Podcasts about Omicron

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    Best podcasts about Omicron

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    Latest podcast episodes about Omicron

    This Week in Virology
    TWiV 1220: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later May 24, 2025 54:19


    In his weekly clinical update, Dr. Griffin with Vincent Racaniello debate the changes in FDA vaccine approval policy especially how it is applied to COVID-19 vaccines and restricts vaccine availability/usage and Novavax's vaccine, mpox on surfaces and in the air, “bird flu”, the ongoing measles outbreak globally before Dr. Griffin reviews recent statistics on RSV, benefits of vaccination for infants, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, the high number of childhood deaths during this “flu” season, the May 22 VRBPAC COVID-19 vaccine meeting, where to find PEMGARDA, prolonged steroid and antibiotic therapies, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, cognitive impairment in long COVID 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 FDA to issue new vaccine approval guidance amid questions over coronavirus shots (Washington Post) FDA vaccine committee meeting(Reuters) Evidence-based approach to COVID-19 vaccination (NEJM) FDA CBER townhall: new COVID019 vaccination approval mechanism (YouTube) FDA poised to restrict access to COVID vaccines, our own Dr. Griffin is cited! (NY Times) Novavax approval letter (FDA) We giveth and taketh away: Novavax approved but restricted use (AP News) FDA approves Novavax COVID vaccine with stricter new conditions (NY Times) History behind public health falsehoods– vaccine and autism (NPR) Making vaccines less accessible-RFK Jr making MAHA! (PBS News Hour) Kenneday says DO NOT to take medical advice from him, the HHS secretary…hummmm (NY Times) Staying up to date with COVID-19 vaccines (CDC: COVID-19) How science lost America's trust and surrendered health policy to skeptics (WSJ) HHS stops recommendation of COVID-19 shots for children and pregnant women (Reuters) No more routine COVID-19 vaccines for children and pregnant women (WSJ) House to investigate Pfizer for allegedly delaying COVID-19 vaccines (Reuters) Statement on the antigen composition of COVID-19 vaccines (WHO) WHO advisers say current strains OK for COVID vaccine production (CIDRAP) We can't remain indifferent to suffering: Catholic Church now champions HPV vaccination (DailyNation) Air and surface sampling for mpox in UK (Eurosurveillance) Researchers report mpox DNA, live virus on surfaces and in air from patients' rooms(CIDRAP) USDA reported H5N1 bird flu detection in wild birds (CDC: Avian Influenza) USDA reported H5N1 in poultry (CDC: Avian Influenza) HPAI Confirmed Cases in Livestock(USDA Animal and Plant Health Inspections Service) H5 bird flu: current situation (CDC: Avian Influenza) Bird flu (CDC: Avian Influenza) Measles cases and outbreaks (CDC Rubeola) Measles and rubella weekly monitoring report: (Government of Canada) Measles vaccine recommendations from NYP (jpg)  Get the FACTS about measles (NY State Department of Health) Measles (CDC Measles (Rubeola) Measles vaccine (CDC Measles (Rubeola) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts(ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) 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) RSV-Network (CDC Respiratory Syncytial virus Infection) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Interim Clinical Considerations for Use of COVID-19 Vaccines in the United States (CDC: COVID-19) COVID-19 vaccine VRBPAC May 22 (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) 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) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids,dexamethasone at the right time (OFID) The clinical impact of prolonged steroid therapy in severe COVID-19 patients (BMC Pulmonary Medicine) Anticoagulation guidelines (hematology.org) Antibiotic Treatment in Patients Hospitalized for Nonsevere COVID-19 (JAMA Network Open) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Self-reported health, neuropsychological tests and biomarkers in fully recovered COVID-19 patients vs patients with post-COVID cognitivesymptoms (PLoS One) Vortioxetine for Cognitive Impairment in Major Depressive Disorder During Post-COVID Syndrome (Journal of Clincial Psychiatrist) Reaching out to US house representative Letters read on TWiV 1220 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 Week in Virology
    TWiV 1218: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later May 17, 2025 61:31


    In his weekly clinical update, Dr. Griffin with Vincent Racaniello wail about the attack on science within the US, cancellation of CDC's committee on infectious diseases, mpox in Sierra Leone, “bird flu” in cats, the ongoing measles outbreak globally, before Dr. Griffin reviews recent statistics on RSV, benefits of vaccination for infants, influenza and SARS-CoV-2 infections the WasterwaterScan dashboard, the high number of childhood deaths during this “flu” season, the May 22 VRBPAC COVID-19 vaccine meeting, where to find PEMGARDA, benefit of remedesivir, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, weight and distinct symptoms of long COVID 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 Shut down federal advisory committee on infection prevention…..Make America Healthy Again! (CIDRAP) Mpox in Sierra Leone (CIDRAP) H5 Bird Flu: Current Situation (CDC: Avian Influenza (Bird Flu) ) Spike in avian flu cases in cats : spillover into humans? (CIDRAP) Measles cases and outbreaks (CDC Rubeola) Measles 800 in Texas…. (Texas Health and Human Services) Measles outbreak in North Dakota prompts local health officials to quarantine unvaccinated schoolchildren (CNN) 2025 Measles outbreak guidance (New Mexico Health) Measles and rubella weekly monitoring report: (Government of Canada) The Mennonites in a Texas community where measles is spreading (AP News) Trust the government? Seriously! West Texans, Mennonites at center of measles outbreak choose medical freedom over vaccine mandates (AP News) Measles vaccine recommendations from NYP (jpg)  Deporting Measles! (AP News) 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 (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) Weekly surveillance report: clift notes (CDC FluView) Respiratory virus activity levels (CDC Respiratory Illnesses) CDC reports 216 child deaths this flu season (AP News) Weekly surveillance report: clift notes (CDC FluView) New York sees highest flu-related pediatric deaths ever recorded in a season (Times Union) Phase 3 Safety and Efficacy Study of Baloxavir Marboxil in Children Less Than 1 Year Old With Suspected or Confirmed Influenza (The Pediatric Infectious Disease Journal) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Interim Evaluation of Respiratory Syncytial Virus Hospitalization Rates Among Infants and Young Children After Introduction of Respiratory Syncytial Virus Prevention Products (CDC: MMWR) US infant mortality dropped in 2024: RSV vaccine? (AP News) Infant Mortality Dashboard (CDC: National Center for Health Statistics) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) Wastewater Measures of SARS-CoV-2 Accurately Predict Frequency of Symptomatic Infections in the Community (JID) Origin of SARS-CoV-2 The recency and geographical origins of the bat viruses ancestral to SARS-CoV and SARS-CoV-2 (Cell) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) COVID-19 infection history as a risk factor for early pregnancy loss (BMC Medicine) New recommendations seek treatments for post-Lyme disease condition (CIDRAP) Immunogenicity and Safety of Influenza and COVID-19 Multicomponent Vaccine in Adults ≥50 YearsA Randomized Clinical Trial (JAMA) Combo flu-COVID vaccine shows good immune response, safety in older adults (CIDRAP) US FDA advisers to discuss COVID-19 vaccine recommendations on May 22 (Reuters) Interim Clinical Considerations for Use of COVID-19 Vaccines in the United States (CDC: COVID-19) COVID-19 vaccine VRBPAC May 22 (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) 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) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids,dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Remdesivir associated with reduced mortality in hospitalized COVID-19 patients (BMC Infectious Diseases) Real-world evidence shows remdesivir tied to less death in hospitalized COVID patients (CIDRAP) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Excess weight is associated withneurological and neuropsychiatric symptoms in post-COVID-19 condition (PLoS One) Identification of soluble biomarkers that associate with distinct manifestations of long COVID (Nature Immunology) Reaching out to US house representative Letters read on TWiV 1218 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.

    Raise the Line
    Advocating for Black Nurses In An Anti-DEI Environment: Dr. Sheldon Fields, President of the National Black Nurses Association

    Raise the Line

    Play Episode Listen Later May 15, 2025 23:46


    On this episode of “Raise the Line” we welcome Dr. Sheldon Fields, a trailblazer in the nursing field and the president of the National Black Nurses Association. In a candid conversation, Dr. Fields shares his inspiring journey from the bedside to becoming a prominent figure in nursing, HIV/AIDS prevention and academia and also shares the challenges he faced as a Black man in a predominantly white and female field. "I fell in love with a profession that has not always loved me back," he tells host Kelsey Lafayette. Dr. Fields brings over thirty years of experience as an educator, researcher, clinician, administrator, consultant, health policy specialist, and entrepreneur to his current role at NBNA, and as the inaugural associate dean for equity and inclusion at the College of Nursing at Penn State University, where he also serves as a research professor. Listeners will find Dr. Fields' insights on navigating a career in healthcare particularly valuable, as he stresses the importance of resilience, continuing education, and mentorship. It's a compelling listen for anyone interested in the intersection of health, policy, and social justice.Mentioned in this episode:National Black Nurses Association If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast

    This Week in Virology
    TWiV 1216: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later May 10, 2025 49:58


    In his weekly clinical update, Dr. Griffin with Vincent Racaniello bemoan the attack on science within the US, salt water controls for vaccines, return to 1938 technology for flu vaccines, mRNA vaccines as “bioweapons”, rise in pertussis, benefits of the shingles vaccine and reduced dementia occurrence, and growing measles outbreak globally before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, the May 22 VRBPAC COVID-19 vaccine,  meeting, where to find PEMGARDA, return to antibiotic treatment for respiratory viral diseases, provides information for Columbia University Irving Medical Center's 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 Saline placebo control testing for new vaccines….not good chemistry! (Washington Post) 1940s innovation: HHS, NIH Launch Next-Generation Universal Vaccine Platform for Pandemic-Prone Viruses(US Department of Health and Human Services) WHAT! Minnesota Bill Against Vaccines Promotes Disinformation (Medscape Medical News) ) Guns= fine….mRNA =mRNA Bioweapons Prohibition Act; mRNA injections and products designated as weapons of mass destruction, and mRNA injections and products prohibited. (Minnesota Legislature) Bioweapons of massive destruction mNRA not bombs or drones….but mRNA! (Minnesota Legislature) 2024 Provisional pertussis surveillance report (CDC) Pertussis cases by year 1922-2023 (CDC: Whooping cough (pertussis)) Deaths by pertussis: 6 children under a year old (CDC) Pertussis (WHO) Symptoms of pertussis (CDC Whooping Cough (Pertussis) With whooping cough cases on the rise, a doctor explains how to protect yourself and others (CNN) Live zoster vaccination and cardiovascular outcomes (European Heath Journal) Shingles vaccine recipients see lower cardiac event risk (CIDRAP) H5 Bird Flu: Current Situation (CDC: Avian Influenza Bird flu) Measles cases and outbreaks (CDC Rubeola) Measles 800 in Texas…. (Texas Health and Human Services) 2025 Measles outbreak guidance (New Mexico Health) Measles and rubella weekly monitoring report: (Government of Canada) Measles vaccine recommendations from NYP (jpg)  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 (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) Weekly surveillance report: clift notes (CDC FluView) Respiratory virus activity levels (CDC Respiratory Illnesses) CDC reports 216 child deaths this flu season (AP News) 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) RSV-Network (CDC Respiratory Syncytial virus Infection) Impact of Nirsevimab on RSV and Non-RSV Severe Respiratory Infections in Hospitalized Infants (Influenza and other respiratory viruses) Hospital admissions of respiratory infections in infants plunge with nirsevimab RSV antibody(CIDRAP) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Early effectiveness of the BNT162b2 KP.2 vaccine against COVID-19 in the US Veterans Affairs Healthcare System (Nature Commications) Interim Clinical Considerations for Use of COVID-19 Vaccines in the United States (CDC: COVID-19) COVID-19 vaccine VRBPAC May 22 (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) Infectious Disease Society guidelines for treatment and management (ID Society) Time to antiviral treatment in mild–moderate COVID-19 in the emergency department(Internal and Emergency Medicine) Delays in COVID antiviral receipt raised risk of poor outcomes after ED visits by 18%, data suggest(CIDRAP) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Virus = Bacteria ? National Trends in Antibiotic Prescribing for Adults Hospitalized With Coronavirus Disease 2019 and Other Viral Respiratory Infections (OFID) Steroids, dexamethasone at the right time (OFD) 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 Short and long-term trajectories of the post COVID-19 condition (BMJ Infectious Diseases) Prevalence of Persistent Cardiovascular and Pulmonary Abnormalities on PET/MRI and DECT Imaging in Long COVID Patients (Journal of Nuclear Medicine) Long-COVID patients show signs of inflammation on PET/ MRI scans(CIDRAP) Reaching out to US house representative Letters read on TWiV 1216 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 Week in Virology
    TWiV 1214: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later May 3, 2025 48:41


    In his weekly clinical update, Dr. Griffin with Vincent Racaniello bewail the attack on science within the US and withdrawal from the global health communities, association between the shingles vaccine and reduced dementia occurrence, ending of Uganda's ebola outbreak, undermining effective responses to human bird flu infections, growing measles outbreak in the US and dire predictions of the return of vaccine preventable diseases including polio if vaccination rates continue to decline, before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections the WasterwaterScan dashboard, how HHS is undermining the Novavax COVID-19 vaccine, if Paxlovid reduces stroke, where to find PEMGARDA, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions 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 Lab animal RIFFing (NY Times) Herpes zoster vaccination and dementia occurrence(JAMA) The recombinant shingles vaccine is associated with lower risk of dementia (Nature Medicine) Uganda declares end to latest ebola outbreak (Reuters) Enhancing the response to avian influenza in the US and globally (LANCET: Regional Health-Americas) H5 Bird Flu: Current Situation (CDC: Avian Influenza Bird flu) Measles Update — United States, January 1–April 17, 2025 (CDC: MMWR) Measles in Europe……..but greater in the US (CIDRAP) Measles – Annual Epidemiological Report for 2024 (ECDC: European Center for Disease Prevention and Control) Measles (ECDC: European Center for Disease Prevention and Control) Measles cases and outbreaks (CDC Rubeola) Measles 800 in Texas…. (Texas Health and Human Services) 2025 Measles outbreak guidance (New Mexico Health) On the precipice of disaster': Measles may be endemic in 25 years if vaccine uptake stays low, model predicts (CIDRAP) Modeling Reemergence of Vaccine-Eliminated Infectious Diseases Under Declining Vaccination in the US (JAMA) Measles vaccine recommendations from NYP (jpg)  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 (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) Weekly surveillance report: clift notes (CDC FluView) Respiratory virus activity levels (CDC Respiratory Illnesses) 200 children die from flu (CIDRAP) 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) RSV-Network (CDC Respiratory Syncytial virus Infection) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Health secretary RFK Jr. declares certain vaccines have ‘never worked,' flummoxing scientists…..what certain vaccines?(STAT News) More FDA uncertainty roils full approval for Novavax COVID vaccine (CIDRAP) FDA Punts on Major Covid-19 Vaccine Decision After Ouster of Top Official (WSJ) U.S. health officials inject new uncertainty into approval process for Covid boosters (STAT News) Interim Clinical Considerations for Use of COVID-19 Vaccines in the United States (CDC: COVID-19) 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) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Into the Unknown: Practical Remdesivir Restriction in the Era of Widespread SARS-CoV-2 Seropositivity (CID) Tocilizumab and IVIG experience during the service follow-up in patients with severe COVID-19 pneumonia(Rev Insti MedTrop Sao Paulo) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Risk of New-Onset Type 2 Diabetes Among Vaccinated Adults After Omicron or Delta Variant SARS-CoV-2 Infection(JAMA) Reaching out to US house representative Letters read on TWiV 1214 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.

