In his weekly clinical update, Dr. Griffin and Vincent Racaniello are dismayed by the changes on CDC vaccine website positively stating the link between autism and vaccination, the finding of wild type poliovirus 1 in Germany, Marburg virus in Ethiopia, decimation of the elephant breeding colony by H5N1 and the first human case of H5N5 influenza virus infection before Dr. Griffin deep dives into recent statistics on the measles epidemic, RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, antibody escape by seasonal flu viruses, where to find PEMGARDA, how to access and pay for Paxlovid, long COVID treatment center, where to go for answers to your long COVID questions, if resistance exercise aids in recovery from long COVID and contacting your federal government representative to stop the assault on science and biomedical research. <div class="fluid-width-video-wrapper">Subscribe (free): <a title= "http://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?id=300973784" href= "https://podcasts.apple.com/us/podcast/this-week-in-virology/id1176779065"> Apple Podcasts</a>, <a href= "https://backfeed.strangecode.com/GZA5raQg2EIeWv8A5Z/http://twiv.microbeworld.libsynpro.com/twiv">RSS</a>, <a href="http://eepurl.com/Gcw59">email</a></div> Become a <a href= "https://www.microbe.tv/contribute">patron</a> of TWiV! <h3 id="links-for-this-episode" class="wp-block-heading"> Links for this episode</h3> <ul class="wp-block-list"> <li><a href= "https://www.cdc.gov/vaccine-safety/about/autism.html?mod=ANLink"> Autism and Vaccines</a> (CDC: Vaccine Safety)</li> <li>A new road to eradication- <a href= "https://www.reuters.com/business/healthcare-pharmaceuticals/wild-form-polio-found-german-sewage-sample-health-institute-tells-reuters-2025-11-12/">WPV 1</a> in Germany from Afghanistan (Reuters)</li> <li>Ethiopia confirms <a href= "https://www.afro.who.int/countries/ethiopia/news/ethiopia-confirms-first-outbreak-marburg-virus-disease">first outbreak</a> of Marburg virus disease (WHO: Ethiopia)</li> <li>Highly Pathogenic Avian Influenza Viruses (HPAIV) Associated with Major Southern Elephant Seal <a href= "https://www.nature.com/articles/s42003-025-09014-7">Decline</a> at South Georgia (Communications Biology)</li> <li>Avian flu has <a href= "https://www.cidrap.umn.edu/avian-influenza-bird-flu/avian-flu-has-decimated-worlds-largest-breeding-colony-southern-elephant">decimated</a> world's largest breeding colony of southern elephant seals (CIDRAP)</li> <li>Washington resident is infected with a <a href= "https://apnews.com/article/bird-flu-infection-washington-h5n5-b8921d13aa7d96330654a960f80453c3">different type</a> of bird flu (AP News)</li> <li><a href= "https://oceananimals.org/seabirds/pelagic-seabirds/">Pelagic Seabirds</a> (OceanAminals)</li> <li>That sounds far away: Multiple <a href= "https://www.cell.com/cell-reports/fulltext/S2211-1247(24)00808-8?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS2211124724008088%3Fshowall%3Dtrue">transatlantic</a> incursions of highly pathogenic avian influenza clade 2.3.4.4b A(H5N5) virus into North America and spillover to mammals (Cell Reports)</li> <li>Regional voices, <a href= "https://www.sciencedirect.com/science/article/abs/pii/S0264410X25011612?via%3Dihub">different choices</a>: Parents' and caregivers' HPV vaccine attitudes in the northeast and Southeast United States (Vaccine)</li> <li><a href= "https://data.wastewaterscan.org/tracker/?charts=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%3D&selectedChartId=668c22"> Wastewater</a> for measles (WasterWater Scan)</li> <li>Measles <a href= "https://www.cdc.gov/measles/data-research/index.html">cases