Podcasts about legionnaires

Dr. Deb Muth 0:03Today’s guest is someone I’m honored to call both a friend and a mentor, and one of the most trusted voices in medicine for patients with complex chronic illness. Dr. Neal Nathan is a board certified family physician who has spent decades caring for patients who don’t fit neatly into diagnostic boxes. Patients with mold related illnesses, Lyme disease, mast cell activation, and profound nervous system dysregulation. These are the patients who are often told their labs are normal and their symptoms are anxiety or that nothing more can be done. Instead of dismissing them, Dr. Nathan listened and he asked better questions. His work, including his landmark book, Toxic, has helped thousands of people finally feel seen, believed, and understood, and more importantly, has given them a path forward when medicine failed them. This conversation is for anyone who reacts to supplements or medications, for anyone who has gotten worse instead of better with treatment, and for anyone who knows their body that something deeper is going on, even if they’ve been told otherwise. Dr. Nathan, I’m deeply grateful for your mentorship, your integrity, and the way you continue to advocate for the most vulnerable patients. I’m so glad to have you here today. And before we begin, grab a cup of coffee, tea, or whatever grounds you, because this is the conversation you’ll want to settle into. Now, before we go onto this conversation, we need to hear from our sponsors. So give us just a quick moment and then Dr. Nathan and I are going to dive in to his story and how this all started for him and leave you with some nuggets of wisdom that you can help yourself with. Ladies, it’s time to reignite your vitality. Primal Queen supplements are clean, powerful formulas made for women like you who want balance, strength, and energy that lasts. Get 25% off@primalqueen.com Serenity Health that’s PrimalQueen.com Serenity Health because every queen deserves to feel in her prime the right places and then we can get started. All right? So, Dr. Nathan, like I said, I’m so excited to have you here today. Tell us a little bit about how did you start your career? Because you didn’t intend to work with the most complex and sensitive patients, I’m sure when you started out. But what did you notice early on that made you realize medicine was missing something? Neil Nathan MD3:03You know, Deb, actually, I did start out wanting to work with the most complicated cases. My delusional fantasy when I started was I wanted to help every single person who walked into my office. And so when I left medical school, I realized pretty quickly that the tools that I learned there were not adequate to do That I needed to learn more. So I started on a passionate journey of discovery, if you will, in which I started studying with anyone who had anything interesting about healing to talk about. And I want to emphasize that I was interested in healing, not in what I’ll call medical technology. So medical school taught me to be a good medical technologist, but it didn’t teach me about healing. I graduated a long time ago. I graduated from Medical School in 1971. And the word holistic wasn’t even a word back in those days, but that’s what I was looking for over many, many years. I studied osteopathic manipulation, homeopathy, therapeutic touch, emotional release techniques, hypnosis. If it’s weird, I probably have studied it at some point. I wasted some weekends studying things that I don’t think were particularly valuable. And I’ve had some remarkable experiences with true healers that taught me how to expand my understanding of what healing really meant. So early on, when I first started practice, I would invite my colleagues to send me their most complicated patients because that was my learning. That makes me weird. I know that. I love some problem solving. You know, I’m the kind of person who I get up in the morning and I do all of the New York Times kinds of puzzles. That’s. That’s my brain wake up call. So actually I did invite my colleagues to send me their complicated patients, and they did. So, I mean, they were thrilled to have me in the community because these were people they didn’t know what to do with. And I was happy as a clam with all these complicated things that I had no idea what to do with. But it pushed me to keep learning more, to keep searching for this person’s answer. And this person’s answer, that constant question is, what am I missing? What is it that I don’t know or understand? What questions am I not asking this person that would help me to figure it out? So sorry for the long winded digression. Dr. Deb Muth 6:14No, I’m glad you shared that. I’m very similar to you. I didn’t seek out working with the most complex, but as I started that, I was always very curious as well. So I was the same as you. Every weekend I would learn something and hypnosis and naturopathic medicine, homeopathy, and all these quote unquote weird things, right? And there’s always a pearl that you learn from something. You never not learn anything, but some of it, you kind of take or leave or integrate or not. And, and I think it, it makes you a better Practitioner, because you have all these tools in your toolbox for helping people that nobody else has been able to help. And. And it’s just kind of fun learning. I mean, I’m kind of a geek that way too. I like to learn all those things. Neil Nathan MD7:00Learning is my passion. One of my greatest joys in life is going to a medical meeting and getting a pearl. Literally. I’m not one of these people at medical meetings that have a computer in front of me listening. And I have a pad of paper and I’m writing down ideas next to people that I’m working with. So that, oh, let’s bring this up for these people. Let’s bring this up for these people. So it’s like, oh, great. Can’t get right back to the office on Monday so I can start, have some new ideas about what I’m missing. Dr. Deb Muth 7:38Yeah, I do the same thing. I have my pad of paper and I do the same thing. And as I hear something, I’m thinking about a person that’s in my office that I haven’t been able to help, or we’ve been stuck on something, and I’m like, oh, there’s a new thing we can try. And it’s so exciting. I love that. Let me ask you this. Was there a time when you finally thought, like, if I don’t listen to these patients differently, they might not ever get better? Neil Nathan MD8:04That’s a very complicated question. The people that I was treating that weren’t getting better were the ones that got my greatest attention. And one of the questions that constantly troubled me still does is, is this person not getting better because of some feature of themselves, or is it because of something that I don’t know? So I’ve wrestled with that for a very long time. My answer to it now is, For a long time, I’ve been able to see what I will call the light in a person. Call it a healing spark and energy. It isn’t truly light. There’s just something about that person when I work with them where I know this person will get well if I stick with them long enough. And then when I don’t get that, I don’t think I’ve helped any of those people over the years. Yeah, so it was a very long process of really not helping people for five years daily. And I would. I would ask those patients, I would say, you know, I haven’t helped you. We’ve been doing this for a very long time. Why are you still here? And they would say, because you care. And I would. Back when I was Younger, that was enough for me to go. That’s true. Okay, I’ll keep working at it. But as I’ve gotten older, caring isn’t enough. It’s. I’m not sure I’m the right person for you. And so as I’ve gotten older, when I don’t see that spark, when I don’t get that sense of someone, I’m more inclined early on in the relationship to tell them I’m not the right person for you. Yeah, you know, see if you can find someone else who can understand what you’re going through and help you. Because I, I’m not it. Dr. Deb Muth 10:16Yeah, you, you kind of know that you can help them or not. Yeah. Neil Nathan MD10:21I don’t know how to define that sense, but it’s very clear to me. I call it like seeing the inner light of another being. If it’s not there, and maybe it’s not there for me to see as opposed to someone else can see it. Dr. Deb Muth 10:41That’s interesting. So you’re known for working with patients who are highly reactive. They don’t tolerate supplements, a lot of times medications, or even some of your most gentlest protocols. Why are these patients so often misunderstood? Neil Nathan MD 10:59Because they appear to their family and to many other physicians to be so sensitive that the thought process of families and other physicians is often. Nobody’s that sensitive. This has got to be in your head. And that is what is conveyed to those patients. And they’re told it’s gotta be in your head. Go see a psychiatrist or a therapist. But I can’t help you. And unfortunately, we have learned in the last 20 years a great deal about, is making our patients so sensitive. It is a true reaction of their nervous system and immune system, and it is in response to various medical conditions they have. So again, as we’ve been talking about, those were the people that got sent to me for many years. And I, I have never believed that the majority of any. Anything that someone has experienced is in their head. Yeah, Almost everything I look at is real. I may not understand what is causing it, but for me, doubting a patient’s experience is not something I’ve ever done. And that’s what’s helped fuel what I’ve learned and what you learned over the year. That, okay, if this is real, and it is, I’m sure it is, the person in front of me looks like a straight shooter. They’re not hyper reactive. They’re not going off the deep end talking about it and talking about it very straightforwardly. And I’ve got these symptoms. I’VE got this, I’ve got this. And it’s really making my life miserable. Okay, what’s causing that? So I began to work with what we now call very sensitive patients and figuring out what caused that. So over the years, I think we have names for this in medicine. Sometimes we call this multiple chemical sensitivity. People who will go to be walking down the street and someone will walk past them wearing a particular scent or perfume and they will literally fall to the ground or go brain dead or can’t think straight or even have some neurological symptoms. And I’ve seen that happen in my office. I’ve seen patients walking down the hall and having a staff member who had washed their clothes and tied walk past them. And I literally watched them fall on the floor. And it’s like, this is not psychological. This is someone who is reacting to the chemical that they are being exposed to and this is the effect it’s having on them. And so eventually it became clear that all forms of sensitivity, sensitivity to light, sound, chemicals, smells, food, EMFs, touch, were really being triggered by a limbic system that was unhappy. We began to learn about limbic issues before that. Give you a short history of it. I have discovered something called low dose immunotherapy different by Butch Schrader. And there was a long three year period of if someone stuck with it. If I used those materials over time, a lot of my chemically sensitive people would get better. It was the only tool I had back then. Dr. Deb Muth 14:41Yeah. Neil Nathan MD 14:42)Then, I don’t know, 15 years ago I discovered Annie Hopper’s work with dynamic neural retraining. And when I added that to what people were doing, that’s when I had my, ah, this is an Olympic system issue. And this is something we can reboot. And since then, many other people have limbic rebooting programs which are quite excellent and useful. Now I helped a lot of people at that point and it wasn’t until I stumbled on Stephen Porges work with the vagal system with this concept of polyvagal theory that I realized that the two areas of the brain that are monitoring that person’s environment, internal and external, for safety, are the limbic and the vagal systems combined. So when I started adding vagal strategies to the limbic strategies, I helped even more people. And then the first, the third piece of this trifecta was 2016 when Larry Afron wrote his book Don’t Never Bet Against Occam, in which he began our understanding of mast cell activation. And when I read his book, it was like, oh, big piece of the puzzle. And then we realized that those three things. And there’s more, but those three things were treated, Would help the vast majority of our sensitive patients regain their health and regain their equilibrium. This is not psychological. This is really treatable. Dr. Deb Muth 16:19Yeah, I’ve noticed the same thing in my practice and followed very similar paths. As you started out with ldi and lda, and then the vagus nerve things have been by far. I think if I look back, the vagus nerve work has been the biggest changer in our practice as well. I mean, all of the things help, but, like, I can give somebody a vagus nerve stimulator today, and within 30 days, 90% of their symptoms are better. And that just kind of blows my mind. It’s like I’ve never had a tool in my toolbox that has worked that well and that quickly. So. So it really is making a big difference. And I, too, was trained way back in the late 90s with multiple chemical sensitivity people. And some of those clients that I inherited from my mentor are still around. And, you know, they still can’t function at all. They’re wearing gas masks. They can’t leave their house. You know, any smells that even come in without them opening the windows, they are stuck. And no matter what you do, it’s just a challenge. Nothing works for them. And it’s a very sad life that they have to live. Neil Nathan MD 17:30Well, let’s add to that story that you can give people limbic vagal and mast cell treatments, and it’ll really work well to help them, but you need to look deeper, which is what is causing mass cell issues. And in my experience, mold toxicity is by far the number one and various components of lyme disease is a second one, and then a variety of other environmental toxins, infections, and things like that may trigger for some, but you’ve got to go back and get to the cause or else. Dr. Deb Muth 18:12Yeah, nothing works. Neil Nathan MD 18:13You can make them better, but you can’t really get them. Well, you get rid of the cause, and people can completely differently life back. Dr. Deb Muth (18:20-18:21)Yeah. Neil Nathan MD 18:22One of my frustrations with the mast cell world is after Larry efferent’s book came out, it changed people’s consciousness about mast cell activation. Something genetically rare to something which we now know. It affects 17% of the population, so not rare at all. But the clinics that are popping up to do it, and now in every major medical center of the country has a mast cell clinic. But number one, they rely completely on testing to make the diagnosis, and testing is notoriously inaccurate. And second, they just aren’t aware that you gotta get cause. So they’re helping people, but they’re not curing people because they’re not looking for cause. Dr. Deb Muth 19:13Yeah. And if they’re helping people, it’s on a minimal level, in my experience. They’re. You know, most of the patients that we see that have been at those clinics have been dismissed. Once again, told that because the testing isn’t positive and they’ve only done it once, that they don’t have this. But yet they fit all of the pictures. And then when you start digging, you start realizing they really do have mast cell, and. And you can find the answers for it for them. Neil Nathan MD 19:40Yeah. Dr. Deb Muth 19:41Why do you think mold remains so unrecognized in conventional medicine? Neil Nathan MD 19:48Interesting question. You know, I started writing a book chapter on the history of mold toxicity, our understanding of mold toxicity. And it’s. It’s fascinating to me. The mold toxicity is described in the Bible as a fairly long passage in Leviticus where it talks about that. So it’s not like it’s unknown to the universe, but largely, it’s remained undiscussed. Most people are aware of mold allergy. We’ve been treating mold allergy for decades. That we accept fully. I think the answer to your question lies in history a little bit. And I didn’t know this until I started kind of digging into it. There was an episode in the 70s in which a large number of school children in Cleveland, Ohio, got sick, and public health authorities attributed it to mold. About a year or two later, it was discovered that they. The H VAC system in the school had Legionella. Legionnaires disease. And it was then decided that, no, it wasn’t mold, it was legionnaires. And then a number of articles began appearing in the medical journals. Their names were literally mold. The hoax of mold toxicity. And that consciousness pervaded for 20, 30 years where people were reading these articles in which they were being told that mold toxicity was a hoax. That’s a strong word. And it took papers after papers after papers published in all kinds of medical journals, which were began to say, this is very real. This is symptoms that. That we see. It wasn’t until 2003, when Michael Gray and his team published a series of papers showing that these widespread symptoms, which we now recognize as mold toxicity, was real and directly attributed to mold. Now, keep in mind, we didn’t even have a test for mold at that point. Dr. Deb Muth 22:10Right. Neil Nathan MD 22:12So you could say this is mold toxin, because this person was. Well, they went into a moldy environment, they got sick, they went out of the moldy environment. They got well again, but we didn’t have treatments. We didn’t have a test for it. Historically, people were suspicious. Not very scientific. 2005, Richard Shoemaker wrote his book mole warriors, which really began to popularize the concept of this was a real thing. And in it, Ritchie talked about his markers and the visual contrast test. Now, these were not specific for mold, but they strongly, at least implicated that. Now, we had a test that could be helpful. So it wasn’t really until about 2010 that the first urine mycotoxin test came on the market. And at that point, we. We really could tell a person, you’ve got these symptoms, you’ve been living in mold. And now we have a test that shows you have mycotoxins in your urine. Now, it’s not like it’s a theory. It’s coming out of your body. That has furthered it, but not yet in the consciousness of the medical profession at large. As I’m sure you know, the history of medicine, in fact, the history of science, is that new ideas take 20 plus years to really be accepted by the profession. A new drug, a new technology is accepted very quickly because there’s an economic push to it. There’s no economic push to a new idea. So we’re still in the throes of some of us who work in the field. People say there’s no published data that really prove that this exists. And we’re working on that. As you know, we’re working on getting the papers published, but again, working on this history of molotoxism, There are actually hundreds and hundreds and hundreds of papers in the medical literature which really attest to the fact that this is a reality. It’s just that you and I are the only ones reading these papers. Dr. Deb Muth 24:33Yeah, we’re the only ones that care. Yeah. What would acknowledging mold actually forced medicine and the institutions to confront? Neil Nathan MD 24:44First of all, many medical offices and. Dr. Deb Muth 24:47Hospitals are molding, very much so. Neil Nathan MD 24:51And nobody wants to deal with that. It’s expensive. It’s difficult to truly get mold out of a building when it’s there. And so there’s a huge economic push to not acknowledge mold toxicity as an entity. The whole building industry doesn’t want to deal with it. Yes. It is estimated by the federal government that 47% of all molds have visible or smellable mold in them. It’s not like it’s rare. Not everyone’s going to get sick from it. But if your immune system takes a hit from anything and it loses containment over that mold, then you will take a hit from it. And it is also estimated that at least at this moment, 10 million Americans are suffering with some degree of mold toxicity and don’t even have a clue that that’s a real thing and that it can be both diagnosed and treated successfully. Dr. Deb Muth 25:51Yeah, it’s so hard. Like so many of the patients that we see, mold is never on their radar when they come to us. You know, Lyme disease is never on their radar when they come to us. And many of our patients have both. And the argument of there’s no way I could have, you know, mold exposure until you start digging back into their history a little bit. And then they’ll say, well, yeah, grandma’s house smelled and you know, I live in a hundred year old house, but it’s been completely renovated. And until you start having these conversations and really talking about it, people don’t have a clue that these things could make them sick. Or they, you know, I have a lot of clients that renovate houses for a living or that’s, you know, their hobby. And they go in and they renovate these houses and they’ve never worn appropriate equipment to protect themselves and, and then they’re sick 10, 15 years later. But don’t really understand why. Neil