    UCA News Podcast
    UCA News Weekly Summary, May 2, 2025

    UCA News Podcast

    Play Episode Listen Later May 2, 2025 10:36


    Listen to news from and about the Church in Asia in a capsule of around 10 minutes.More than 50,000 Catholics were present for a requiem Mass for Pope Francis, the first pontiff to visit Timor-Leste since it declared independence in 1989. Listen to the story and more in a wrap-up of the weekly news from Asia.Filed by UCA News reporters, compiled by Fabian Antony, text edited by Anosh Malekar, presented by Joe Mathews, background score by Andre Louis and produced by Binu Alex for ucanews.com For news in and about the Church in Asia, visit www.ucanews.comTo contribute please visit www.ucanews.com/donateOn Twitter Follow Or Connect through DM at : twitter.com/ucanewsTo view Video features please visit https://www.youtube.com/@ucanews

    Raise the Line
    Equipping Today's Medical Students to Manage Uncertainty: Professor Katarzyna Taran, Medical University of Łódź

    Raise the Line

    Play Episode Listen Later May 1, 2025 31:57


    We're honored to continue our global tour of medical education today with Professor Katarzyna Taran, MD, PhD, a pioneering interdisciplinary researcher of tumor cell biology, an award winning educator noted for her focus on student engagement, and -- in a first for a Raise the Line guest -- a shooting sports certified coach and referee. As Professor Taran explains to host Michael Carrese, these seemingly disparate professional activities require the same underlying attributes: patience, the ability to overcome barriers, openness and adaptation. She believes those last qualities are especially important for today's medical students to acquire given the accelerated pace of change in healthcare. “They need to be equipped with the ability for critical thinking, to analyze and synthesize, and to search for unconventional solutions.” Professor Taran tries to impart these skills, in addition to the medical and scientific knowledge students must know, through a high level of engagement. “Teaching is relational, so try to be familiar with students' concerns. Talk to them, listen to them and you will become someone they trust.” In this wide-ranging and engaging conversation, Professor Taran also discusses her work as the head of the Laboratory of Isotopic Fractionation in Pathological Processes in Chair of Oncology, the use of neurodidactics in teaching, and the connection between the science of pathology and the future of humans in space. Mentioned in this episode:Medical University of Lodz If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast

    This Week in Virology
    TWiV 1212: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Apr 26, 2025 47:36


    In his weekly clinical update, Dr. Griffin with Vincent Racaniello deplore the US's withdrawal from the global health community for pandemic preparedness i.e. the universal avian flu vaccine, and undermining the use of routine childhood vaccinations for pertussis and measles, RFK's autism registry, yellow fever outbreak in Colombia and world immunization week after discussing the squirrel as the reservoir host for mpox, before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections the WasterwaterScan dashboard, how immunity elicited by the RSV vaccine wanes in 3 years, if Paxlovid reduces stroke, where to find PEMGARDA, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, if vaccination impacts long COVID and if long COVID were to become epidemic. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode The American Public's Disengagement With Highly Pathogenic Avian Influenza (HPAI): Considerations for Vaccination and Dietary Changes(American Public Health Association) New agreement geared toward universal avian flu vaccine (CIDRAP) Cambridge's DIOSynVax and Singapore's ACM Biolabs to advance pandemic-ready universal bird flu vaccine with international support (GlobeNewswire) Bird flu continues to spread among live poultry markets after shut down order  (CRAIN'S New York Business) Fire-footed rope squirrels (Funisciurus pyrropus) are a reservoir host of monkeypox virus (Orthopoxvirus monkeypox)(Research Square) It is a squirrel! An animal source of mpox emerges(Nature) Whooping cough spikes, especially among unvaccinated teens (NBC News) A February flu surge has arrived (NCB News) Pertussis Cases by Year (1922-2022)(CDC: Whooping cough (pertussis))) ‘Fighting to breathe': Whooping cough surges as vaccination rate falters (NBC News) CDC cancels measles help for Texas schools amid staff layoffs (HealthDay) Measles cases and outbreaks (CDC Rubeola) Measles in Texas…. (Texas Health and Human Services) Measles vaccine recommendations from NYP (jpg)  2025 Measles outbreak guidance (New Mexico Health) 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 (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) RFK Jr.'s autism registry plan (Axios) RFK Jr's autism study collecting Americans' private medical records (Guardian) The public's views on measles outbreaks and misinformation (KFF)  Colombia National Emergency: yellow fever cases (Gov.Co) World Immunization Week: polio eradiation?(GPEI) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) Respiratory virus activity levels (CDC Respiratory Illnesses) 200 children die from flu (CIDRAP) 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) RSV-Network (CDC Respiratory Syncytial virus Infection) Trial shows waning efficacy of RSV vaccine across 3 seasons in older adults(CIDRAP) Efficacy, safety, and immunogenicity of the AS01E-adjuvanted respiratory syncytial virus prefusion F protein vaccine (RSVPreF3 OA) (LANCET: Respiratory Medicine) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) 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) Long-term stroke and mortality risk reduction associated with acute-phase paxlovid use in mild-to-moderate COVID-19(Journal of Medical Virology) 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) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID The effect of COVID-19 vaccination on the risk of persistent post–COVID-19 condition (JID) ORCHESTRA Delphi consensus: diagnostic and therapeutic management of Post-COVID-19 condition in vulnerable populations (CMI Clinical Microbiology and Infection) Political ideology and trust in scientists in the USA(Nature Human Behavior) Leading long COVID researcher fears it could become a national epidemic (Spectrum News NY1) Center for post COVID care (Mt. Sinai) Reaching out to US house representative Letters read on TWiV 1212 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.

    @BEERISAC: CPS/ICS Security Podcast Playlist
    #101: Why Should You Talk About Incident Response? | Part 4

    @BEERISAC: CPS/ICS Security Podcast Playlist

    Play Episode Listen Later Apr 26, 2025 24:03


    Podcast: Energy TalksEpisode: #101: Why Should You Talk About Incident Response? | Part 4Pub date: 2025-04-24Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationLearn about containment, eradication and recovery in cybersecurity incident response Welcome to the fourth episode of our Energy Talks miniseries titled, Why Should You Talk About Incident Response? Join OMICRON cybersecurity consultant Simon Rommer as he explores the different process steps involved in cybersecurity incident response alongside other experts from the power industry. In this episode, Simon speaks with Stephan Mikiss, who is Head of Managed Security Services at SEC Consult and a SANS-certified forensics analyst based in Vienna, Austria. Simon and Stephan discuss the steps of containment, eradication and recovery in the incident response process and highlight the need for collaboration between IT and OT teams to effectively manage cybersecurity incidents. Simon and Stephan also explore the iterative nature of incident response, the unique challenges posed by OT environments, and the necessity of understanding both the business model and the attacker's motives to make informed decisions during a crisis. If you haven't already listened to Part 1, Part 2 and Part 3 of this miniseries, be sure to check them out: #85: Why Should You Talk About Incident Response? | Part 1 - OMICRON #95: Why Should You Talk About Incident Response? | Part 2 - OMICRON #97: Why Should You Talk About Incident Response? | Part 3 - OMICRON Learn more about OMICRON's approach to advanced cybersecurity in OT environments. We welcome your questions and feedback. Simply send us an email to podcast@omicronenergy.com. Please join us to listen to the next episode of Energy Talks.The podcast and artwork embedded on this page are from OMICRON electronics GmbH, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.

    UCA News Podcast
    UCA News Weekly Summary, April 25, 2025

    UCA News Podcast

    Play Episode Listen Later Apr 25, 2025 10:46


    Listen to news from and about the Church in Asia in a capsule of around 10 minutes.Catholic bishops have condemned the attack on tourists by militants in India's Kashmir that killed 26 people and injured 17 others. Listen to the story and more in a wrap-up of the weekly news from Asia.Filed by UCA News reporters, compiled by Fabian Antony, text edited by Anosh Malekar, presented by Joe Mathews, background score by Andre Louis and produced by Binu Alex for ucanews.com For news in and about the Church in Asia, visit www.ucanews.comTo contribute please visit www.ucanews.com/donateOn Twitter Follow Or Connect through DM at : twitter.com/ucanewsTo view Video features please visit https://www.youtube.com/@ucanews

    Energy Talks
    #101: Why Should You Talk About Incident Response? | Part 4

    Energy Talks

    Play Episode Listen Later Apr 24, 2025 24:03


    Welcome to the fourth episode of our Energy Talks miniseries titled, Why Should You Talk About Incident Response? OMICRON cybersecurity consultant Simon Rommer speaks with Stephan Mikiss, who is Head of Managed Security Services at SEC Consult and a SANS-certified forensics analyst. Together they discuss the steps of containment, eradication and recovery in the incident response process.

    This Week in Virology
    TWiV 1210: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Apr 19, 2025 47:12


    In his weekly clinical update, Dr. Griffin with Vincent Racaniello rue about the continuation of the gutting of the American public health infrastructure, the continuing measles outbreak, an unreported outbreak of deadly E.coli human infections, meningococcal disease before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, ACIP recommended changes in guidelines for the RSV and COVID-19 vaccines, reactogenicity differences between Novavax and Pfizer COVID-19 vaccines, where to find PEMGARDA, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, long COVID interventions, effects of long COVID in children and adolescents and a list of ongoing clinical trials for long COVID treatment. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Making America Healthy Again-purging of administrators at HHS (Politico) Making America Healthy Again-purging of data (Politico) Deep cuts of the federal government (NY Times) Cutting NIH, CDC and HHS promotes chronic disease research(Washington Post) Political ideology and trust in scientists in the USA(Nature Human Behavior) US political conservatives have deep, unbudging suspicion of science, survey suggests(CIDRAP) A deadly E. coli outbreak hit 15 states, but the FDA chose not to publicize it(NBC News) Invasive meningococcal disease – Kingdom of Saudi Arabia(WHO) The essential guide to understanding the differences between hajj and umrah (Marhabahaji) Measles Vaccination: Know the Facts(ISDA: Infectious Diseases Society of America) Measles booster? (Washington Post) How to stop an outbreak…….fire the experts (Washington Post) Measles cases and outbreaks (CDC Rubeola) Measles 159 in Texas…. (Texas Health and Human Services) 2025 Measles outbreak guidance (New Mexico Health) Measles and rubella weekly monitoring (Government of Canada) Measles vaccine recommendations from NYP (jpg) NAFMA: North American Free Measles agreement…..(NY Times) 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)) Doctors' talk measles (YouTube) 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) Weekly surveillance report: clift notes (CDC FluView) Respiratory virus activity levels (CDC Respiratory Illnesses) 200 children die from flu (CIDRAP) 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) RSV-Network (CDC Respiratory Syncytial virus Infection) ACIP votes to expand recommendation for Pfizer'sRSV vaccine Abrysvo® to include adults aged 50 to 59 at increased risk of disease (Pfizer) Respiratory syncytial virus and incidence of cardiovascular events: a nationwide self-controlled case series analysis (JACC Journals) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Comorbidities associated with different degrees of severity in children and young people hospitalized with acute COVID-19 (Pediatric Infectious Disease Journal) SHIELD-Utah study shows Novavax's COVID-19 vaccine induces lower reactogenicity symptoms compared to mRNA (Novavax) Interim clinical considerations for use of COVID-19 vaccines in the United States (CDC Vaccines & Immunizations) Novavax says its COVID vaccine produces fewer, milder reactions than Pfizer version(CIDRAP) US CDC advisers discuss narrower use of COVID-19 vaccines (Reuters) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Infectious Disease Society guidelines for treatment and management (ID Society) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Kidney Function following COVID-19 in children and adolescents(JAMA Network Open) Cardiovascular post-acute sequelae of SARS-CoV-2 in children and adolescents: cohort study using electronic health records(Nature Communications) Great barrington declaration (gbdeclaration.org) Clinical trials: Effectiveness of transcranial direct current in patients with persistent COVID-19 with headaches and chronic pain. Home-based Brain Stimulation Treatment for Post-acute Sequelae of COVID-19 (PASC) Acupuncture for post COVID-19 Condition (Long COVID) neuropsychiatric symptoms Pain relief with integrative medicine (prime)?: feasibility of acupuncture for long COVID Electro-acupuncture for long COVID neuropsychiatric symptoms Randomised study to investigate the effectiveness of acupuncture for the relief of long COIVD-19 related fatigue (ACU-COVID) Vagus stimulation in female long COVID patients.(Vagus) Stellate ganglion block with lidocaine for the treatment of COVID-19-induced parosmia (Stella) Therapeutic updates on long COVID: Where things stand 5 years later (ID Society) Reaching out to US house representative Letters read on TWiV 1210 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.

    UCA News Podcast
    UCA News Weekly Summary, April 18, 2025

    UCA News Podcast

    Play Episode Listen Later Apr 18, 2025 10:35


    Listen to news from and about the Church in Asia in a capsule of around 10 minutes.Malaysian police are probing an incident involving some university students carrying a cross while dressed in robes similar to those worn by the Ku Klux Klan. Listen to the story and more in a wrap-up of the weekly news from Asia.Filed by UCA News reporters, compiled by Fabian Antony, text edited by Anosh Malekar, presented by Joe Mathews, background score by Andre Louis and produced by Binu Alex for ucanews.com For news in and about the Church in Asia, visit www.ucanews.comTo contribute please visit www.ucanews.com/donateOn Twitter Follow Or Connect through DM at : twitter.com/ucanewsTo view Video features please visit https://www.youtube.com/@ucanews

    Raise the Line
    Using Technology to Build a Global Community of Medical Students: Alfred Collins, Community Specialist at Osmosis from Elsevier

    Raise the Line

    Play Episode Listen Later Apr 17, 2025 39:12


    We like to think of Osmosis from Elsevier as a global community of millions of learners, connected by a desire to serve humanity and an inclination to use a diverse mix of educational resources to help them become excellent healthcare practitioners. On today's episode of Raise the Line, we're going to learn how Osmosis has created an opportunity for hundreds of those students from sixty countries to actually solidify those connections through the Osmosis Health Leadership Initiative (OHLI). Our guide to this effort is Osmosis Community Specialist Alfred Collins, who brings a keen interest in developing tech solutions to power the future of human communication to his work with OHLI.“Technology collapses barriers to communication and to understanding the nuances behind culture, behind global perspectives,” he tells host Lindsey Smith. One example he cites is how OHLI members learn about variations in the way different cultures approach collaboration, an important insight to gain as they head into team-based healthcare environments. OHLI members convene regularly over video sessions to hear from leaders in healthcare and learn about hosting successful on-campus events, among other enriching content.  They also have an opportunity to provide feedback on improving the Osmosis learning platform, and this year they're participating in a “hackathon” aimed at improving the future of healthcare. Tune in to find out more about what the OHLI program offers, how to apply, and how Alfred thinks virtual reality and AI technologies will impact the future of community building. Mentioned in this episode:Osmosis Health Leadership Initiative If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast

    The Gambit
    The Gambit Episode 268: Omicron Discount wow

    The Gambit

    Play Episode Listen Later Apr 15, 2025 76:40


    Xaereth and SoloBass15 record Gambit Podcast's 268th episode. Let's talk about the stuff! So much stuff to discuss. Too much, probably. Podcast questions answered. So much madness. Madness!! Here are some links to help you on your way: The Gambit Discord Server Xaereth's Twitch Channel Solobass15's Twitch Channel Gambit Twitch Channel Xaereth's YouTube Channel Solobass15's YouTube Channel Gambit YouTube Channel

    Global Health Matters
    Trailblazers with Garry: a conversation with Tulio de Oliveira

    Global Health Matters

    Play Episode Listen Later Apr 15, 2025 22:02


    GHM Listener Reactions - Share your thoughts about this episode? [These text messages use your mobile phone and are private, and FREE.]"Trailblazers with Garry" is a new series from Global Health Matters, where host Garry Aslanyan sits down with trailblazers — thinkers, leaders, and influencers shaping the future of global health — for short face-to-face conversations, available in both audio and video formats. It's a chance to get to know the people behind the work and hear their perspectives on the current global health landscape.Our first trailblazer is Tulio de Oliviera, Director of the Centre for Epidemic Response and Innovation at Stellenbosch University in South Africa. Tulio was recognized by Time magazine in 2024 as one of the 100 most influential people in global health. He led the research group that confirmed the Beta and Omicron variants of COVID-19 and led the early trials in testing COVID-19 vaccine efficacy in South Africa. Garry sat down with Tulio in his lab to hear about his experience behind the discoveries and also to discuss the progress made in pandemic preparedness.Related episode documents, transcripts and other information can be found on our website.Subscribe to the Global Health Matters podcast newsletter.  Follow us for updates:@TDRnews on XTDR on LinkedIn@ghm_podcast on Instagram@ghm-podcast.bsky.social on Bluesky for updates Disclaimer: The views, information, or opinions expressed during the Global Health Matters podcast series are solely those of the individuals involved and do not necessarily represent those of TDR or the World Health Organization.  All content © 2025 Global Health Matters.  Pre-roll content;We're in the full swing of our season four. If you just found us, we have close to 40 episodes for you to explore. You don't need to listen to them in sequence. You can look them up and choose a la carte topics and issues that most interest you. I promise you will want to hear them all.

    This Week in Virology
    TWiV 1208: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Apr 12, 2025 49:55


    In his weekly clinical update, Dr. Griffin with Vincent Racaniello mourn the demise of vaccination against childhood diseases when discussing the continuing measles outbreak and the rise of pertussis, the first human case of H5N1 in Mexico, and human metapneumovirus before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections and vaccination schedules, the WasterwaterScan dashboard, where to find PEMGARDA, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, long COVID interventions, if antiviral therapy prevents long COVID and how long COVID may affect brain volume. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode A natural experiment on the effect of herpes zoster vaccination on dementia (Nature) Taking a shot at dementia (microbeTV: TWiV) RFK Jr. visits Texas after second child dies of measles amid outbreak (Washington Post) Kennedy Attends Funeral of Texas Girl Who Died of Measles(NY Times) ‘Most effective way' to prevent measles is vaccination, RFK Jr. says, in most direct remarks yet (STAT News) Fort Bliss…..Fort measles: Beaumont Army hospital confirms measles case at Fort Bliss(KTSM News) Measles cases and outbreaks (CDC Rubeola) Measles 159 in Texas…. (Texas Health and Human Services) Measles vaccine recommendations from NYP (jpg) 2025 Measles outbreak guidance (New Mexico Health) 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)) Doctors' talk measles (YouTube) 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) Two infants die of whooping cough in Louisiana (CNN) Clinical features of pertussis (CDC: Whooping cough Pertussis) Pertussis vaccination recommendations (CDC: Whooping cough Pertussis) Diphtheria vaccination (CDC: Diphtheria) Mexico's first human case of H5N1 (Reuters) Human metapneumovirus seasonality and co-circulation with respiratory syncytial virus — United States, 2014–2024 (CDC: MMWR) Influenza: Wastewater scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) Respiratory virus activity levels (CDC Respiratory Illnesses) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Human source SARS-CoV-2 aerosol transmission to remote sentinel hamsters (OFID) Interim clinical considerations for use of COVID-19 vaccines in the United States (CDC Vaccines & Immunizations) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Infectious Disease Society guidelines for treatment and management (ID Society) Cost-effectiveness analysis of nirmatrelvir/ritonavir for high-risk individuals with COVID-19….does this mean use the big button calculator? (OFID) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Nirmatrelvir–ritonavir versus placebo–ritonavir in individuals with long COVID in the USA (PAX LC): (LANCET: Infectious Diseases) Quantitative brain volume differences between COVID-19 patients and non-COVID-19 volunteers (NeuroImage) Donepezil for fatigue and psychological symptoms in post–covid-19 condition (JAMA Network Open) Letters read on TWiV 1208 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.