and outbreaks</a> (CDC Rubeola)</li> <li>Tracking <a href= "https://publichealth.jhu.edu/ivac/resources/us-measles-tracker">Measles Cases</a> in the U.S. (Johns Hopkins)</li> <li>Measles vaccine recommendations from NYP (<a href= "https://b2927012.smushcdn.com/2927012/wp-content/uploads/sites/2/measles_vax_rec_2.png?lossy=2&strip=1&webp=1">jpg</a>)</li> <li><a href= "https://health-infobase.canada.ca/measles-rubella/">Weekly</a> measles and rubella monitoring (Government of Canada)</li> <li><a href= "https://www.who.int/news-room/fact-sheets/detail/measles">Measles</a> (WHO)</li> <li>Get the <a href= "https://www.health.ny.gov/diseases/communicable/measles/">FACTS</a> about measles (NY State Department of Health)</li> <li><a href= "https://www.cdc.gov/measles/hcp/vaccine-considerations/index.html"> Measles</a> (CDC Measles (Rubeola))</li> <li><a href= "https://www.cdc.gov/measles/index.html">Measles</a> vaccine (CDC Measles (Rubeola))</li> <li><a href= "https://fda-my.sharepoint.com/Users/Amy/Desktop/Measles%20(CDC%20Measles%20(Rubeola))"> Presumptive evidence</a> of measles immunity (CDC)</li> <li><a href= "https://www.cdc.gov/pinkbook/hcp/table-of-contents/chapter-13-measles.html#cdc_report_pub_study_section_9-contraindications-and-precautions-to-vaccination"> Contraindications and precautions</a> to measles vaccination (CDC)</li> <li><a href= "https://www.cdc.gov/measles/hcp/vaccine-considerations/index.html"> Measles</a> (CDC Measles (Rubeola))</li> <li>Adverse events associated with <a href= "https://www.ncbi.nlm.nih.gov/books/NBK236284/#:~:text=The%20evidence%20favors%20acceptance%20of,in%20temporal%20relation%20to%20vaccination">childhood vaccines</a>: evidence bearing on causality (NLM)</li> <li>Measles <a href= "https://www.idsociety.org/public-health/measles/know-the-facts/">Vaccination:</a> Know the Facts (ISDA: Infectious Diseases Society of America)</li> <li>Deaths following vaccination: what does the <a href= "https://www.sciencedirect.com/science/article/abs/pii/S0264410X15006556?via%3Dihub">evidence show</a> (Vaccine)</li> <li>Influenza: Waste water scan for <a href= "https://data.wastewaterscan.org/?charts=CjIQACABSABaBk4gR2VuZXIKMjAyNC0wOC0wN3IKMjAyNC0wOS0xOIoBBmQ0MzllMsABAQ%3D%3D&selectedChartId=d439e2">11 pathogens</a> (WastewaterSCan)</li> <li>US<a href= "https://www.cdc.gov/respiratory-viruses/data/activity-levels.html"> respiratory</a> virus activity (CDC Respiratory Illnesses)</li> <li>Respiratory virus <a href= "https://www.cdc.gov/respiratory-viruses/data/activity-levels.html">activity</a> levels (CDC Respiratory Illnesses)</li> <li>Weekly surveillance report: <a href= "https://www.cdc.gov/fluview/surveillance/2024-week-37.html">cliff notes</a> (CDC FluView)</li> <li><a href= "https://www.cdc.gov/flu/hcp/acip/index.html">ACIP</a> Recommendations Summary (CDC: Influenza)</li> <li>Emergence of <a href= "https://utppublishing.com/doi/10.3138/jammi-2025-0025">seasonal influenza A(H3N2</a>) variants with immune escape potential warrants enhanced molecular and epidemiological surveillance for the 2025–2026 season (University of Toronto Press)</li> <li><a href= "https://www.cdc.gov/flu/about/viruses-types.html">Types</a> of Influenza Viruses (CDC: Influenza (flu))</li> <li>With an absent CDC and <a href= "https://www.cidrap.umn.edu/influenza-vaccines/absent-cdc-and-mismatched-subclade-k-flu-strain-experts-face-upcoming-season">mismatched 'subclade K' flu strain</a>, experts face upcoming season with uncertainty (CIDRAP)</li> <li>Influenza Vaccine Composition for the <a href= "https://www.fda.gov/vaccines-blood-biologics/influenza-vaccine-composition-2025-2026-us-influenza-season?mtm_source=25">2025-2026</a> U.S. Influenza