Nathan MD 26:47Yeah, from my perspective, it’s about how robust the immune system is. Dr. Deb Muth 26:51Yeah. Neil Nathan MD 26:52That if your immune system is robust, and this is true for Lyme as well as molecules, you could be bitten by a tick, you may have a Lyme or a co infection of Lyme like Bartonella rubesia in your body, or you could be exposed to mold, you could be living in a moldy environment, and your immune system will allow you to function at a high level for a while if your immune system takes a hit. Now the hit recently, big time, was Covid that unmasked Lyme and mold for a lot of people and a lot of people who think they have long whole Covid really have unmasked that they have Lyme and mold toxicity. That’s a whole other subject here. But menopause, childbirth, surgical procedure, any severe infection, any intense emotional reaction, death of a loved one, any of these can weaken the immune system. And then what is already there is no longer contained and we are off to the races of severely impaired health. Dr. Deb Muth 28:02Yeah, that’s what it did for me. I got sick with COVID and maybe about six, eight months later, I started to express neurological symptoms that looked like Ms. And actually had the diagnosis of Ms. But knowing what I know, I said, you know what? Ms. Is something else. Until proven otherwise in my book. And so because I had the knowledge that I did, I went and did all the Lyme testing and the mold testing and hit the trifecta of everything. Lyme co infections, mold, viruses. I just had everything. And as I started down that path of trying to clean it all up, all of my symptoms started to disappear. And certainly it wasn’t as easy as it sounds, and it wasn’t as quick. And I felt a lot worse before I felt better, as most of our clients do. But I think that I’m not the only person that this has happened to. And I think a lot of people get misdiagnosed just simply because nobody’s looking for the other problems that you and I look for and that we know of. And that’s one of the ways our medical system fails the clients they work with. Unfortunately. Neil Nathan MD 29:12One of the things that I teach and want people to be aware of is any specialist who makes the diagnosis that includes the word atypical. So atypical ms, atypical Parkinson’s, atypical Alzheimer’s, atypical rheumatoid arthritis, whatever it is, if that’s the word. What they’re saying is this has feedback features of this illness, but doesn’t really match what I see every day in my office. And when I hear the word atypical, I say, please look for mold, please look for Lyme. Because that is often the case here. Dr. Deb Muth 29:51Yeah, oftentimes it is. You also teach that when patients get worse under treatment, it doesn’t mean they’re failing. It means the treatment might not be appropriate for their psychology. Can you explain that a little bit? Neil Nathan MD 30:05Yeah. I think that many people start understanding about things like Lyme or mold and don’t really have the bigger picture. And so they will jump in with aggressive treatments in people who aren’t really ready for that degree of aggressive treatment. And here we’re going to come back to, if someone’s living vagal and mast cell systems are dysfunctional and not working properly, it is highly likely they won’t be able to take normal doses of the binders we use for mold, or to take antifungals or to take the antibiotics we need for Lyme disease. It’s not that they don’t want to. They can’t. And so what I see is not understanding what you need to do, in what order. If you do it in the right order, you’ll help the vast majority of people you’re working with. And again, that trifecta of limbic vaginal, mast Cell is one piece that a lot of people don’t address. And again, order matters. For example, in the mold world, some people have learned that, oh, I’ll need to give people antifungals to get this mold and Candida out of their body. But if you do that and you don’t have binders on board, there’s a very high risk that you’re going to cause a severe die off and make people really miserable. I remember when we kind of first started this, I was working with Joe Brewer, who’s an infectious disease specialist from Kansas City. And Joe wrote some of the earlier papers on this particular subject. And I was doing, I had a radio show at that point and Joe was on and we were talking about mold toxicity and how we treat it and what we did. And he mentioned that about 40% of his patients had this really nasty die off. And I went, I almost never see a die off. And so when we got off the program, we sat down and tried to compare notes about, okay, what am I doing differently than you, that I’m not getting the die off. And Joe, as an infectious disease specialist would go quickly to his antifungals. And yes, he put people on binders, but he also simultaneously put the lungs in pretty heavy doing antifungal. They got a nasty diure. I never put people in antifungals until their binders were up and running. So from my way of thinking about it, if you use any antifungal, they all work by punching holes in the cell wall of either a mold or a candida organism, killing it. However, by punching holes in it, what’s in that cell leaks out. And that includes mycotoxins. So. So you’re literally, if you’re using it aggressively, you can literally flood the body with mycotoxins. And if you don’t have the binders on board to mop it up, there’s a high risk that you’re gonna be pretty miserable. Cause you’re literally more toxic. Dr. Deb Muth 33:18Yeah, I remember in the early 2000s when they were teaching, if you’re not getting somebody to have that die off reaction, that quote unquote, herx reaction, then you’re not doing your job, you’re not giving them enough. And we would have clients that would come in and say, I’m not herxing. You’re not doing enough for me. And we were always the ones that are saying, you don’t have to hurt to get rid of this thing. I’m a naturopath too. And so preserving the adrenal Function was always very important to us. And we were like, if we cause you to hurts like that, now we’re depleting the adrenal system. We’re creating more problems that we’re gonna have to fix on the backside. And that was the narrative that was being taught back then. And I’m glad that’s not the narrative that’s being taught today, for sure. But people don’t understand. Like you said, you’re more toxic at this point, and creating more toxicity isn’t what we want to do. Neil Nathan MD 34:12It’s not good for healing. Kind of intuitively obvious, but you’re right. Back in the early days, we were taught that just to put a spin, I’ll call it on a nasty Herc’s reaction. Oh, great, we’re killing those little microbes. This is fabulous. Yep. I mean, that’s how we spun it back then. And currently I can’t say that some Lyme literate doctors still believe that, but most of us have realized that. No, that means we’re killing him too quickly. We need to modify what we’re doing so that we are killing it, but not at a rate that our patient is getting worse. Dr. Deb Muth 34:59Yeah, I always tell people we want to kill the bug, but we don’t want to make you feel like we’re killing you at the same time, because that’s what’s going to happen if we’re not careful. So, yeah, how does trauma and emotional or physical trauma and abuse and chronic illness, how do they all reinforce each other? Neil Nathan MD 35:24Our limbic systems have been trying to keep us safe since we were in our mother’s uterus. By again scrutinizing the stimuli we’re being exposed to from the perspective of safety. So none of us have had perfect childhoods. Yeah, some older than others. But depending on what you had in your childhood, maybe you had recurrent ear or throat infections and took lots of antibiotics. Or maybe you needed surgeries. Or maybe you had parents who were both working and not particularly available to you. Or maybe you had abusive parents in any way possible. But through your whole childhood experience, your limbic system is really going okay. This isn’t safe. This is not good for me. This is not right. And becoming more and more hyper vigilant to really be aware of that so it can try to keep us safe, which is okay. Maybe my parent was an alcoholic and okay, they’re coming in now. I’m going to make myself scarce. My limbic system is going to tell you, get out of here. Don’t put yourself in harm’s. Way, if that’s the case. And then as we go through our lives, more things occur. We have heartbreak when we’re teenagers, and we have difficulties with work or bosses or other things. Each insult of safety to us helps to create a limbic system that is more and more hypervigilant. So if you then have a trauma of any kind, it’s kind of like the straw that breaks the camel’s back at that point. And that could be mold toxicity, that could be Covid, that could be the loss of a loved one, that could be a betrayal of some point, any number of things, once that happens. Now that limbic system is super hypervigilant. Now, what that means is, symptomatically for people is we’re going to have symptoms in two main categories. Not to make us sick, but to warn us from our limbic system that, hey, this isn’t safe for you. You got to get into a safe place here. And those symptoms are in the category of emotion and sensitivity. So with any of our patients that we see, if they have become more and more anxious patients, panic, depressed, ocd, mood swings, depersonalization, derealization, that’s all limbic. And if they have any increase in sensitivity to light, sound, chemicals, smell, food, touch, EMFs, limbic. So most of our patients have gotten to that place. And as I’ve said, the vagal system comes along with the limbic system because it does the same job. Those symptoms are a little different. The vagal system controls the autonomic nervous system, and so things like temperature, dysregulation, pots, blood pressure, palpitations. The vagus nerve also controls almost all gastrointestinal function. So almost any symptom in the GI tract is going to have a vagal piece to it. Gas, bloating, distension, reflux, abdominal pain, constipation, diarrhea. So those are common symptoms in our patients. And it helps us to tease it apart that we can literally tell them these are symptoms of vagal dysfunction. These are symptoms of limbic dysfunction. And I hope I’m answering your question, which is, how does this evolve? It evolves throughout our whole life, and then eventually we get to the point where our limbic system is overwhelmed. And here’s the good news. We can treat this. We can fix it. We have various programs. And honestly, Deb, I believe that every man, woman and child on this planet needs limbic retraining, or at least limbic work. Co did a real number on the whole planet. Yeah, most people live in some degree of fear From a wide variety of causes. And we don’t have to live in fear. We don’t have to let us hurt us, but we do need to recognize that it is limbic, it is vagal, and we can do something about it. Dr. Deb Muth 39:58Yeah, that’s an exciting time for us, I think. You know, I. I agree. Like, the last couple of years have been very traumatic for a lot of people. Our young kids that were traumatized in school, their parents, the grandparents. I mean, everybody has gone through some kind of anxiety or fear around what’s happened in the last few years, and not to mention all the things that they’ve lived with their whole lives. And this just kind of came to a head and I think broke open for a lot of people that were suppressing their feelings up until this point. And it. It just was the perfect storm for a lot of people, unfortunately. And there’s a lot of people that can’t get over the trauma that’s occurred. The lying amongst the government and our families, how we treated each other and pushed each other aside and, you know, broken families apart because of their belief systems. It really did a number on people, and they’re really struggling to get back. Back for sure. Neil Nathan MD 40:56Yeah, we’re in complete agreement here. Dr. Deb Muth 40:59Yeah. Yeah. So many of our listeners, especially women, have been told their symptoms are anxiety or stress or quote, unquote, just hormonal. Right. And from your perspective, what damage does that kind of dismissal cause for people? Neil Nathan MD 41:16We have a fancy word for that, which is iatrogenic illness. Translation is your doctor is making you sick by treating you inappropriately, not making the right diagnosis and not honoring what you’re experiencing. There’s actually a new word that I’ve recently heard called medical gaslighting, in which you describe something to your doctor and he goes, no, this is in your head. There’s nothing really physically wrong with you, and you know that. No, no, no, no, no. I might be a little bit stressed by it, but something else is going on in my body. And they’re telling you, no, we tested you. Usually those testings involve doing a blood count and a chemistry profile, and that’s it. Those tests will not reveal the kinds of things we’re talking about because you’re not looking for the right thing. So it is really common for our patients to have been told that there’s nothing wrong with you. You need to see a psychiatrist because they don’t know enough to understand that the symptoms you’re describing, if you understood what you’re looking at, are very clear manifestations of Things. Things like mold toxicity and Lyme disease, chronic viral infections, a variety of other things. But your doctor has to know this in order to happen. And this is a failure of medical education. So if my message to everybody always is never doubt yourself or what you’re experiencing, it’s real, there’s never a reason to doubt that. If the people around you aren’t believing, you find someone who does. And again, to augment this, part of the problem is if families accompany the patient to the doctor’s office and they hear the doctor telling them it’s in their head, families become less supportive of their loved ones and go, well, doctor said, this is in your head. I don’t know why you feel so awful. And so families need the same point of view of trust your loved one’s perceptions. There’s no reason not to. Malaboring hypochondria is extremely rare. Gets talked about a lot. I’ve been practicing for over 50 years. I have rarely seen, seen anybody with those truly with those symptoms. So trust yourself. Good. Dr. Deb Muth 44:03I love that. What do you wish every clinician understood about listening? Neil Nathan MD 44:13I wish that every clinician had the same curiosity that we do, which is, I might not understand why this being in front of me has these symptoms or is ill, but I’m going to do everything in my power to figure it out. That means I’ll learn what I need to learn. I’ll study what I need to study to figure out why this person is sick. I really wish, and I understand kind of why that’s happened. My wife always thought that everyone was like me, which was Saturday mornings. My great joy in life was getting up early with a cup of coffee and reading medical journals or obscure medical books. That was my joy. She was shocked that most other people don’t. The way medicine actually evolved. We’re burning out doctors at a rate never before in the history of this planet by making them do things that are not in the service of patients, but are in the service of making money. And so doctors are being given seven minutes per visit. If you have a complicated person, there’s no way you could do income. Seven minutes. The way the system is set up, it doesn’t allow doctors to do their job. And then they’re under tremendous pressure to get the charts filled out properly, the way the advent of electronic medical records supposed to be. This great thing is it’s making doctors have to go home and spend two hours at home, not with their family, but getting their charts squared away. And I don’t think all patients realize the Kind of pressures that doctors are under. So to answer your question, I would like doctors to be more curious, but also, the system is broken, and I wish we could fix the system so that every patient could get the amount of time they needed with their doctor to really explore what’s going on and get to the heart of what’s happening. Dr. Deb Muth 46:31I so agree. So agree with all of that. If there was one question you would want every patient to ask their doctor, what would it be? Neil Nathan MD 46:44How would you treat me if I was your sister, mother, relative, whatever. Not what you want to do, theoretically. But if I were your wife, if I were your sister, how would you treat me? I don’t see that happening much, especially with elderly people. I see Doctors going, you’re 80. What do you expect me to do? I’m getting pretty close to being 80. And I expect you to help me because I want to function at this high level for a very long time. There was. It was an old joke that used to be Bella went in to see the doctor, and the doctor, he said, doc, my knee is all swollen and it’s tender and I’m having trouble walking on it. And the doctor said, you’re 102 years old. What do you expect? But, doctor, my other knee is perfectly fine, and it’s 102 years old also. So I once had the opportunity. I had a 100-year-old patient who had exactly that. So that was able to look at his knee and go, we’re going to take care of this. So it’s just older people need to be treated with respect, with the same thing, of absolutely no reason that they shouldn’t get the kind of attention that you would want your grandfather, your father, to have. Dr. Deb Muth 48:16Yeah, I love that question. So I have one last big question for you. If medicine were rebuilt around patients instead of systems, what would you change? First. Neil Nathan MD 48:33I would get rid of the middle man in medicine, the HMOs, the managed care organizations, where they take the profit and it’s being shunted into other areas. So rather than the physician being paid directly for what’s happening, they just get a piece of it that the managed care organization deems appropriate. You know, I grew up in what was called golden age of medicine back in the 70s, where I could do for people what they wanted done. People didn’t doubt that it was in their best interest and that if I ordered a test, it got done. I didn’t have to have someone else authorizing or tell me this is an okay or an appropriate test, I could do it. So I would go back to a. A practice of medicine, direct care, where you. Maybe there’s a system that would help reimburse you for it, but you could go to the doctor and you get what you need, and the doctor decides what you need. Actually, they’re the ones seeing you. Would a clerk in an office 600 miles away decide whether you can have this test or not? Have this test? Test? It doesn’t make any sense to me. I should be able to deliver what you want and need, and I should have the time it takes to really work with you. I’d like to go back to the 70s. Dr. Deb Muth 50:07Me too. Me too. Is there one thing that gives you hope right now for our system? Neil Nathan MD 50:16Honestly, I’m a very optimistic person. My answer is is no. I think the system is broken. I think it is being held intact by people who are profiting from this system. They have no interest in letting go of their profits for it, and they don’t have any interest in seeing that people get treated properly and well. So I think, as I said, the system’s broken. It needs to be rebuilt from the ground up. Dr. Deb Muth 50:45I agree. I agree. Dr. Nathan, thank you so much. Not just for the conversation, but for the way you’ve modeled curiosity and humility and compassion in medicine. It is an honor to work alongside of you, call you my friend, and learn from you. Thank you so much for that. For those listening, if this episode resonates with you, I want you to hear this clear clearly, your sensitivity is not a flaw. Your body is not broken. And needing a different approach does not mean you’re failing. Healing doesn’t happen by forcing the body. It happens when the body finally feels safe enough to heal. If this conversation has helped you and you feel seen, I encourage you to share it with someone who needs that as a reminder. Thank you for being here and thank you for sharing with us. Let’s talk wellness now. Neil Nathan MD 51:38So in this context, I just want people to be aware of one of my recent books, which is the Sensitive Patient’s Healing Guide, which talks about this in great detail. And the new second edition of my book, Toxic, goes over the whole mold Lyme thing in more detail. So again, that wasn’t intended to be self serving, but rather there are resources where you can learn even more about it than Deb and I are able to cover in this short interview. Dr. Deb Muth 52:09Yeah, absolutely. And your first book, Toxic, was amazing. So if people haven’t read it, you definitely want to read the second version of it because it is incredible. And Dr. Nathan, if there’s somebody that wants to get a hold of you. How do they find you? How do they learn more about what you’re doing? Neil Nathan MD 52:24A very complicated website. Neilnathanmd. Com. Dr. Deb Muth 52:30Perfect. Well, thank you for today. Neil Nathan MD 52:34You’re very welcome.The post Episode 253 – Environmental exposures, Lyme disease & multiple chemical sensitivities: integrative approaches to healing first appeared on Let's Talk Wellness Now.