    Long Covid Podcast
    171 - Light Switch Recovery: Aaron's Story of When Reinfection Leads to Healing

    Long Covid Podcast

    Play Episode Listen Later Apr 9, 2025 50:53 Transcription Available


    Aaron West shares his remarkable two-and-a-half-year journey with Long COVID and his unexpected path to recovery. From being a highly athletic cyclist who once rode across South Carolina in a single day to becoming bedbound with debilitating symptoms, his story demonstrates that recovery is possible—sometimes in the most unexpected ways.• Previously an avid athlete who competed in triathlons and rode 237 miles across South Carolina in one day• Contracted COVID in Fall 2021 during the Delta wave• Developed severe symptoms including persistent cough (500-1,000 times daily), neurological issues, and "electromagnetic pulse" sensations• Forced to go on disability due to inability to work while coughing• Found some relief through antihistamines (Zyrtec, Pepcid) and beta blockers• Practiced pacing using "spoon theory" and heart rate monitoring to manage symptoms• Experienced a "light switch" recovery after contracting Omicron variant in January 2024• Post-recovery, rediscovered creative abilities and is now writing a book and running a business• Emphasizes the importance of community support during illness and recovery• Doctor described him as someone who came back after being "far gone"For those still suffering with Long COVID—there is hope. While everyone's recovery journey is different, healing is possible, and sometimes it comes in unexpected ways.Links:Aaron's website: https://www.cinejourneys.comFollow Aaron on Bluesky: https://bsky.app/profile/awest505.bsky.socialMessage the podcast! - questions will be answered on my youtube channel :) For more information about Long Covid Breathing courses & workshops, please check out LongCovidBreathing.com (music credit - Brock Hewitt, Rule of Life) Support the show~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~The Long Covid Podcast is self-produced & self funded. If you enjoy what you hear and are able to, please Buy me a coffee or purchase a mug to help cover costsTranscripts available on individual episodes herePodcast, website & blog: www.LongCovidPodcast.comFacebook @LongCovidPodcastInstagram Twitter @LongCovidPodFacebook Creativity GroupSubscribe to mailing listPlease get in touch with feedback, suggestions or how you're doing - I love to hear from you, via socials or LongCovidPodcast@gmail.com**Disclaimer - you should not rely on any medical information contained in this Podcast and related materials in making medical, health-related or other decisions. Please consult a doctor or other health professional**

    This Week in Virology
    TWiV 1206: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Apr 5, 2025 49:56


    In his weekly clinical update, Dr. Griffin and Vincent Racaniello lament about the continuing measles outbreak, whether or not the measles outbreak was predicted, the FACTS about vaccination, high pathogenic influenza, H5N1 contaminated raw pet food, children's deaths, before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections and vaccination schedules and the efficacy of Moderna's seasonal mRNA vaccine, societal burden of COVID-19 and influenza, the FDA missed deadline for approving Novovax COVID vaccine, the WasterwaterScan dashboard, where to find PEMGARDA, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, long COVID interventions, and Canada's long COVID dashboard. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode CDC buried a measles forecast that stressed the need for vaccinations….TRANSPARENCY? (Politico) Measles cases and outbreaks (CDC Rubeola) Measles 159 in Texas…. (Texas Health and Human Services) 2025 Measles outbreak guidance (New Mexico Health) Measles and rubella weekly monitoring report (Government of Canada) Enhanced epidemiological summary Measles in Ontario (Public Health Ontario) Measles and rubella weekly monitoring report (Government of Canada) Enhanced epidemiological summary Measles in Ontario (Public Health Ontario) Measles exposures in Ontario (Public Health Ontario) Measles vaccine recommendations from NYP (jpg) 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)) Raw cat food tests positive for H5N1 (CIDRAP) Influenza: Waste water scan for 11 pathogens WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) Respiratory virus activity levels (CDC Respiratory Illnesses) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Early impact of RSV vaccination in older adults in England (Lancet) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Evaluating the effectiveness of 2024-2025 seasonal mRNA-1273 vaccination against covid-19-associated hospitalizations and medically attended covid-19 among adults aged ≥ 18 years in the united states(medRxiv) Current Moderna vaccine 53% effective against COVID hospitalization?(CIDRAP) Preliminary estimates of COVID-19 burden for 2024-2025 (CDC COVID-19) Estimated range of annual burden of flu in the US from 2010 – 2024 (CDC-flu burden) US FDA missed the deadline for decision on Novavax's COVID-19 vaccine (Reuters) Interim clinical considerations for use of COVID-19 vaccines in the United States (CDC Vaccines & Immunizations) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Metformin alleviates inflammatory response and severity rate of COVID-19 infection in elderly individuals(Scientific Reports) Drug interaction checker (University of Liverpool) Infectious Disease Society guidelines for treatment and management (ID Society) Cost-effectiveness analysis of nirmatrelvir/ritonavir for high-risk individuals with COVID-19….does this mean use the big button calculator? (OFID) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Reinfection with SARS-CoV-2 in the omicron era is associated with increased risk of post-acute sequelae of SARS-CoV-2  infection: a recover-EHR cohort study(medRxiv) CAN-PCC RecMap, your one-stop shop for recommendations about Post COVID-19 Condition (Long COVID) (Canadian Guidelines for post COVID-19 condition) Letters read on TWiV 1206 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.

    Raise the Line
    Aligning Education Technology With How Students Live and Learn: David Game, SVP of Product Management, Global Medical Education at Elsevier

    Raise the Line

    Play Episode Listen Later Apr 3, 2025 28:37


    David Game remembers the days when the use of digital technology in education publishing amounted to putting a dictionary on a compact disc. Now, as the senior vice president of Product Management, Global Medical Education at Elsevier, he oversees a suite of learning materials that use artificial intelligence, virtual reality and 3-D modeling. “We've expanded into immersive technology with Apple Vision Pro that enables you to be inside the human body, to see and explore the human heart from the inside out and it is absolutely stunning,” says Game, whose long career in publishing includes experience in North America, the United Kingdom, Europe, China and India. As Game has witnessed first-hand, advancements in ed tech, including distance learning, have provided students with an array of options and modalities to choose from that accommodate different learning styles and life circumstances, and that puts a premium on being able to meet students where they are. “We want to make sure that students find learning from our materials engaging, efficient, and aligned with how they live their lives and do their work.” Join host Lindsey Smith for this fascinating episode of Raise the Line to learn how Elsevier is leveraging the innovations offered by Osmosis, Complete Anatomy and ClinicalKey Student to enrich the learning of medical students on their journey to becoming excellent clinicians.Mentioned in this Episode:Complete AnatomyClinicalKey StudentOsmosis If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast

    This Week in Virology
    TWiV 1204: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Mar 29, 2025 51:07


    In his weekly clinical update, Dr. Griffin with Vincent Racaniello rue about the continuing measles outbreak, the FACTS about vaccination, irresponsibility of promoting vitamin A therapy “lifelong liver damage or vaccinaton!”, high pathogenic influenza and egg importation before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections and vaccination schedules and if vaccination affects long COVID, the WasterwaterScan dashboard, where to find PEMGARDA, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, long COVID interventions, how to track long symptoms using a wearable device and how these data will never be used with the closing of governmental long COVID programs and offices. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Measles cases and outbreaks (CDC Rubeola) Measles 159 in Texas…. (Texas Health and Human Services) 2025 Measles outbreak guidance (New Mexico Health) 10 in Ohio and 23 in Kansas…..oh my! (US News) Measles data (Kansas: Department of Health and Enivornment) Health director urges parents to ensure children are vaccinated against measles (Ohio: Department of Health) Get the FACTS about measles (NY State Department of Health) New York Governor Kathy Hochul sounds alarm for measles vaccine amid 4 confirmed cases (abc News) Get the FACTS about measles (NY State Department of Health) Long-term dynamics of measles virus–specific neutralizing antibodies in children vaccinated before 12 months of age (CID) Measles vaccine (CDC Measles (Rubeola)) Clinical Overview of Measles (CDC Rubeola) Red Book: 2024–2027 Report of the Committee on Infectious Diseases (33rd Edition)(Redbook) Vitamin A in Children Hospitalized for Measles in a High-income Country (Pediatric Infectious Disease Journal) No vaccination necessary…….instead take vitamin A and develop liver damage….(NY Times) Measles vaccine recommendations from NYP (jpg) Measles (CDC Measles (Rubeola)) Measles vaccine (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Measles (CDC Measles (Rubeola)) Influenza of avian origin confirmed in a sheep in Yorkshire (UK government) UK reports H5N1 in a sheep on poultry-outbreak farm(CIDRAP) Don't send money….send EGGS! (Reuters) Are your eggs domestic or Brazilian? (Reuters) USDA to invest 100M in bird flu projects…..(Reuters) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Flu in US continues to decline but still packs a punch (CIDRAP) Weekly surveillance report: clift notes (CDC FluView) Respiratory virus activity levels (CDC Respiratory Illnesses) FDA-CDC-DOD: 2025-2026 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Weekly US influenza surveillance report (CDC FluView) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Lower levels of household transmission of sars-cov-2 omicron variant of concern vs wild type: an interplay between transmissibility and immune status (JID) Does COVID-19 vaccination reduce the risk and duration of post COVID-19 condition?(European Centre for Disease Prevention and Control) COVID-19 vaccination reduces risk of ‘long COVID' in adults (European Centre for Disease Prevention and Control) Vaccination cuts the risk of long COVID 27%, review suggests (CIDRAP) Interim clinical considerations for use of covid-19 vaccines in the United States (CDC: Vaccines and immunizations) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Infectious Disease Society guidelines for treatment and management (ID Society) The effect of nirmatrelvir-ritonavir on short- and long-term adverse outcomes from covid-19 among patients with kidney disease (ofid) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Effect of pulmonary rehabilitation for patients with long COVID-19(Therapeutic Advances in Respiratory Disease) Wearable data reveals distinct characteristics of individuals with persistent symptoms after a SARS-CoV-2 infection(npj digital medicine) Long Covid office ‘will be closing,' Trump administration announces(Politico) Commencing the reduction of the federal bureaucracy(White House) Musk said no one has died since aid was cut. That isn't true.(NY Times) Letters read on TWiV 1204 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.

    This Week in Virology
    TWiV 1202: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Mar 22, 2025 37:32


    In his weekly clinical update, Dr. Griffin and Vincent Racaniello rue about the unknowns of Sudan disease and new cases of paralytic polio, discuss the growing measles outbreak, exposure of newborns to measles, the FACTS about vaccination, high pathogenic influenza in dairy cows and cats, RFK's statement “just let the virus rip through the hens” before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, what happens when antiviral therapy is delayed, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, long COVID interventions and the relationship between EBV and long COVID. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode New cases of poliomyelitis  (GPEI) Polio in Africa (CIDRAP) Program for Monitoring Emerging Diseases (PROMED) ProMED Subscriptions (PROMED) Measles infected baby and exposes 12 (NY Post) Measles 159 in Texas…. (Texas Health and Human Services) 2025 Measles outbreak guidance (New Mexico Health) Get the FACTS about measles (NY State Department of Health) Revising US MMR vaccine recommendations amid changing domestic risks (JAMA Network) Long-term dynamics of measles virus–specific neutralizing antibodies in children vaccinated before 12 months of age (CID) Newborns exposed to measles in Texas hospital (NBC News) Newborns exposed in West Texas measles outbreak (CIDRAP) 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)) Increase in global and domestic measles cases and outbreaks: (CDC:) The impact of influenza A H5N1 virus infection in dairy cows (Nature: Research Gate) Payment of indemnity and compensation for highly pathogenic avian Influenza (Federal Register) FDA or USDA: Kennedy's alarming prescription for bird flu on poultry farms(NY Times) Some of NYC's 500K stray cats could be infected with bird flu(NY Post) Two NYC cats dead from avian flu, including 8-month-old kitten:(NY Post) H7N9 avian flu strikes Mississippi broiler farm(CIDRAP) Highly pathogenic avian influenza diagnosed in Mississippi poultry flock (Mississippi Board of Animal Health) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) The burden of all-cause mortality following influenza-associated hospitalizations (CID) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) FDA announces flu strain picks for next season(CIDRAP) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Weekly US influenza surveillance report (CDC FluView) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) COVID-19 antiviral medication use among pregnant and recently pregnant US outpatients (CID) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Infectious Disease Society guidelines for treatment and management (ID Society) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids,dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID TGFβ links EBV to multisystem inflammatory syndrome in children(Nature) Letters read on TWiV 1202 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.

    Raise the Line
    Helping All Medical Providers Understand Genomic Testing: Dr. Ethylin Wang Jabs, Mayo Clinic and Dr. Antonie Kline, Harvey Institute for Human Genetics

    Raise the Line

    Play Episode Listen Later Mar 20, 2025 16:06


    An interesting new study from the Geisinger health system in Pennsylvania examining if genomic screening in a large population increases the identification of disease risk prompted Raise the Line to re-release a previous episode about a textbook designed to help all medical providers understand the clinical applications of genomic testing. Genomics in the Clinic: A Practical Guide to Genetic Testing, Evaluation, and Counseling from Elsevier Science Direct dives into the use of this important tool in diagnosis and screening, indicating how individuals may respond to drug therapies, and more. “We really need to educate all healthcare providers about the practice of genetics because they're going to be involved directly or indirectly in genetic testing and conveying information about what the results mean to patients and their families,” explains co-author Dr. Ethylin Wang Jabs, enterprise chair of the Department of Clinical Genomics for Mayo Clinic. Jabs and her co-author, Dr. Antonie Kline, director of Clinical Genetics at the Harvey Institute for Human Genetics at Greater Baltimore Medical Center, chose a format that makes heavy use of case studies to help readers get a better grasp on this complicated field and they also include chapters on direct-to-consumer testing and the ethical and social implications in genomic medicine. “Any kind of potentially predictive testing can have ethical issues related to it, including insurance coverage, testing for family members, protections for minors, and more,” says Dr. Kline. Join host Caleb Furnas for an illuminating episode on an area of discussion in medicine that's growing in importance as the use of genetic testing rapidly increases. Mentioned in this episode: Genomics in the Clinic: A Practical Guide If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast

    This Week in Virology
    TWiV 1200: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Mar 15, 2025 59:00


    In his weekly clinical update, Dr. Griffin and Vincent Racaniello bemoan the continued outbreak of Sudan virus and growing number of paralytic polio cases before discussing growing measles outbreak in the US and Europe, the vaccine, an interview with a parent whose child died of measles infection, adverse effects of vaccination and how parents do not think they have accurate information about “bird flu” before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, what happens when antiviral therapy is delayed, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, long COVID interventions and the benefits of antiviral therapies on post acute SARS-Cov-2 infection sequelae. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Sudan virus disease(WHO) New cases of poliomyelitis  (GPEI) Measles 159 in Texas…. (Texas Health and Human Services) 2025 Measles outbreak guidance (New Mexico Health) First cases of measles in Oklahoma (Oklahoma) Measles case on Long Island (CBS News) Public health confirms measles case in Los Angeles County (County of Los Angeles Public Health) Measles exposure (Department of public health: City of Philadelphia) Where US measles outbreaks are spreading (New York Times) Statement from the chief public health officer of Canada on the increase in measles cases and the risk to people in Canada(Health Canada) Measles and rubella monthly report (ecdc) Measles on the rise again in Europe (EurekAlert) Measles: symptoms, spread & SSPE | Doctors Talk | Children's Hospital of Philadelphia (YouTube) Measles (CDC Measles (Rubeola)) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM: NCBI) Measles vaccination: know the facts? (Infectious Diseases Society of America) Deaths following vaccination: What does the evidence show? (Vaccine) Facts and myths about measles (LANCET: Infectious Diseases) His daughter was America's first measles death in a decade (The Atlantic) Less than half of parents think they have accurate information about bird flu (EurekAlert) Many US parents feeluninformed about avian flu risks (CIDRAP) Trends in respiratory pathogen testing at us children's hospital(JAMA Network) Changes in respiratory viral testing before and after the covid-19 pandemic(JAMA Network) Free COVID-19 test program stops taking orders (Health day) Human cases of highly pathogenic avian influenza a(h5n1) — California, September–December 2024 (CDC MMWR) Letters read on TWiV 1198 37:56 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 Week in Virology
    TWiV 1198: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Mar 8, 2025 43:04


