TWiV 1096: Clinical update with Dr. Daniel Griffin

March 16, 2024

In his weekly clinical update, Dr. Griffin highlights measles outbreaks throughout the continental US, reviews recent statistics on the circulation of respiratory syncytial virus, influenza and SARS-CoV-2 before discussing if vaccination protected children from the development of long COVID or cardiovascular diseases associated with virus infection, revised guidelines SARS-CoV-2 treatment and how to treat respiratory viral infections, continues to dispel the myth of viral rebound, when to use steroids and the benefits of convalescent plasma, how COVID-19 effects the autonomic nervous system, and if nirmatrelvir-ritonavir protects against adverse cardiovascular effects following SARS-CoV-2 infection.

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Links for this episode

Measles everywhere (CDC) 2:00

Respiratory  disease surveillance (CDC)

RSV surveillance  (CDC) 5:23

RSV national trend (CDC)

Estimating niresevimab effectiveness for infants (MMWR) 5:45

More than 100 children died of influenza (NBS News) 11:19

Influenza/flu surveillance (CDC)

Influenza/flu map (CDC)

COVID-19  hospital admissions (CDC)

COVID-19 national trend (CDC) 14:56

COVID-19 wastewater testing (biobot)

Variant tracker (CDC)

Variant hospital admissions (CDC)

Did the vaccine protect children against Long COVID (Pediatrics) 15:47

Did COVID-19 vaccination impact cardiovascular diseases? (Nat Comm) 20:14

CDC Quarantine guidelines (CDC)

NIH COVID-19 treatment guidelines (NIH) 25:23

Molnupiravir safety and efficacy (JMV)

Convalescent plasma recommendation for immunocompromised (IDSociety)

Updated respiratory infection guidelines (CDC) 25:40

What do when your heathcare provider is infected with SARS-CoV-2 (CDC) 34:18

Managing healthcare staffing shortages (CDC)

Steroids,dexamethasone at the right time (OFID)

Anticoagulation guidelines (

Long COVID trial for autonomic nervous system dysfunction (NIH) 28:00

Nirmatrelvir-ritonavir impact on myocardial injury and long-term cardiovascular outcomes in COVID-19 hospitalized patients (Cardiovascular Drugs and Therapy) 29:23

Contribute to our ASTMH fundraiser at PWB 31:50

Letters read on TWiV 1096 32:05

Dr. Griffin’s COVID treatment summary (pdf)

Timestamps by Jolene. Thanks!

Intro music is by Ronald Jenkees

Send your questions for Dr. Griffin to

The post TWiV 1096: Clinical update with Dr. Daniel Griffin first appeared on This Week in Virology.

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