Jean Michel Trogneux has been so protected while wearing so many faces and has clearly gotten away with it across so many decades...so let's dive into that today. Also, Adam Sosnick was on the PBD Podcast saying I don't have any friends. 00:00 - Start. 00:55 - Reactions to the assassination plot. 23:16 - France's Delaware web. 46:39 - Adam Sosnick says I have no friends. 53:57 - Comments. PreBorn!​​​ Donate securely by calling 855-601-2229 or by visiting https://preborn.com/candace Fatty15​ ​ Fatty15 is on a mission to optimize your C15 levels to help support your long-term health and wellness -especially as you age. You can get an additional 15% off their 90-day subscription Starter Kit by going to http://fatty15.com/CANDACE and using code CANDACE at checkout. PureTalk​ ​​​​ Switch to PureTalk and get their ultimate unlimited plan for $29.95 a month for LIFE. http://www.PureTalk.com/Owens DISCLAIMER: Taxes and fees not included. Some restrictions apply. See PureTalk.com for details. Offer ends 12/7/25. American Financing​​​​ NMLS 182334, http://www.nmlsconsumeraccess.org. APR for rates in the 5s start at 6.196% for well qualified borrowers. Call 800-795-1210 for details about credit costs and terms. Visit http://www.AmericanFinancing.net/Owens. Candace Official Website: https://candaceowens.com Candace Merch: https://shop.candaceowens.com Candace on Apple Podcasts: https://t.co/Pp5VZiLXbq Candace on Spotify: https://t.co/16pMuADXuT Candace on Rumble: https://rumble.com/c/RealCandaceO Candace en Español: https://www.youtube.com/@CandaceOwensEnEspanol Candace Owens em Português: https://www.youtube.com/@CandaceOwensemPortugues Candace Owens en Français: https://www.youtube.com/@CandaceOwensEnFrançais Learn more about your ad choices. Visit megaphone.fm/adchoices