Season(FDA)</li> <li>RSV: Waste water scan for <a href= "https://data.wastewaterscan.org/?charts=CjIQACABSABaBk4gR2VuZXIKMjAyNC0wOC0wN3IKMjAyNC0wOS0xOIoBBmQ0MzllMsABAQ%3D%3D&selectedChartId=d439e2">11 pathogens</a> (WastewaterSCan)</li> <li><a href= "https://www.pophive.org/respiratory-diseases/respiratory-syncytial-virus"> Respiratory Diseases</a> (Yale School of Public Health)</li> <li>US<a href= "https://www.cdc.gov/respiratory-viruses/data/activity-levels.html"> respiratory</a> virus activity (CDC Respiratory Illnesses)</li> <li>RSV-<a href= "https://www.cdc.gov/rsv/php/surveillance/rsv-net.html">Net</a>work (CDC Respiratory Syncytial virus Infection)</li> <li><a href= "https://www.journalofinfection.com/article/S0163-4453(25)00252-X/fulltext"> Long-term impact</a> of nirsevimab on prevention of respiratory syncytial virus infection using a real-word global database (Journal of Infection)</li> <li><a href= "https://www.cdc.gov/rsv/vaccines/adults.html">Vaccines for Adults</a> (CDC: Respiratory Syncytial Virus Infection (RSV))</li> <li><a href= "https://www.cdc.gov/acip/downloads/slides-2025-04-15-16/04-Ortega-Sanchez-Adult-RSV-508.pdf"> Economic Analysis</a> of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP)</li> <li>Estimating <a href= "https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaf621/8322890">Risk</a> of Guillain-Barré Syndrome in US Medicare-Enrolled Older Adults Following Medically Attended Respiratory Syncytial Virus Disease (CID)</li> <li><a href= "https://www.fda.gov/safety/medical-product-safety-information/fda-requires-guillain-barre-syndrome-gbs-warning-prescribing-information-rsv-vaccines-abrysvo-and"> FDA Requires</a> Guillain-Barré Syndrome (GBS) Warning in the Prescribing Information for RSV Vaccines Abrysvo and Arexvy: FDA Safety Communication (FDA)</li> <li>Waste water scan for <a href= "https://data.wastewaterscan.org/?charts=CjIQACABSABaBk4gR2VuZXIKMjAyNC0wOC0wN3IKMjAyNC0wOS0xOIoBBmQ0MzllMsABAQ%3D%3D&selectedChartId=d439e2">11 pathogens</a> (WastewaterSCan)</li> <li>COVID-19 <a href= "https://covid.cdc.gov/covid-data-tracker/#maps_percent-covid-deaths">deaths</a> (CDC)</li> <li>Respiratory Illnesses <a href= "https://www.cdc.gov/respiratory-viruses/data/index.html">Data Channel</a> (CDC: Respiratory Illnesses)</li> <li>COVID-19 <a href= "https://www.cdc.gov/nwss/rv/COVID19-nationaltrend.html">national and regional</a> trends (CDC)</li> <li>COVID-19 <a href= "https://covid.cdc.gov/covid-data-tracker/index.html#variant-proportions">variant tracker</a> (CDC)</li> <li>SARS-CoV-2 <a href= "https://nextstrain.org/ncov/gisaid/global/all-time?d=tree,frequencies&p=full&r=division&showBranchLabels=all&tl=none">genomes</a> galore (Nextstrain)</li> <li>Antigenic and Virological Characteristics of SARS-CoV-2 Variant <a href= "https://www.biorxiv.org/content/10.1101/2025.04.30.651462v1.full.pdf">BA.3.2, XFG, and NB.1.8.1</a> (bioRxiV)</li> <li>COVID-19 vaccination is associated with <a href= "https://www.annallergy.org/article/S1081-1206%2825%2900739-2/fulltext">reduced complications</a> in pediatric patients with atopic dermatitis (Annals of Allergy, Asthma and Immunology)</li> <li><a href= "https://www.pemgarda.com/hcp/infusion-center-locator/">Where</a> to get pemgarda (Pemgarda)</li> <li><a href= "https://investors.adagiotx.com/news-releases/news-release-details/invivyd-announces-fda-authorization-emergency-use-pemgardatm"> EUA</a> for the pre-exposure prophylaxis of COVID-19 (INVIYD)</li> <li>Infusion <a href= "https://primeinfusions.com/locations/">center</a> (Prime Fusions)</li> <li>Risk