    In his weekly clinical update, Dr. Griffin with Vincent Racaniello deliberate the effect of the absence of US foreign aid on the Ebola outbreak in Uganda and death of two children, continued use of nOPV2 in Gaza and the utter failure of type 2 poliovirus removal from the oral poliovirus vaccine, growing measles outbreak in the US including the death of a second child, measles infection parties, the use of fat soluble vitamin A and fish liver oil as anti-viral therapies as well as the history and proven safety of the measles vaccine before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, what happens when antiviral therapy is delayed, provides information for Columbia University Irving Medical Center's long COVID treatment center, and where to go for answers to your long COVID questions, long COVID interventions. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode African region: outbreaks and other emergencies(WHO Bitstream) US withdrawal……death of 4 year old children from Ebola (CIDRAP) Science and health writer Apoorva Mandavilli (NY Times) US foreign aid pullback……death of 4 year old in Uganda (NY Times) Another Ebola death reported in Kampala (Monitor) African region: outbreaks and other emergencies(WHO Bitstream) More than 600,000 doses of nOPV2 in Gaza last week  (GPEI) Utter failure of the global withdrawal of the Sabin oral poliovirus type 2 vaccine 2016 (Science) Measles 159 in Texas…. (Texas Health and Human Services) Second child dies in the growing measles outbreak (Washington Post) 2025 Measles outbreak guidance (New Mexico Health) Lea county resident tests positive for measles after death (New Mexico Health) Robert F Kennedy Jr article series (The Guardian) Kennedy Jr backtracks and says US measles outbreak is now a ‘top priority' for health department (The Guardian) RFK Jr. Says Ending Measles Outbreak Is Priority (Wall Street Journal) RFK Jr. Sparks Anti-Vaxxer Anger: ‘No Different Than Fauci' (Newsweek) Amid West Texas measles outbreak, vaccine resistance hardens (Washington Post) How to protect your children during a measles outbreak (healthychildren.org) Measles vaccination protects against virus infection and other infections (Science) MEASLES (WHO) C.D.C. Sends ‘Disease Detectives' to Texas for Measles Outbreak(NY Times) Studies on an attenuated measles-virus vaccine — clinical, virologic and immunologic fffects of vaccine in institutionalized children(NEJM) Studies on an attenuated measles-virus vaccine — clinical and antigenic effects of vaccine in institutionalized children (NEJM) Studies on an attenuated measles-virus vaccine — administration of vaccine by several routes (NEJM) Studies on an attenuated measles-virus vaccine — clinical, antigenic and prophylactic effects of vaccine in institutionalized and home-dwelling children(NEJM) Studies on an attenuated measles-virus vaccine — clinical, antigenic and prophylactic effects of vaccine in institutionalized children(NEJM) Studies on an attenuated measles-virus vaccine — clinical, antigenic and prophylactic effects of vaccine in home-dwelling children (NEJM) Studies on an attenuated measles-virus vaccine — general summary and evaluation of the results of vaccination(NEJM) Cooperative measles vaccine field trial (Pediatrics) A collaborative study of measles vaccines in five united states communities (American Journal of Public Health) A field trial of inactivated measles virus vaccine in young school children(JAMA Network) Prevention of natural and experimental measles with the vaccine(JAMA Network) A field trial in young school children(JAMA Network) Measles vaccination before the measles-mumps-rubella vaccine (American Journal of Public Health) The status of measles vaccines (Journal of the National Medical Association) Measles, mumps, and rubella (mmr) vaccination: what everyone should know (CDC Vaccines & Immunizations) Clinical review memo- measles, mumps, rubella (FDA) History of the measles vaccine (WHO) Vitamin A and the measles (Yahoo! News) As measles spreads, Kennedy embraces remedies like cod liver oil (NY Times) Parents are holding ‘measles parties' in the U.S., alarming healthexperts(Global News) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Weekly US influenza surveillance report (CDC FluView) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Interim estimates of 2024–2025 covid-19 vaccine effectiveness among adults aged ≥18 years — vision and ivy networks, September 2024–January 2025 (CDC MMWR) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Infectious Disease Society guidelines for treatment and management (ID Society) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Effect of early and delayed treatment with remdesivir on mortality in patients hospitalized with COVID-19 (OFID) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Letters read on TWiV 1198 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 Week in Virology
    TWiV 1196: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Mar 1, 2025 58:53


    In his weekly clinical update, Dr. Griffin and Vincent Racaniello lament about the downfall of public health from “postponement” of the advisory committee on immunization practices and the FDA VRBPAC influenza strain selection meetings to how the communication pause prevents public notice of NIH study section meetings, and withdrawal of CDC promotions for the ‘flu vaccine' before discussing the end of Ebola outbreak in Uganda, funding from Saudi Arabia for polio eradication, the continuing and growing measles outbreak in the US including misinformation from the Secretary of HHS, highly pathogenic avian flu and its economic effect, ie the cost of eggs before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, an update of Paxlovid administration, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, long COVID interventions and FDA approval of adjuvanted Novovax COVID vaccine. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Phantom ACIP (CDC) Postponement of ACIP…..hummmm (STATNews) Influenza Strain selection VRBPAC cancelled (Reuters) How NIH funded research is impacted by government communication pause (NY Times) Can be reviewed but still no money (STATNews) Final push to end Ebola in Uganda (WHO Uganda) Saudi Arabia sponsors polio eradication effort  (GPEI))  $500 million from Saudi Arabia to immunize 370 million children against polio (CIDRAP) Measles 124 in Texas…. (Texas Health and Human Services) A Texas child who was not vaccinated has died of measles(AP News) The Measles book-(Apple Books) Measles vaccination protects against virus infection and other infections (Science) Measles deadliest sequelae (MEDPAGE TODAY) Measles cases and outbreaks (CDC Measles) Unvaccinated Child Dies of Measles in Texas Outbreak(NY Times) Texas child is first reported US measles death in a decade as outbreak hits more than 130 (Reuters) Trump's cabinet meeting: Kennedy Shocker “Not unusual”……..seriously! (YouTube) First measles death reported in Texas as Kennedy downplays the outbreak (NBC News) Measles cliff notes: symptoms timeline (Substackdn) Annual state immunization report (Texas Health and Human Services) Measles imported into Kentucky…….no tariffs? (Commonwealth of Kentucky) Egg shortage affect flu shots? (MEDPAGE TODAY) Which Came First, the Chicken Slaughter or the Egg Shortage(Wall Street Journal) Avian Influenza in Birds: Causes and How It Spreads (CDC Avian Influenza) Agriculture Secretary Brooke Rollins: My Plan to Lower Egg Prices (Wall Street Journal) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Weekly US influenza surveillance report (CDC FluView) US respiratory virus activity (CDC Respiratory Illnesses) Trump administration yanks CDC flu vaccine campaign(NPR) RSV-Network (CDC Respiratory Syncytial virus Infection) New wild to mild campaign drives key message to tame flu and reset expectations (CDC Influenza) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Effectiveness of the original monovalent messenger RNA Coronavirus Disease 2019 (COVID-19) vaccination series against hospitalization for COVID-19–Associated venous thromboembolism (JID) 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) Demographic variation in US outpatient hydroxychloroquine and ivermectin use during the COVID-19 pandemic (HealthAffairs) Paxlovid update (Pfizer) Infectious Disease Society guidelines for treatment and management (ID Society) Alleviation of COVID-19 symptoms and reduction in healthcare utilization among high-risk patients treated With nirmatrelvir/ritonavir (NMV/R) (CID) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Interventions for Long COVID: A Narrative Review (Journal of General Internal Medicine) COVID-19 vaccination and odds of post–COVID-19 condition symptoms in children aged 5 to 17 Years (JAMA Network) Novavax COVID-19 vaccine, adjuvanted (FDA) Letters read on TWiV 1196 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.