THE BEST BOOK CLUB IN THE MULTIVERSE! Join Aeric and Malcolm as they conclude Brad Meltzer's time with the JUSTICE LEAGUE OF AMERICA and herald the return of THE FASTEST MAN ALIVE! With the new Justice League assembled, it's time for a team-up! The JLA is visited by the Justice Society of America to solve a mystery: why is Karate Kid of the Legion of Superheroes in the present day, and are there other Legionnaires stranded in this time period? The mystery leads to a Legion scavenger hunt that may result in the death of one hero… and the return of another! Covers Justice League of America (2006) #8-12 and Justice Society of America (2006) #5-6 by Brad Meltzer, Geoff Johns, Ed Benes, Shane Davis, Gene Ha, Fernando Pasarin and Dale Eaglesham Time Stamps: 00:00:32 Intro & Whatcha Doin'? 00:10:53 Book Club Begins 02:39:57 Break 02:42:08 Speed Force Mailbag 03:03:10 Patreon Shout-Outs & Wrap-Up Support us on Patreon! https://www.patreon.com/c/geeksplained Geeksplained Merch: https://www.teepublic.com/user/geeksplained Follow us! Bluesky: https://bsky.app/profile/geeksplained.bsky.social Instagram: www.instagram.com/geeksplainedpod/?hl=en Send us your questions for the Geeksplained Mailbag! Email: Geeksplained@gmail.com Check out THE POD UNIVERSE! Writers Dalton Deschain and Dylan Roth first joined together to create Are You Afraid of the Dark Universe? a podcast in which they pitched new installments of the canceled Dark Universe of monster movies. After completing their 30-part saga, they've set out to do something new - an all-original cinematic universe of imaginary movies, written, workshopped, and performed on all podcatchers and YouTube: https://open.spotify.com/show/0Dfy9XX1PMGZbu8iSxtPW3 https://www.youtube.com/channel/UCV48aQBx58PA5d_HqNyRZeQ Music Sampled: “Alive” by Warbly Jets

On this episode, the wicked warriors of the Infernal Empire celebrate Veterans Day! Our panel of Legionnaires gather to swap war stories, make some announcements, and discuss the history of the holiday and their individual celebrations. They also dive into the recent SECWAR address to the military’s top leadership and what it means for the […]

A listener asks: without modern nutritionists or recovery plans, how did Caesar's legionnaires maintain the stamina to fight repeated battles, such as Bibracte and the Arar in 58 BC? Murray Dahm looks at training, diet, and discipline in Rome's legions, and how ancient soldiers sustained their fighting edge.   Join us on Patreon patreon.com/ancientwarfarepodcast  