mitigation of <a href= "https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/risk-mitigation-of-shared-room-ventilation-and-filtration-on-sarscov2-transmission-a-multicenter-testnegative-study/C1C6A3B31662469A560F174D4BA937CD?utm_source=SFMC&utm_medium=email&utm_content=Article&utm_campaign=New%20Cambridge%20Alert%20-%20Issues&WT.mc_id=New%20Cambridge%20Alert%20-%20Issues">shared room ventilation</a> and filtration on SARS-CoV-2 transmission: a multicenter test-negative study (Infection Control and Hospital Epidemiology)</li> <li><a href= "https://www.cdc.gov/respiratory-viruses/guidance/faqs.html?CDC_AAref_Val=https://www.cdc.gov/respiratory-viruses/guidance/faq.html"> CDC Quarantine</a> guidelines (CDC)</li> <li><a href= "https://www.ncbi.nlm.nih.gov/books/NBK570371/">NIH</a> COVID-19 treatment guidelines (NIH)</li> <li>Drug interaction <a href= "https://covid19-druginteractions.org/checker">checker</a> (University of Liverpool)</li> <li>Help your eligible <a href= "https://paxlovid.pfizerpro.com/access-resources/access">patients access</a> PAXLOVID with the PAXCESS Patient Support Program (Pfizer Pro)</li> <li>Understanding<a href= "https://paxlovid.iassist.com/"> Coverage</a> Options (PAXCESS)</li> <li><a href= "https://www.idsociety.org/practice-guideline/covid-19-guideline-treatment-and-management/#ExecutiveSummaryandBackground"> Infectious Disease Society guidelines</a> for treatment and management (ID Society)</li> <li>Molnupiravir <a href= "https://onlinelibrary.wiley.com/doi/10.1002/jmv.28011">safety</a> and efficacy (JMV)</li> <li>Convalescent plasma recommendation for <a href= "https://www.idsociety.org/practice-guideline/covid-19-guideline-treatment-and-management/">immunocompromised</a> (ID Society)</li> <li>What to do when sick with a <a href= "https://www.cdc.gov/ncird/whats-new/updated-respiratory-virus-guidance.html">respiratory virus</a> (CDC)</li> <li>Managing healthcare staffing <a href= "https://www.cdc.gov/covid/hcp/infection-control/mitigating-staff-shortages.html?CDC_AAref_Val=https://www.cdc.gov/coronavirus/2019-ncov/hcp/mitigating-staff-shortages.html">shortages</a> (CDC)</li> <li><a href= "https://www.hematology.org/education/clinicians/guidelines-and-quality-care/clinical-practice-guidelines/venous-thromboembolism-guidelines/ash-guidelines-on-use-of-anticoagulation-in-patients-with-covid-19"> Anticoagulation</a> guidelines (hematology.org)</li> <li>Daniel Griffin's <a href= "https://academic.oup.com/ofid/article/11/9/ofae462/7733485">evidence based</a> medical practices for long COVID (OFID)</li> <li>Long COVID <a href= "https://www.columbiadoctors.org/health-library/article/long-covid/">hotline</a> (Columbia : Columbia University Irving Medical Center)</li> <li><a href="https://longcovidtheanswers.com/">The answers:</a> Long COVID</li> <li><a href= "https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2841264"> Resistance Exercise</a> Therapy After COVID-19 Infection(JAMA Open Network)</li> <li>Reaching out to <a href= "https://www.house.gov/representatives/find-your-representative">US house representative</a></li> <li><a title="" href= "https://www.microbe.tv/twiv/twiv-1272-letters/">Letters read</a> on TWiV 1272</li> <li>Dr. Griffin's COVID treatment summary (<a title="" href= "https://twiv.s3.amazonaws.com/COVID+treatment+summary+032224.pdf">pdf</a>)</li> <li>Timestamps by <a href= "https://ramseylab.vercel.app/">Jolene Ramsey</a>. Thanks!</li> </ul> Intro music is by <a href= "http://www.ronaldjenkees.com/">Ronald Jenkees</a> Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.

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