    Ground Truths
    Carl Zimmer: Air-Borne and the Big Miss With Covid

    Ground Truths

    Play Episode Listen Later Feb 28, 2025 53:57


    Before getting into this new podcast, have you checked out the recent newsletter editions and podcasts of Ground Truths?—the first diagnostic immunome—a Covid nasal vaccine update—medical storytelling and uncertainty—why did doctors with A.I. get outperformed by A.I. alone?The audio is available on iTunes and Spotify. The full video is embedded here, at the top, and also can be found on YouTube.Transcript with links to Audio and External Links Eric Topol (00:07):Well, hello. It's Eric Topol with Ground Truths, and I am just thrilled today to welcome Carl Zimmer, who is one of the great science journalists of our times. He's written 14 books. He writes for the New York Times and many other venues of great science, journalism, and he has a new book, which I absolutely love called Air-Borne. And you can see I have all these rabbit pages tagged and there's lots to talk about here because this book is the book of air. I mean, we're talking about everything that you ever wanted to know about air and where we need to go, how we missed the boat, and Covid and everything else. So welcome, Carl.Carl Zimmer (00:51):Thanks so much. Great to be here.A Book Inspired by the PandemicEric Topol (00:54):Well, the book starts off with the Skagit Valley Chorale that you and your wife Grace attended a few years later, I guess, in Washington, which is really interesting. And I guess my first question is, it had the look that this whole book was inspired by the pandemic, is that right?Carl Zimmer (01:18):Certainly, the seed was planted in the pandemic. I was working as a journalist at the New York Times with a bunch of other reporters at the Times. There were lots of other science writers also just trying to make sense of this totally new disease. And we were talking with scientists who were also trying to make sense of the disease. And so, there was a lot of uncertainty, ambiguity, and things started to come into focus. And I was really puzzled by how hard it was for consensus to emerge about how Covid spread. And I did some reporting along with other people on this conflict about was this something that was spreading on surfaces or was it the word people were using was airborne? And the World Health Organization said, no, it's not airborne, it's not airborne until they said it was airborne. And that just seemed like not quantum physics, you know what I'm saying? In the sense that it seemed like that would be the kind of thing that would get sorted out pretty quickly. And I think that actually more spoke to my own unfamiliarity with the depth of this field. And so, I would talk to experts like say, Donald Milton at the University of Maryland. I'd be like, so help me understand this. How did this happen? And he would say, well, you need to get to know some people like William Wells. And I said, who?Eric Topol (02:50):Yeah, yeah, that's what I thought.Carl Zimmer (02:53):Yeah, there were just a whole bunch of people from a century ago or more that have been forgotten. They've been lost in history, and yet they were real visionaries, but they were also incredibly embattled. And the question of how we messed up understanding why Covid was airborne turned out to have an answer that took me back thousands of years and really plunged me into this whole science that's known as aerobiology.Eric Topol (03:26):Yeah, no, it's striking. And we're going to get, of course, into the Covid story and how it got completely botched as to how it was being transmitted. But of course, as you go through history, you see a lot of the same themes of confusion and naysayers and just extraordinary denialism. But as you said, this goes back thousands of years and perhaps the miasma, the moral stain in the air that was start, this is of course long before there was thing called germ theory. Is that really where the air thing got going?A Long History of Looking Into Bad AirCarl Zimmer (04:12):Well, certainly some of the earliest evidence we have that people were looking at the air and thinking about the air and thinking there's something about the air that matters to us. Aristotle thought, well, there's clearly something important about the air. Life just seems to be revolve around breathing and he didn't know why. And Hippocrates felt that there could be this stain on the air, this corruption of the air, and this could explain why a lot of people in a particular area, young and old, might suddenly all get sick at the same time. And so, he put forward this miasma theory, and there were also people who were looking at farm fields and asking, well, why are all my crops dead suddenly? What happened? And there were explanations that God sends something down to punish us because we've been bad, or even that the air itself had a kind of miasma that affected plants as well as animals. So these ideas were certainly there, well over 2,000 years ago.Eric Topol (05:22):Now, as we go fast forward, we're going to get to, of course into the critical work of William and Mildred Wells, who I'd never heard of before until I read your book, I have to say, talk about seven, eight decades filed into oblivion. But before we get to them, because their work was seminal, you really get into the contributions of Louis Pasteur. Maybe you could give us a skinny on what his contributions were because I was unaware of his work and the glaciers, Mer de Glace and figuring out what was going on in the air. So what did he really do to help this field?Carl Zimmer (06:05):Yeah, and this is another example of how we can kind of twist and deform history. Louis Pasteur is a household name. People know who Louis Pasteur is. People know about pasteurization of milk. Pasteur is associated with vaccines. Pasteur did other things as well. And he was also perhaps the first aerobiologist because he got interested in the fact that say, in a factory where beet juice was being fermented to make alcohol, sometimes it would spoil. And he was able to determine that there were some, what we know now are bacteria that were getting into the beet juice. And so, it was interrupting the usual fermentation from the yeast. That in itself was a huge discovery. But he was saying, well, wait, so why are there these, what we call bacteria in the spoiled juice? And he thought, well, maybe they just float in the air.Carl Zimmer (07:08):And this was really a controversial idea in say, 1860, because even then, there were many people who were persuaded that when you found microorganisms in something, they were the result of spontaneous generation. In other words, the beet juice spontaneously produced this life. This was standard view of how life worked and Pasteur was like, I'm not sure I buy this. And this basically led to him into an incredible series of studies around Paris. He would have a flask, and he'd have a long neck on it, and the flask was full of sterile broth, and he would just take it places and he would just hold it there for a while, and eventually bacteria would fall down that long neck and they would settle in the broth, and they would multiply in there. It would turn cloudy so he could prove that there was life in the air.Carl Zimmer (08:13):And they went to different places. He went to farm fields, he went to mountains. And the most amazing trip he took, it was actually to the top of a glacier, which was very difficult, especially for someone like Pasteur, who you get the impression he just hated leaving the lab. This was not a rugged outdoorsman at all. But there he is, climbing around on the ice with this flask raising it over his head, and he caught bacteria there as well. And that actually was pivotal to destroying spontaneous generation as a theory. So aerobiology among many, many other things, destroyed this idea that life could spontaneously burst into existence.Eric Topol (08:53):Yeah, no. He says ‘these gentlemen, are the germs of microscopic beings' shown in the existence of microorganisms in the air. So yeah, amazing contribution. And of course, I wasn't familiar with his work in the air like this, and it was extensive. Another notable figure in the world of germ theory that you bring up in the book with another surprise for me was the great Robert Koch of the Koch postulates. So is it true he never did the third postulate about he never fulfilled his own three postulates?Carl Zimmer (09:26):Not quite. Yeah, so he had these ideas about what it would take to actually show that some particular pathogen, a germ, actually caused a disease, and that involved isolating it from patients, culturing it outside of them. And then actually experimentally infecting an animal and showing the symptoms again. And he did that with things like anthrax and tuberculosis. He nailed that. But then when it came to cholera, there was this huge outbreak in Egypt, and people were still battling over what caused cholera. Was it miasma? Was it corruption in the air, or was it as Koch and others believe some type of bacteria? And he found a particular kind of bacteria in the stool of people who were dying or dead of cholera, and he could culture it, and he consistently found it. And when he injected animals with it, it just didn't quite work.Eric Topol (10:31):Okay. Yeah, so at least for cholera, the Koch's third postulate of injecting in animals, reproducing the disease, maybe not was fulfilled. Okay, that's good.Eric Topol (10:42):Now, there's a lot of other players here. I mean, with Fred Meier and Charles Lindbergh getting samples in the air from the planes and Carl Flügge. And before we get to the Wells, I just want to mention these naysayers like Charles Chapin, Alex Langmuir, the fact that they said, well, people that were sensitive to pollen, it was just neurosis. It wasn't the pollen. I mean, just amazing stuff. But anyway, the principles of what I got from the book was the Wells, the husband and wife, very interesting characters who eventually even split up, I guess. But can you tell us about their contributions? Because they're really notable when we look back.William and Mildred Wells Carl Zimmer (11:26):Yeah, they really are. And although by the time they had died around 1960, they were pretty much forgotten already. And yet in the 1930s, the two of them, first at Harvard and then at University of Pennsylvania did some incredible work to actually challenge this idea that airborne infection was not anything real, or at least nothing really to worry about. Because once the miasmas have been cleared away, people who embrace the germ theory of disease said, look, we've got cholera in water. We've got yellow fever in mosquitoes. We've got syphilis in sex. We have all these ways that germs can get from one person to the next. We don't need to worry about the air anymore. Relax. And William Wells thought, I don't know if that's true. And we actually invented a new device for actually sampling the air, a very clever kind of centrifuge. And he started to discover, actually, there's a lot of stuff floating around in the air.Carl Zimmer (12:37):And then with a medical student of his, Richard Riley started to develop a physical model. How does this happen? Well, you and I are talking, as we are talking we are expelling tiny droplets, and those droplets can potentially contain pathogens. We can sneeze out big droplets or cough them too. Really big droplets might fall to the floor, but lots of other droplets will float. They might be pushed along by our breath like in a cloud, or they just may be so light, they just resist gravity. And so, this was the basic idea that he put forward. And then he made real headlines by saying, well, maybe there's something that we can do to these germs while they're still in the air to protect our own health. In the same way you'd protect water so that you don't get cholera. And he stumbled on ultraviolet light. So basically, you could totally knock out influenza and a bunch of other pathogens just by hitting these droplets in the air with light. And so, the Wells, they were very difficult to work with. They got thrown out of Harvard. Fortunately, they got hired at Penn, and they lasted there just long enough that they could run an experiment in some schools around Philadelphia. And they put up ultraviolet lamps in the classrooms. And those kids did not get hit by huge measles outbreak that swept through Philadelphia not long afterwards.Eric Topol (14:05):Yeah, it's pretty amazing. I had never heard of them. And here they were prescient. They did the experiments. They had this infection machine where they could put the animal in and blow in the air, and it was basically like the Koch's third postulate here of inducing the illness. He wrote a book, William and he's a pretty confident fellow quoted, ‘the book is not for here and now. It is from now on.' So he wasn't a really kind of a soft character. He was pretty strong, I guess. Do you think his kind of personality and all the difficulties that he and his wife had contributed to why their legacy was forgotten by most?Carl Zimmer (14:52):Yes. They were incredibly difficult to work with, and there's no biography of the Wellses. So I had to go into archives and find letters and unpublished documents and memos, and people will just say like, oh my goodness, these people are so unbearable. They just were fighting all the time. They were fighting with each other. They were peculiar, particularly William was terrible with language and just people couldn't deal with them. So because they were in these constant fights, they had very few friends. And when you have a big consensus against you and you don't have very many friends to not even to help you keep a job, it's not going to turn out well, unfortunately. They did themselves no favors, but it is still really remarkable and sad just how much they figured out, which was then dismissed and forgotten.Eric Topol (15:53):Yeah, I mean, I'm just amazed by it because it's telling about your legacy in science. You want to have friends, you want to be, I think, received well by your colleagues in your community. And when you're not, you could get buried, your work could get buried. And it kind of was until, for me, at least, your book Air-Borne. Now we go from that time, which is 60, 70 years ago, to fast forward H1N1 with Linsey Marr from Virginia Tech, who in 2009 was already looking back at the Wells work and saying, wait a minute there's something here that this doesn't compute, kind of thing. Can you give us the summary about Linsey? Of course, we're going to go to 2018 again all before the pandemic with Lydia, but let's first talk about Linsey.Linsey MarrSee my previous Ground Truths podcast with Prof Marr hereCarl Zimmer (16:52):Sure. So Linsey Marr belongs to this new generation of scientists in the 21st century who start to individually rediscover the Welles. And then in Lindsey Marr's case, she was studying air pollution. She's an atmospheric scientist and she's at Virginia Tech. And she and her husband are trying to juggle their jobs and raising a little kid, and their son is constantly coming home from daycare because he's constantly getting sick, or there's a bunch of kids who are sick there and so on. And that got Linsey Marr actually really curious like what's going on because they were being careful about washing objects and so on, and doing their best to keep the kids healthy. And she started looking into ideas about transmission of diseases. And she got very interested in the flu because in 2009, there was a new pandemic, in other words that you had this new strain of influenza surging throughout the world. And so, she said, well, let me look at what people are saying. And as soon as she started looking at it, she just said, well, people are saying things that as a physicist I know make no sense. They're saying that droplets bigger than five microns just plummet to the ground.Carl Zimmer (18:21):And in a way that was part of a sort of a general rejection of airborne transmission. And she said, look, I teach this every year. I just go to the blackboard and derive a formula to show that particles much bigger than this can stay airborne. So there's something really wrong here. And she started spending more and more time studying airborne disease, and she kept seeing the Welles as being cited. And she was like, who are these? Didn't know who they were. And she had to dig back because finding his book is not easy, I will tell you that. You can't buy it on Amazon. It's like it was a total flop.Eric Topol (18:59):Wow.Carl Zimmer (19:00):And eventually she started reading his papers and getting deeper in it, and she was like, huh. He was pretty smart. And he didn't say any of the things that people today are claiming he said. There's a big disconnect here. And that led her into join a very small group of people who really were taking the idea of airborne infection seriously, in the early 2000s.Lydia BourouibaEric Topol (19:24):Yeah, I mean, it's pretty incredible because had we listened to her early on in the pandemic and many others that we're going to get into, this wouldn't have gone years of neglect of airborne transmission of Covid. Now, in 2018, there was, I guess, a really important TEDMED talk by Lydia. I don't know how you pronounce her last name, Bourouiba or something. Oh, yeah. And she basically presented graphically. Of course, all this stuff is more strained for people to believe because of the invisibility story, but she, I guess, gave demos that were highly convincing to her audience if only more people were in her audience. Right?Carl Zimmer (20:09):That's right. That's right. Yeah. So Lydia was, again, not an infectious disease expert at first. She was actually trained as a physicist. She studied turbulence like what you get in spinning galaxies or spinning water in a bathtub as it goes down the drain. But she was very taken aback by the SARS outbreak in 2003, which did hit Canada where she was a student.Carl Zimmer (20:40):And it really got her getting interested in infectious diseases, emerging diseases, and asking herself, what tools can I bring from physics to this? And she's looked into a lot of different things, and she came to MIT and MIT is where Harold Edgerton built those magnificent stroboscope cameras. And we've all seen these stroboscope images of the droplets of milk frozen in space, or a bullet going through a card or things like that that he made in the 1930s and 1940s and so on. Well, one of the really famous images that was used by those cameras was a sneeze actually, around 1940. That was the first time many Americans would see these droplets frozen in space. Of course, they forgot them.Carl Zimmer (21:34):So she comes there and there's a whole center set up for this kind of high-speed visualization, and she starts playing with these cameras, and she starts doing experiments with things like breathing and sneezes and so on. But now she's using digital video, and she discovers that she goes and looks at William Wells and stuff. She's like, that's pretty good, but it's pretty simple. It's pretty crude. I mean, of course it is. It was in the 1930s. So she brings a whole new sophistication of physics to studying these things, which she finds that, especially with a sneeze, it sort of creates a new kind of physics. So you actually have a cloud that just shoots forward, and it even carries the bigger droplets with it. And it doesn't just go three feet and drop. In her studies looking at her video, it could go 10 feet, 20 feet, it could just keep going.Eric Topol (22:24):27 feet, I think I saw. Yeah, right.Carl Zimmer (22:26):Yeah. It just keeps on going. And so, in 2018, she gets up and at one of these TEDMED talks and gives this very impressive talk with lots of pictures. And I would say the world didn't really listen.Eric Topol (22:48):Geez and amazing. Now, the case that you, I think centered on to show how stupid we were, not everyone, not this group of 36, we're going to talk about not everyone, but the rest of the world, like the WHO and the CDC and others was this choir, the Skagit Valley Chorale in Washington state. Now, this was in March 2020 early on in the pandemic, there were 61 people exposed to one symptomatic person, and 52 were hit with Covid. 52 out of 61, only 8 didn't get Covid. 87% attack rate eventually was written up by an MMWR report that we'll link to. This is extraordinary because it defied the idea of that it could only be liquid droplets. So why couldn't this early event, which was so extraordinary, opened up people's mind that there's not this six-foot rule and it's all these liquid droplets and the rest of the whole story that was wrong.Carl Zimmer (24:10):I think there's a whole world of psychological research to be done on why people accept or don't accept scientific research and I'm not just talking about the public. This is a question about how science itself works, because there were lots of scientists who looked at the claims that Linsey Marr and others made about the Skagit Valley Chorale outbreak and said, I don't know, I'm not convinced. You didn't culture viable virus from the air. How do you really know? Really, people have said that in print. So it does raise the question of a deep question, I think about how does science judge what the right standard of proof is to interpret things like how diseases spread and also how to set public health policy. But you're certainly right that and March 10th, there was this outbreak, and by the end of March, it had started to make news and because the public health workers were figuring out all the people who were sick and so on, and people like Linsey Marr were like, this kind of looks like airborne to me, but they wanted to do a closer study of it. But still at that same time, places like the World Health Organization (WHO) were really insisting Covid is not airborne.“This is so mind-boggling to me. It just made it obvious that they [WHO] were full of s**t.”—Jose-Luis JimenezGetting It Wrong, Terribly WrongEric Topol (25:56):It's amazing. I mean, one of the quotes that there was, another one grabbed me in the book, in that group of the people that did air research understanding this whole field, the leaders, there's a fellow Jose-Luis Jimenez from University of Colorado Boulder, he said, ‘this is so mind-boggling to me. It just made it obvious that they were full of s**t.' Now, that's basically what he's saying about these people that are holding onto this liquid droplet crap and that there's no airborne. But we know, for example, when you can't see cigarette smoke, you can't see the perfume odor, but you can smell it that there's stuff in the air, it's airborne, and it's not necessarily three or six feet away. There's something here that doesn't compute in people's minds. And by the way, even by March and April, there were videos like the one that Lydia showed in 2018 that we're circling around to show, hey, this stuff is all over the place. It's not just the mouth going to the other person. So then this group of 36 got together, which included the people we were talking about, other people who I know, like Joe Allen and many really great contributors, and they lobbied the CDC and the WHO to get with it, but it seemed like it took two years.Carl Zimmer (27:32):It was a slow process, yes. Yes. Because well, I mean, the reason that they got together and sort of formed this band is because early on, even at the end of January, beginning of February 2020, people like Joe Allen, people like Linsey Marr, people like Lidia Morawska in Australia, they were trying to raise the alarm. And so, they would say like, oh, I will write up my concerns and I will get it published somewhere. And journals would reject them and reject them and reject them. They'd say, well, we know this isn't true. Or they'd say like, oh, they're already looking into it. Don't worry about it. This is not a reason for concern. All of them independently kept getting rejected. And then at the same time, the World Health Organization was going out of their way to insist that Covid is not airborne. And so, Lidia Morawska just said like, we have to do something. And she, from her home in Australia, marshaled first this group of 36 people, and they tried to get the World Health Organization to listen to them, and they really felt very rebuffed it didn't really work out. So then they went public with a very strong open letter. And the New York Times and other publications covered that and that really started to get things moving. But still, these guidelines and so on were incredibly slow to be updated, let alone what people might actually do to sort of safeguard us from an airborne disease.Eric Topol (29:15):Well, yeah, I mean, we went from March 2020 when it was Captain Obvious with the choir to the end of 2021 with Omicron before this got recognized, which is amazing to me when you look back, right? That here you've got millions of people dying and getting infected, getting Long Covid, all this stuff, and we have this denial of what is the real way of transmission. Now, this was not just a science conflict, this is that we had people saying, you don't need to wear a mask. People like Jerome Adams, the Surgeon General, people like Tony Fauci before there was an adjustment later, oh, you don't need masks. You just stay more than six feet away. And meanwhile, the other parts of the world, as you pointed out in Japan with the three Cs, they're already into, hey, this is airborne and don't go into rooms indoors with a lot of people and clusters and whatnot. How could we be this far off where the leading public health, and this includes the CDC, are giving such bad guidance that basically was promoting Covid spread.Carl Zimmer (30:30):I think there are a number of different reasons, and I've tried to figure that out, and I've talked to people like Anthony Fauci to try to better understand what was going on. And there was a lot of ambiguity at the time and a lot of mixed signals. I think that also in the United States in particular, we were dealing with a really bad history of preparing for pandemics in the sense that the United States actually had said, we might need a lot of masks for a pandemic, which implicitly means that we acknowledge that the next pandemic might to some extent be airborne. At least our healthcare folks are going to need masks, good masks, and they stockpiled them, and then they started using them, and then they didn't really replace them very well, and supplies ran out, or they got old. So you had someone like Rick Bright who was a public health official in the administration in January 2020, trying to tell everybody, hey, we need masks.The Mess with MasksCarl Zimmer (31:56):And people are like, don't worry about it, don't worry about it. Look, if we have a problem with masks, he said this, and he recounted this later. Look, if the health workers run out of masks, we just tell the public just to not use masks and then we'll have enough for the health workers. And Bright was like, that makes no sense. That makes no sense. And lo and behold, there was a shortage among American health workers, and China was having its own health surge, so they were going to be helping us out, and it was chaos. And so, a lot of those messages about telling the public don't wear a mask was don't wear a mask, the healthcare workers need them, and we need to make sure they have enough. And if you think about that, there's a problem there.Carl Zimmer (32:51):Yeah, fine. Why don't the healthcare workers have their own independent supply of masks? And then we can sort of address the question, do masks work in the general community? Which is a legitimate scientific question. I know there are people who are say, oh, masks don't work. There's plenty of studies that show that they can reduce risk. But unfortunately, you actually had people like Fauci himself who were saying like, oh, you might see people wearing masks in other countries. I wouldn't do it. And then just a few weeks later when it was really clear just how bad things were getting, he turns around and says, people should wear masks. But Jerome Adams, who you mentioned, Surgeon General, he gets on TV and he's trying to wrap a cloth around his face and saying, look, you can make your own mask. And it was not ideal, shall we say?Eric Topol (33:55):Oh, no. It just led to mass confusion and the anti-science people were having just a field day for them to say that these are nincompoops. And it just really, when you look back, it's sad. Now, I didn't realize the history of the N95 speaking of healthcare workers and fitted masks, and that was back with the fashion from the bra. I mean, can you tell us about that? That's pretty interesting.Carl Zimmer (34:24):Yeah. Yeah, it's a fascinating story. So there was a woman who was working for 3M. She was consulting with them on just making new products, and she really liked the technology they used for making these sort of gift ribbons and sort of blown-fiber. And she's like, wow, you should think about other stuff. How about a bra? And so, they actually went forward with this sort of sprayed polyester fiber bra, which was getting much nicer than the kind of medieval stuff that women had to put up with before then. And then she's at the same time spending a lot of time in hospitals because a lot of her family was sick with various ailments, and she was looking at these doctors and nurses who were wearing masks, which just weren't fitting them very well. And she thought, wait a minute, you could take a bra cup and just basically fit it on people's faces.Carl Zimmer (35:29):She goes to 3M and is like, hey, what about this? And they're like, hmm, interesting. And at first it didn't seem actually like it worked well against viruses and other pathogens, but it was good on dust. So it started showing up in hardware stores in the 70s, and then there were further experiments that basically figured showed you could essentially kind of amazingly give the material a little static charge. And that was good enough that then if you put it on, it traps droplets that contain viruses and doesn't let them through. So N95s are a really good way to keep viruses from coming into your mouth or going out.Eric Topol (36:14):Yeah. Well, I mean it's striking too, because in the beginning, as you said, when there finally was some consensus that masks could help, there wasn't differentiation between cotton masks, surgical masks, KN95s. And so, all this added to the mix of ambiguity and confusion. So we get to the point finally that we understand the transmission. It took way too long. And that kind of tells the Covid story. And towards the end of the book, you're back at the Skagit Valley Chorale. It's a full circle, just amazing story. Now, it also brings up all lessons that we've learned and where we're headed with this whole knowledge of the aerobiome, which is fascinating. I didn't know that we breathe 2000 to 3000 gallons a day of air, each of us.Every Breath We TakeEric Topol (37:11):Wow, I didn't know. Well, of course, air is a vector for disease. And of course, going back to the Wells, the famous Wells that have been, you've brought them back to light about how we're aerial oysters. So these things in the air, which we're going to get to the California fires, for example, they travel a long ways. Right? We're not talking about six feet here. We're talking about, can you tell us a bit about that?Carl Zimmer (37:42):Well, yeah. So we are releasing living things into the air with every breath, but we're not the only ones. So I'm looking at you and I see beyond you the ocean and the Pacific Ocean. Every time those waves crash down on the surf, it's spewing up vast numbers of tiny droplets, kind of like the ocean's own lungs, spraying up droplets, some of which have bacteria and viruses and other living things. And those go up in the air. The wind catches them, and they blow around. Some of them go very, very high, many, many miles. Some of them go into the clouds and they do blow all over the place. And so, science is really starting to come into its own of studying the planetary wide pattern of the flow of life, not just for oceans, but from the ground, things come out of the ground all of the time. The soil is rich with microbes, and those are rising up. Of course, there's plants, we are familiar with plants having pollen, but plants themselves are also slathered in fungi and other organisms. They shed those into the air as well. And so, you just have this tremendous swirl of life that how high it can go, nobody's quite sure. They can certainly go up maybe 12 miles, some expeditions, rocket emissions have claimed to find them 40 miles in the air.Carl Zimmer (39:31):It's not clear, but we're talking 10, 20, 30 miles up is where all this life gets. So people call this the aerobiome, and we're living in it. It's like we're in an ocean and we're breathing in that ocean. And so, you are breathing in some of those organisms literally with every breath.Eric Topol (39:50):Yeah, no, it's extraordinary. I mean, it really widens, the book takes us so much more broad than the narrow world of Covid and how that got all off track and gives us the big picture. One of the things that happened more recently post Covid was finally in the US there was the commitment to make buildings safer. That is adopting the principles of ventilation filtration. And I wonder if you could comment at that. And also, do you use your CO2 monitor that you mentioned early in the book? Because a lot of people haven't gotten onto the CO2 monitor.Carl Zimmer (40:33):So yes, I do have a CO2 monitor. It's in the other room. And I take it with me partly to protect my own health, but also partly out of curiosity because carbon dioxide (CO2) in the room is actually a pretty good way of figuring out how much ventilation there is in the room and what your potential risk is of getting sick if someone is breathing out Covid or some other airborne disease. They're not that expensive and they're not that big. And taking them on planes is particularly illuminating. It's just incredible just how high the carbon dioxide rate goes up when you're sitting on the plane, they've closed the doors, you haven't taken off yet, shoots way up. Once again, the air and the filter system starts up, it starts going down, which is good, but then you land and back up again. But in terms of when we're not flying, we're spending a lot of our time indoors. Yeah, so you used the word commitment to describe quality standards.Eric Topol (41:38):What's missing is the money and the action, right?Carl Zimmer (41:42):I think, yeah. I think commitment is putting it a little strongly.Eric Topol (41:45):Yeah. Sorry.Carl Zimmer (41:45):Biden administration is setting targets. They're encouraging that that people meet certain targets. And those people you mentioned like Joe Allen at Harvard have actually been putting together standards like saying, okay, let's say that when you build a new school or a new building, let's say that you make sure that you don't get carbon dioxide readings above this rate. Let's try to get 14 liters per second per person of ventilated fresh air. And they're actually going further. They've actually said, now we think this should be law. We think these should be government mandates. We have government mandates for clean water. We have government mandates for clean food. We don't just say, it'd be nice if your bottled water didn't have cholera on it in it. We'll make a little prize. Who's got the least cholera in their water? We don't do that. We don't expect that. We expect more. We expect when you get the water or if you get anything, you expect it to be clean and you expect people to be following the law. So what Joseph Allen, Lidia Morawska, Linsey Marr and others are saying is like, okay, let's have a law.Eric Topol (43:13):Yeah. No, and I think that distinction, I've interviewed Joe Allen and Linsey Marr on Ground Truths, and they've made these points. And we need the commitment, I should say, we need the law because otherwise it's a good idea that doesn't get actualized. And we know how much keeping ventilation would make schools safer.Carl Zimmer (43:35):Just to jump in for a second, just to circle back to William and Mildred Wells, none of what I just said is new. William and Mildred Wells were saying over and over again in speeches they gave, in letters they wrote to friends they were like, we've had this incredible revolution in the early 1900s of getting clean water and clean food. Why don't we have clean air yet? We deserve clean air. Everyone deserves clean air. And so, really all that people like Linsey Marr and Joseph Allen and others are doing is trying to finally deliver on that call almost a century later.Eric Topol (44:17):Yeah, totally. That's amazing how it's taken all this time and how much disease and morbidity even death could have been prevented. Before I ask about planning for the future, I do want to get your comments about the dirty air with the particulate matter less than 2.5 particles and what we're seeing now with wildfires, of course in Los Angeles, but obviously they're just part of what we're seeing in many parts of the world and what that does, what carries so the dirty air, but also what we're now seeing with the crisis of climate change.Carl Zimmer (45:01):So if you inhale smoke from a wildfire, it's not going to start growing inside of you, but those particles are going to cause a lot of damage. They're going to cause a lot of inflammation. They can cause not just lung damage, but they can potentially cause a bunch of other medical issues. And unfortunately, climate change plus the increasing urbanization of these kinds of environments, like in Southern California where fires, it's a fire ecology already. That is going to be a recipe for more smoke in the air. We will be, unfortunately, seeing more fire. Here in the Northeast, we were dealing with really awful smoke coming all the way from Canada. So this is not a problem that respects borders. And even if there were no wildfires, we still have a huge global, terrible problem with particulate matter coming from cars and coal fire power plants and so on. Several million people, their lives are cut short every year, just day in, day out. And you can see pictures in places like Delhi and India and so on. But there are lots of avoidable deaths in the United States as well, because we're starting to realize that even what we thought were nice low levels of air pollution probably are still killing more people than we realized.Eric Topol (46:53):Yeah, I mean, just this week in Nature is a feature on how this dirty air pollution, the urbanization that's leading to brain damage, Alzheimer's, but also as you pointed out, it increases everything, all-cause mortality, cardiovascular, various cancers. I mean, it's just bad news.Carl Zimmer (47:15):And one way in which the aerobiome intersects with what we're talking about is that those little particles floating around, things can live on them and certain species can ride along on these little particles of pollution and then we inhale them. And there's some studies that seem to suggest that maybe pathogens are really benefiting from riding around on these. And also, the wildfire smoke is not just lofting, just bits of dead plant matter into the air. It's lofting vast numbers of bacteria and fungal spores into the air as well. And then those blow very, very far away. It's possible that long distance winds can deliver fungal spores and other microorganisms that can actually cause certain diseases, this Kawasaki disease or Valley fever and so on. Yeah, so everything we're doing is influencing the aerobiome. We're changing the world in so many ways. We're also changing the aerobiome.Eric Topol (48:30):Yeah. And to your point, there were several reports during the pandemic that air pollution potentiated SARS-CoV-2 infections because of that point that you're making that is as a carrier.Carl Zimmer (48:46):Well, I've seen some of those studies and it wasn't clear to me. I'm not sure that SARS-CoV-2 can really survive like long distances outdoors. But it may be that, it kind of weakens people and also sets up their lungs for a serious disease. I'm not as familiar with that research as I'd like to be.Eric Topol (49:11):Yeah, no, it could just be that because they have more inflammation of their lungs that they're just more sensitive to when they get the infection. But there seems like you said, to be some interactions between pathogens and polluted air. I don't know that we want to get into germ warfare because that's whole another topic, but you cover that well, it's very scary stuff.Carl Zimmer (49:37):It's the dark side of aerobiology.Eric Topol (49:39):Oh my gosh, yes. And then the last thing I wanted just to get into is, if we took this all seriously and learned, which we don't seem to do that well in some respects, wouldn't we change the way, for example, the way our cities, the way we increase our world of plants and vegetation, rather than just basically take it all down. What can we do in the future to make our ecosystem with air a healthier one?Carl Zimmer (50:17):I think that's a really important question. And it sounds odd, but that's only because it's unfamiliar. And even after all this time and after the rediscovery of a lot of scientists who had been long forgotten, there's still a lot we don't know. So there is suggestive research that when we breathe in air that's blowing over vegetation, forest and so on. That's actually in some ways good for our health. We do have a relationship with the air, and we've had it ever since our ancestors came out the water and started breathing with their lungs. And so, our immune systems may be tuned to not breathing in sterile air, but we don't understand the relationship. And so, I can't say like, oh, well, here's the prescription. We need to be doing this. We don't know.Eric Topol (51:21):Yeah. No, it's fascinating.Carl Zimmer (51:23):We should find out. And there are a few studies going on, but not many I would have to say. And the thing goes for how do we protect indoor spaces and so on? Well, we kind of have an idea of how airborne Covid is. Influenza, we're not that sure and there are lots of other diseases that we just don't know. And you certainly, if a disease is not traveling through the air at all, you don't want to take these measures. But we need to understand they're spread more and it's still very difficult to study these things.Eric Topol (52:00):Yeah, such a great point. Now before we wrap up, is there anything that you want to highlight that I haven't touched on in this amazing book?Carl Zimmer (52:14):I hope that when people read it, they sort of see that science is a messy process and there aren't that many clear villains and good guys in the sense that there can be people who are totally, almost insanely wrong in hindsight about some things and are brilliant visionaries in other ways. And one figure that I learned about was Max von Pettenkofer, who really did the research behind those carbon dioxide meters. He figured out in the mid-1800s that you could figure out the ventilation in a room by looking at the carbon dioxide. We call it the Pettenkofer number, how much CO2 is in the room. Visionary guy also totally refused to believe in the germ theory of disease. He shot it tooth in the nail even. He tried to convince people that cholera was airborne, and he did it. He took a vial. He was an old man. He took a vial full of cholera. The bacteria that caused cholera drank it down to prove his point. He didn't feel well afterwards, but he survived. And he said, that's proof. So this history of science is not the simple story that we imagine it to be.Eric Topol (53:32):Yeah. Well, congratulations. This was a tour de force. You had to put in a lot of work to pull this all together, and you're enlightening us about air like never before. So thanks so much for joining, Carl.Carl Zimmer (53:46):It was a real pleasure. Thanks for having me.**********************************************Thanks for listening, watching or reading Ground Truths. Your subscription is greatly appreciated.If you found this podcast interesting please share it!That makes the work involved in putting these together especially worthwhile.All content on Ground Truths—newsletters, analyses, and podcasts—is free, open-access.Paid subscriptions are voluntary and all proceeds from them go to support Scripps Research. They do allow for posting comments and questions, which I do my best to respond to. Many thanks to those who have contributed—they have greatly helped fund our summer internship programs for the past two years. And such support is becoming more vital In light of current changes of funding by US biomedical research at NIH and other governmental agencies. Get full access to Ground Truths at erictopol.substack.com/subscribe