In this spooky Halloween short podcast episode, Bryan tells the story of the cooling tower killer: Legionnaires' disease. In the summer of 1976, the nation celebrated its bicentennial anniversary. The American Legion was holding its 58th annual convention at the Bellevue Stratford Hotel in Philadelphia, PA. In the days following the convention, doctors in Philadelphia started noticing dozens of Legionnaires in their hospitals with high fevers, chills, coughs, and difficulty breathing. Their symptoms resembled those of pneumonia, but patients deteriorated quickly, and antibiotics didn't work as expected. People became more ill, and 34 of them died. There were many theories, from food poisoning to novel viruses to bioterrorist attacks. The CDC investigated biological samples from patients and swabs from the hotel alike, but their findings were inconclusive. As news outlets sensationalized speculation over the cause of the illnesses, the disease was named after the unfortunate Legionnaires who suffered from it. However, the speculation would come to a close months later when CDC scientist Joseph McDade reviewed the samples and found a tiny, round-shaped bacterium living in the lung tissue of the victims. The bacteria would be named Legionella pneumophila. Investigators traced the bacteria back to the hotel's cooling towers. Cooling towers are essentially giant evaporative coolers and can create a mist. Legionella can thrive in the warm water of cooling towers, and the cooling towers dispersed the mist throughout the area, making hundreds ill. When water stagnates, bacteria can fester, but temperature is just as important as movement. As contractors, our maintenance procedures can save lives. In cooling towers, that maintenance entails regular cleaning, chemical treatment, and monitoring water temperature and flow. Have a question that you want us to answer on the podcast? Submit your questions at https://www.speakpipe.com/hvacschool. Purchase your tickets or learn more about the 7th Annual HVACR Training Symposium at https://hvacrschool.com/symposium. Subscribe to our podcast on your iPhone or Android. Subscribe to our YouTube channel. Check out our handy calculators here or on the HVAC School Mobile App for Apple and Android

Friday October 17, 2025 Thiel Calls AI Critics Legionnaires of the Antichrist

A new report finds a city correction staffer aided federal immigration officers on multiple occasions in 2024 and 2025, in violation of city sanctuary protections for immigrants. Meanwhile, a community advisory panel voted in favor of a plan to bring full-scale casino gambling to Yonkers. Plus, New York City is facing wrongful death claims from the families of at least four people who died in Harlem's Legionnaires' disease outbreak. Also, a cult classic documentary about New York City's parks, plazas, and sidewalks returns to the big screen this week. And finally, the environment is on the minds of some Harlem residents as Climate Week continues at the UN General Assembly.

The All Local Afternoon Update for Friday, September 19th 2025

New York City Council members are pushing for more frequent testing of cooling towers following this summer's deadly Legionnaires' outbreak, though some public health experts warn that testing alone won't prevent future cases. Meanwhile, the Council is holding a hearing today on a proposal to build specialized housing for formerly incarcerated people on a Bronx hospital campus, but Mayor Eric Adams has withdrawn his support for the project. Plus, while overall hate crimes have declined from their peak two years ago, NYPD officials report that crimes targeting Jews remain higher than pre-2023 levels.

In his weekly clinical update, Dr. Griffin with Vincent Racaniello discuss the continued Legionnaire's outbreak in Harlem, invasive Asia longhorned tick and associated disease, potential Ebola outbreak in the Congo, Florida ending childhood vaccine mandates, 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, SARS-CoV-2 spillover into household/domestic dogs, real data demonstrating the benefits of COVID-19 vaccines, states that increase access to COVID-19 vaccines, effective and availability to PAXLOVID, where to find PEMGARDA, long COVID treatment center, where to go for answers to your long COVID questions, the beginning of numerous long COVID clinical studies and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Legionnaires' Disease: In Harlem (NYC Health) 2 dead, dozens sickened by Legionnaires' disease in Westchester County: Officials (NBC News) Invasive longhorned tick found for 1st time in New England (AP News) First person bitten by east Asian longhorned tick (AP News) Invasive, disease-carrying tick found in Maine, the farthest northeast it has been spotted (AP News) Suspected cases rise in DR Congo Ebola outbreak (CIDRAP) Ebola in the Democratic Republic of the Congo (CDC: Travelers' Health)  Patricia Mazzei (NY Times) Florida Moves to End Vaccine Mandates for Schoolchildren (NY Times) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Tracking Measles Cases in the U.S. (Johns Hopkins) Measles vaccine recommendations from NYP (jpg) 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) Measles (CDC Measles (Rubeola)) 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) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) Influenza-Associated Hospitalizations During a High Severity Season — Influenza Hospitalization Surveillance Network, United States, 2024–25 Influenza Season (CDC: MMWR) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) Influenza Vaccine Composition for the 2025-2026 U.S. Influenza Season (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Risk factors for severe outcomes of respiratory syncytial virus infection in children (LANCET: Regional Health Europe) 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) Evidence to Recommendations Framework (EtR): RSV Vaccination in Adults Aged 50–59 years (CDC: National Center for Immunization and Respiratory Diseases) 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) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (bioRxiV) Spillover of SARS-CoV-2 to domestic dogs in COVID-19–positive households: A one health surveillance study (Virus Research) Pfizer and BioNTech Announce Topline Data Demonstrating Robust Immune Response With Their LP.8.1-Adapted COVID-19 Vaccine 2025-2026 Formula  (Pfizer) Minnesota, New York issue executive orders promoting access to COVID vaccines (CIDRAP) No. 52: Declaring a Disaster in the State of New York Due to Federal Actions Related to Vaccine Access(NY State: Executive Order #52) 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) 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) Patient-Reported Outcomes of Nirmatrelvir Treatment for High-Risk, Nonhospitalized Adults With Symptomatic COVID-19 (OFID) Real-world effectiveness of nirmatrelvir-ritonavir against severe outcomes of COVID-19 in Taiwan (OFID) PAXLOVID-nirmatrelvir and ritonavir : highlights of prescribing information (Pfizer) Help your eligible patients access PAXLOVID with the PAXCESS Patient Support Program (Pfizer) PAXCESSTM offers access and affordability options to patients prescribed PAXLOVIDTM (nirmatrelvir tablets; ritonavir tablets) (PAXCESS) 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 Clinical trials explore how Low-Dose Naltrexone could help people with Long COVID (The Sick Times) Three clinical trials for Long COVID are testing JAK inhibitors to treat immune dysregulation (The Sick Times) Research updates, July 29: Stellate ganglion blocks, may help reduce the severity of some symptoms of Long COVID and ME  (The Sick Times) New Long COVID and complex disease center at Mount Sinai set to be a leader in research, clinical care (The Sick Times) RECOVER-TLC announces new Long COVID clinical trials, receives mixed reactions from patient community (The Sick Times) Reaching out to US house representative Letters read on TWiV 1252 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.

Dr. Don and Professor Ben talk about the risks of standing in a hotel bathroom in Athens Greece after a shower head explodes. Fedica text: Dr. Don - not risky

This is your All Local update for September 9, 2025.

With those words, Jemma Tennant highlights one of the most profound differences between Legionella management in Europe and the United States. In this episode of Scaling UP! H2O, host Trace Blackmore welcomes Jemma Tennant, Chair of the Water Management Society (WMSoc), to explore how legislation, enforcement, and professional training shape the fight against Legionella.   Proactive Regulation and Duty of Care  The UK treats Legionella as a foreseeable and preventable risk. Jemma explains how laws like the Health and Safety at Work Act and COSHH Regulations require mandatory Legionella risk assessments, temperature monitoring, and written control schemes—even when no cases have occurred. This contrasts with the U.S., where ASHRAE 188 serves as guidance rather than enforceable law, often triggering enforcement only after outbreaks.  Jemma shares a case study where a housing association was fined £1.2 million despite no recorded illness, underscoring the UK's proactive stance on protecting public health. Hospitals, Design, and Emerging Challenges  From hospital plumbing layouts to new “waterless” intensive care units, Jemma details how design choices can either mitigate or magnify waterborne risk. Scotland's model of involving water safety groups at the design stage provides a proactive example for healthcare worldwide. She also outlines how climate change, net-zero initiatives, and rising ambient temperatures are complicating control strategies across Europe.  Raising Standards Through Collaboration  As Chair of WMSoc, Jemma is leading efforts to raise industry standards and reverse what she calls a “race to the bottom.” She describes partnerships with AWT in the U.S. and LMAG in Australia to share expertise across borders. The episode also explores her pursuit of the Certified Water Technologist (CWT) credential and her vision for adapting the certification for UK professionals.  Conclusion  This conversation is a call to action for water treatment professionals everywhere: regulations, standards, and collaboration matter. Whether in cooling towers, hospitals, or housing estates, Legionella management requires vigilance, shared knowledge, and a commitment to raising the bar. Listen to the full episode and discover how global collaboration can shape safer water management practices.  Stay engaged, keep learning, and continue scaling up your knowledge!    Timestamps 01:55 - Trace Blackmore introduces the final installment of Legionella Awareness Month 2025  05:30 - Water You Know with James McDonald   07:30 - Upcoming Events for Water Treatment Professionals     14:50 - Interview with Jemma Tennant, SMS Environmental, Chair of the Water Management Society (WMSoc)  15:24 - Jemma's background: growing up in the U.S. and UK, science upbringing, rotifers, and wastewater treatment career.  32:25 - The Water Management Society: structure, training, collaboration with AWT and LMAG  43:00 - Raising industry standards: combating the “race to the bottom” in UK water treatment.    Quotes “In the UK, we're prosecuted for the potential for harm, not just actual harm. Legionella is treated as a foreseeable and preventable risk.”  “It's the transition between just doing the task to understanding the why behind the task.”  “We're seeing a serious drop in industry standards—a race to the bottom—and that's why raising the bar is so important.”  “At the end of it, the CWT covers everything. You end up being a complete water treater.”  “Always be honest when you don't know the answer, then go and learn. That's how you grow.”   Connect with Jemma Tennant Phone: 447828315336  Email: j.tennant@sms-environmental.co.uk   LinkedIn: https://www.linkedin.com/in/jemma-tennant-mwmsoc-2636985b/    Guest Resources Mentioned  Water Management Society (WMSoc)  LMAG - Legionella Management Advisory Group - LMAG  The Women by Kristin Hannah (Author)  HTM 04-01 – UK healthcare water safety standards  The Control of Substances Hazardous to Health Regulations 2002 (COSHH Regulations 2002)  Health and Safety at Work etc Act 1974  UKAS Accreditation  ANAB (US Laboratory Accreditation)    Scaling UP! H2O Resources Mentioned  AWT (Association of Water Technologies)  ANSI/ASHRAE Standard 188-2021 for Legionnaires' Disease Risk Management  ASHRAE Standard-188-2021, Building Water Management Plans – Summary  Scaling UP! H2O Academy video courses  Submit a Show Idea  The Rising Tide Mastermind Ep 101 The One with Colin Frayne, CWT  Ep 203 The One With Our Across The Pond Legionella Expert, John Sandford  Ep 370 Unlocking Legionella Solutions: Perspectives on Regulations and Best Practices    Water You Know with James McDonald Question: Does Hydroxide Alkalinity in a steam boiler water ALWAYS equal 2P-M?   2025 Events for Water Professionals  Check out our Scaling UP! H2O Events Calendar where we've listed every event Water Treaters should be aware of by clicking HERE.     

