)
• WHO updates all 3 viral strains to be included in fall flu shots (CIDRAP)
• FDA vaccine advisers recommend adding subclade K to fall shots (CIDRAP)
• Weekly surveillance report: cliff notes (CDC FluView)
• OPTION 2: XOFLUZA $50 Cash Pay Option (xofluza)
• RSV: Waste water scan for 11 pathogens (WastewaterSCan)
• Respiratory Diseases (Yale School of Public Health)
• 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)
• 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)
• Susceptibility of human neural stem cells to SARS-CoV-2: Entry mechanisms and glycocalyx influence (PLos One)
• Comparing the Risk of Maternal Complications and Adverse Infant Outcomes Among Pregnancies With and Without COVID-19 in the Sentinel System (PDS: Pharmacoepidemiology & Drug Safety)
• Ensitrelvir for Covid-19 Postexposure Prophylaxis in Household Contacts (NEJM)
• Moderna Receives U.S. FDA Approval for Updated 2026-2027 COVID-19 Vaccines (Moderna)
• Novavax's Partnership Strategy Continues to Deliver with XFG-adapted Nuvaxovid™ Approvals in the U.S., EU and Japan for 2026-2027 Vaccination Season (Novavax)
• Pfizer and BioNTech Receive U.S. FDA Approval for XFG-adapted COVID-19 Vaccine (Pfizer)
• FDA approves new COVID vaccines (CIDRAP)
• Coronavirus Disease 2019 (COVID-19) Hospitalization Surveillance Network (COVID-NET) (CDC: Covid)
• 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)
• Help your eligible patients access PAXLOVID with the PAXCESS Patient Support Program (Pfizer Pro)
• Understanding Coverage Options (PAXCESS)
• 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)
• 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
• Post-Vaccination Chemosensory Dysfunction: Changes Following SARS-CoV-2 Vaccination in a Global Study (Laryn