    Raise the Line
    Fighting the Deceiving Label of ‘Rare': Zainab Alani, Fourth Year Student at University of Glasgow School of Medicine and Rare Conditions Advocate

    Raise the Line

    Play Episode Listen Later Feb 27, 2025 30:01


    To mark International Rare Disease Day, we're going to introduce you to a remarkable young woman, Zainab Alani, who is not letting her challenging rare condition stand in the way of her dream of becoming a physician. After noticing Zainab's struggles with muscle weakness and fatigue at age 15, her mother – a physician – took her to doctors advocating for a diagnosis of the rare autoimmune condition generalized myasthenia gravis (MG). Unfortunately, a series of clinicians attributed her symptoms to her menstrual cycle and other errant causes and even accused Zainab of being ‘a lazy teenager.' “Despite having that support and knowledge behind me, these doctors were dismissing my symptoms because of that deceiving label of rare,” Zainab explains to host Lindsey Smith. Wanting to spare others from this frustrating diagnostic odyssey, Zainab turned to advocacy once in medical school and is working with her sister and others through the organization Rare Aware Glasgow to raise awareness among the general public about rare conditions and to spur the medical community to adjust its perspective. “We don't expect medical professionals to know every single rare disease, we just want them to acknowledge their existence and not dismiss them when a family member or a patient brings them up as a differential diagnosis.” In this inspiring episode in our Year of the Zebra podcast series you'll also learn about intersectionality creating burdens in medical diagnosis and a questionable basis for patients being denied access to new treatments.Mentioned in this episode:Rare Aware GlasgowThe Myasthenia Medic If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast

    The Gambit
    The Gambit Episode 262: Zaalbar gets an Omicron || Star Wars: Galaxy of Heroes

    The Gambit

    Play Episode Listen Later Feb 25, 2025 65:21


    Xaereth and SoloBass15 record Gambit Podcast's 262nd episode. Let's talk about the stuff! So much stuff to discuss. Too much, probably. Podcast questions answered. So much madness. Madness!! Here are some links to help you on your way: The Gambit Discord Server Xaereth's Twitch Channel Solobass15's Twitch Channel Gambit Twitch Channel Xaereth's YouTube Channel Solobass15's YouTube Channel Gambit YouTube Channel

    This Week in Virology
    TWiV 1194: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Feb 22, 2025 58:58


    In his weekly clinical update, Dr. Griffin and Vincent Racaniello reminiscence about Dickson before discussing discharging Ebola patients, another announcement of emergency measures to control polio spread and the third nOPV2 vaccination campaign in Gaza in less than 6 months, the measles outbreak in the US, vaccination campaign for chickens against high pathogenic avian flu before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, an update of Paxlovid administration provides information for Columbia University Irving Medical Center's long COVID treatment center, and where to go for answers to your long COVID questions. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode In memory of Dickson (NY Times) All Ebola patients discharged in Uganda (DG Alerts) Uganda discharges Ebola patients (WHO Uganda) Emergency measures to stop polio…..isn't this the same plan as last year? (GPEI)) A third nOPV2 campaign…..but I thought OPV stops transmission (Reuters) Worst outbreak of measles in 30 years for Texas….go big or go home! (AP News) Measles 58 in Texas…. (Texas Health and Human Services) High pathogenic avain influenza virus infection of indoor domestic cats (CDC MMWR) Avian influenza in dairy cattle in Arizona (AZEIN) Third avian flu spillover! (CIDRAP) No vaccine hesitancy in chickens…..vaccinate all! (Science) Zoetis to supply conditionally licensed avian influenza H5N1 vaccine for chickens (Zoetis) High path avian influenza in mammals (USDA: Animal and plant health inspection service) How to vaccinate your chicken (WikiHow) Vaccine failure due to poor administration.(the poultry site) Human cases of H5N1 in US rise to 4 (CBS News) Canada's buying vaccine as US rats become infected (CIDRP) Canada purchases avian influenza vaccine for those at high risk (Canada Public Health) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) How the communications pause endangered us about influenza (AP News) Most intense flu season in 15 years (AP News) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Weekly US influenza surveillance report (CDC FluView) RSV-Network (CDC Respiratory Syncytial virus Infection) US respiratory virus activity (CDC Respiratory Illnesses) COVID-19 case fatality rate and infection fatality rate from 2020 to 2023 (Journal of Infection and public health) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center near you….if in NY (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Paxlovid update (Pfizer) Infectious Disease Society guidelines for treatment and management (ID Society) A randomized, double-blind, Phase 1, single- and multiple-dose placebo-controlled study of the safety and pharmacokinetics of IN-006, an inhaled antibody treatment for COVID-19 in healthy volunteers (eBioMedicine) Ensitrelvir for the Treatment of Nonhospitalized Adults with COVID-19 (CID) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Letters read on TWiV 1194 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.

    Radio Free Tatooine Network Feed
    Galactic War Report – Episode 420: (Record Scratch)

    Radio Free Tatooine Network Feed

    Play Episode Listen Later Feb 21, 2025 77:30


    We have now seen 4 out of 5 of the new Bad Batch units, with only Crosshair yet to be revealed. This week, we take an in-depth look at Wrecker, and how his tank abilities compliment Omega and the rest of the team. We also discuss Zaalbar’s unexpected Omicron upgrade and how that could impact […] The post Galactic War Report – Episode 420: (Record Scratch) appeared first on RADIO FREE TATOOINE.

    Raise the Line
    What Clinicians Can Learn About Managing Uncertainty: Dr. Jenny Moffett of RCSI University of Medicine and Health Sciences, Dublin

    Raise the Line

    Play Episode Listen Later Feb 20, 2025 25:23


    Having the ability to manage uncertainty is helpful in all professions, but perhaps especially so in medicine where uncertainty abounds and the stakes for managing it are high. Despite that, medical students receive little training in this area, something which our guest today, Dr. Jenny Moffett of RCSI University of Medicine and Health Sciences in Dublin, is working to change. “There are approaches to uncertainty that can be learned. We can change our perspective and perceptions around uncertainty, stepping away from always viewing it as something aversive, but perhaps maybe looking at it with a little bit more curiosity and openness, and that's definitely a transformation that faculty can make,” says Dr. Moffett, the program director of the Postgraduate Diploma in Health Professions Education. In addition to a perspective shift, Moffett also believes providers should develop skills to talk about uncertainty with patients in an open and honest way. “Clinicians can say, I'm on this journey with you. I don't have all of the answers, but we have paths, we have options, and I'll be there with you as we work them out.” Join host Caleb Furnas as he explores Dr. Moffett's fascinating work in this area which includes development of an immersive puzzle game that encourages students to address complex, ambiguous, and unpredictable issues.Mentioned in this episode:RCSI University of Medicine and Health Sciences If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast

    This Week in Virology
    TWiV 1192: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Feb 15, 2025 44:19


    In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss confirmation of Robert F Kennedy as HHS sectary, mpox, Ebola, how the American people support vaccine development and administration, the measles outbreak in the US-Texas, Georgia and influenza: the number of human infections, high avian flu in mammals, house cats and dairy cows before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, an update of Paxlovid administration provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, how long COVID varies between children and adults and if viral infection reduces telomere length in sperm. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Confirmation of RFK, Jr as HHS sect (NY Times) Did you know mpox in NY?….(Reuters) Mpox in sex workers in the Congo and in NY (CIDRAP) 9 confirmed, 265 suspected Ebola cases in Uganda (AP news) WHAT!? Support vaccines: availability and development. WHAT? (Businesswire) Measles rising in the unvaccinated. You mean the vaccines does something positive?  (ABC News) Measles in Texas….go big or go home (Texas Health and Human Services) Vaccination Conscientious exemptions in Texas (Texas Health and Human Services) 2, 6, 14 measles hospitalizations in Texas (CNN) Decreases in childhood vaccinations SchoolVaxView(CDC) 2 when 24 cases of measles in two weeks (Texas Health and Human Services) Measles in small town Texas (NY Times) Measles in the US Texas, Georgia, Rhode Island, New York, New Mexico: Elimination of measles (JID) Influenza taxonomy (NCBI) H5N9 in commercial duck farm, California (American Animal Hospital Association) Second type of bird flu circulating in ducks (Scientific Amercia) Variant H1N2 flu in Iowa (CIDRAP) All types of influenza (CDC Influenza) Bird flu in the zoos: Bronx and Queens (Gothamist) High path avian influenza in mammals (USDA: Animal and plant health inspection service) Bird flu in house cats…..I tawt I taw a puddy tat (KFF Health News) New strain of influenza in dairy cows (AP News) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) How the communications pause endangered us about influenza (AP News) Most intense flu season in 15 years (AP News)US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Weekly US influenza surveillance report (CDC FluView) RSV-Network (CDC Respiratory Syncytial virus Infection) 10 year surveillance of RSV hospitalization in adults(JID) Seasonality of RSV: 2017-2023(CDC: MMWR) What doctors wish patients know about RSV (AMA) US respiratory virus activity (CDC Respiratory Illnesses) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center near you….if in NY (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Paxlovid update (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) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Proportion of Long COVID incidence in adults and children (CID) SARS-CoV-2 infection effects sperm telomere length (Journal of Assisted Reproduction and Genetics) Pediatric gastrointestinal tract outcomes during the postacute phase of COVID-19c] (JAMA Network) Letters read on TWiV 1192 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