In his weekly clinical update, Dr. Griffin with Vincent Racaniello are dismayed about the recent attack on public health the firing of the director of the CDC as well as resignation of 3 others members of the agency's leadership, the continued Legionnaire's outbreak in Harlem, suspension of Ixchiq the Chikungunya virus attenuated infectious vaccine, the first US case of New World screwworm 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, association Guillian-Barré syndrome with RSV vaccination, guidelines for using RSV vaccines, whether or not the NB.1.8.1 should be included in the fall 2025 vaccines, the American College Obstetricians and Gynecologists recommendations for the COVID, RSV and influenza vaccines, FDA approval letters for Pfizer, moderna and Novagax COVID vaccines including label changes for use in those between 5 through 64 years, where to find PEMGARDA, long COVID treatment center, where to go for answers to your long COVID questions, and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode White House Says New C.D.C. Director Is Fired, but She Refuses to Leave (NY Times) CDC director refuses to leave after White House order (BBC) Legionnaires' Disease: In Harlem(NYC Health) New York City Health Department Provides Update on Community Cluster of Legionnaires' Disease in Central Harlem(NYC Health: Promoting and protecting the City's health) FDA Update on the Safety of Ixchiq (Chikungunya Vaccine, Live) (FDA) Vimkunya (Bavarian Nordiac) U.S. and Panama for the control of the Screwworm pest (COPEG) Rare human case of flesh-eating parasite New World screwworm identified in US(CNN) USDA Announces Sweeping Plans to Protect the United States from New World Screwworm (USDA) HHS details New World screwworm response after human case(CIDRAP) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Tracking Measles Cases in the U.S. (Johns Hopkins) 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) Measles (CDC Measles (Rubeola)) Measles vaccine recommendations from NYP (jpg) 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) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) Relative effectiveness of high-dose versus standard-dose influenza vaccine against hospitalizations and mortality according to frailty score (JID) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) ENFLONSIA: novel drug approvals 2025 (FDA) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Evaluation of Guillain-Barré Syndrome (GBS) following Respiratory Syncytial Virus (RSV) Vaccination Among Adults 65 Years and Older (FDA) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Evidence to Recommendations Framework (EtR): RSV Vaccination in Adults Aged 50–59 years (CDC: National Center for Immunization and Respiratory Diseases) 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) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (bioRxiV) Veering from CDC, ACOG recommends maternal vaccination against COVID-19 (CIDRAP) ACOG Releases Updated Maternal Immunization Guidance for COVID-19, Influenza, and RSV (American College of Obstericians and Gynecologists) COVID-19 Vaccination Considerations for Obstetric–Gynecologic Care (American College of Obstericians and Gynecologists) Pfizer and BioNTech's COMIRNATY® Receives U.S. FDA Approval for Adults 65 and Older and Individuals Ages 5 through 64 at Increased Risk for Severe COVID-19 (Pfizer)  COMIRNATY approval letter (FDA) Moderna Receives U.S. FDA Approval for Updated COVID-19 Vaccines Targeting LP.8.1 Variant of SARS-CoV-2 (FEEDS) SPIKEVAX approval letter (FDA) Novavax's Nuvaxovid 2025-2026 Formula COVID-19 Vaccine Approved in the U.S (Novavax) NUVAXOVID approval letter (FDA) 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) Paxlovid (Pfizer) 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) 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 Reaching out to US house representative Letters read on TWiV 1248 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.

Dr. Joe Sirven and his team of medical experts discuss this month's biggest health care headlines, from raw milk illnesses to a deadly Legionnaires' cluster.

All Local Afternoon Update for Friday August 29 2025

This is the All Local 4pm update for August 29, 2025

Legionella remains one of the most complex challenges for water professionals worldwide. How do we balance effective monitoring with realistic costs—and which strategies deliver true public health impact? In this episode, Trace Blackmore welcomes Dr. Vincenzo Romano Spica,  Head Public Health University of Rome "Foro Italico to explore new insights from his comparative research on Legionella control. Reframing Legionella Risk  Dr. Spica explains why public health data increasingly points to Legionella pneumophila—not all Legionella species—as the primary concern for human health. He shares how pan-European data modeling and peer-reviewed studies demonstrate that broad-spectrum monitoring may overburden systems without delivering proportional safety gains.  Cost-Benefit Models and Sustainability  Water professionals know that testing and compliance require resources. Dr. Spica discusses cost-benefit analysis frameworks that help decision-makers evaluate where investments deliver the greatest reduction in risk. He also highlights the sustainability implications of over-testing, from lab resources to environmental waste streams.  European Regulations and Legal Liability  The conversation also explores the European Drinking Water Directive 2020/2184, national approaches to Legionella, and how liability shifts when contamination is detected. Dr. Spica's insights illuminate what building owners, operators, and regulators must weigh as they update management plans.  Conclusion  For engineers, operators, and technical managers, this episode provides a clear framework for thinking about Legionella beyond routine testing. It's about focusing on the pathogen that truly drives disease outcomes, aligning regulatory strategy with science, and applying resources where they matter most.  Stay engaged, keep learning, and continue scaling up your knowledge!    Timestamps    02:24 - Trace opens the episode, welcoming listeners to Legionella Awareness Month and framing the call to action  05:37 - Water You Know with James McDonald  10:04 - Upcoming Events for Water Treatment Professionals   14:06 - Trace introduces Dr. Vincenzo Romano Spica, Head of Public Health at the University of Rome Foro Italico   17:22 - Dr. Spica outlines why Legionella pneumophila is the main pathogen of concern in Europe 35:04 - Dr. Spica explains Disability Adjusted Life Years (DALYs) as a measure of public health burden  44:08 - Monitoring strategies and how different culture methods affect outcomes  46:16 - The role of water temperature in Legionella proliferation    Quotes  “Not all Legionella are equal—public health data shows us it's Legionella pneumophila that drives the real risk.”  “Testing everything may look safer on paper, but in practice, it diverts resources from where they can have the greatest impact.”  “Risk management should not be a checklist; it should be a strategic allocation of resources aligned with outcomes.”  “European data models show that a targeted approach can deliver both better safety and greater sustainability.”    Connect with Dr. Vincenzo Romano Spica   Phone: +39.06.36733247 Email: vincenzo.romanospica@uniroma4.it  LinkedIn: vincenzo romano spica | LinkedIn        Guest Resources Mentioned   Legionnaires' Disease Surveillance and Public Health Policies in Italy: A Mathematical Model for Assessing Prevention Strategies by Dr. Spica et. al  Alessando Cassini's Burden of Infectious Diseases in Europe methodological challenges and opportunities for public health policy  NLM's Impact of infectious diseases on population health using incidence-based disability-adjusted life years (DALYs): results from the Burden of Communicable Diseases in Europe study, European Union and European Economic Area countries, 2009 to 2013  Supplemental information: Impact of UAT Diagnostic Methods on Estimates of Legionnaires' disease Caused by non-pneumophila Legionella    Scaling UP! H2O Resources Mentioned  AWT (Association of Water Technologies)  Scaling UP! H2O Academy video courses  Submit a Show Idea  Scaling UP! H2O's Legionella Resources Library  434 Encore Interview with Patsy Root    Water You Know with James McDonald  Question: What is it called when a valve is closed at the end of a pipeline system causing a pressure wave to propagate in the pipe and a loud banging sound?    2025 Events for Water Professionals  Check out our Scaling UP! H2O Events Calendar where we've listed every event Water Treaters should be aware of by clicking HERE.     

A 7th person has died in Central Harlem's ongoing outbreak of Legionnaires' disease. Plus, a federal judge has extended a temporary order requiring U-S Immigration and Customs Enforcement holding rooms in New York City to meet certain conditions. And finally, the story of a Katrina survivor who made a home in New Jersey.

I talk about some of the 91 comic books I read in July 2025. Lazarus Fallen 1 Free Agents 1-7 (v1) The Seasons 1-4 (v1) Kid Kosmos 1-6 (v1) Final Crisis: Superman Beyond 3D 1-2 Primordial 1-6 Krypto: The Last Dog of Krypton 1 Legionnaires 8-18, 0 Valor 22-23 Legion of Super-Heroes 60-61, 0 Superman Spectacular, aka DC Special Series 5 Machine Man 1-4 Superman 147 Adventures of Superman 570 Action Comics 757 Superman: The Man of Steel 92 New History of the DC Universe 1 Superman Treasury 2025 Superman: The World Links: Christmas Gab Bag 2024 (Street Angel Xmas Special) Oddfellow's Thoughts CBCC Grant Morrison interview DC Specialcast: Superman Spectacular CGS Reads: Machine Man Feedback! Email = longboxreview@gmail.com Text/voicemail = 208-953-1841 Social = Bluesky Mastodon Facebook Web = longboxreview.com Thanks for listening! episode 264

In this episode, Madeline chats with Peter Schmidt, a professional comedian, streamer, and amateur coder. During their conversation, they discuss how Madeline found out about Game of Favorites, the inspiration for the show, basics of coding, behind the scenes of his show, his time with the Legionnaires of Christ, the universal call to holiness, his gap between religious life and college, the perks of being a non-traditional college student, and so much more.During the course of their conversation, they make many references which you can explore. Some of these references include Consecration to St. Joseph by Fr. Donald Calloway.Also, if you want to find out more about his work (like his blog or podcast), you can check out his Twitch here and his own podcast, Tangled Christianity, here. You can also catch Game of Favorites on his Twitch or on YouTube here, Fridays at 8 pm ET.Feel free to like, subscribe, and share the episode! Follow us on Instagram! @sbltfpodcastDon't forget to go out there, and be a light to this world!

New York City's deadly Legionnaires' outbreak in Harlem appears to be waning with no new fatalities reported since Friday. Meanwhile, police are searching for two men who posed as NYCHA workers and stole more than $200,000 in jewelry and cash from a Brooklyn woman. Plus, Bruce Springsteen's Born to Run marks its 50th anniversary, and Eileen Chapman of the Springsteen Archives at Monmouth University joins us to reflect on the album's legacy.

In his weekly clinical update, Dr. Griffin with Vincent Racaniello discusses outbreaks of Vibrio vulnificus and Legionnaire's disease in Harlem, the role of the American Association of Pediatrics defining immunization practices, before Dr. Griffin deep dives into recent statistics on RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, effective of the high and low does influenza vaccines, association Gullian-Barre syndrome with RSV vaccination, guidelines for using RSV vaccines, whether or not the NB.1.8.1 should be included in the fall 2025 vaccines, where to find PEMGARDA, long COVID treatment center, where to go for answers to your long COVID questions, vascular aging after COVID-19 and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Department of Public Health alerts public to rare Vibrio vulnificus bacteria in coastal waters (Mass.gov) Legionnaires' Disease: In Harlem (NYC Health) Ivermectin to Control Malaria (NEJM) AAP has been leading voice on childhood vaccine recommendations since 1930s (American Academy of Pediatrics) The American Academy of Pediatrics Releases Its Own Evidence-Based Immunization Schedule (American Academy of Pediatrics) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Weekly measles and rubella monitoring (Government of Canada) Health Ministry says unvaccinated 18-month-old dies of measles (Times of Israel) Ten countries in the Americas report measles outbreaks in 2025 (PAHO: Pan American Health Organization) Measles (WHO) Get the FACTS about measles (NY State Department of Health) 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)) 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) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) Relative effectiveness of high-dose versus standard-dose influenza vaccine against hospitalizations and mortality according to frailty score (JID) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) ENFLONSIA: novel drug approvals 2025 (FDA) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Evaluation of Guillain-Barré Syndrome (GBS) following Respiratory Syncytial Virus (RSV) Vaccination Among Adults 65 Years and Older (FDA) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Evidence to Recommendations Framework (EtR): RSV Vaccination in Adults Aged 50–59 years (CDC: National Center for Immunization and Respiratory Diseases) 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) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (biRxiV) 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) Paxlovid (Pfizer) 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) 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 Accelerated vascular ageing after COVID-19 infection: the CARTESIAN study (European Heart Journal) Reaching out to US house representative Letters read on TWiV 1246 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.

This is your All Local evening update for August 22, 2025.

“Rules written in a panic rarely stand the test of time.”   In this encore episode, Trace Blackmore welcomes back Patsy Root, Senior Manager of Government Affairs at IDEXX Water and active member of the AWT Legislative and Regulatory Committee. Patsy brings global data, case studies, and clear recommendations for smarter Legionella regulation — and why a targeted focus on Legionella pneumophila can save both lives and resources.   From Outbreaks to Proactive Policies  Patsy unpacks a central truth: most regulations emerge reactively, often after a high-profile outbreak. Drawing on her research from the U.S., Canada, and Europe, she compares different jurisdictions' approaches — from Quebec's targeted testing mandate to New York City's broader species-based rule — and reveals why some frameworks reduce cases far more effectively than others.  The Case for Targeted Testing  Legionella encompasses around 60 species, but not all carry equal risk. Patsy explains why L. pneumophila — the species most responsible for Legionnaires' disease — demands priority in monitoring and control. Through examples from France, Germany, the UK, and beyond, she demonstrates how focusing on the pathogen itself, rather than all species, leads to measurable public health gains and cost savings.  Educating Lawmakers and Industry  Beyond technical data, Patsy emphasizes the importance of water professionals engaging with legislators. She outlines how clear communication, evidence-based recommendations, and standards like ASHRAE 188 can guide practical, enforceable rules. Her advice balances science with real-world feasibility, helping both regulators and facility managers protect health without unnecessary expense.  This conversation is more than a policy discussion — it's a blueprint for better public health protection through smart, focused water management. Whether you work in compliance, operations, or advocacy, Patsy's insights will equip you to engage in the legislative process with clarity and authority. Stay engaged, keep learning, and continue scaling up your knowledge!    Timestamps 01:52 - Trace opens with Legionella Awareness Month reflections and the importance of challenging industry assumptions   05:38 - Water You Know with James McDonald  07:13 - Upcoming Events for Water Treatment Professionals  09:47 - Introduction to guest Patsy Root, Senior Manager of Government Affairs at IDEXX Water and member of AWT's Legislative & Regulatory Committee.  17:31 - Global comparison of Legionella-related laws and guidelines  27:03 - Understanding Legionella species vs. L. pneumophila  44:42 - Legislative engagement tips for water professionals    Quotes  “The worst time to write a rule is when you're in the middle of a panic.”  “Finding Legionella species is not the same risk level as finding L. pneumophila — and the data prove it.”  “Keep the hot water hot, keep the cold water cold, keep the water moving, and keep a decent disinfectant.”  “Biology fascinates me — the fact that bacteria can signal each other to come join a good spot is both creepy and amazing.”  “When lawmakers understand how preventable this disease is, they can become champions for real change.”    Connect with Patsy Root Phone: 207-523-0835  Email: Patsy-root@IDEXX.COM   Website: https://www.idexx.com/en/water/    LinkedIn: https://www.linkedin.com/company/idexx-laboratories/    Guest Resources Mentioned   CDC Toolkit: Developing a Legionella Water Management Program  IDEXX Legiolert® Testing Method  IDEXX's Why test for Legionella pneumophila to prevent Legionnaires' disease?  Data and Case Study of Effective Legionella Regulations by Patsy Root   NASEM's Management of Legionella in Water Systems (2019)   MD 15161 – 2013 Control of Legionella in Mechanical Systems  Assessment of monitoring approaches to control Legionella pneumophila within a complex cooling tower system by Michele Prevost et al   The Legionella collagen-like protein employs a distinct binding mechanism for the recognition of host glycosaminoglycans by Garnett et al   The 5 bacterial indicators used by WHO were published in 2013 by Dufour et al   The 5 bacterial indicators used by WHO covered by KWR Publication starting on Page 54 – Section 7.4.4.  Canada Legionella bacteria control in federal buildings  Leveraging regulatory monitoring data for quantitative microbial risk assessment of Legionella pneumophila in cooling towers  NYC Data Catalog about Cooling Tower Registrations  NYC Health's Cooling Tower Registration and Maintenance    Scaling UP! H2O Resources Mentioned AWT (Association of Water Technologies)   AWT's Legislative/Regulatory Committee   Submit a Show Idea  The Rising Tide Mastermind  403 Navigating the New Frontier: Patsy Root on Legionella Legislation   Scaling UP! H2O's Legionella Resources Library  ASHRAE Standard-188-2021, Building Water Management Plans – Summary    Water You Know with James   Question: What is the mass balance around a cooling tower?    2025 Events for Water Professionals  Check out our Scaling UP! H2O Events Calendar where we've listed every event Water Treaters should be aware of by clicking HERE.   

City health officials report that the Legionnaires' outbreak is declining, but confirmed cases could still rise as more people seek treatment and earlier cases are verified. Meanwhile, the Brooklyn District Attorney's office hopes an Ohio man arrested for throwing a sex toy at a Liberty game can help them identify other people doing the same. Finally, the Trump administration appears to be targeting companies known to employ unauthorized workers to achieve its goals regarding immigration arrests.

Troops begin an incursion on Gaza's largest city, while the Israeli government approves a plan for new West Bank settlements. Erik and Lyle Menendez get their first parole hearings, more than 30 years after murdering their parents. And a Legionnaires' Disease outbreak in Harlem raises questions about construction oversight in urban communities.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

The All Local Afternoon Update for Thursday, August 21st 2025

A WNYC analysis of city data finds marshals are evicting tenants at a rate of 1500 apartments a month, that's the highest eviction rate since 2018. Another WNYC analysis found that seven of the ten buildings at the center of the Legionnaires' disease outbreak, some of which are run directly by the city, had no inspections over the past year. Finally, Muslims on Long Island which owns an existing mosque in Bethpage, sued under federal religious discrimination law, after the town blocked its plan to tear down two structures and build a larger mosque on the site. As a result of a settlement of long running land use and religious discrimination case, the town will fund nearly $4 million dollars towards the build.