    Raise the Line
    The Role of Clinicians in Addressing Climate Change: Dr. Catharina Giudice, Climate and Human Health Fellow, Harvard T.H. Chan School of Public Health

    Raise the Line

    Play Episode Listen Later Feb 13, 2025 31:10


    The Role of Clinicians in Addressing Climate Change: Dr. Catharina Giudice, Climate and Human Health Fellow, Harvard T.H. Chan School of Public Health “The healthcare system is in this interesting intersection when it comes to its roles and responsibilities as it pertains to climate change,” says our Raise the Line guest Dr. Catharina Giudice, a research fellow in climate and human health at Harvard University.  As she explains to host Hillary Acer, the medical industry is a major producer of the greenhouse gasses that are contributing to serious health impacts on patients, especially those who are already vulnerable due to pre-existing conditions and economic struggles. Giudice, whose academic work focuses on healthcare sector climate preparedness, believes this paradox requires a response from clinicians. “There's so many small things that you can do as an individual clinician to make a difference in the climate change intersection.” Options include working to change hospital practices, educating peers and patients on the health impacts of climate change, and advocacy in the public policy arena. In this thought-provoking installment in our NextGen Journeys series, you'll also learn how the healthcare delivery system is being affected by climate change, and about a new concentration in climate change and planetary health at the Harvard T.H. Chan School of Public Health.Mentioned in this episode:Harvard T.H. Chan School of Public HealthHarvard University Center for the EnvironmentPractice Greenhealth If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast

    This Week in Virology
    TWiV 1190: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Feb 8, 2025 46:46


    In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss changes in access to public health information and aid mechanisms such as the return of MMWR, the largest tuberculosis outbreak in the US ever, lack of USAID in fighting Marburg and Ebola outbreaks in Africa, discussing if avian influenza virus is airborne, how eggs are effected and the emergence of second spillover into dairy cattle, how the difference between nOPV2 and Sabin OPV2 is a minor reduction in the association of vaccine associated paralytic poliomyelitis before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, an update of Paxlovid administration provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, how children may be affected by long COVID and if SARS-CoV-2 and other inflammatory syndromes increase the risk of Alzheimer's disease. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode The return of MMWR (CDC) Largest tuberculosis outbreak ever in the US (Kansas Department of Health and Environment) Marburg virus outbreak in Tanzania (Doctors without borders) No USAID, Ebola outbreak in Uganda spreads (CBS News) WHO accelerates efforts to Ebola response in Uganda (WHO: Uganda) Global partners enable access to vaccine and treatment for Ebola outbreak in Uganda (WHO) Ventilation and respiratory viruses (CDC National Institute for Occupational safety and health) Is bird flu flying through the air…..is the virus literally airborne? (NY Times) Is bird flu like measles (American Journal of Epidemiology) Indoor safety guideline (Herokuapp) Dairy herds in Nevada have influenza! (CIDRAP) Do your eggs have H5N1? (NY Times) New genotye D1.1 of avian flu in dairy cattle(USDA Animal and Plant Health Inspection Service) Second spillover of avian flu into dairy cattle….does this story sound familiar? (CIDRAP) Impact of using nOPV2 in mass vaccination campaigns? (JID) Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) As flu increases so do deaths in kids (CIDRAP) People most impacted by respiratory viruses (CDC) Co-infection with SARS-CoV-2 and influenza A/B (BMC Infectious Diseases) Oseltamivir reduces 30-Day mortality in older adults with Influenza (OFID) RSV: Waste water scan for 11 pathogens (WastewaterSCan) RSV-Network (CDC Respiratory Syncytial virus Infection) US respiratory virus activity (CDC Respiratory Illnesses) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center near you….if in NY (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Paxlovid update (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) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Long COVID Recovery Program with Zara Dureno, BA, MOT Long COVID pevalence and associated activity limitation in US children (JAMA Pediatrics) Plasma proteomic evidence for increased β-amyloid pathology after SARS-CoV-2 infection (Nature Medicine) Letters read on TWiV 1190 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

    Raise the Line
    Tackle Every Opportunity: Nikolas Bletnitsky, Third Year Student at Touro College of Osteopathic Medicine

    Raise the Line

    Play Episode Listen Later Feb 6, 2025 31:00


    We continue our NextGen Journeys series today featuring fresh perspectives on education, medicine, and the future of health care with an impressive medical student who was brought to our attention by a previous podcast guest, Dr. Michael Foti, whom we'd like to thank for the recommendation. Nikolas Bletnitsky is in his third year at Touro College of Osteopathic Medicine, Middletown, but that's just one element in his medical education. Over the last several years, Nick has done extensive work in the field of OB-GYN -- completing clinical electives in Paris, France and Bologna, Italy, in addition to the Mayo Clinic -- where he has pursued his intense interest in a variety of subspecialties, including maternal fetal medicine. “Right now I'm doing a lot because I'm young and I have the energy and I want to see a lot to give me different perspectives on things so that I can incorporate them into my own practice,” he tells host Michael Carrese. Join us for a wide-ranging conversation in which you'll learn about current practice in OB-GYN in the US and Europe, neonatal palliative care and advances in fetal surgery, along with what Nick has learned about having crucial conversations with the parents of patients when tough news needs to be discussed.Mentioned in this episode: Touro College of Osteopathic Medicine, If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast

    This Week in Virology
    TWiV 1188: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Feb 1, 2025 47:49


    In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss changes in access to public health information, the Marburg and Ebola outbreaks in Africa, the largest tuberculosis outbreak in the US ever, the politicization of polio vaccine campaigns in Pakistan, effect of high pathogenic influenza in animals and on the economy before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, trials and devices to relieve some neurological complications of long COVID and the ramifications of long COVID in children, healthcare workers and adults.  Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode No morbidity and mortality in the US this week? (NPR) More support for Marburg outbreak in Tanzania (Reliefweb) Tanzania confirming second Marburg case (CIDRAP) Norovirus mRNA vaccine …..hmmmm? (moderna) What is noronvirus? (modernatx) Largest tuberculosis outbreak ever in the US (Reuters) Ebola outbreak in DRC during US:WHO strain (STAT News) Uganda Ebola outbreak…..1 dead (Reuters) Polio outside endemic zone due to militants? (Washington Post) Mpox vaccination initiation in central Africa (CIDRAP) Preparing rapid response to emerging infectious disease in Africa (PANTHER Health) Mpox therapeutic study MOSA enrollment begins (Africa CDC) Halting of US foreign aid for health programs…..not in the US best interests? (NY Times) No PEPFAR (NY Times) PEPFAR (US Department of State) PEPFAR…..still not America first? Really? (CIDRAP) Resurgence of infections globally may affect US…..what is global health? (NY Times) Milk testing for H5N1….but I thought raw milk was the only healthy milk? (USDA) How do you like your $10.99 dozen of eggs? (NY Times) Farm outbreak of H5N1 (AP News) US- high pathogenicity avian influenza viruses (World Organization for Animal Health) H5N9 high pathogenic flu in duck farm California (CIDRAP) More egg issues (CIDRAP) Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) RSV: Waste water scan for 11 pathogens (WastewaterSCan) RSV-Network (CDC Respiratory Syncytial virus Infection) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory syncytial virus vaccine effectiveness among US veterans, September, 2023 to March, 2024 (LANCET Infectious Diseases) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center near you….if in NY (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Infectious Disease Society guidelines for treatment and management (ID Society) Drug interaction checker (University of Liverpool) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Long COVID Recovery Program with Zara Dureno, BA, MOT The current and future burden of long COVID in the United States (JID) Transcutaneous vagus nerve stimulation improves Long COVID symptoms in a female cohort (Frontiers in Neurology) Transcutaneous vagus nerve stimulation trials:             https://www.mountsinai.org/clinical-trials/tvns-in-long-covid-19             https://www.centerwatch.com/clinical-trials/listings/NCT06585254/tvns-in-long-covid-19  Devices:             https://pulsetto.tech/products/meet-pulsetto?pulsetto_offer_id=57&transaction_id=1024e5a0258b6647e262ba8fec5d62             https://www.dolphinmps.com/product/dolphin-neurostim-professional-single-kit-vagal-stim-kit/ Distinct pro-inflammatory/pro-angiogenetic signatures distinguish children with Long COVID from controls (Pediatric Research) Persistent symptoms and clinical findings in adults with post-acute sequelae of COVID-19/post-COVID-19 syndrome in the second year after acute infection(PLoS Medicine) SARS-COV-2 re-infection and incidence of post-acute sequelae of COVID-19 (PASC) among essential workers in New York (LANCET: Regional Health Americas) Impact of COVID-19 Pandemic on the incidence and prevalence of postural orthostatic tachycardia syndrome (EHJ-QCCO European Heart Journal-Quality of Care & Clinical Outcomes) Letters read on TWiV 1188 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

    Raise the Line
    AI's Threat to the Provider-Patient Relationship: Dr. Colin Doherty

    Raise the Line

    Play Episode Listen Later Jan 30, 2025 24:01


    Today, our ongoing global tour of medical education on Raise the Line stops in the Republic of Ireland by way of a conversation with the head of school at Trinity College Dublin School of Medicine, Dr. Colin Doherty, who is in the midst of revising the school's curriculum. In that process, particular attention is being given to how medical education needs to change to adjust to the potentially transformative impacts on health, healthcare and society from artificial intelligence, big data and climate change. As Dr. Doherty tells host Caleb Furnas, a recent creative workshop with internal and external stakeholders produced reassuring results. “It was really gratifying that central to the future of our workforce is not technology, but the humanity of the healthcare worker.” The widely-published epileptologist believes achieving that will require a regulatory framework that strikes the right balance. “Let AI help us with making the right choices for treatment, but don't put it between us and our relationship with the patient.” There is much to contemplate in this fascinating discussion of advances in understanding epilepsy, managing change in academia, instituting love as an outcome measure, and the many challenges and opportunities of leading a 300-year-old medical school into the future.Mentioned in this episode: Trinity College Dublin School of Medicine

    This Week in Virology
    TWiV 1186: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Jan 25, 2025 46:59


    In his weekly clinical update, Dr. Griffin and co-host Vincent Racaniello lament about the public changes from withdrawing from the WHO to health and scientific communication pauses by the Trump Administration after a brief discussion of Marburg in Tanzania and mpox in England before reviewing cats and bird flu, the recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, provides information for Columbia University Irving Medical Center's long COVID treatment center, and where to go for answers to your long COVID questions. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Tanzania confirms Marburg virus outbreak (Reuters) Clade Ib mpox in England (Reuters) Withdrawing from the World Health Organization (WhiteHouse) Fees costs behind withdrawing from WHO ….is that what we are suppose to believe? (Sky News) Sorry to see you go, US? (WHO) Where are the updates? (CDC Health Alert Network) Pause in health communications of all kind (Washington Post) NIH chaos…..streaming to a halt? (STAT News) Devastation at the NIH, hiring traveling, meetings, communications(Science) Protect your cat from bird flu (NPR) No communication and cats with bird flu….does not sound good (CIDRAP) Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) Baloxavir marboxil for prophylatix against influenza(NEJM) Comparative effectiveness of baloxavir marboxil and oseltamir treatment for reducint household transmission of influenza (Influenza and other respiratory viruses) RSV: Waste water scan for 11 pathogens (WastewaterSCan) RSV-Network (CDC Respiratory Syncytial virus Infection) US respiratory virus activity (CDC Respiratory Illnesses) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) Host-microbe multiomic profiling identifies distinct COVD-19 immune dysregulation in solid organ transplant recipients (Nature Communications) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center near you….if in NY (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Infectious Disease Society guidelines for treatment and management (ID Society) Drug interaction checker (University of Liverpool) Real‐world effectiveness and safety of oral azvudine versus nirmatrelvir‒ritonavir (Paxlovid) in hospitalized patients with COVID-19 (Signal Transduction and Targeted Therapy) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Long COVID Recovery Program with Zara Dureno, BA, MOT Letters read on TWiV 1186 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

    Raise the Line
    Creating Moments of Trust Between Patients and Nurses: Dr. Philip Dickison, CEO of the National Council of State Boards of Nursing

    Raise the Line

    Play Episode Listen Later Jan 23, 2025 34:57


    On this episode of Raise the Line, we're going to learn about the organization behind one of the most important exams in healthcare: the NCLEX, which is the licensing exam for nurses in the US. The influence of the test, which is overseen by the National Council of State Boards of Nursing (NCSBN), is hard to overstate because of its role in driving what nursing students and educators focus on. That was made evident when the heavily revamped Next Generation NCLEX, launched in 2023, placed much greater emphasis on clinical judgment than had been the case on past exams. “I think the education transformation prompted by the new exam is still going on. The launch was more of a catalyst than I expected,” says Dr. Philip Dickison, CEO of NCSBN, who was director of Health Professions Testing at Elsevier before joining the Council in 2010. Through administering licensing exams and serving as the collective voice of nursing regulators across the country, Dickison says NCSBN strives to achieve its ultimate goal, which is building public confidence in the competence of nurses.  “I see our job at the Council as making sure there is a moment of trust between a patient and their nurse.” Join host Liz Lucas, Senior Content Manager for Nursing at Osmosis from Elsevier, as she explores the important work that goes on behind the scenes in the healthcare industry to help ensure public health and safety, and uncovers what Dickison learned as a military medic that still influences his work today.Mentioned in this episode:National Council of State Boards of Nursing 

    This Week in Virology
    TWiV 1184: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Jan 18, 2025 45:46


    In his weekly clinical update, Dr. Griffin discusses current and past outbreaks of “vaccine” preventable diseases including whooping cough, polio and measles with your co-host Vincent Racaniello and the recent increase in norovirus outbreaks, if alcohol-based hand sanitizers aid in the spread of norovirus before reviewing the recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, provides information for Columbia University Irving Medical Center's long COVID treatment center, if “long COVID” like symptoms occurs after influenza and how long COVID may associate with neurological complicates that control verbal memory. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Notable infectious diseases in US (CDC NNDSS) Get your Tdap: whooping cough case increase (California Department of Public Health) Resurgence of measles among preschool aged children 1989-1991 (CDC: MMWR) Adults vulnerable to ‘childhood' diseases  (NY Times) Pivotal decision that led to a resurgence of polio (NY Times) Can polio return due to lagging vaccination? (NY Times) NoroSTAT Data Table (CDC Norovirus) The discovery of the 27-nm Norwalk virus: an historic perspective (JID) Why the “Ferrari of viruses” is surging through the northern hemisphere (Science) Waste water scan for 11 pathogens (WastewaterSCan) Norovirus at Chipotle, $25million food fine (NY Times) Chipotle food issues: 2015 settlement with the justice department  (Chipotle News) Purcel anyone? Hand sanitizers increase norovirus risk? (Canadian Medical Association Journal) Visualization by immune electron microscopy of a 27nm particle associated with acute infectious nonbacterial gastroenteritis (Journal of Virology) Winter vomiting disease (JID) ACIP: expanded recommendations for pneumococcal conjugate vaccines(CDC: MMWR) Presumptive bird flu case in San Francisco (SF. Gov) Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) Antiviral medications for treatment ofnonsevere influenza(JAMA Network: JAMA Internal Medicine)  Xofluza (GoodRx) RSV: Waste water scan for 11 pathogens (WastewaterSCan) RSV-Network (CDC Respiratory Syncytial virus Infection) US respiratory virus activity (CDC Respiratory Illnesses) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center near you….if in NY (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Infectious Disease Society guidelines for treatment and management (ID Society) Drug interaction checker (University of Liverpool) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) Symptom evolution in individuals with ongoing symptomatic COVID-19 and post COVID-19 syndrome after SARS-CoV-2 vaccination versus influenza vccination (Journal of Infection) Neurological post-COVID syndrome is associated with substantial impairment of verbal short-term and working memory (Scientific Reports) Letters read on TWiV 1184 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv

    Raise the Line
    Reducing Language Barriers in Medical Education: Mohammad Kabakibi, Founder of Chain of Education and Dania Reina, E-learning Creator

    Raise the Line

    Play Episode Listen Later Jan 16, 2025 27:41


    We have a special Raise the Line episode today that takes a look at some behind-the-scenes work happening at Osmosis from Elsevier to expand the reach and impact of our educational content, which is now being used by learners in nearly 200 countries. Over the past year, dozens of volunteers have been hard at work translating over 100 Osmosis videos into Arabic while simultaneously researching whether these translations increase student engagement and comprehension, and improve educational equity. Our host, Dr. Amin Azzam -- who has played an oversight role in this project -- is joined by two other key members of the team: Mohammad Kabakibi, the founder of Chain of Education, an online learning platform he developed while in school at Lebanese American University; and Dania Reina, who is an e-learning creator and a pharmacist from Brazil. “In the beginning, we had one or two volunteers, but now we have more than fifty. This is huge and this only happens because we are building this for us and to leave for other healthcare professionals who will hopefully keep it going,” says Reina. Research has shown significant learning improvement among video watchers and as a bonus, the people doing the subtitles report enhanced knowledge of the subjects they work on. These positive outcomes have spurred Kabakibi to look for other opportunities to make an impact, including helping Arabic speakers learn how to do research in English. “I believe one of the legacies that this project will carry through me will be my continuous mission in reducing barriers when it comes to healthcare and education,” he shares. Check out this inspiring episode to learn about other offshoots of the project, how this work supports lifelong learning, and why AI is not up to the task.Mentioned in this episode:Chain of EducationOsmosis Video with Arabic Translation 

    林氏璧孔醫師的新冠病毒討論會
    250113 麻疹可1傳18人?免疫失憶?為何羅一鈞說疫苗覆蓋率95%就不會大流行?

    林氏璧孔醫師的新冠病毒討論會

    Play Episode Listen Later Jan 12, 2025 27:58


    基本資訊請見 麻疹疫苗效期迷思?MMR疫苗接種建議 自費MMR疫苗接種院所 https://linshibi.com/?p=21628 我對於新聞最近不斷的強調麻疹可以1傳18人這件事有點在意。我認為這樣寫過於簡化。來吧,讓我們再上一次R0值的課(我想多半人都忘光了吧)。 "麻疹疫苗覆蓋率九成五,才有群體免疫力。" 這個到達群體免疫力的門檻英文稱為HITs(herd immunity threshold),和這個傳染病的R0值(基本傳染數)有關。R0值指的是在“沒有外力介入,同時所有人都沒有免疫力的情況下”,一個感染到某種傳染病的人,會把疾病傳染給其他多少個人的平均數。 公式:HITs=1-1/R0 wiki百科上幫大家算好了 麻疹R0 12~18,算出是92~95% 流感R0 1.5~1.8,算出是33~44% 04b孔醫師解讀: 1.可空氣傳染的麻疹病毒R0值超高,一個人可以傳給12~18人,疫苗接種率加上有得過的人需要至少達到92-95%以上的高門檻才能有效防治。這可以解釋這麼多年來日本為何一直無法完全根除麻疹,但台灣可以控制的不錯。 2.麻疹疫苗早年在日本施打有出過副作用,讓很多人不敢施打的事件,造成他們一直有一個世代的人是缺口。 3.但請注意,在此刻的台灣,麻疹不太可能平均傳這麼多人,因為我們疫苗施打率超高,顯然不是所有人都沒有免疫力的狀態,動不動就會遇到有防護力的人可以擋住他,讓他傳不下去。 4.另外一個要注意的變數是疫苗的有效性(effectiveness)。上述的公式是假設打疫苗就有100%防感染的保護力,但如果只能部分保護,那需要施打的人數就需要更多。麻疹疫苗非常有效且經過多年的驗證,病毒不會一直突變,自然感染後理論上就是終身免疫,打疫苗也可以維持很長久的效果。流感疫苗每年要猜病毒株,沒完全猜對的那年有效性就會較低。新冠後期我們已經不會談群體免疫這件事了,因為疫苗防止Omicron感染的效果有限且短暫,主要是防重症。 延伸閱讀: 日本流感進入大流行期 要打流感疫苗嗎?可以和新冠疫苗一起打嗎?左流右新? https://linshibi.com/?p=48579 日本蘋果病大流行 東京還能去嗎?孕婦 慢性貧血 免疫功能不全者請注意 https://linshibi.com/?p=48455 旅平險海外突發疾病 請注意有無給付法定傳染病 美商安達 臺灣產物保險 旺旺友聯 南山人壽 https://linshibi.com/?p=48622

    This Week in Virology
    TWiV 1182: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Jan 11, 2025 31:07


    In his weekly clinical update, Dr. Griffin discusses how vaccination and vaccine hesitancy affects public health and disease spread in terms of mpox, the first human death from H5N1 in US, why one should not feed their pets raw pet food and the metapneumonia outbreak in China before reviewing the recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, how nirmatrelvir-ritonavir/Paxlovid reduces adverse outcomes of COVID in patients with kidney disease, provides information for Columbia University Irving Medical Center's long COVID treatment center, SARS-CoV-2 infection affects skin conditions including shingles and if long antiviral treatment affects long COVID. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Mpox vaccination hesitancy, previous immunisation coverage, and vaccination readiness in the African region (eClincial Medicine) Global prevalence and correlates of mpox vaccine acceptance and uptake (Communications Medicine) First case of new mpox variant in France (Reuters) First “Bird flu” death in US (NY Times) Emerging threat of H5N1 to human health (NEJM) Don't feed your pets raw food (County of Los Angeles Public Health) Oregon, nationwide raw pet food recall (CIRAP) Raw cat food avian flu, is this like raw milk? (CIDRAP) Human metapneumovirus surging in China (The Guardian) Viral video of viral chaos: human metapneumovirus in Chinese hospital (The Economic Times) Human metapneumovirus in China (NY Times) Acute respiratory infections including human metapneumovirus in northern hemisphere (WHO) Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) RSV: Waste water scan for 11 pathogens (WastewaterSCan) RSV-Network (CDC Respiratory Syncytial virus Infection) US respiratory virus activity (CDC Respiratory Illnesses) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center near you….if in NY (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Infectious Disease Society guidelines for treatment and management (ID Society) Drug interaction checker (University of Liverpool) The effect of nirmatrelvir-ritonavir on short- and long-term adverse outcomes from COVID-19 among patients with kidney disease (OFID) Paxlovid tied to lower risk of hospital stay, heart problems, death in adults with kidney disease and COVID (CIDRAP) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) Chronic urticaria, vitiligo, alopecia areata, and herpes zoster following COVID-19 infection (Journal of Dermatology) Impact of extended-course oral nirmatrelvir/ritonavir in established Long COVID: (Communications Medicine) Letters read on TWiV 1182 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv

    Raise the Line
    Helping All Medical Providers Understand Genomic Testing: Dr. Ethylin Wang Jabs, Mayo Clinic and Dr. Antonie Kline, Harvey Institute for Human Genetics

    Raise the Line

    Play Episode Listen Later Jan 9, 2025 16:06


    We kick off 2025 on Raise the Line by sharing some good news for providers struggling to keep up with the growing number of applications for genomic testing: a new book from Elsevier Science Direct has been designed to arm you with the knowledge you need. Genomics in the Clinic: A Practical Guide to Genetic Testing, Evaluation, and Counselingdives into the use of this important tool in diagnosis and screening, indicating how individuals may respond to drug therapies, and more. “We really need to educate all healthcare providers about the practice of genetics because they're going to be involved directly or indirectly in genetic testing and conveying information about what the results mean to patients and their families,” explains co-author Dr. Ethylin Wang Jabs, enterprise chair of the Department of Clinical Genomics for Mayo Clinic. Jabs and her co-author, Dr. Antonie Kline, director of Clinical Genetics at the Harvey Institute for Human Genetics at Greater Baltimore Medical Center, chose a format that makes heavy use of case studies to help readers get a better grasp on this complicated field and they also include chapters on direct-to-consumer testing and the ethical and social implications in genomic medicine. “Any kind of potentially predictive testing can have ethical issues related to it, including insurance coverage, testing for family members, protections for minors, and more,” says Dr. Kline. Join host Caleb Furnas for an illuminating episode on an area of discussion in medicine that's growing in importance as the use of genetic testing rapidly increases.Mentioned in this episode: Genomics in the Clinic: A Practical Guide

    This Week in Virology
    TWiV 1180: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Jan 4, 2025 38:06


    In his weekly clinical update, Dr. Griffin discusses the recent increase in norovirus outbreaks, human cases of H5N1 avian influenza, before reviewing the recent statistics on RSV, influenza and SARS-CoV-2 infections, the WasterwaterScan dashboard, where to find PEMGARDA, how effective Molnupiravir is and provides information for Columbia University Irving Medical Center's long COVID treatment center. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Norovirus: Waste water scan for 11 pathogens (WastewaterSCan) Adolescent with Influenza A H5N1 infection (NEJM) Highly pathogenic avian Influenza A ( H5N1) virus infections in humans (NEJM) Emerging threat of H5N1 to human health (NEJM) US respiratory virus activity (CDC Respiratory Illnesses) In-hospital outcomes of healthcare-associated Coronavirus Disease 2019 (Omicron) versus healthcare-associated Influenza (CID) Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) RSV: Waste water scan for 11 pathogens (WastewaterSCan) RSV-Network (CDC Respiratory Syncytial virus Infection) US respiratory virus activity (CDC Respiratory Illnesses) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center near you….if in NY (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Infectious Disease Society guidelines for treatment and management (ID Society) Drug interaction checker (University of Liverpool) Molnupiravir safety and efficacy (JMV) Real clinical effectiveness of Molnupiravir against 30-day mortality (OFID) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center)Post-COVID Condition Risk Factors and Symptom Clusters and Associations with Return to Pre-COVID Health (CID) Letters read on TWiV 1180 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv

    CFO Thought Leader
    Bonus Replay: Where the Puck Is Headed | Michelle Hook, CFO, Portillo's

    CFO Thought Leader

    Play Episode Listen Later Jan 1, 2025 58:19


    It was late 2020 when Michelle Hook ended 17 years of fruitful career-building at Domino's to accept a CFO appointment at fast casual restaurant chain Portillo's. “The two things that I was looking for were to be passionate about a new brand and to feel a culture fit,” recalls Hook, who adds that she had long imagined someday leaving Domino's to join a smaller company that she could help to grow.“I just didn't care about going to a bigger company or ‘X,' ‘Y,' or ‘Z,'” continues Hook, who tells us that she ultimately took a leap of faith with regard to there being a culture fit at Portillo's.“I actually never stepped into our headquarters until my first day on the job and had met in person only with the CEO, since this was during COVID times and the rest of the hiring process had been done on Zoom,” comments Hook.Fast-forward 15 months to when the Omicron variant was still grabbing headlines and inflation had begun to rattle the economy—and Hook could not escape the notion that the traditional Portillo's restaurant needed to change for the post-COVID world.“I thought to myself, I think that we're overbuilding our restaurants—we need to think about where the puck is going,” remembers Hook, who notes that Portillo's dine-in customers in today's post-COVID environment account for only roughly 35 percent of the chain's volume.“I had come from Domino's, which didn't have these big dining rooms and had built out a heavily digital business,” remarks Hook, who reports that Portillo's digital business represents only 20 percent of overall sales.This subject soon surfaced at an executive strategy session at which Portillo's CEO, Michael Osanloo, tasked Hook and Portillo's head of marketing with leading an initiative dubbed “Restaurant of the Future.” “I think that Michael knew that I'd take on the project by using a data-driven lens,” comments Hook, who points out that the project has involved “time and motion studies” involving specific restaurants and their conveyance activities within the kitchen. “Getting the engine right in the car is super important to us,” she says. “This will bring benefits not only on the cost side of things but also for our team members, who will find it easier to complete their work.” –Jack Sweeney

    This Week in Virology
    TWiV 1178: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Dec 28, 2024 60:36


    In his weekly clinical update, Dr. Griffin deep dives into the whooping cough epidemic and bird flu in big cats, and in conjunction with your host Vincent Racaniello discusses the recent case of paralytic poliomyelitis in Israel, measles outbreaks and HHS campaign for vaccine safety campaign before reviewing the recent statistics on SARS-CoV-2 infection, the WasterwaterScan dashboard, if the COVID mRNA vaccine is effective against symptomatic SARS-CoV-2 infection and hospitalization in children, where to find PEMGARDA, information for Columbia University Irving Medical Center's long COVID treatment center, how long COVID effects one's activities, personality and neuropsychiatric symptoms. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Highest level of whooping cough cases in a decade (NBC News) Provisional pertussis surveillance report (CDC) Polio moves into Israel (Jerusalem Post) Polio today (GPEI) Measles- the let's get real vaccination campaign (CDC) Measles fact sheet (CDC) Measles- near you (CDC) Let's get real about childhood vaccines (HHS) The FACTS about childhood vaccines (HHS) Tigers and cougars dying from bird flu, oh my! (NY Times) US respiratory virus activity (CDC Respiratory Illnesses) Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) Burden of all-cause mortality following Influenza-associated hospitalizations (CID) Waste water scan for 11 pathogens (WastewaterSCan) RSV-Network (CDC Respiratory Syncytial virus Infection) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Initial effectiveness of mRNA-1273 against SARS-CoV-2 infection and hospitalization in young children (OFID) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center near you….if in NY (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Infectious Disease Society guidelines for treatment and management (ID Society) Drug interaction checker (University of Liverpool) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) Long COVID and significant long COVID–associated activity limitation among adults (CDC: MMWR) 2024 Update of the RECOVER-Adult Long COVID Research Index (JAMA Network) About 8% of US adults have ever had long COVID, survey finds(CIDRAP) Real-world effectiveness and causal mediation study of BNT162b2 on long COVID risks in children and adolescents (eClinicalMedicine) Personality and neuropsychiatric symptoms in individuals diagnosed with long COVID(BMC Infectious Diseases)Post-COVID Condition Risk Factors and Symptom Clusters and Associations with Return to Pre-COVID Health (CID) Letters read on TWiV 1178 38:11 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv

    This Week in Virology
    TWiV 1176: Clinical update with Dr. Daniel Griffin

    This Week in Virology

    Play Episode Listen Later Dec 21, 2024 48:10


    In his weekly clinical update, Dr. Griffin continues his discussion of whether the mysterious respiratory illness in the Congo is malaria, and in conjunction with your host Vincent Racaniello discusses how routine childhood immunizations especially that against poliovirus are threatened by Robert F Kennedy Jr and Aaron Siri, the origin of the SAR-CoV-2 virus and retraction of Didier Raoult's research, then returns to discussing the first case of severe disease following H5N1 infection in humans and the state of California's “bird flu emergency”, the benefit of the measles vaccine, before reviewing the recent statistics on SARS-CoV-2 infection, the WasterwaterScan dashboard, how vaccination reduced hospitalization of children between 5-17 years, the ACIP recommendation for the immunocompromised, where to find PEMGARDA, information for Columbia Unversity Irving Medical Center's long COVID treatment center, long COVID in cancer patients and the physical malaises of long COVID. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Mystery disease in DRC kills mostly children (ALJAZEERA) Malaria—mysterious disease in DRC? (ALJAZEERA) Mysterious disease in DRC is severe malaria (ALJAZEERA) Confirmed first severe human H5N1 case (CIDRAP) California declares bird flu emergency (Reuters) RFK's lawyer asks FDA to revoke approval of the polio vaccine (NY Times) NO WAY! Vaccination promotes survival and health? (LANCET) 10.6 million cases of measles this year alone! (WHO) 20% rise in measles…..(NY Times) No Sars-CoV-2 relatives in Shi Zhengli's freezers (Nature) Controversial COVID study that promoted unproven treatment retracted after four-year saga (Nature) Influenza weekly surveillance report: clift notes (CDC FluView) Waste water scan for 11 pathogens (WastewaterSCan) RSV-Network (CDC Respiratory Syncytial virus Infection) US respiratory virus activity (CDC Respiratory Illnesses) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) BNT162b2 XBB Vaccine for COVID-19 Among Children 5-17 Years ofAge (JAMA Network) ACIP recommendations for those over 65 years and those under 6 months who are immunocompromised (CDC MMWR) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Fusion center near you….if in NY (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Infectious Disease Society guidelines for treatment and management (ID Society) Drug interaction checker (University of Liverpool) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) When your healthcare provider is infected/exposed with SARS-CoV-2 (CDC) Managing healthcare staffing shortages (CDC) Steroids, dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) Post-acute sequelae of COVID-19 in cancer patients: Two cohorts in UK and Hong Kong(Cancer Medicine) Skeletal muscle adaptations and post-exertional malaise in long COVID (Cell: Trends in Endocrinology & Metabolism) Letters read on TWiV 1176 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv

    The Truth with Lisa Boothe
    The Truth with Lisa Boothe: An Interview with the new Head of the NIH, Dr. Jay Bhattacharya

    The Truth with Lisa Boothe

    Play Episode Listen Later Nov 28, 2024 58:41 Transcription Available


    In this episode, Lisa and Dr. Jay Bhattacharya, a Stanford professor and co-author of the Great Barrington Declaration, discuss the implications of the Omicron variant and government responses, including vaccine mandates. Dr. Bhattacharya advocates for focused protection of vulnerable populations rather than broad lockdowns and criticizes mass asymptomatic testing and forced vaccination. The Truth with Lisa Boothe is part of the Clay Travis & Buck Sexton Podcast Network - new episodes debut every Monday & Thursday. See omnystudio.com/listener for privacy information.