A New York appeals court has thrown out President Trump's massive civil fraud penalty. Plus, New Jersey has stopped enrolling new families seeking child care vouchers. And finally, health department officials lost more than a third of their cooling tower inspectors in the three years leading up to the outbreak despite a significant boost in funding.

Elizabeth Kim, Gothamist and WNYC reporter, and Jeff Coltin, Politico reporter and co-author of the New York Playbook, talk about the latest news in the mayoral campaign, including Andrew Cuomo's comments regarding President Trump at a Hamptons fundraiser, the Adams administration's response to the Legionnaires' outbreak and more.

This is the All Local 4pm update for August 20, 2025

Two Harlem construction workers are suing contractors they blame for Legionnaires' outbreak. Plus, the National Weather Service says much of New York City, Long Island and New Jersey will be under a coastal flood watch beginning Thursday night, thanks to Hurricane Erin. Also, the MTA is leaving the Bronx behind in a key effort to speed up subway service. And finally, the parks department has used a city-owned Bronx lot as an unofficial garbage dump for decades, and locals say the smell is unbearable.

TWiM discusses outbreak of Legionnaires disease in Harlem NY, an automated whole genome sequencing platform for bacterial strain typing in clinical microbiology laboratories, building E. coli with a 57-codon genetic code. Become a patron of TWiM. Music used on TWiM is composed and performed by Ronald Jenkees and used with permission.

In his weekly clinical update, Dr. Griffin with Vincent Racaniello discusses Vijay Prasad's return to the FDA, revoking of COVID vaccine authorization for young children, the Legionnaires' outbreak in Harlem, the new labeling requirements for Ixchiq, the infectious attenuated Chikungunya vaccine and the importation of H5 influenza virus in Antarctica, before Dr. Griffin deep dives into recent statistics on RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, guidelines for treating COVID-19, whether or not the NB.1.8.1 should be included in the fall 2025 vaccines, where to find PEMGARDA, long COVID treatment center, where to go for answers to your long COVID questions, the association of “virus rebound” and post-acute sequelae among hospitalized patients, how virus infection particularly influenza and SARS-CoV-2 may ‘re-activate' dormant cancer cells and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Prasad returns to the FDA (Washington Post) Pfizer Covid vaccine for young children may not be renewed by FDA (The Guardian) Report suggests FDA may not reauthorize Pfizer COVID vaccine for young kids (CIDRAP) Factors Associated With Pediatric COVID-19 Mortality: A Pediatric Investigators Collaborative Network on Infections in Canada (PICNIC) Study (Journal of Pediatric Infectious Diseases Society) Legionnaires' Disease: In Harlem (NYC Health) Recommended Pause in Use of Ixchiq (Chikungunya Vaccine, Live) in Individuals 60 Years of Age and Older While Postmarketing Safety Reports are Investigated (FDA) FDA Removes Recommended Pause in Use and Approves Required Updated Labeling (FDA) Chikungunya Vaccines (CDC: Chikungunya virus) Chikungunya in China (CDC: Travelers' Health) Travelers' health notices (CDC: Travelers' Health) Areas at Risk for Chikungunya (CDC: Chikungunya virus) Adjuvanted recombinant zoster vaccine is effective against herpes zoster ophthalmicus, and is associated with lower risk of acute myocardial infarction and stroke in adults aged ≥50 years (CID) Tracking HPAIV H5 through a geographic survey of Antarctic seabird populations (Scientific Reports) Report details first suspected H5 avian flu detections in seabirds in Antarctica(CIDRAP) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Measles vaccine recommendations from NYP (jpg) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Get the FACTS about measles (NY State Department of Health) Measles (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Measles (CDC Measles (Rubeola)) 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) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) ENFLONSIA: novel drug approvals 2025 (FDA) RSV-Network (CDC Respiratory Syncytial virus Infection) 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) 2025 Clinical Practice Guideline Update by the Infectious Diseases Society of America on the Treatment and Management of COVID-19: Pemivibart for Pre-exposure Prophylaxis, Vilobelimab for Critical Illness, and Abatacept or Infliximab for Severe or Critical Illness (CID) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (bioRxiV) 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) Paxlovid (Pfizer) 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) 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 TWiV 1243: Capitalism, COVID and Cancer (MicrobeTV) Respiratory viral infections awaken metastatic breast cancer cells in lungs(Nature) Reaching out to US house representative Letters read on TWiV 1244 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.

Robach and Holmes cover the latest news headlines and entertainment updates and give perspective on current events in their daily “Morning Run.”See omnystudio.com/listener for privacy information.

Robach and Holmes cover the latest news headlines and entertainment updates and give perspective on current events in their daily “Morning Run.”See omnystudio.com/listener for privacy information.

Robach and Holmes cover the latest news headlines and entertainment updates and give perspective on current events in their daily “Morning Run.”See omnystudio.com/listener for privacy information.

In the summer of 1976, when 2,000 people came to Philadelphia for a national convention of the American Legion, a strange illness gripped hundreds of attendees, and more than 30 people died. Symptoms included cough, shortness of breath, and fever. Was it a virus, bacteria, some sort of toxin? A major investigation was launched by the CDC — and the gathering in Philadelphia became forever tied to one of the greatest medical mysteries of our time.   Almost 50 years later, reports of Legionnaires' Disease are in the news again. Reporter Elana Gordon tells the story of how scientists — with some serious shoe-leather detective work and a scientific breakthrough — tracked down the origin of this mysterious airborne illness. On this episode, we listen back to her reporting from 2016: Audio Time Capsule: The discovery of Legionnaires' disease.

Robach and Holmes cover the latest news headlines and entertainment updates and give perspective on current events in their daily “Morning Run.”See omnystudio.com/listener for privacy information.

A fourth person has died from Legionnaires' disease in Harlem... DHS and ICE offices evacuated after envelopes with white power found... 16-year-old girl shot in the head on the Lower East Side full 444 Fri, 15 Aug 2025 09:39:11 +0000 qWoMBg85XpngzcHL2Mmnt70NXBEKVID1 news 1010 WINS ALL LOCAL news A fourth person has died from Legionnaires' disease in Harlem... DHS and ICE offices evacuated after envelopes with white power found... 16-year-old girl shot in the head on the Lower East Side The podcast is hyper-focused on local news, issues and events in the New York City area. This podcast's purpose is to give New Yorkers New York news about their neighborhoods and shine a light on the issues happening in their backyard. 2024 © 2021 Audacy, Inc.

The All Local Afternoon Update for Friday, August 18th 2025

Caroline Lewis, health care reporter for WNYC and Gothamist, and Joe Hong, investigative data reporter for WNYC and Gothamist, talk about the ongoing Legionnaires' outbreak in Central Harlem, why New York is a hot spot for the disease, and why city inspections of cooling towers were at a low point ahead of the outbreak.

The Defense Secretary explains how he see federal officers operating in the nation's capital. CNN reports from the Ukrainian region where the US is entertaining Russia's land swap proposal. The DNC is exploring restricting “dark money” donations. Cases of Legionnaires' disease in New York City are rising. Plus, a century-old camera company is fighting to survive. Learn more about your ad choices. Visit podcastchoices.com/adchoices

This is the morning All Local update for August 12, 2025.

This is the noon All Local for August 12, 2025.

This week's episode is a whole buffet of wtf. From tariffs being as high as they were during the Great Depression, to Sweden's Prime Minister a using ChatGPT/AI like it's his chief of staff. We've got Legionnaires' disease lurking in NYC, Diddy claims they're feeding him maggot infested meals and is also begging Trump for a pardon (his lawyer confirmed it ). BET is shelving the Soul Train and Hip Hop Awards, and Instagram wants to show your exact location now? Yeah, this is a hot mess. Personal IG: @itswista Podcast IG: @WordsWithWista

In this episode, host Steven Newmark breaks down four critical public health stories making headlines: Senators Angus King and Elizabeth Warren introduce a resolution to defend the U.S. Preventive Services Task Force amid reports that RFK Jr. may fire its members. What’s really at stake if the Task Force is dismantled—and how evidence-based guidelines are already saving lives, from colon cancer screenings to heart health. A deadly outbreak of Legionnaires’ disease in Harlem has claimed two lives and sickened dozens. What you need to know if you live in the area. The alarming defunding of mRNA vaccine research. Science, policy, and prevention—all in one sharp, timely episode. Contact Our Host Steven Newmark, Chief of Policy at GHLF: snewmark@ghlf.org A podcast episode produced by Ben Blanc, Director, Digital Production and Engagement at GHLF. We want to hear what you think. Send your comments in the form of an email, video, or audio clip of yourself to podcasts@ghlf.org Listen to all episodes of The Health Advocates on our website (https://ghlf.org/the-health-advocates) or on your favorite podcast channel.See omnystudio.com/listener for privacy information.

In this unfiltered episode of the Opie Radio podcast, Opie and Ron the Waiter dive into a whirlwind of topics with their signature humor and candor. They unpack the Sydney Sweeney American Eagle ad controversy, debating its "great jeans/genes" wordplay—misinterpreted by some as a nod to eugenics or racial insensitivity, while others see it as a clever marketing ploy to spark buzz. The conversation shifts to a serious Legionnaires' disease outbreak in Harlem, tied to the city's iconic water towers, exposing concerns about aging infrastructure and water safety. They also tackle the unintended consequences of immigration policies, including a quiet Venezuelan Music Festival due to ICE raid fears, and the chaos caused by an AI tool named Elsie fabricating healthcare research. Political frustrations surface with critiques of Kamala Harris' campaign missteps, Trump's immigration tactics, and the economic impacts of tariffs. Woven throughout are personal anecdotes, from Opie's quirky lemon potato recipe to tales of overbearing mothers and mob encounters, delivering a lively mix of pop culture, serious issues, and laugh-out-loud moments.